Infomedical Patient Solutions

1. Infomedical Patient Solutions “Putting the pieces together to provide you accurate, timely integrated patient information” Oshim Somers 0431633375 esp@oshim.com

2. Our Solution: Care and Support via TV & Internet Agenda • About Infomedical • Technology & Capability Partner Portfolio • Current Telemedicine Solution • Medical Devices • Case Studies • Future R&D Projects • Medical Devices & Equipment • Patient Tracking & GeofencingSolutions • The Future Vision • Devices & Architectures • Kiosk & Mobile device • Geofencing & Falls detection

3. Our Solution: Care and Support via TV & Internet About Infomedical Patient Solutions • ESP Enterprise Solutions Provider Pty Ltd branding for Health Consulting • Business Analysis • Project Management • Solutions Architecting • Capability Focused • Collaboration with Local and Overseas Capability & Technology Partners • Strategic Focus • Systems Integration Perspective • Systems interOperatability • Open Systems Architectures • Underpinning Architectural Foundations • Usability • Supportability • Scalability • Total Cost of Ownership • Innovation Partner & Consultant

4. Our Solution: Care and Support via TV & Internet Technology & Capability Partner Portfolio • Telemedicine • Zydacron - Austria • Altosys - India • GPS Tracking & Geo-Fencing • Ideation Technology Solutions - India • Embedded Systems Development • Apt Software Avenues - India • Software Development & Project Management • Various (platform & domain expertise related) - Australia & India • Medical Devices • FDA & CE approved Medical Devices & Components - Beijing Choice Electronic Technology - China

5. Our Solution: Care and Support via TV & Internet Technology & Capability Partner Portfolio – Cont.. • FDA & CE Approved Medical Camera Imaging Devices • Sometech – Korea • FDA & CE Approved Digital Stethoscope • Hanbyul – Korea • NextG & 3G Wireless Router Technology • Call Direct - Australia • NextG & 3G Modem Devices & Services • Sierra Wireless - Device Provider to Telstra - Australia & USA • M2M Connectivity – Australia • Kiosks • KMY - China

7. Our Solution: Care and Support via TV & Internet Telemedicine Solutions Key Strategic Strengths • Multipoint Video Conferencing and Real Time Medical Data Telemetry • Interoperable • Multiple IP Networks • Wired & Wireless Public Broadband • NextG & 3G • Satellite • POTS & GPRS • Multiple Medical Devices • Integration into existing systems • Scalable

8. Our Solution: Care and Support via TV & Internet The Application Models Telemedicine Solutions Industry First Aid Facility Online Real Time or Offline Doctor , Clinic or Hospital Response Centre Locations GP Clinic Aged Care - Residential Facility Aged Care - In Home Chronic Disease – In Home Mobile Nurse Emergency Vehicle Relatives Remote & Mobile Clinics

9. Our Solution: Care and Support via TV & Internet Accessibility & Security • Multi User & Multi Point • Multiple IP Networks • Wired & Wireless Public Broadband NextG & 3G • Satellite, POTS & GPRS • RSA Encrypted Assisted Living Care Provider At Home Doctor/Hospital Relatives

10. Patient Point – Home Care • The video box is connected to the TV and the broadband telephone line. • Pan/Tilt/Zoom camera • Table microphone: One-Touch-Dialing for the direct connection to the service center. Camera Television Betavista Video Box Table microphone with one-touch-button Simple remote control for multi user box

11. Patient Point Connections

12. Operator Point – Service Provider Point The Callcenter Solution for Home Care &Health Management Camera PC Workstation

13. Operator Unit (Optional) - Connections

14. Medical Devices (Bluetooth) – Currently Integrated

15. Medical Devices - Other Options • Value for Money • FDA & CE Approved Manufacturers & Devices

16. Case Study 1: Federal State Clinic in Austria • Clinic highly specialised in the fields of pneumology and neurology • Introduced Zydacron’s BETAVISTA solution in February 2008 • Tele-monitoring system for apoplexy patients discharged from hospital • Giving face-to-face consultations which complete the picture a care provider needs to have from the patient when checking the personal state of health. • Uses BT monitoring devices (ECG belt, blood pressure monitor and pulse oximeter) • 1 unit at hospital for training the patient Reduce hospital readmissions by regularly monitoring patients giving high-risk patients additional attention improving quality and service for patients implementing an early warning structure

17. Case Study 2: Vienna Hospital Attendance and monitoring of congestive heart failure patients 30% of congestive heart failure (CHF) patients are hospitalised one or more times within 3 months, with an average number of 14 bed days, the project aims to avoid rehospitalisation by focusing on telemonitoring via video, including medical peripherals such as blood pressure monitors and weight scales. The Vienna Hospital with project leader Professor Pacher has developed a project to reduce the hospital admission rate by implementing home monitoring The concept being that chronically ill patients will be monitored and supported at home over a number of years. Specifically trained nurses in specialist cardiac care centres contact their patients regularly and provide help and advice. .

