All services except mental health

All network communication relies on IP. No ISDN

Internet used for Store & Forward (S&F) with encryption

All S&F systems use encrypted wireless within clinics

Most clinics have broadband for S&F, video

Electronic mail and solicitation of survey responses for Evaluation project

TCP/IP, to deliver behavioral health services to remote villages in Alaska

Fiber Optic Terrestrial Links T-1 & Satellite to deliver behavioral health services to remote villages in Alaska.  

Remote Monitoring/

Claims Data

Education Programs/Consults

Medical Consults/Education Programs

Radiology

T1 lines for compressed video transmission

Continuing education for health care professionals

Transmit real-time voice/video to all sites

Ophthalmology

H.323 Video for Podiatry & Interactive Telehealth

Web Site & Streaming Video archives of diabetes education sessions

Planned for late 2005 to connect in mobile clinic in Amado

All connections are broadband at T1 rates except POTS used in Amado.  Used for clinical & educational video

H.323—education

Website & Streaming Video Archives of educational sessions

All connections are broadband at T1 rates for education and training

S/F maternal fetal ultrasound reads

IP for clinical services and for education over T1 fractional lines to rural towns

IP for clinical services and for education over T1 terrestrial lines

Connect clients with programs & services

Laptops used for community outreach and presentations

Radiology

IP for clinical services and patient education

To be used for Patient Health Education and Behavioral Medicine and administrative services

Satellite to connect Hub to Spoke and vice versa for telehealth consultations with graphic patient image transfer and health education

T1 based land-link to complete connection between satellite, spoke and hub for telehealth consultations and graphic patient education

IP for CPOE, Nursing and Pharmacy services over hospital backbone

Pharmacy formulary and drug information look-up

Cisco WAPs with handheld devices in reading patient wristbands and medication labels

Ophthalmology

T1 & ISDN for clinical telemedicine and distance education

Avista Adventist Hospital

Clinical Integration Through Health Informatics

Radiology

Remote Desktop Protocol and Virtual Private Network

Patient scheduling, lab results, formularies

Laptops in clinics

University of Colorado Health Sciences Center

Native Telehealth Outreach & Technical Assistance Program

Distance Education for CME

CHA (Community Health Advocate) Communications, Project Dissemination

American Red Cross

Congressionally Mandated Telehealth Grants

Access application over wide area network (WAN) via T1 circuits

Foundation For eHealth Initiative

Connecting Communities for Better Health Program

CareSpark, TN

Claims data (planned 2006)

Clinical records, patient demographics, (planned 2006)

Colorado Health Information Exchange, CO

Codified (standard) health data between distinct institutions (entities)

Indiana Health Information Exchange, IN

X

X

X

X

Maryland/DC Collaborative for Healthcare Information Technology, MD

Massachusetts Health Data Consortium (MA-SHARE), MA

Server-to-server communication and data exchange

Secure Web-based access

Server-to-server communication and data exchange

National Institute for Medical Informatics, WI

Repository for providers not able to offer real-time retrieval for requests

Secure portal for results, diagnoses, med records planned

Secure portal for results, diagnoses, med records planned

Santa Barbara County Care Data Exchange, CA

Planned

Support HL7 transactions & peer-to-peer connections

Method of access by users

Some users may use to access WWW

Some users may use to access WWW

PACS, video for teleradiology and cardiology

Network intranet infrastructure, user and device administration, Hospital network to Community HIE

Health info resources, VPN, PHR, eRx

Between sites and within individual practice locations

Between sites, client, and LAN to LAN VPN

All modes support access to hospital EMR, PACs, RIS, health info resources, e-mail, lab results

Radiology, laboratory, and transcription

IP is used to facilitate secure “server-to-server” communication and data interchange/

exchange between participation solution providers

The solution is delivered through a secure Web-based application architecture providing access to clinical information through a Web browser

Transmission rates vary by facility using the application, i.e., DSL to T3 capacity

Radiology

Physicians have access to patients’ results, dictated reports, and financial information on the Web through BayCare MD

Patient registration is performed bedside with wireless devices; I/O, and medication using a wireless device

Store of patient profiles for later review and consultation

Extranet call center connectivity

Distribution of clinical trial information

Distance Learning: Video conferencing & presentation with satellite offices/clinics-Teledentistry Consultation: For capturing, reviewing, manipulation and storing of biopsies. Digital Radiography: For capturing, reviewing, manipulation and storing digital X-ray images

