A medical telepresence system comprising: an interface to receive a plurality of data feeds from a live medical procedure, at least one data feed comprising a video signal capturing the live medical procedure; a hierarchical encoder to encode the plurality of data feeds using a first tier-based hierarchical data coding scheme, wherein encoded data from the hierarchical encoder is decodable by a first set of computing devices for viewing, the first set of computing devices being communicatively coupled to the hierarchical encoder using a first network connection; a transcoder to convert from the first tier-based hierarchical data coding scheme to a second tier-based hierarchical data coding scheme, wherein encoded data from the transcoder is receivable by a second set of computing devices for viewing, the second set of computing devices being communicatively coupled to the transcoder using a second network connection, the second network connection being of a lower quality than the first network connection; and a recorder to store the output of the hierarchical encoder as a set of tier-based files for later retrieval, wherein each of the set of tier-based files represent different levels of quality.