About our logo -- Click here


home       services       costs       about us       telemedicine FAQ       distance learning on-line courses      contact us       investors       about corporate
telemedical and health dicom/pacs equipment          telemedical secure hipaa/hl7 dicom/pacs networks         telemedical and health links
telemedical, health books, ebooks, courses, videos, and white papers          virtual-healthcare           grants for telemedical, telehealth and distance learning

Note: The companies referenced within the technical documents, Telemd Health HDHP, 1stGMC, Global Media & Communication, and 1st Network Service Pros are wholly owned subsidiaries of Global Trade Route.Com, Inc.; and they support the telemedical telehealth projects, goals, and missions to completion.

Even if you plan to start small, you will be part of a GLOBAL HEALTH CARE NETWORK. All medical data transferred and stored must meet DICOM and PACS standards and HL7 guidelines and and HIPAA LAWS.

Unfortunately, for lack of a better solution, telemedical networks are often set up by IT specialist and Network Techs.

Our founder Albert V. Sheppard, has developed a superior telemedical program to assist you through training or implementation.

Starting with a Bachelor of Science degree in Bio-medical engineering, which included Telemedicine, Albert has extensive independent bio-medical and tele-medical research, additional advanced telemedical training at UC Davis Medical Center, and hands on experience. This provides our telemedical corporation with unique skill sets and a knowledge base in bio-medical instrumentation and diagnostic equipment science and equipment. In December, 2012, Albert completed 3 Masters Degrees simultaneously: Masters of Business Administration (MBA) with concentration in Information Systems Management; Masters of Public Administration (MPA) with a concentration in Healthcare Management; and a Masters of Information Systems Management (MISM) with a concentration in IS Tools (programming). YES. THREE simultaneously. He then turned his focus onto the science (chemistry) to complete the remaining prerequisites for entering medical school to get his MD. He expects to complete the sciences by the end of 2014. It�s been long haul since he re-entered school in 2004 and completed his Bachelor�s Degree in Technology Management with a concentration in Biomedical Engineering Technology in 2008. This balances the required skills, to fully implement telemedical and telehealth programs in hospitals, medical centers and physicians' offices. See About Us.

Dozens of years of business experience qualifies us to assist you with your business plans and internal documentation, telemedical procedures, and legal requirements to make telemedicine a sustainable and profitable endeavor. To help your patients longterm, you must have a financially healthy program. We can assist you with locating available grants and building a sustainable telemedical program.

Click Here. Don't go it alone! We are able to assist you before you make costly, patient critical, or legal mistakes.

Large-Photo-Telemedicine, Telehealth, and Distance Learning is a medical solution to democratize healthcare, eliminate suffering and brighten lives

A Telemedical Remote Office Facility Routed Through a Virtual Private Network

This is the sample design of a telemedicine virtual private network using routers to create connections for medical data transfer between medical and healthcare remote locations securely and in accordance with United States HIPAA laws and HL7 telemedicine guidance.

Although dedicated encryption devices are best for setting up encrypted VPNs over the Internet, this project will use MS Windows VPN to initially set up the VPN network. Cisco router VPN hardware solutions would be implemented in the future after requirements for license and router upgrades are satisfied.

A VPN amounts to encrypted TCP/IP links between LANs. We can create one using a software-only product, with software installed on a router or a firewall, or with dedicated encryption hardware.

By using Virtual Private Networks we can secure Internet data transfer. It will make our Internet communications secure and extend our private network with a virtual private network (VPN) connection. A VPN connection uses encryption and tunneling to transfer data securely on the Internet to a remote access VPN server our medical network. Using a VPN will save money by using the public Internet instead of using direct connections and other more expensive methods of connection (including direct phone calls).

When connecting to the Internet using a dial-up connection, the connection is first with the ISP and then a VPN connection is made to the private network's VPN server. After the VPN connection is established, we can access the private network.

When we are already connected to the Internet on a local area network, a cable modem, or DSL (digital subscriber line) we can make a VPN connection directly to the VPN server. This design can be accomplished with a broadband VPN router that provides IPsec based virtual private networking (VPN) (and quality of service arrangements), supporting both two-way real-time video and audio, camera control, streaming video and access of medical records using the Internet with Cable-modem connections.