18. Case Study 3: Sensire - Holland Currently 10% of people in the Netherlands depended on nursing care and this percentage will rise to 25%. This project initiated the evolution from the telephone consultation and personal alarm systems, with the latest telehealth solution, with the client connected to a nurse through their TV system. At the patient’s home a CareStation 140 is installed next to the television collects all of data, video, audio, and displays live video of the nurse on the TV.

19. Case Study 3: Sensire - Holland A microphone connected to the box has a single button to allow the patient to call the carer. If the carer wishes to call the patient the television automatically switches allowing the call to take place as soon as the patient presses the button to answer. The solution is connected through a standard broadband network. Patients are able to remain independent in their own home for much longer, the carer is able to look after a greater number of patients, and the warning signs of a worsening condition are likely to be picked up sooner.

20. Case Study 4: GebroPharma - Tirol, Austria Gebro Pharma provides permanent infusions for congestive heart failure patients waiting for a heart transplantation. At the hospital, the patient receives a Hickman-catheter. In a training session, They learn how to change the infusions and handle the system. Until recently, a nurse used to visit the patients every two days at home, to assist them by changing the medication-cassettes and to help them in becoming more confident and independent by doing this. The patients were instructed to daily measure their vital data such as blood pressure and weight and to contact the nurse via telephone in case of any deviations. With the video communication system CareStation.Net, the nurse now visits their patients virtually. They are able to watch the patient changing the cassettes and support him in case of difficulties. The patient’s vital data is being automatically transferred via the Internet connection to the nurse’s database.

21. Case Study 5: Video Support in Emergency Vehicles - Italy The Mobile Emergency Video communication Assistance system (MEVAs) was developed specifically designed to enable real time rescue video monitoring. The first system was installed in the emergency vehicles of a voluntary rescue organization named “Soccorso Amico” based in Salerno in December 2007. In the ambulance a Carestation 140 with video codec for telemedicine together with an external PTZ camera is installed. The telemedicine video codec can interface a number of electro medical devices, including a SpO2 (Oximeter), a blood pressure monitor and digital stethoscope. The video signals are transmitted via UMTS to a control centre installed at the A&E of the emergency structure. The control centre is a Zydacron video call centre connected to the UMTS gateway with patient data base management facilities, electro medical device management and remote camera control. The UMTS link implements a VPN channel between the mobile unit and the emergency central.

22. Case Study 5: Video Support in Emergency Vehicles - Italy The crew on board a rescue mobile communicates in real time using interactive audio–video with the Call Centre operators or with the emergency doctors. Adding visual contact to the usual audio channel, normally used in rescue and emergency mobiles, is a very important improvement, providing crews with professional support such as it could be achieved only with on board physical presence. The Call Centre operators can act on the remote controlled cameras on board the ambulance to zoom or move to other views, listen and speak to the crew through the environmental microphone. In emergency  decision making time is important to save human lives, MEVAs allows to have a  complete and immediate picture of what happens to take quick decisions that sometimes are  determinant to save human lives.

23. Case Study 5: Video Support in Emergency Vehicles - Italy MEVAs guarantees quality and security of transmissions through an encrypted VPN channel between the ambulance and the medical centre with UMTS technology. A UMTS router is installed on board the ambulance vehicle and enables data transmissions at 64 kbps upload and 384 kbps download.

24. Case Study 6: Apollo Hospitals – India Apollo Telemedicine Networks Foundation (ATNF) Network • 44 Hospitals & 7000 Beds • 4000 Consultants – 50 Specialties • Largest healthcare provider in Asia • Telemedicine Project - 104 sites across India & Offshore • Overseas Telemedicine Centers • 1. Kazakhstan • 2. Colombo • 3. Dhaka • 4. Lahore • 5. Sudan • 6. Yemen • 7. Lagos • 8. Maldives • 9. Muscat • .

25. Case Study 6: ATNF

26. Our Solution: Care and Support via TV & Internet Patient Tracking & Geo-Fencing Solution • Devices • GPS Enabled Mobile Phone • Symbian (Java Based) • Windows Mobile • Personal • In Car Device • Location Tracking • Satellite GPS • GSM • Data Transmission • GPRS • NextG or 3G • Wifi

27. Our Solution: Care and Support via TV & Internet Patient Tracking & Geo-Fencing Solution – Cont.. • Data Utilisation – Based on Polling Frequency • Web Based Application & Monitoring • Geo Fencing & Geo Tracking • Tracking Replay • Alerts & Emergency Alarms • Data Utilisation – Based on Polling Frequency Frequency/Sec MB/Month 5 151.875 10 75.9375 20 37.96875 60 12.65625 300 2.53125 600 1.265625

28. Our Solution: Care and Support via TV & Internet Patient Tracking & Geo-Fencing Application Model Online Real Time • Response Centre • Web Access • In house Application • Mobile Phone or In Car Device • Satellite GPS Enabled • GPRS Location • Data • GPRS • NextG & 3G • WIFI Aged Care Facility Patients Mobile Medical Staff Vehicles Individuals • Individual • Web Access

29. Our Solution: Care and Support via TV & Internet Patient Tracking & Geo-Fencing Solution • Geo Fence can be created online and can be updated dynamically anytime. • Send Alert if the person crosses the allocated geo-fence.

