Packet switching is breaking data into small pieces and making them into individual groups to send data

from one medium to another. Packets consist of a header and payload. The payload is taken from the
packet and used by an operating system, application software, or higher-layer protocols. Networking
hardware uses the header data to direct the packet to its destination. Packet switching is the primary
foundation for data transmission in all computer networks.

The following fundamental performance metrics should be taken into consideration when assessing more
recent digital communications technologies that transmit both voice and data: (1) bandwidth; (2) packet
loss; (3) end-to-end delay; (4) jitter; and (5) privacy and security. In network engineering, performance
trade-offs are made between the hardware, architecture, security, and available money. The network that
a telemedicine program uses may be totally under the user's control, or the application may use a portion
of the Internet whose architecture the user is unaware of. (Gemmill, 2005)

With the aid of a medical decision support system, doctors can gather and examine knowledge from
specialists all over the world. Computers and mobile phones, as well as other contemporary
communication devices, can be effectively used in this information retrieval system. For mobile
subscribers to take advantage of high-speed transmission rates and run JAVA-based applications from
their mobile terminals, the general packet radio service (GPRS), a data extension of the mobile telephony
standard, is emerging as the first true packet-switched architecture. (Eren et al., 2008). This is the way
packet switching is used in telemedicine.