This design can be accomplished with a broadband VPN router that provides IPsec based virtual private networking (VPN) (and quality of service arrangements), supporting both two-way real-time video and audio, camera control, streaming video and access of medical records using the Internet with Cable-modem connections

Sample Design Overview

sample telemedical network design diagram

In this telemedicine VPN, the doctor's office is connected through cable-modems. Each location has one our VPN routers establishing an IPsec tunnel through the Internet linking to a central VPN router in the nursing home. A portable video cart is connected through a wireless network to this central router.

The VPN is designed as an "overlay network", i.e. using an address space that is distinct from but mapped to the global IP address space through the use of IP aliases to hosts and tunnels between distant physical networks. For example, as Figure 1 shows, our telemedicine network uses a "private" IP address space such as 172.31.0.0/16. Nodes that are only part of that telemedicine network only have addresses in this network. Nodes that are part of multiple networks have aliases in those networks. Physically distant sub-networks are connected through IPsec tunnels. The IPsec tunnels are established between VPN routers in a star-topology with one central VPN router at the nursing home facility and multiple remote VPN routers, one for each participating physician's home.

A VPN router in the doctor's office has three networks attached: (1) the Internet through the cable-modem, (2) the office network that is part of the telemedicine VPN, and (3) the physician's private network that has no route to the VPN.

Packets that travel between the office network and the public Internet are not routed through the tunnel, which would only add load to the tunnel endpoints and increase the physical path lengths.

The VPN routers are developed as a custom device based on a generic UNIX operating system (FreeBSD 4.2-RELEASE) and small generic PC compatible hardware.

It was found that it is necessary to configure the pieces of FreeBSD, compile them into a form that is easy to deploy and maintain, make the pieces play together and deal with bugs and missing features.

A customized network can be developed and deployed without great expense using the methods described. A Microsoft VPN and FreeBSD are show here but there are many different solutions using various hardware and software combinations that may be customized. The successful development of this type of network, in addition, requires understanding of firewalls, network address translation, quality of service, and possible Novel IPX.

1.     Introduction and Feasibility

2.     Network Needs and Analysis

3.     Telemed Health HDHP

4.     Network services : local area networks

5.     Network services : wide area networks

6.     DHCP

7.     WinRoute

8.     Default Gateway

9. DNS

10. Medical Office, Clinic, and Hospital Building Cabling

10.1.                    Introduction

10.2.                    Standards

11. Topology

12. Telecommunications Closet

13. Dell Blade Server

14. Cisco Router

15. Catalyst 2950 Series Switch

16. Catalyst 3550 Series Switch

17. Cisco Micro Hub 1538 Hub � 8 Port

18. APC Smart-UPS 500VA USB & Serial 100V Black

19. Firewall

20. Network services : voice over ip

21. Network services : replication

22. Tele-Medical-HDHP.Com

23. Cost-Benefit Analysis

24.  APPENDIX

Links To Supporting Information Pages

Telemed Health HDHP_terms_conditions
Telemed Health HDHP_terms_use_agreement
How Can 1stGMC Help You?
1stGMC_support
FAQ about HIPAA, Dicom, Pacs, and HL7

apple_mac_support
application_development
biometrics
business_support
cabling_solutions
cat5e_cabling
cat6_cabling
cat7_cabling
cisco
clustering
cold_fusion
content_management_server_support
content_management_systems
CRM_customer_relationship_management
css_website_design
custom_software
data_recovery
DHCP
disaster_recovery
e_mail_hosting
e-commerce
enterprise_business_support
exchange_support
fiber_optic_cabling
flash_website_design
glossary
hardware_software_support
hp
html_website_design
ibm
internet_branding
IT_network_software_outsourcing_support
laser_microwave
lotus_notes_support
NAS_network_attached_storage
network_antivirus_protection
network_consultancy
network_firewall_security
network_installation_support
network_internet_security
networks_LAN
networks_thin_client
networks_virtual_servers
networks_VOIP
networks_WAN
online_backups
online_marketing_service
outsourcing_support_solutions
overview
pay_per_click
postinfo
proposal_for_network_sample_page
RAID_storage
remote_support
replication
resources_jargon
resources_links
resources_pc_healthcheck
resources_requestLink
sage_support
SAN_storage_area_network
search_engine_optimisation
search_engine_promotion
search_engines
security_access_controls
security_cameras
security_cameras
security_consultancy
security_content_filtering
security_encryption
security_intrusion_detection
security_penetration_testing
seo_internet_marketing_tutorial
seo_search_engine_optimisation
seo_search_engine_optimisation_free_report
seo_search_engine_optimisation_link_analysis
seo_search_engine_optimisation_reciprocal_linking
seo_search_engine_tips
server_support
sharepoint_support
small_business_support
software_consultancy
software_development
software_ERP
software_integration
software_outsourcing
software_SCM
software_support
sql_support
srs
ssl
SSO_single_signon_solution
storage_backups
storage_solutions
tape_backups
tape_storage
terminal_server_support
testing
types_of_software
VPN_virtual_private_network_security
web_design
web_extranets
web_hosting
web_intranets.html
web_solutions
website_database_integration
wireless_LAN
wireless_network
wireless_security
wireless_WAN
xhtml_website_design














