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RC 009 025 Arizona Univ., Tucson. Coll. of Medicine.; Atlantic

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RC 009 025 Arizona Univ., Tucson. Coll. of Medicine.; Atlantic DOCUMENT RESUME ED 119 885 -RC 009 025 TITLE Arizona TeleMedicine Network: Engineering Master Plan. INSTITUTION Arizona Univ., Tucson. Coll. of Medicine.; Atlantic Research Corp., Alexandria, Va. SPONS AGENCY Office of Economic Opportunity, Washington, D.C. REPORT NO 0E0-B2C-5379 PUB DATE 31 Dec 72 NOTE 331p.; Some pages may not reproduce clearly due to marginal quality of original; Related documents are RC 009 023-027 EDRS PRICE MF-$0.83 HC-$18.07-Plus Postage DESCP.IPTORS *American Indians; Budgets; Delivery Systems; *Health Services; *Master Plans; Performance Specifications; Program Descriptions; Project Applications; *Rural Areas; Statewide Planning; Technology; *Telecommunication IDENTIFIERS *Arizona TeleMedicine Project ABSTPACT As the planninc document for establishing a statewide health communications system initially servicing the Papago, San Carlos and White Mountain Apache, Navajo, and Hopi reservations, this document prescribes the communications services to be provided by the Arizona TeleMedicine Network. Specifications include: (1) communications services for each site (2-way color/monochrome television channels; 2-way voice channels between field stations and referral centers and referral centers and medical centers; 2-way slow scan television channels; 2-way physiological telemetry channels; teleprinter channels connectiing with the Tucson Health Information System computer; camera control tones);(2) recording devices for network evaluation and patient recordkeeping; (3) a wideband transmission;(4) frequency modulated microwave radio transmission; (5) radio equipment licensing in view of expansion; (6) interface capabilities;(7) switching control and network management to parallel present patient referral patterns;(8) mobile unit to include communications and clinical facilities;(9) technical maintenance at Fort Defiance, Phoenix, and Tucson;(10) color television for clinical purposes;(11) computer aided diagnosis; (12) network costs (for 27 stations) of about $8,186,936; (13) operating costs of about $298,600 annually; (14) Phase I budgetary and operating costs of about $2,040,408 and $161,400 respectively. (JC) *********************************************************************** Documents acquired by ERIC include many informal unpublished * materials not available from other sources. ERIC makes every effort * * to obtain the best copy available. Nevertheless, items of marginal * * reproducibility are often encountered and this affects the quality * * of the microfiche and hardcopy reproductions ERIC makes available * via the ERIC Document Reproduction Service (EDRS). EDRS is not * responsible for the quality of the original document. Reproductions * * supplied by EDRS are the best that can be made from the original. *********************************************************************** 00 Arizona TelehiedicineNetwork 00 1-31 U 5 DEPARTMENT OFHEALTH. w EDUCATION t WELFARE NATIONAL INSTITUTE OF EDUCATION THIS DOCUMENT HA.'BEEN REPRO OUCED EXACTLY AS THE PERSON OR RECEIVED F LOM ORGANIZATION