Distance Learning: Used for eLearning, eTransaction & Video conferencing. Teledentistry Consultation: Video conferencing for consultation.-Digital Radiography: For transmitting, retrieving, and storing digital x-ray images

Distance Learning:  eLearning & eTransaction presentation-Teledentistry Consultation: Interactive consultation via Web. Real-time streaming of consultation practices. Digital Radiography: For retrieving & reviewing digital x-ray via QR Web front end system

Distance Learning: For accessing eLearning & eTransaction modules within dental science main building. Can be used for teledentistry consultation from within dental science building. Digital Radiography: Can be used to access digital radiographs stored via QR system

Distance Learning: T1 (1.5mps) access to some clinics (St. Petersburg, Hialeah, HCC, Apopka) and DS3/T3 to JAX from Gainesville

Teledentistry Consultation: T1 (1.5mps) access to some clinics (St. Petersburg, Hialeah, HCC, Apopka) and DS3/T3 to JAX from Gainesville

Digital Radiography: Broadband access speed within dental science building is 10/100/1000 mps

Digital retinal images are obtained and transmitted in emails for interpretation

Training courses are streamed across the internet in real time

Digital retinal images are obtained and transmitted in emails for interpretation

Broadband LAN to connect telemedicine and telehealth sites for clinical consultations and distance learning

Dental Residency Program, community health outreach program and other programs using VTC

Teledermatology Web-based system

Telemental health sites using ISDN and IP lines.

Dental residency program, community health outreach program and other programs using VTC

Radiology links a rural isolated Hawaiian island to urban Radiologist for image interpretation

Telederm Solutions, Inc., store and forward via WWW

Broad Band ISDN for clinical and educational services over a fractional T1 (384K) to urban island sites

Monitor patient condition, monitor BP

Internet-based Health Risk Assessments-Chronic Disease Portals with activity logs, self-management tools, education

POTS for patient care & management

ISDN-PRI for Clinical, Educational, & Administrative uses

POTS for seclusion and restraint monitoring and diabetes and CHF patient monitoring

WAN to share software

VPN to share EMR, radiology, digital library

Connect clinics to share EMR

Connect hospitals to share EMR

Planned wound care, dermatology

The majority of IP applications with partner sites are educational due to limits on bandwidth

Telehealth Idaho Toolbox

We are examining wireless LANs for use within facilities

Educational telecommunication, mental health, EHR

Radiology

Pharmacy, education, mental health

Pathology

Electronic Health Record

Rehab services (OT/PT)

Interactive website to document and publicize the effectiveness of neutron therapy and advise patients over the Web:

www.neutrontherapy.niu.edu/neutrontherapy/

Through a full T3 line with a maximum overhead of 69 meg ingoing/outgoing traffic through Illinois Century Network for billing

EKG Carts

Wireless for EKG carts

T-1 lines for telemedicine transmission

Neonatology

Obstetrics

Genetics

IP for clinical services and for education over T1 terrestrial lines to rural hospitals

Videoconferencing, Instant Messaging, Educational, Clinical & Administrative services over T1 terrestrial lines connected to state backbone

Departmental Web page, scheduling, e-mailing, Grand Rounds educational materials

Internal computer access only

T1 lines, 512 DSL, 512 cable modem for clinical, educational, and administrative

CD-ROM bioterrorism preparedness

EEGs, Sleep Studies, Dermatology

Live consultations and CME

CME

Live consultations and CME

T-1 connections between Riley and 3 spoke hospitals for live specialty consultations

Picture Archive Communication System (PACS)

IP throughout hospital for radiology and clinics

Clinics use Web access to PACS

Broadband LAN throughout hospital for radiology and clinics

IP for data collection

ISDN for data collection

Pediatric Echo

IP for clinical services and for education over Kan-ED

Community and patient educational programs

ISDN for telemedicine

Imaging

PACS transmission via TCP/IP

Proprietary Web Application

DSL, Fractional T-1 for data transmission

Marcum & Wallace Memorial Hospital

Teleradiology Enhancement Project

Radiology

T1 Line to Lourdes Hospital for transmission/

archival of radiology procedures

Internet/Web access for physician to review procedures/

reports

New Horizons Health Systems, Inc.

