Table 1:

Overview of mobile oral telemedicine system in Botswana

Step 1	Dental officer evaluates a patient with a complicated oral problem for which the dental officer decides to open a mobile oral telemedicine case.
Step 2	Dental officer records patient identifiable information in a ledger with a corresponding mobile oral telemedicine case identifier (e.g., 0001)
Step 3	Dental officer logs into the customized mobile oral telemedicine system application using a supplied clinic smart phone.
Step 4	Dental officer opens up a new case and inputs relevant patient information, including history of present condition, past medical history, photographs of the oral problem of concern and/or imaging that are taken using the smart phone camera, and his/her proposed diagnosis and management plan.
Step 5	Dental officer submits the new case information to the mobile oral telemedicine database using the mobile network or Wi-Fi connection.
Step 6	Dental officer establishes a plan to admit the patient or follow up with him/her in clinic while awaiting the specialist feedback.
Step 7	Mobile oral telemedicine system sends a text message and e-mail to the specialist that a case is available for review.
Step 8	Specialist logs into online portal for the mobile oral telemedicine system using a supplied tablet.
Step 9	Specialist reviews submitted case information on the online portal.
Step 10	Specialist opens a response template and inputs his proposed diagnosis and management plan.
Step 11	Specialist submits the response to the mobile oral telemedicine database using the mobile network or Wi-Fi connection.
Step 12	Mobile oral telemedicine system sends a text message and e-mail to the referring dental officer that a response from the specialist is available.
Step 13	Dental officer logs into online portal via the mobile network or Wi-Fi network using the supplied clinic smart phone.
Step 14	Dental officer reviews the submitted specialist response on the online portal.
Step 15	Dental officer manages the patient based on input from the specialist.
Step 16	Dental officer submits information the management and outcome of the patient through a follow up form available on the customized mobile oral telemedicine system application via the supplied clinic smart phone using the mobile network or Wi-Fi connection.