Specifications include, but are not limited to: The system must: • Allow for hospital- or hub-clinician-initiated encounters; • Require and provide secure password entry that meets the requirements of the Texas A&M University Security Control Catalog, namely controls IA-5 (Complexity and Encryption), IA-2 (Multi-Factor Authentication), and be capable of either a single-sign on authentication using a SAML assertion in conjunction with a single sign-on architecture (e.g. shibboleth or related) or Azure Active Directory based account management; • Allow HITECH and HIPAA compliant bi-directional audio and video communication between a spoke clinician with a patient in a rural hospital and a remote hub provider, with minimal data in transit encryption of AES-128 and preferably AES-256 to comply with Security Control SC-13;