Use of standard email program and Internet connection to send high quality digital images from remote locations with very limited bandwidth.  Central archiving of all referrals using automated software running under the Linux operating system.  The system is used in most major deployments of UK military personnel throughout the world, including RN warships.  It has been used in approximately 450 clinical cases.  This project developed from the trial project previously listed on this database as the Hasla/Sipovo Project.