30. Our Solution: Care and Support via TV & Internet Patient Tracking & Geo-Fencing Solution • Person’s mobile phone can be queried for replay of a particular timeframe. The map will show the plot during the period, in real-time or fast forward mode.

31. Future Vision “Healthy Life Care –Anything, Any Place, Any Time” • Bringing Together through Information, Process & Technology: • The Individual • Community • Health Care Service Providers • Life Care Service Providers • The Next Generation - Health Care without Borders • Architectures, Devices & Software • Kiosk & Mobile device • Body Area Networks • GPS & Geofencing integrated with Falls Detection & Vital Sign Monitoring • Convergence with Current Projects

32. FutureR&D Projects Medical Devices & Equipment Multi Parameter Medical Peripheral (MPMP) Attachments High Resolution Video/Still Camera PDA Touch Screen Device Tablet Touch Screen Device Spirometry Box Touch Screen Device Stethoscope Patient Monitor Touch Screen Device Medical/Dental High Resolution Video/Still Camera Kiosk Touch Screen Device Body Area Network Sensors Body Area Network Device

33. Device - Multi Parameter Medical Peripheral Concept - Internal Only Multi Parameter Medical Peripheral (MPMP) PIE Health Service Provider Application (Web Based & Mobile) Medical Parameter Peripheral Modules Communication Module (USB, BT, TCPIP & Wireless) Application Module Integration Modules HL7 & XML SPO2 USB WEB Services, SSL & Web Server FTP Patient Information Exchange (PIE) NIBP Bluetooth (Class 1 & 2) Remote Management SOA & Integration Module WEB 2.0 Private/Public Key Encryption XML ECG Heart Rate/ Pulse Rate TCPIP Ethernet Imbedded Peripheral Application HL7 FTP Database P/PKey Encryption Security & Other ID Management Respiration Rate TCPIP WIFI Audio Visual (BetaVista, Mobile Phone, Landline, Peer to Peer ) MAC Address BPEL Web Services Beta Vista Zserver & Database Temperature Zigbee Private/Public Key Encryption Audio Spirometry GSM, EDGE, CDMS, 3G & POTS Biometric Security Video Health Service Provider Local Health Patient Management System Offline Data Storage Stethoscope AV Inputs & Outputs GPS/GPRS Location

34. Patient Information Exchange (PIE) Integration Architecture - Internal Only Device (Client) Health Service Provider (Host Medical Service) Remote Clinic Mobile Clinic Emergency Services Mobile Doctor Commercial Occupational Health & Safety Wellbeing Centre of Excellence (WCE) Health Helpline Chronic Disease Management (CDM) Home Use (Helpline & Support) Home Care & Monitoring Mobile Nurse Public Health Kiosk Monitoring Hospital Hospital Emergency Department Patient Information Exchange (PIE) Third Party Data Dicom/PAC Pathology Lab PIE Health Service Provider Application (Web Based & Mobile) SOA & Integration Module WEB 2.0 Doctors Clinic XML HL7 FTP Monitoring Clinic Database RSA Encryption Point of Care Testing Systems ID Management BPEL Web Services Alternative Health & Lifestyle Services BetavistaZserver & Database Hospital/Clinic Local Patient/Client Management System

35. ePatient Record Patient Information Exchange BUS Compliance & Certification Data Structures Secure Messaging SNOMED Data Warehousing NEHTA SOA TGA HL7 ITIL SAI Data Sharing Data Mining Associative Relational Hardware Device IO eLearning & Information Document Management Health Support Groups Image, Video & Audio Test Results Record Future Applications Treatment Record Alternative Health Diabetes Control Hospital Record Referral System Asthma Control Self Monitoring Cardio Control Doctor Record Collaboration Device Feeds Allied Health Scheduling Education Pharmacy Lifestyle Costing Billing RFID Diet Web2.0 to 3.0 (Semantic Web) Middleware – Web Services Portal – Web2.0 to 3.0 Identity Management Alternative Health Allied Health Secure Messaging Education Specialist Services Lifestyle Hospital Patient Doctor Internet or Private Network ePatient Record Telemedicine • Wellbeing Online Doctor Record Mental Health Pharmacy

36. Our Solution: Care and Support via TV & Internet Ideas on Where to From Here • GPS & GPS & Geo-Fencing Demonstration • GPS & Geo-Fencing Pilot • Identify Funding opportunities for Telemedicine Pilot • Telemedicine Pilot • Health Kiosk Proof of Concept