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This research presents a case study examining mobile guidelines and strategies used in the development of a mobile e-health Emergency Response System (ERS). The system reviewed in this study is a public health ERS, called STATPackTM, that utilizes video telemedicine technology for microbiology laboratory diagnostics and consultation relating to suspicious organisms. A major goal of STATPackTM is to enhance remote laboratories'' ability to communicate information and make decisions in biosecurity and biosafety scenarios. The main contribution of this research is two-fold. First, it provides further understanding of the key issues and unique requirements in developing mobile delivery systems and it provides strategies to assist developers in better designing future mobile applications. Second, this study provides an example for practitioners to see how a mobile e-health system can be applied to processes unique to a laboratory setting as proof of concept for other healthcare diagnostic applications.