Need A Website?

Contact Us:
Click here
Click here to get website or website services

This website is designed, maintained and hosted by
First Worldwide Internet (650) 922-4344



click analytics


Telemedicine, Telehealth, Distance Learning medical solutions to equalize healthcare access, to eliminate suffering, improve the quality of life, and to brighten lives

Albert V. Sheppard's Networking, DNS, Bind, Routers, Switches, Hubs, Webmin Administration, Web Design, Foreign Languare Web Design, HTML, XHTML, XML, ADO, CSS, Dreamweaver, Photoshop, PHP, ASP, Database Systems, Oracle SQL, MySQL, Access, Video Production, Embed, MP3, m4a, music, Flash, Programming, Linux, Windows, Systems Analysis, Software Engineering, Video Game Engineering, Massively Multiplayer Game Development, Open GL, 3D Game Engines, Ecommerce, Developing and Managing On Line Forums, Programming & Design, Wireless Design, Telemedical Networks, Biomedical Engineering, Bio-Technology, Bio-Informatics, Electronics Engineering, Digital Electronics, AC/DC Circuit Analysis, Pneumatics, Hydraulics, Fluid Power Motion Control, Robotic Design, AutoCAD, and Thinking Out of the Box Internet Connections Dial Up Service As Low As $10.00 per month, Cheap, low price web site hosting,

Networking, DNS, Bind, Routers, Switches, Hubs, Webmin Administration, Web Design, Foreign Languare Web Design, HTML, XHTML, XML, ADO, CSS, Dreamweaver, Photoshop, PHP, ASP, Database Systems, Oracle SQL, MySQL, Access, Video Production, Flash, Programming, Linux, Windows, Systems Analysis, Software Engineering, Video Game Engineering, Massively Multiplayer Game Development, Open GL, 3D Game Engines, Ecommerce, Developing and Managing On Line Forums, Programming & Design, Wireless Design, Telemedical Networks, Biomedical Engineering, Bio-Technology, Bio-Informatics, Electronics Engineering, Digital Electronics, AC/DC Circuit Analysis, Pneumatics, Hydraulics, Fluid Power Motion Control, Robotic Design, AutoCAD, and Thinking Out of the Box Internet Connections Dial Up Service As Low As $10.00 per month, Cheap, low price web site hosting, domain name registration registrar as low as 8.95 per year, mailing service, mailing list, telemarketing, cyber-markegting, bulk mail, e-mail, email, printing -1stnetservicepros.net - 1stgmc.net - wwinternet1.net Global Trade Route, Incorporated Corporate Office, Website, Biomedical, Telemedicine, bio games, simulations development, bio, simulations, bio-medical, Telehealth, bio-games, simulations development, bio-simulations, Internet service provider, ISP, hosting, web design, domain name registration, Internet connections, dial up, DSL, ADSL, ISDN, dedicated IP, IP addresses, VPNs Distance Learning medical solutions to equalize healthcare access, to eliminate suffering, improve the quality of life, and to brighten livestelemedicine vendors, telehealth vendors, telemedicine equipment, telehealth equipment, telemedicine technology, telehealth technology, videoconferencing, store and forward, teleconferencing, interactive video, buyer's guide, telemedicine information exchange, telemedicine, telehealth, telemonitoring, telepresence, telecare, home healthcare, teledermatology, telepsychiatry, telecardiology, prison telemedicine, videoconferencing, remote consultation.