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The objective of this integrated strategic plan, supported by the strategies and approaches outlined herein, has clearly defined deliverables. The following matrix highlights the responsible lead center. Overall, the primary deliverable will be technologies and systems that provided a comprehensive, adaptable, minimally invasive medical care delivery system for space flight. The following diagram outlines the deliverables. Effective Strategic Planning Program Oversight/Budget/Advocacy Requirements for Applications of Technology in Space Flight Operations Comprehensive Evaluation of Emerging Technologies With Annual Updates Establishment and Operation of a Commercial Space Center Testbeds Through the Commercial Space Center (CSA) of NASA Field Centers New Technologies in Sensors, Telecommunications, Information Systems, Virtual Environments (Haptic Interfaces-Holography), Artificial Intelligence, and Decision Support Systems Refined Medical System for Space Flight System Integrated with Information and Telecommentations Technologies Enhanced Training and Education Systems-Virtual Environments and Information Technologies Protocols/Procedures for Utilizing Telecommunications and Information Technologies in the Delivery of Health Care National and International Testbeds for Telemedicine and Medical Education Using Emerging Technologies Accessibility to NASA Technology and Information Using Appropriate Tools Commercial Agreements as Appropriate to Leverage Technologies Relationships With Other Government Agencies, Academia, and Industry Spinoff Technologies and Products to Terrestrial Markets Enhance Educational Tools Cross-Cultural Adaptation for Medical Care/Education Challenges Information systems Decision Support Systems Artificial Intelligence Compression Virtual Presence Haptic Interfaces 3-D and 4-D Imaging Computer-based Medical Training Computer-based Medical Records Noninvasive Diagnostic Tools Imaging Holography Remote Sensing Wireless Communications Appropriate Protocols and Procedures for Conducting Telemedicine Overcoming Time and Distance Barriers These challenges are further compounded bu the need for technology to be small, adaptable, integrative, low power, and low maintenance. In addition, the culture, language, and location must also be considered.