ORIGIN ATING IT POINTS OFVIEW OR OPINIONS STATED DO NOT NECESSARILY REPRE SENT OFFICIAL NATIONAL INSTITUTE OF EDUCATION POSITION ORPOLICY ENGINEERING ASTER PLAN 1,n '------ -----,. Q---,..,,0`b UNIVERSITY O ARIZONA, COLLEGE F MEDICINE 2 THE ARIZONA TELEMEDICINE NETWORK ENGINEERING MASTER PLAN Prepared for: The University of Arizona, College of Medicine Department of Family and Community Medicine Tucson, Arizona 85724 Prepared by: The Biomedical and Special Systems Group Telecommunications Department Atlantic Research Corporation Alexandria, Virginia 22314 December 31,1972 3 FIELD HEALTH STATIONS * FIRST LEVEL REFERRALCENTERS 'VEVA LEVEL REFERRALCENTERS SWITCHING RELAYS AREPEATER RELAYS he A-1-soh aTele Mete; n e NI-el-work -Pa_3e4i 4 rizon0, I cte MeOtiC.heNetwork 5 The Arizona Tele Medicine Network FT. DEFIANCE 6 T!ve- PtYsizoho,T-te Me Cc-ivle Ne+wat.tc e_ 7 TABLE OF CONTENTS Page 1.0 ARIZONA TELEMEDICINE NETWORK OBJECTIVES 1-1 1.1 Introduction 1-1 1.2 Health Service Needs 1-1 1.3 Project Goals 1-2 1.4 The Value of Communications in Medicine 1-4 1.5 Project Design Tasks 1-5 1.6 Network Hubs 1-5 2.0 COMMUNICATION NEEDS 2-1 2.1 Types of Service Indicated 2-1 2.2 Traffic Level Discussion 2-2 3.0 EXISTING COMMUNICATION FACILITIES INVENTORY 3-1 3.1 General 3-1 3.2 Sharing of Facilities 3-1 3.3 Channel Availability (Other Systems) 3-1 3.3.1Private Systems 3-1 3.3.2Common Carrier 3-1 3.3.3Application of Tariff 260 3-4 3.3.4Common Carrier Charges 3-4 4.0 LAND AND JOINT USE CONSIDERATIONS 4-1 4.1 Forest Service Lands 4-1 4.2 Mt. Lemmon 4-1 4.3 Pinal Peak 4-2 4.4 Cimarron Peak 4-.3 4.5 Reflector Site Near Santa Rosa 4-3 4.6 South Mountain 4-3 4.7 San Carlos and Fort Apache Sites 4-4 4.8 Shaw Butte Relay Site 4-4 4.9 Mingus and Mt. Elden Relay Sites 4-5 4.10 Navajo and Hopi Sites 4-5 TABLE OF CONTENTS (continued) Page 5.0 REGULATIONS AND FREQUENCY AVAILABILITY 5-1 5.1 Licensing and Regulatory Considerations 5-1 5.1.1 General 5-1 5.1.2Business .Radio Service, Microwave 5-3 5.1.3 Local Government Radio Service, Microwave 5-4 5.1.4Limitation on Carriage 5-4 5.1.5Discussion and Recommendations 5-5 5.2 Frequency Availability 5-6 5.2.1 General 5-6 5.2.2Network Frequency Plan 5-7 6.0 BASIC TECHNICAL REQUIREMENTS 6-1 6.1 General 6-1 6.2 Administrative Voice Channel 6-1 6.3 Viaeo Channel and High Quality Voice Channel 6-2 6.4 Facsimile/Slow-Scan TV Channel 6-2 6.5 Teleprinter Channel 6-2 6.6 Telemetry Channel 6-3 6.7 Camera Control and Signaling Tones 6-3 6.8 Recording Devices 6-3 6.9 Switching and Control of Transmission 6-3 6.10 Mobile Facilities 6-4 7.0 EQUIPMENT CONSIDERATIONS 7-1 7.1 Transmission Equipment 7-1 7.1.1 General 7-1 7.1.2Optical Communication Techniques 7-2 7.1.3Microwave Radio Standards 7-9 7.1.4Automatic Failure Alarms 7 -10 7.1.5Maintenance Intercom 7-11 7.1.6Channelizing Equipment 7-11 vi 9 TABLE OF CONTENTS (continued) Page 7.2 Terminal Equipment 7-12 7.2.1 Audio Facilities, Administrative Voice Channel Intercom 7-13 7.2.2Physiological Signals (Telemetry) 7-14 7.2.3 Digital Data 7-17 7.2.4Data Transmission Alternative Approaches 7-17 7.2.5 Still Images 7-20 7.2.6Color Television Standard for the Arizona Tele Medicine Network 7-26 7.2.7Television Pickup and Display Equipment 7-31 7.2.8Recording Equipment 7-33 7.2.9Clinical Equipment 