We design a data coherence protocol for the PHR-based distributed system.We propose a flow estimating algorithm for the telehealth cloud system.We apply several predicting methods for the future bandwidth consumption.We present a telehealth framework for bandwidth balance on emergency. A telehealth system covers both clinical and nonclinical uses, which not only provides store-and-forward data services to be offline studied by relevant specialists, but also monitors the real-time physiological data through ubiquitous sensors to support remote telemedicine. However, the current telehealth systems do not consider the velocity and veracity of the big-data system in the medical context. Emergency events generate a large amount of the real-time data, which should be stored in the data center, and forwarded to remote hospitals. Furthermore, patients' information is scattered on the distributed data center, which cannot provide a high-efficient remote real-time service. In this paper, we proposes a probability-based bandwidth model in a telehealth cloud system, which helps cloud broker to provide a high performance allocation of computing nodes and links. This brokering mechanism considers the location protocol of Personal Health Record (PHR) in cloud and schedules the real-time signals with a low information transfer between different hosts. The broker uses several bandwidth evaluating methods to predict the near future usage of bandwidth in a telehealth context. The simulation results show that our model is effective at determining the best performing service, and the inserted service validates the utility of our approach.