Information Technology Development and Improvement

N/A

University of Kentucky Research Foundation—Kentucky TeleCare

Improving Health Outcomes for Children in Rural Kentucky Schools

IP and T-1 for clinical services, education and Electronic Medical Record over T1 terrestrial lines to rural towns

Teleradiology

Southwest Louisiana Health Care Systems

Community Hospital Telehealth Consortium

Home Disease Management Program

IP for clinical services and for education

ISDN/T1s Distance learning, clinical applications

Woman’s Hospital

Expansion of Physician Internet Portal, Woman’s POL

Used to connect a Web server to the host server for telemedicine

For physician to communicate on Web server

Massachusetts College of Pharmacy and Health Sciences

Worcester Campus Distance Learning Initiative

For distance education between campuses

For distance education between campuses

For connection to campus networks

For distance education between campuses

UMass Memorial Medical Center

PACS Teleradiology Project

Radiology

Radiology

Radiology

Radiology

Regional Medical Center at Lubec

Maine Nursing Home Telehealth Network

ISDN for connectivity of video conferencing equipment between network partners

N/A—Requirements to be determined in current planning process.

Radiology

IP for clinical services

Web browser access for remote users of the clinical system; remote users connect using secure VPN access

Internal wireless network for clinical system access

WAN-remote facilities connected by T1s on a SONET with redundant fiber connections

POTS-based video phones for hospice patient and nurse communication

Allied Health

Consults

Epic System on PCs with W2K Citrix Servers

IBM AIX Servers

CACHE DMS

Hitachi SAN

Physician Internet Portal used to access Epic Electronic Medical Record System

WAN with T1 and OS3 transmission systems

Dermatology

Secure IP protocol with quality of service for clinical consults

Secure Website for dermatology and orthopedics

ISDN/2 sites for conducting consults

Teleradiology

H323 Video for Interactive Telehealth

Access to databases (e.g., Medline)

Frame Relay T1 Connectivity for all services provided

Radiology

IP for clinical services and for education over T1 terrestrial lines to rural towns

Full dedicated T1 lines for clinical services and education

Laptops for patient care management

T1 for videoconferencing

Internal Medicine, Family Medicine, Pediatrics, Endocrinology

Internal Medicine, Family Medicine, Pediatrics, Endocrinology

Storing of ECG & Echo images

IP for clinical services over T1 terrestrial lines to rural towns

Cardiology consults

Teleradiology Imaging

H323 Video for Interactive Teleheatlh

Connection for Marketing and Education Services

Connection with St. James Healthcare Network & Internet Technology

N/A

Health information and notification

IP for accessing patient electronic records across regions

Data users access patient electronic records via Web

Hospitals are connected to hosting center through VPN lines

Prescription Services to patients in rural areas

Teleradiology

WAN with dedicated T-1 lines to all sites

High speed cable from the hospital to the radiologist’s home for teleradiology 

We are migrating to an ATM network using video over IP

Teleradiology

X-Rays

IP for clinical services and for education over T1 terrestrial lines to rural towns 

IP 323

IP for clinical services and for education over T1 terrestrial lines to rural towns 

IP 323

ISDN 384 for clinical and educational services when IP not available

Blackboard & video streaming

Class discussions; Pharmacology, Pathophysiology courses

Course access and delivery of content

Radiology imaging, i.e., PACS connectivity

IP for CIS connectivity to network

Intranet and Internet approved Web sites for medical information, guidelines, etc.

Computing devices for view and data entry (i.e., PC on wheels)

Used for remote access by MD offices to CIS

N/A

For 3 sites: T1 DS1 lines; for 2 sites Checs Backbone 1 MB for psychiatric services

Internet2 used to transmit virtual reality simulation

Internet2 used to transmit virtual reality simulation

Training

Clinical Services Training

POTS for videophone for clinical consultation

Radiology

IP and DICOM for transmission and storage of radiology images

Web access to radiology images

T1 for the transmission of radiology images

N/A

Home care agencies retrieve patient data using Web

POTS lines to transmit patient home monitoring data

Full T1 connections with IP transmission MPLS network protocols for transfer of clinical information

IP for Foster Care and Assessments

Fractional T1 for mental health services and information transmission

IP for communication between SBUH and LifeTree

Trial data entered via secure Website

Broadband for communication between SBUH and LifeTree

PACs Radiology Images

Discharge Summary Images

IP for clinical services over T1 terrestrial lines

Full access to all clinician related Websites

Wireless devices 802/11 for order entry, results lookup, problem list

Category 5 cabling to connect printers and personal computers to the network

TCP/IP and HL7 for clinical services exchange between Ambulatory clinics and NYP

Exchange of clinical data

Teledermatology, statewide Hospital Preparedness Information Network

IP and ISDN videoconferencing over T1 terrestrial lines to rural towns and correctional facilities