7-34 7.3 Relay Site Equipment 7-35 7.3.1 General 7-35 7.3.2Switcher Matrices 7-35 7.3.3Equipment Shelters 7-36 7.3.4Electric Power Systems 7-36 7.4 Towers and Support Structures 7-37 7.5 New Equipment Shelters 7-39 8.0 NETWORK PROPOSED DESIGN 8-1 8.1 General 8-1 8.1.1 Network Coverage 8-1 8.1.2Network Route Selection 8-1 8.1.3Communication Services Needs 8-1 8.1.4Compatibility with other Systems 8-11 8.2 Utilization of the Microwave Baseband 8-11 8.3 Switching, Routing and Control 8-14 8.3.1 General Network Management Concepts 8-14 8.3.2Classification of Network Station Types 8-14 8.3.3Terminal Sites 8-15 8.3.4Proposed Network Referral Pattern 8-16 8.3.5Levels of Communication 8-18 8.3.6Switched Channel Requirements 8-18 vii TABLE OF CONTENTS (continued) Page 8.3.7Switching Control Centers 8-20 8.3.8Switching Levels, Class "a" Stations 8-22 8.3.9Switching Levels, Class "b" Stations, Wideband System 8-24 8.3.10 Switching Levels, Class "c" Stations 8-25 8.3.11 System Switching Concept 8-26 8.4 Control Console Equipment 8-27 8.4.1 General 8-27 8.4.2Console Utilization 8-27 8.4.3Console Cable Connections 8-32 8.4.4Control Panel Arrangements 8-33 8.4.5 Station Identifiers Option 8-33 8.5 Equipment Summary 8-35 8.5.1 Terminal Site Equipment 8-35 8.5.2Relay Site Equipment 8-35 8.5.3Stand-by Power Systems 8-36 8.6 Mobile Unit 8-37 8.6.1 General 8-37 8.6.2General Examination Aica 8-38 8.6.3Interview Area 8-38 8.6.4Laboratory Area 8-38 8.6.5X-ray Area 8-40 8.6.6Mobile Microwave Antenna Support 8-40 8.6.7Relay Antenna and Support 8-40 8.6.8VHF Radio Link 8-40 8.6.9Relay Antenna Alignment 8-41 8.6.10 Mobile Unit Antenna Alignment 8-41 8.6.11 Positioning Tone Controls 8-42 8.7 Confidentiality 8-46 8.8 Construction Schedule 8-47 8.8.1 General 8-47 8.8.2Project Construction Schedule 8-47 8.8.3 Factors Affecting the Construction Schedule 8-49 viii 11 TABLE OF CONTENTS (continued) Page 9.0 OPERATIONS AND MAINTENANCE 9-1 9.1 General 9-1 9.2 Chief Technical Officer and Staff 9-1 9.3 Technical Staff and Maintenance Centers 9-1 9.4 Other Operational Considerations 9-5 10.0 BUDGETARY COST INFORMATION 10-1 10.1 General 10-1 10.2 Microwave Radio System Budgetary Cost Data 10-1 10.3 Switching and Channel Equipment for Relay Sites 10-17 10.4 Terminal Equipment Costs (Class "a" Stations) 10-19 10.5 Terminal Equipment Cost (Class "b" and "c" Stations) 10-22 10.6 Budgetary Capital Cost, Mobile Unit 10-25 10.7 Capital Cost Summary 10-26 10.7.1 Items of Consideration 10-26 10.8 Budgetary Capital Cost, Phase I Segment 10-28 10.9 Budgetary Capital Cost, Entire Network 10-29 10.10Operating Costs 10-30 10.10.1Entire Network 10-30 10.10.2Phase I 10-31 10.11Leased System Comparison 10-31 10.12Narrowband Versus Wideband Cost Comparison 10-34 10.12.1General 10-34 10.12.2 Wideband System Costs (6 Gliz) 10-34 10.12.3Narrowband System Costs (960 MHz) 10-35 10.12.4 Comparison of System Types 10-35 11.0 SUMMARY, CONCLUSIONS AND RECOMMENDATIONS 11-1 11.1 Project Objective and Rationale 11-1 11.2 Coverage Area 11-1 11.3 Communication Services 11-2 11.4 Recording Devices 11-3 ix 12 TABLE OF CONTENTS (continued) Page 11.5 Sharing of Existing Facilities 11-3 11.6 Narrowband Versus Wideband 11-3 11.7 Transmission Medium 11-3 11.8
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