presented in this paper. Abstract Mobile healthcare (m-health) is an emerging Generally providing end-to-end quality-of-service (QoS) to research area. There are two critical issues facing successful real time video delivery in wireless networks is becoming an deployment of m-health applications from the wireless increasingly important application requirement in mobile communications perspectives. First, wireless connectivity issues communications and multimedia research. Supporting robust and mobility requirements of real-time bandwidth demanding mhealth applications. Second, are the Quality of Service (QoS) video commations ov wi netors is ansgificant issues from the healthcare perspective and their required levels problem, primarily because of two factors: low bandwidth and to guarantee robust and clinically acceptable healthcare services. the time varying error characteristics of the transmission In this paper, we consider the concept of medical QoS (m-QoS) channel. Therefore, adaptation scheme has to be applied in issues for typical bandwidth demanding m-health application order to overcome these challenges. (tele-ultrasound streaming) in 3G environments. Specifically we For bandwidth demanding i-health applications, we adopt introduce this new concept of m-QoS that provide a sub-category of quality of services from the m-health perspective. To validate here a wireless robotic tele-ultrasonography system OTELO this concept we also propose a new optimal rate control policy as an example to validate the concept presented in this paper based on Q-learning approach to deliver the ultrasound images [2]. OTELO can be considered as bandwidth-demanding over 3G environment. medical data traffic system with different m-QoS requirements. The advanced medical robotic system -OTELO (mObile-Tele-Echography using an ultra-Light rObot) was a Iommundexatios-QoS,aTeyemhedi ml i European IST funded project that developed a fully integrated end-to-end mobile tele-echography system for population groups that are not served locally, either temporarily or I. INTRODUCTION permanently, by medical ultrasound experts. It comprises a n / -Health can be defined as 'mobile computing, fully portable tele-operated robot allowing a specialist N/I -Health can be defined as 'mobile computing, sonographer to perform a real-time robotised tele-echography .IYL.multimedia, medical sensor, and communications1 multimedia medical sensor, and communications to remote patients. Figure I shows the main operational blocks technologies for healthcare' [1]. This emerging concept of the system over 3G communication network. Further represents the evolution of e-health systems from traditional . o . desktop 'telemedicine' platforms to wireless and mobile els of tes configurations. Current and emerging developments in wireless communications integrated with developments in pervasive and wearable technologies will have a radical Exetd atationCommUni cati A Patient Station impact on future healthcare delivery systems. Two important technical issues are crit...