In this paper, the author have proposed and built an image diagnostic support solution based on DICOM standard in telemedicine to reduce time and costs for patients, at the same time, it increases the quality of the sending image data
enhance diagnostic support capabilities of the big hospitals to small hospitals. Test results showed that, after about 22 minutes only, the doctors were able to get all diagnosed image data of patient with the quality of over 99 percent compared to the original images. In addition, building the features of the DICOM standard image processing, inserted diagnosis result into the DICOM data of the solution will help the good doctors more easily on the analysis, diagnosis and send the support results back to the doctors who need reference.