IT-Solutions for Healthcare

1. & IT-Solutions for Healthcare

2. Bulgarian Company founded in 2003 Provider of Integrated IT-Solutions for Healthcare Facilities Exclusive Representative and Partner of software company Dorner in Bulgaria Our Portfolio today Clinical & Lab Information System Communication System Commercial System MedSoft …

3. We provide consulting, integration, maintenance, training and support for our standard solutions. We realize solutions for specific customers needs through separate development projects. We guarantee long-term success for our customers through our professional customer care and service concept. Our Services

4. A leading provider of IT-Solutions for Healthcare Facilities 1982 the first Lab-Information System is developed in Cooperation with the Universitätsklinik Freiburg More than 25 Years experience Our Partner

5. WWW Concept / Main products i/medWeb-Tool webbasedinformationsystem X/Lab software for clinical chemistry M/Lab software for microbiological labs K/Lab software to control finances of the lab B/Lab bloodbank-EDP-system i/med-Doc information- and documentation -system A/Lab software for calculation of performance i/med Integrated medical database open interfaces independent operating systems Internet Intranet Other Systems neutral hardware-platform

6. More than 160 Customers/Institutes Over 1.500 Workplaces in Public and Private Hospitals and Labs More than 3.500 i/med users(web-application) Integrated systems with more than 2.000 external medical units(wards, doctors, labs, pharmacies, foodlabs, hygiene-instituts and many others) January 2007 University Clinic of Basel, Switzerland Basel Innsbruck Zürich Customer Overview

7. Customer Overview Uniklinikum Freiburg Clinical Chemistry – Microbiology – Virology HELIOS Klinikum Berlin – Wuppertal –Titisee Clinical Chemistry - Serology – Microbiology – Virology Uniklinikum Mannheim Clinical Chemistry – Microbiology – Virology Red Cross Blood Service NSTOB (North Germany) Bloodbank Uniklinikum Göttingen Microbiology – Hygiene – Virology – Hematology – Immunology Clinical Centre Fürth Clinical Chemistry – Bloodbank-Serology – Microbiology Universitätsspital Zürich Microbiology – Hygiene Centralhospital Bremen Clinical Chemistry Uniklinikum Mainz Microbiology – Virology Central Clinical Center Emil-von-Behring Berlin Mikrobiologie – Virologie – Hygiene – Klinische Chemie Uniklinikum Düsseldorf Accounting Medizinische Hochschule Hannover Microbiology – Virology Municipal Hospital Dresden Clinical Chemistry – Bloodbank - Microbiology

8. Clinic GP General hospital Facing similar challenges all around the world • Developed structures in healthcare system • Islands of medical data • 2% to 4% of GPs exchange medical data of their patients • Also a small percent of specialists and doctors in hospitals exchange medical data Specialised clinic Specialist University hospital Health insurance / authorities Pharmacy

9. General hospital • National integration of all actors in healthcare processes • Integration of all existing healthcare applications • High security standard to protect medical data • Implementing national electronic patient record-EPR • E-Card GP Clinic Specialist Spеcialised clinic University hospital Pharmacy Health insurance / authorities

10. General hospital Clinic GP and Patients Specialist Specialised clinic i/med-node i/med-node Providing a homogenous network for a heterogenous IT-Infrastructure i/med-node i/med Central Server Every complexity can be handled locally by the i/med nodes i/med-node University hospital Pharmacy

11. [i/med]– MSMeLab ® Our Solution …

12. [i/med]- Shell ® General hospital I/med – Shell integrated medical server is the solution. • Create and process medical data • Collect and store medical data • Build national EPR • Provide needed data to the right place in the right time • Connect to E-Card • Guaranteed interoperability GP Clinic Specialist Specialisеd clinic University hospital Pharmacy Health insurance / authorities

13. Klinik Erfurt Klinik Wermsdorf Klinik Berlin-Buch Klinik Zschadraß Klinik Zwenkau Klinik Aue Klinik Hochweitzschen Klinik Oschatz Klinik Wuppertal Klinik Leisnig E-Card access HELIOS Klinikum Berlin-Buch HELIOS Klinikum Erfurt HELIOS Klinikum Leisnig HELIOS Klinikum Schkeuditz

15. HCM XML LDT EDIF HL7 ASTM GP Specialist Blood Bank Ambulance Management Accounting Wards / POCT Pharmacy X-ray / CT i/med-DB BDT i/med-Shell Admission / Reception Laboratory

16. [i/med]- MSMeLab ®

17. Complete Electronic Patient Record Powerful Communication Shell using HL7, LDT, BDT, XML, ASTM, EDIFACT, IS-HCM… Supporting Online communication to SAP R/3, SAP IS-H med, GWI, SMS Dataplan, GSD, Novacom, IBM PCSK, Siemens Datenzentrale, MAI, Nixdorf and many more. Availability, Integrity and Confidentiality of all data Laboratory Information System Web-based Electronic Order Entry and Reporting System POCT – Point of Care Testing Medical Quality Control On the fly DRG Generation Billing Support Rule based Workflow Management System [i/med]– MSMeLabIntegrated Medical IS ®

