known as over the phone interpretation or OPI) means a method of interpretation for which the interpreter is not in the physical presence of the provider of health care or related services and the limited-English-proficient recipient of such services but is connected via telephone. (28) Translation The term translation means the transmission of a written message in one language into a written or signed message in another language, and includes translation into another language or alternative format, such as large print font, Braille, audio recording, or CD. (29) Video remote interpreting services The term video remote interpreting services means the provision, through a qualified interpreter for an individual with limited-English proficiency, of video remote interpreting services in health programs and activities. (A) in real-time, full-motion video, and audio over a dedicated high-speed, wide-bandwidth video connection or wireless connection that delivers high quality video images that do not produce lags, choppy, blurry, or grainy images, or irregular pauses in communication