Distance learning

Roll about telemedicine units

Streaming video distance learning

To submit clinical information to acute care hospitals

Transition to wireless technology for nursing wards in progress

Consumer Health Information

Consumer Health Information

Radiology and Surgical Services

Patients/parents access the portals through the Medical Center Website

Videoconferencing for training

Content delivery and distance education

Archive streaming video

H.323 videoconferencing w/ H.264 Codec; real time video capture and streaming for education and research collaboration

Web conferencing

Gigabit Ethernet will link hospital and education sites to an OC-48 backbone for education and research collaboration

Utilize secure transport portals for clinical data

De-identified information access

De-identified information access

De-identified information access

IP for clinical services and for education over T1 terrestrial lines to rural towns

Teleradiology

Telewoundcare

Telemonitoring 

Home Monitoring Website

ATM to Hospitals & Schools for therapy, training, & administration

POTS for use of videophone for home monitoring and intervention

IP for clinical services and CME over T1 terrestrial lines to rural areas

IP for clinical services and CME over T1 terrestrial lines to rural areas

Radiology and cardiology

IP for lab results, report review and signatures, pediatric clinical services over ISDN lines, fiber and wireless across 3 counties

Radiology reads trans-continental United States & Australia

Satellite to connect clinics, private practice physicians and 5 hospitals to provide telehealth services in 3 counties

Transfer of patient records and images between regional center and rural hospital

IP for clinical services between emergency services, county health departments and offered to hospital

Health Dept. vertical private network for local and to OCHAN in Portland

Broadband service between emergency services, county health departments and offered to hospital

Women's Health

Blackboard

Telehealth visits

Used for Website www.ruralstroke.com

Website and email

Through the IReach program, we will refer clients to medical providers and track the clients The process will be interactive between SAHCA and participating medical providers

Plan of care documents

Real time participation with patient & family

To be determined

Where available-for patient care

Utilizing e-mail network connecting all sites for regional learning and peer-to-peer coaching

Planned for 2006: Web-based methodology learning modules

Neonatal Radiology

Consumer Websites:  Breast Cancer and virtual tour for obstetrics

Audio/Video Teleconferencing for Gender-Based Medicine Series and Cancer Conference

For remote access for physicians

At bedside for nursing documentation

Ethernet 100MB for local provider access

Wireless (IEEE 802.11b, g standard) for connecting mobile workstations to electronic health record server

Hospital information system networking infrastructure

Remote access by physicians/

authorized users

Distance Learning Communication

Teleconference, Delivery of Education

Eye Care

Eye Care

Eye Care

Eye Care

All 29 agencies are transmitting over POTS

Lectures, CME

Videoconferencing, medical consent, telemedicine

Clinical trials network, physician and patient education, intranet

T1/T3 links between sites for videoconferencing

Lectures, CME

Videoconferencing, medical consent, telemedicine

Clinical trials network, physician and patient education, intranet

Satellite to connect clinics to provide teleconsultations in frontier communities

Remote access to radiology and cardiology PACS; patient demographic and clinical data, including lab and radiology results; medical records imaging; OB link

Enhancements moving from 802.11b to 802.11g to increase number of wireless access points to provide wireless connectivity through all facilities

TCP/IP clinical and educational services

TCP/IP, HTML, PHP-secured child psychiatric services

Web Server-Medical Records, Patient Care Training and Community Education

Web Server/Database Server-Medical Records, Visit Entry, Patient & Community Education

Web & Email Server/Citrix MetaFrame-Medical Records, Patient & Community Education

T-1 Frame-Relay/DSL-LAN/WAN Access, Video Conferencing, Telemedicine, Internet Services

Cable modem-LAN/WAN Access, IT management

Electronic medical record

Electronic medical record

Electronic medical record

Redundant ATM and T1 for inter-facility connectivity

Web Based Distance Learning and Digital Archive

IP will be used as the primary protocol for communication over public Internet to all members

The Internet will be used to communicate to remote providers

Wireless technology will be used within the hospital Satellite Broadband will be used where Cable and DSL are not available