18. Browser-based and Simple-to-use Application (Internet/ intranet-technology) Presenting Collected Patient Data Complete Patient/Case History Extensive role-based Authorization concept Integration of … Internal Hospital Wards Connected Clinics Connected External Doctors Connected External Providers [i/med ]Info - Patient Information System ®

19. Communication and Administration of POCT-devices Vendor independent (Support of all devices at the market) Online or offline communication to LIS or HIS or other relevant systems. Automated device monitoring [i/med ]POCT – Point Of Care Testing ®

20. With Minimum Efforts Doctors can Made their Requests to the Laboratory On-line Doctors on the Ward Doctors at External Locations External Providers Clear and Easy to use Visual Interface Manage Requests for Clinical Chemistry Hematology Serology Bacteriology Blood Group Serology Automatic Rule-based Probe Distribution Barcode Printing Support [i/med ]- Anfo Electronic Order Entry ®

21. [i/med ] PL (Physician‘s Letter) ® • Office integration • Write discharge letters with MS Word • Integrate all data, files and images with a mouse-click • Various formatting options • Revision-based document management with individual user right assignment

22. [i/med ] Central Master Data Management ® • Data entry, maintenance and update at one spot • Reduces redundant data entry expense • Makes available the data for all applications

23. ® [i/med ] Catering • Planning & Administration of Patient catering • Online-connection to kitchen and cafeteria • Clearly arranged Front-end • Savings in Effort- & Time for ward staff

24. [i/med ] Inbox ® • Shows current Information on new reports or requests • Filtering of messages through Department, Person, Order or Case

25. [i/med ] Message ® • Notification of predefined recipients through E-Mail or SMS on specified events (Report, Appointment) • Triggered manually or automatically through rule-base • Message optionally contains further information such as • Link to further Information • PGP encrypted medical report

26. [i/med ] Query ® • Statistics-Tool for generation of SQL-based Queries and Reports • Excel und CSV-Export functionality

27. [i/med ] Rule-Engine ® • Rule-Engine for automation of processes • Self definable, individually customizable • Savings in effort and time e.g. through automatic distribution of orders and results

28. [i/med ] Appointment-Server ® • Diary for Central Appointment-Management between ward & functional departments • Simple-to-use dialog based program flow for request and booking • Adherence to schedules e.g. when booking Radiology, CT, treatments • Possible enhancemente.g. for planning of hospital operational sequences

29. Complete Multi-user Laboratory Production System Full Integration with I/Med Integrated Medical Database Automates all areas of medical and industrial laboratory, including clinical chemistry, microbiology, serology, hygiene, immunology, parasitology and toxicology. Bi-directional Patient data Exchange Electronic order entry Online laboratory instrumentation management more than 500 analyzers Import/Export capabilities in XML, HL7, HTML, PDF… Flexible report generator using L&L (List and label) MSMeLab - Laboratory Information System ®

30. On-line laboratory instrumentation management system Supports Bi-directional connections to more than 500 different types of analyzers and on-line devices Some of the Supported Manufacturers are Abbott Bayer Beckmann Merck and Roche (COBAS) Sysmex and m.m ONTM- Online Driver Manager

31. Quality Control According to the Latest Guidelines of RILIBÄK [Q/Lab®]- Quality Control Management System

32. Connect well proven systems in All medical facilities of a certain medical institute All medical facilities concerning research projects All medical facilities of a region or country All medical facilities consult a patient during the course of his life Complete EPR + Quality Control = HQHS Protect Investments, Increase benefit of existing resources Use established Know-How Integrate existing workflows, Incorporate special requirements Preserve continuity Provide Information where it is needed Increase value of the whole system [i/med]– MSMeLab® Benefits – Healthcare System

33. Patients receive more timely care Patients are subjected to fewer duplicate diagnostic tests due to the availability of results from multiple facilities and previous admissions Caregivers are able to make more informed treatment decisions Professionals can rely on a more qualitative information Caregivers have immediate access to more extensive and integrated patient history Provide caregivers with qualitative analysis and results information Patients have their personal information fully protected Benefints – Patiens & Caregivers

37. External Sender External Sender External Sender External Sender External Sender External Sender Middle East Order Entry / Result Report i/med

38. [i/med® ] Basel Switzerland Analysers Expert systems Hella, CareVue, ISOP, etc. Online Driver Manager X/Lab M/Lab Microbiology SIS-Med K/Lab SAP/IS-H Patient administration Electronic Order Entry Scanner / Mediaform

39. Thank you for your attention!