Studies have shown that pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD) can help to restore or enhance residual functional capacity and improve quality of life. Home-based telemedicine systems can promote comprehensive pulmonary rehabilitation in COPD patients. Successful acceptance of such systems depends on how well they reflect needs, values and preferences of older adults with COPD. However, patient-centered characteristics of pulmonary telerehabilitation systems were not systematically defined particularly in older adults. The goal of this pilot study was to assess older COPD patient acceptance of pulmonarytelerehabilitation and to develop patient-centered characteristics of computer technology to support pulmonary rehabilitation at homes of older adults with COPD based on their values, needs, and preferences. A prototype pulmonarytelerehabilitaton system was developed and demonstrated to patients. The system feasibility and acceptance was assessed by identifying patient ability to operate the system independently and by collecting open-ended feedback via semi-structured qualitative interview and attitudinal surveys. Older adults found this technology easy to operate and potentially useful personal rehabilitation. Patient-centered specifications of a comprehensive pulmonary telerehabilitation system in older adults with COPD were identified.