Cable and DSL will be primary means of internet access

Have IP protocol capability and will use as backup should ISDN line fail

Use PolyCom transmission and Tandberg reception units via ISDN

Wireless tech for portable nurses stations for barcoding

N/A

Home Health Data Collection

Home Health Data Collection

Clinical data related to cardiac conditions

POTS line via telephone line for patient monitoring

Data is housed in a secure Web portal accessed only through permission

Scanned images, radiology

T-1, Broadband, Ethernet VAN, to connect clinical sites to EHR and PMS

Patient Portal for Diabetics and other groups is planned

Wireless technology on internal LAN only

T-1 lines to connect clinical site to HER and PMS

Ophthalmology

IP for transmission of retinal images between CHC and ophthalmologist.

IP for access care to diabetes care management data

CM EveryWhere diabetes care management Web access for patients

DSL for transmission of retinal images between CHC and ophthalmologist

Data Sharing Internally, T1 connection for videoconference

Patient Management and clinical results sent to our Lifetime Clinical Record are interfaced via HL/7 store and forward technologies

GHS Network is totally TCP/IP for all applications, clinical and administrative

 All our clinical and key patient care systems are deployable via this technology

All clinical and patient care systems can use this technology

All clinical and patient care systems use this technology at our satellite facilities

1 Full T1 line at the main site for static VPN with remote sites for education and training

IP over T1 lines for clinical, educational and administrative purposes

POTS for diabetes/CHF program

Delivery of education

LAN - Delivery of Education

IP for clinical services and for education over T1 terrestrial lines to rural towns

Alcoholism Group Counseling Using Web

Satellite to connect clinics to provide teleconsultations in frontier communities

IP for clinical services and for education over T1 terrestrial lines to rural towns

Archived educational Broadcasts (Grand Rounds, CDC satellite broadcasts, etc.) presented via the network

Satellite to connect clinics to provide teleconsultations in frontier communities

ISDN for educational broadcasts

Patient monitoring

IP for clinical services and for education over T1 terrestrial lines to rural towns

Archived educational Broadcasts (Grand Rounds, CDC satellite broadcasts, etc.) presented via the network

Satellite to connect clinics to provide teleconsultations in frontier communities

ISDN for educational broadcasts

IP for clinical services and for education over T1 terrestrial lines to rural towns

Archived educational Broadcasts (Grand Rounds, CDC satellite broadcasts, etc.) presented via the network

Satellite to connect clinics to provide teleconsultations in frontier communities

ISDN for educational broadcasts

Patient Monitoring

IP for clinical services and for education over T1 terrestrial lines to rural towns

Archived educational Broadcasts (Grand Rounds, CDC satellite broadcasts, etc.) presented via the network

Satellite to connect clinics to provide teleconsultations in frontier communities

ISDN for educational broadcasts

Clinical data transmission

IP for Central Station Monitoring utilizing Honeywell HomMed Central Station Software

Communication with MDs and health care team

Satellite for clinical data transmission

Standard phone service when satellite transmission unavailable

Educational programs available on demand via Internet

TCP/IP 10.50.10.49; 10.2.41.10; 192.168.11; IP for clinical services

Internet used to transmit/receive over T1/IP line for telemedicine activities. Distance learning available from www.cookchildrens.org

Satellite to connect clinics to provide teleconsultations in frontier communities

Dedicated T1 line for telemedicine to Abilene site

WAN and LAN connections used for telemedicine; ISDN, IP and internet connections used for educational and videoconferencing activities

This will be used with some dermatology consultations when the medical staff at spoke only needs consultation from specialist

T1 Transmissions for Psychiatry and dermatology consults needing direct communication with patient and/or staff at spoke

IP for clinical services and for education over T1 terrestrial lines to rural towns

To be determined

Radiology

Dermatology

H.323 Videoconference telemedicine all specialties, e-mail, FTP, secure server access (SSL), Internet II

http://www.utmb.edu/telehealth/

http://ehn.utmb.edu

for disseminating of telehealth information and contacts

Videoconference, remote telemedicine, 2-way satellite videoconference

Satellite downlinks for telemedicine and education

Videoconferencing via satellite network uplink/downlink

Ophthalmology

IP Videoconferencing via T1 and DSL connections for distance learning

Website for Distance

Learning

Teaching distance/rural paramedic courses for credit towards an Associates Degree  Development, maintenance and delivery of internet protocols for Web-based course testing

Teaching distance/rural paramedic courses for credit towards an Associates Degree Development, maintenance and delivery of internet protocols for Web-based course testing

Development, installation and use of IP Video Bridge equipment for use in teaching distance/rural paramedic courses for credit towards an Associates Degree

Video interpreting transmissions

Radiology, cardiology, pharmacy

Videoconferencing, radiology, pharmacy, cardiology, VPNs

Web archives of continuing education programming

Satellite downlinks of continuing education

Pediatric Cardiology Reads, Diabetic Retinopathy, Radiology, Dermatology

Clinical consults and Distance Education programs, Outreach to Military in Iraq and families in US

Clinical Consults, Education

Clinical Consults (Wound Care)

Clinical Consults, Education (State, Nationwide, and International)

WAN network protocol, and internet use for electronic medical records

HTML, XML JAVA used with software vendors and outside information sources and for patient education and reference lab interfaces

Used with internal portable laptops accessing electronic medical records

Burlington Telecom used to connect satellite sites at 100MB/s

ISDN Teletrauma, Pediatric Critical Care

ISDN for clinical telemedicine

IP for clinical services and for education IHS/EMR, over T1 terrestrial lines to rural towns

IP for clinical services and for education IHS/EMR, over T1 terrestrial lines to rural towns

IP for clinical services and for education IHS/EMR, over T1 terrestrial lines to rural towns

IP for clinical services and for education IHS/EMR, to rural towns

TCP/IP Local Area Network 100/1000 Base T and F for point of care medication administration

802.11 b/g; Bluetooth for point of care and medication administration

DVDs and streamlining for radiography on line

4 location sites participated—3 rural 

Cont. ed for PT and PTAs-Jurisprudence Education-4 locations-3 rural

Students take online portion and then clinical and 11 rural clinics/hospitals

Dermatology Wound Management EMR is S/F and is used in all consultations

All intranet video is IP

Email only

Tablet PCs for providers and staff

Interactive Video Consultations

All clinic operations

ISDN for non-corporate video sites

Teleradiology/

PACS

Videoconferencing and distance education

Teleradiology/

PACS

Videoconferenc-ing and distance education

ISDN of 345 kbps for office visits

IP for education and public outreach over T1 terrestrial lines to rural towns

Pain Management Website; information, referral, and education

Health Records from Mobile Units; Radiology; Streaming Video Outreach for Health Education Outreach

T1 terrestrial lines to 3 sites; T3 lines to 1 site for health education and meetings

Web-based EHR

H.323 connectivity for video conferencing & delivery of outreach education and services

Streaming video outreach for health and educational outreach services

IP for clinical services and for education over Frame Relay to rural towns

IP for clinical services and for education using T1 lines to network partners

IP for clinical services, resource access, and distance education to rural communities

Website for information on telehealth projects, policy statements, and sources of support

Videoconferencing via H.323 for telepsychiatry

Telephone service for home health monitoring

Internet Protocol

The messenger protocol of the TCP/IP (Transmission Control Protocol/Internet Protocol), describing software that tracks the Internet address of nodes, routes outgoing messages, and recognizes incoming messages. It facilitates the identification of the Internet Protocol Address (IP Address), of a computer or other device on the Internet (normally printed in dotted decimal form such as 128.127.50.224).  The TCP, or Transmission Control Protocol, is the connection-oriented protocol portion of the TCP/IP that first establishes a connection between two systems that exchange data.  The TCP/IP facilitates communication through “packet switching” over the Internet and is the protocol used for communication across interconnected networks, between computers, and diverse hardware architectures, including data communications equipment and Ethernet LANs, and various operating systems.

Broadband

For purposes of this questionnaire, a general term for a telecommunications medium of sufficient capacity to transmit high quality voice, data, and video transmissions.  Broadband has been defined in many ways: e.g., a Wide Area Network (WAN providing bandwidth greater than 45 Megabits/sec (T3); and voice, data, and/or video communications at rates greater than 1.544 Megabits/sec (T-1), but has been Federally defined as data transmission each way, of 200 kilobits/second or more.

Broadband ISDN

Refers to ISDN services offered at rates higher than the Primary access rate (23B+D) of 1.544MB/s or 2.048Mb/s. Proposed broadband ISDN service is defined by CCITT as switched services from 34Mb/s to 680Mb/s using cell relay technology. Channels are designated as "H" channels.