In a recent SAIIE conference paper it was suggested to use xAP protocol in the telemedicine environment. Telemedicine has since been described to evolve into eHealth where the focus is not only on remote control of health systems, but now also includes local control. This wider scope is necessary to allow seamless communication amongst systems, irrespective to whether they are in the same room or in a remote location.

Local communication allows data transport via intranet. Intranet with its higher capacity, allows much larger data packages to be transported than economical on the internet. As previously suggested, a xAP datagram will broadcast the availability of data updates to both local and remote systems, without actually transporting the bulk content. Local and remote systems can request the download of the larger bulk data, in compressed or uncompressed format. The xAP datagram carries information on the formats that the bulk data can be downloaded in. Intelligence at the retriever would decide which format to download. Protocols utilized are UDP for xAP broadcasting and TCP for data retrieving.