This paper proposes a model of Specialized Telepathology Electronic Patient Record (STEPR), exploiting the features of the JPEG 2000 still image compression standard. Among them, coded image encapsulation within a file format structure, inclusion of metadata in this file format, compression efficiency, multiple spatial resolution decompression, signal to noise ratio scalability and region of interest, have been considered as significant for STEPR creation and exchange. The presented STEPR offers a performing, flexible and independent solution, well adapted to a telepathology context, on which critical resources constraints are to be taken into account.