  The worldwide healthcare industry is facing a number of daunting challenges
which are forcing healthcare systems worldwide to adapt and transform, and will
ultimately completely redefine the way they do business and deliver care for
patients. In this paper, we present a distributed telemedicine environement
reaping from both the benefits of Service Oriented Approach (SOA) and the
strong telecoms capabilities. We propose an automated approach to handle
changes in a distributed telemedicine environement. A combined Petri nets model
to handle changes and Reconfigurable Petri nets model to react to these changes
are used to fulfill telemedicine functional and non functional requirements.
