1. Road Map Dermato-ICT Model and PossibleOpportunity to Explore in the Field to EstablishPublic Health Network (PHN) Md. Reza Bin Zaid PhD, DDV. MBBS Professor, Dermatology and Venereology Chairman, Teledermatology Working Group Bangladesh (TWgBD)

2. TWgBD organogram of Dermato-ICT modelTWgBDconsisted of Mutant Professionals Doctor Medical Writer TWgBDBio- physicist works onSoftware Engr.TWgBD Healthcare ResearchClinicalAcademyHardwareModes are-SoftwareTeledermatology for patient e- health on skin & beauty for patient and publicDeveloped for healthcaredelivery e-dermatology for doctor m-health for doctor-patient-citizen relationship 3. TWgBD Developed Hardware and SoftwareSuitable for teledermatology & m-dermatologyMotorized Camera Lightsource ElevatorThe web-software TIMES (Telemedicine Information, Management and Education System) Control PaddleThe hardware-DICOT (Digital Imaging & Communication in Telemedicine) 4. The Hardware DICOTDICOT is suitable at remote end-point forteledermatology DICOT functionalityPatient with DICOT Assistant Allows doctor to examine skin disease remotely Allows a natural view to patient (as such face- to- face) It is real-time / synchronized in both end-points.Since 2006 5. The Web-Software TIMES(Telemedicine Information, Management and Education System) Dynamic for patient management (from help-desk to billing)Processes data for teledermatology, e-health, e-dermatology & m-healthDemographic DataClinical Data From remote end-point, sent by Patients Assistant (PA) or from home by patientsFrom dermatologistscenter, sent by doctor themselves (Pt) ID C/C Name History AgeLesion examination:On Teledermatology Sex(2D image) AddressInvestigation reports Lesion imaging Cell Phone NumberDiagnosisManagement & Follow-up e-mailSince 2006 6. The data are employed onto the value added service (VAS) fordoctor-patient-citizen relationship www.myspecialistdoctors.com (Teledermatology site for dermatologist) Consult with dermatologist from remote end-point EHR (electronic Health Record) e-prescription Online appointment & billing www.skinvd.org (e-dermatology site for doctors) Case report article CME Dermatology update www.skinproblembd.com (e- skin health & Beauty site for patient and citizen) Skin topics PHR (personal Health Record) e-PIL (Patients Info Leaflet) blog & forum on disease Consult with dermatologist from home Online appointment, billing & e-mail health alert m-dermatoloy (m-health for doctor-patient-citizen is under production) www.twgbd.comSince (e-commerce for sponsors & ads.) 2006 7. TD remote nodes run by TWGBD and Grameenphone CIC 8. TWgBD establishes doctor-patient-citizen relationshipDermatologist employed for teledermatogy, Remote end-point m-dermatology and creating VAS Tele-assistant operating TIMES DICOT at grameenphone CICDermatologists center of virtual examination room TIMES -generates vast data to create an ultimate value added services (VAS)Patient & citizen operating PC/ID:Name:Age:Mobile at their own placeAddress:Cell no.:Weight:E-mail: Date: Eczem a 1.Dermovate ointment 2. Tab. Piriton + + --- CBC SendS. IgE Check your email & get :levele-Prescription , e-hand out, EMR, next appointment, consultation from your home, forum/blog on eczema, e-health topics and many others you may like. 9. Why doctors are related to Dermato-ICT? An TWGBD analysis on www.skinvd.org Contains an update dermatology knowledge that useful in their clinical practiceSince 2006 10. Why Patients are related to Dermato-ICT ? An TWGBD analysis on www.skinproblembd.com Teledermatology available at neighborhood Teledermatology availability at home Meets demand of following value added services:PHRe-prescriptione-handoutAppointmentBillinge-mail alert on healthVAS in m-dermatologySince 2006 11. Why citizen are related to Dermato-ICT? An TWGBD analysis on www.skinproblembd.com Citizen have interest to meet the experts in a blog on skin -health & beauty, nutrition & healthy living.Since 2006 12. Why Grameenphone mobile operator is related toDermato-ICT ?An TWGBD analysis on www.myspecialistdoctors.comMOP has ability to reach people with healthcare products:- By m-dermatology- By teledermatology at Community Info Center (CIC)- VAS has financial importanceSince 2006 13. Why Pharmaceutical are health-friendly sponsors are related to Dermato-ICT ?An TWGBD analysis on www.twgbd.comHealth-friendly sponsor has aim to build a healthy community.Ultimately allow patients and doctors to experience their products.Since 2006 14. References: RB Zaid, DB Zaid, A Islam, AA Rupak. AM Bipu, N Milon, J Begum. Global Telemedicine andeHealth Updates 2012; 5: 336-40.http://www.medetel.eu/index.php?rub=educational_program&page=program Zaid RB, Begum J, Ahmad M, Rahman A, B Shuza, Zaid DB and Bhuiyan AR.DiagnosticAccuracy and Management Reliability of Hybrid Teledermatology - a Study on 221 SkinLesions. http://www.ksyos.org/images/stories/Abstracts_Booklet.pdf Zaid RB, Begum J, Ahmad M, Rahman A, B Shuza, Zaid DB, Hassan Z andBhuiyanAR. HealthCare in Teledermatology - A Live Demohttp://www.ksyos.org/images/stories/Abstracts_Booklet.pdf www.skinvd.org- a web based educational program for Doctors and Patients. www.skinproblembd.com- a provision for teledermatology information, management andeducation system www.sexproblebbd.com- a provision for on-line sexology consultation and education system. www.myspecialistdoctors.com- a teledermatology and m-dermatology portal in Bangladesh