File:20180927-RD-LSC-0048 (44259432605).jpg

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Description20180927-RD-LSC-0048 (44259432605).jpg	Telemental health (telepsychiatry) service
Date	27 September 2018, 10:21
Source	20180927-RD-LSC-0048
Author	U.S. Department of Agriculture Lance Cheung/Multimedia PhotoJournalist
Permission (Reusing this file)	Flinfo has extracted the license below from the metadata of the image (tag "IFD0:ImageDescription" contained "USDA Photo"). The license visible at Flickr was "Public Domain Mark".

Camera location	36° 33′ 09.73″ N, 86° 14′ 21.58″ W	View this and other nearby images on: OpenStreetMap	36.552702; -86.239328

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This image or file is a work of a United States Department of Agriculture employee, taken or made as part of that person's official duties. As a work of the U.S. federal government, the image is in the public domain.

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This image was originally posted to Flickr by USDAgov at https://flickr.com/photos/41284017@N08/44259432605. It was reviewed on 1 March 2023 by FlickreviewR 2 and was confirmed to be licensed under the terms of the Public Domain Mark.

1 March 2023

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	Date/Time	Thumbnail	Dimensions	User	Comment
current	09:21, 1 March 2023		7,450 × 4,967 (26.11 MB)	Adam Harangozó (NIHR WiR) (talk \| contribs)	Transferred from Flickr via #flickr2commons

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- Q2549364

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This file contains additional information such as Exif metadata which may have been added by the digital camera, scanner, or software program used to create or digitize it. If the file has been modified from its original state, some details such as the timestamp may not fully reflect those of the original file. The timestamp is only as accurate as the clock in the camera, and it may be completely wrong.

Camera manufacturer	NIKON CORPORATION
Camera model	NIKON D850
Author	Lance Cheung
Exposure time	1/125 sec (0.008)
F-number	f/8
ISO speed rating	3,200
Date and time of data generation	10:21, 27 September 2018
Lens focal length	24 mm
Latitude	36° 33′ 9.73″ N
Longitude	86° 14′ 21.58″ W
Altitude	292 meters above sea level
Label	Review
Image title	Licensed Professional Counselor - Mental Health Service Provider Shaine Malekgoodar, seen in monitor screen, can connect with Hope Family Health patients in Westmoreland, TN, its sattelite locations, or at home, when using the high-speed fiberoptic cable network of North Central Telephone Cooperative Corporation (NCTC), headquartered in Lafayette, TN, on Sept. 27, 2018. Rural patients and remote healthcare professionalsto are now able to conduct live, clear, delay-free, face-to-face consultations. NCTC services enable remote behavioral health, opioid and other substance abuse counseling using telemedicine carts that are easily moved from clinic to clinic as needed. In development is the ability to perform general and family medicine consultations with the same carts.Hope uses NCTC to handle all of their voice, video, and data communications; as well as the Electronic Health Records (EHR) management over an NCTC Virtual Private Network (VPN) where patient medical and dental records are kept safe and secure in the NCTC secure cloud data storage facility. The system also enables the use of records at Hope’s satellite clinics and safe transmission to other health professionals as needed.Additionally, the high-speed data connection supports increased efficiency in its on-site pharmacy and dental services.North Central Telephone Cooperative Corporation (NCTC), headquartered in Lafayette, Tennessee has been an active borrower with U.S. Department of Agriculture (USDA) Rural Utilities Service (RUS) since 1951. They service subscribers in several exchanges across both Tennessee and Kentucky. The cooperative is a full-service provider, providing voice, video, data, broadband, home security, cloud services, and data center solutions.Over the past 10 years, NCTC has received funds in the form of $101,782,663M in loans and $25,930,868M in grants.The company’s most recent loan, which was obligated in 2017, will be used to make system improvements in 5 of North Central's 10 exchanges (Green Grove, Hillsdale, Red Boiling Springs, Scottville, and Lafayette). This will complete their fiber to the premises network throughout their territory. This projectis currently in the “construction” phase.USDA’s Rural Utilities Service (RUS) administers programs that provide much-needed infrastructure or infrastructure improvements to rural communities. These include water and waste treatment, electric power, and telecommunications services. All of these services play a critical role in helping to expand economic opportunities and improve the quality of life for rural residents.In February of 2008 tornados destroyed much of the area and took many lives, NCTC began working to build a safe, tier II+ facility that is EF-5 Tornado resistant with SSAE16 security validation. The data center houses the telephone soft switch for NCTC customers. North Central Cloud Solutions utilize virtualized computing and networking services such as off-site data back-up, hosted servers, disaster recovery, and secure data storage which keep these rural customers up to speed with urban communities and utilities.USDA Photo by Lance Cheung.
Usage terms	www.usda.gov
Orientation	Normal
Horizontal resolution	300 dpi
Vertical resolution	300 dpi
Software used	Adobe Photoshop CC 2018 (Macintosh)
File change date and time	16:07, 6 October 2018
Exposure Program	Manual
Exif version	2.21
Date and time of digitizing	10:21, 27 September 2018
APEX shutter speed	6.965784
APEX aperture	6
APEX exposure bias	0.66666666666667
Maximum land aperture	4 APEX (f/4)
Metering mode	Pattern
Light source	Unknown
Flash	Flash fired, strobe return light not detected, compulsory flash firing
DateTime subseconds	65
DateTimeOriginal subseconds	65
DateTimeDigitized subseconds	65
Color space	sRGB
Focal plane X resolution	2,301.3246154785
Focal plane Y resolution	2,301.3246154785
Focal plane resolution unit	3
Sensing method	One-chip color area sensor
File source	Digital still camera
Scene type	A directly photographed image
Custom image processing	Normal process
Exposure mode	Manual exposure
White balance	Auto white balance
Focal length in 35 mm film	24 mm
Scene capture type	Standard
Scene control	High gain up
Contrast	Normal
Saturation	Normal
Sharpness	Normal
Subject distance range	Unknown
GPS time (atomic clock)	13:48
Satellites used for measurement	00
Geodetic survey data used	WGS-84
GPS date	27 September 2018
GPS tag version	0.0.3.2
Serial number of camera	3014896
Lens used	24.0-120.0 mm f/4.0
Rating (out of 5)	5
Date metadata was last modified	12:07, 6 October 2018
Unique ID of original document	80620D20B26C88CCF5FB0CC111E48801
Copyright status	Copyright status not set
Keywords	USDA Department of Agriculture U.S. Department of Agriculture
Contact information	lance.cheung@oc.usda.gov www.flickr.com/photos/usdagov 1400 Independence Avenue, SW Washington, District of Columbia, 202150 USA

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