10. If 9 is Yes, please, describe
11. Institution type:
12. Starting date of the program (Month/Day/Year):
13. Initial telemedicine clinical applications:
14. Actual telemedicine clinical applications:
15. Non-clinical applications
Education
Administration
Research Other (specify):
16. Hardware in Use (list):
17. Software in Use (list):
18. Does the program have activities thru Internet:
Yes
No
19. Annual Average Case Number:
20. Available communications:
21. Are your consults store and forward, real time or both?
Store and
Forward
Real
Time
Both
22. How is your program funded?
23. State of advance, implementation, development (%):
24. Describe the benefits / potentialities of your program:
25. Describe the limitations of your program for its correct
development:
26. Does your program count with a Sustainability Plan?
Yes
No
27. Does your program have relations with a Telemedicine/Telehealth
program outside your country?
Yes
No
28.
If your answer is Yes, describe:
