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Logo of Marquette University BIEN 167 Module 3 Telerehabilitation

Videoconferencing on the High End: H.320

Outline History Univ Tele-Access Models Technologies Telerehab
Part 5 (Technologies): | tele-standards | H.320 ISDN | H.324 POTS | H.323 & SIP | Wireless | Multi-Node |

H.320 Videoconferencing

The International Telecommunication Union's (ITU's) H.320 standard is applied mostly to dedicated circuit-based switched network (point-to-point) connections of moderate or high bandwidth, such as through the medium-bandwidth ISDN digital phone protocol or a fractionated high bandwidth T1 lines.

  • Bandwidth. The most common media is ISDN. Each 128Kbps ISDN line requires use of 2 phone lines (each 64Kbps) in parallel. The industry norm is to use 3 ISDN lines (i.e. connect at 3x128Kbps = 384 Kbps), which is also a quarter of a 1.44 Gbps T1 line. This normally gives near-TV level quality (30 fps, CIF or 4CIF image). We have 4 ISDN lines in one two rooms with Polycom systems, and for the demo you saw how clear both sound and video are at this bandwidth. There is thus no reason to go above 512Kbps for videoconferencing, or for H.320, below 128Kbps.
  • H.320 video. Support for the ITU H.261 standard is required, and H.263 is optional. In addition to these rather conservative but effective (for higher bandwidth) codecs, the default for the standard in image quality is CIF (354x288 pixels with color, though "high definition" 4CIF of 708x576 is also supported), and for frame rate is 30 fps (but can be 15 fps or values between these extremes such as 20 fps). The lower frame rates are more relevant if the connection is only 128 Kbps or 256 Kbps. The standard also support multiple cameras, and control of zoom/pan/tilt for both local and remote cameras.
  • H.320 audio. Targets targets voice (e.g., 50 Hz to 4 KHz). Codecs include the more basic G.711 (pulse code modulation requiring 48-64 Kbps of the connection) and the newer higher quality G.722 (7 KHz voice with 64/32/16 Kbps). Clever lower-bandwidth codecs with more aggressive compression (such as G.723.1 at 5.3 or 6.3 Kbps and G.728 (coding at 16 Kbps using low-delay linear prediction)) are more relevant for H.324 systems.
  • H.320 shared data. The optional T.120 standard includes a shared whiteboard, chat, and file transfer. See the H.323 discussion for more details.
  • H.320 control features. In addition to zoom/pan/tilt, there are connection protocols, prioritization for bandwidth distribution between audio, video and data (audio has highest priority), and specifications for the structure of multipoint connections.

Multipoint connections distribute equal bandwidth. For instance, with our 512Kpbs capacity, we'd coordinate a four site conference with each connection at 128Kbps, and a three-site conference at at 256Kbps (as long as each of the two other sites can handle 256Kbps).

Throughout the 1990s, federal grants programs helped support the implementation of T1 hub-spoke networks to rural communities, primarily for civic, educational and health needs. These were initially very expensive, and because of lack of interoperability between major vendors each state would have to pick one company. As systems H.320 emerged, this all changed. The H.320 protocol now sees widespread use for conferencing of all types, ranging from telemedicine consultations between a tertiary and rural hospital to our routine use of H.320 for our RERC meetings. It is the pillar for most hub-spoke networks.

For telehealth applications, an especially useful feature is both local and remote control of cameras -- remote control by specialists is part of the reimbursement guidelines for the United States’ Medicare program.

Virtually all of the newer H.320 products are also H.323 compliant, and can facilitate transmission of one or more channels of data (e.g., signals, images, records, presentations). This is true, for example, with our Viewstation MP systems (Polycom).

 

| telerehab outline || tele-standards | H.320 ISDN | H.324 POTS | H.323 & SIP | Wireless | Multi-Node |

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