Why ?

1. Vision Tools Workspace MILLENSYS Web-Based PACS and Reporting Solution Why ?

2. Vision Tools Workspace DICOM Modalities Vision Tools Workspace Servers Vision Tools Workspace For Radiologists Intranet HL7 Integration With RIS/HIS Internet Vision Tools Workspace For Operators Vision Tools Workspace For Home Viewing Vision Tools Workspace For Clinicians Vision Tools Workspace For Mobiles and Tablets

3. Why Vision Tools Workspace? • Easy Setup / Easy Operation • High availability Web PACS servers with heart-beat technology is all what we need • Single Web based administrator for the whole solution • Same GUI for All User • Use of the same tool for radiologists, operators, clinicians and home viewing users • Cost Efficiency • Easy licensing makes it cost effective for wide range of users • Ideal For Roaming Users • Same login profile anywhere • Browser Independent • OS Independent • Built For The Enterprise • Multi-branch hospitals • Tele-radiology and Telemedicine Sites • Using only internet protocols in communications • No firewall or network security limitations • Security • Secure support using SSL communications

4. Fundamentals

5. Web / Non-Web PACS? Client/Server Application Web Enabled Application Web Based Application HTML5 Web Based Application Technology Enterprise Compatibility Security Complexity Cost

6. Client/Server vs. Web Based

7. Cloud Computing and Virtualization • Cloud service is identified by : • It is sold on demand • it is elastic (a user can have as much or as little of a service as they want at any given time) • the service is fully managed by the provider (the consumer needs nothing but a personal computer and Internet access). Virtualization is the creation of a virtual (rather than actual) version of something, such as an operating system, a server, a storage device or network resources.

8. Vision Tools Workspace The All-in-one PACS and Reporting Solution

9. Vision Tools Workspace One Solution , Vision Tools Workspace PACS from MILLENSYS View and Report from Tablets and mobiles Doctors Worklist management Advanced Viewer for diagnosis Zero-Foot-Print Viewer for clinicians Report from anywhere Heart-Beat Monitoring Share Clinical Notes Share studies with consultants Patients Portal Referring Physician Portal Rule based archive , compression and routing Support multiple internet browsers. Support (Win, Mac, iOS Android, etc.) devices High Availability Archive Web-based Administrator

10. Workspace, Connectivity DICOM Modalities Vision Tools Workspace Servers Vision Tools Workspace For Radiologists Intranet HL7 Integration With RIS/HIS Internet Vision Tools Workspace For Operators Vision Tools Workspace For Home Viewing Vision Tools Workspace For Clinicians Vision Tools Workspace For Mobiles and Tablets

11. Workspace, Tele-radiology Workflow Tele-radiology Facility Hospital / scanning Facility Vision Tools Workspace Server Mini-PACS Router Internet Hospital Send images to mini-pacs router Hospital send clinical information of studies through mini-pacs router GUI Mini-pacs router compress and auto-route images to tele-radiology facility Tele-radiology receive studies and distribute them to radiologists through Vision Tools Workspace GUI Radiologists view studies, read clinical notes attached to studies, diagnose and write reports Radiologists can require extra clinical notes from hospital or ask consultant opinion though Vision Tools Workspace GUI Reports are validated and verified / signed by consultations. Reports automatically sent back to acquisition hospital to deliver to patient. Billing calculations and reports can be generated from tele-radiology facility for hospital and radiologists charge

12. Vision Tools Workspace Core Design and Architecture Document Import / Scanning Image Viewer 2D / 3D Reporting Tool Template / Dictation Web based Viewer Images/Reports Patient Jacket User GUI Clinical Notes Share Studies Images Reports Key Images Downloader Vision Tools Workspace Structure Heart Beat Web Server Database Server Images / Reports / Documents Storage Server Side Operation Store / Archive Routing Deletion Compression PACS Server Modality DICOM Modalities (DICOM Store)

13. Workspace, Space for everyone Vision Tools MultiView Advanced Processing WS Radiologist PC Worklist And Tools Advanced Viewer Advanced Reporting Radiologist PC Web Viewer Web Reporting Clinician PC Mobile Viewer Mobile Reporting Tablet / Mobile Advanced Viewer Advanced Reporting Teleradiology PC

14. Vision Tools Workspace , Single GUI Concept Radiologist WS Mobile Viewing One GUI For the Enterprise Home Viewing Surgical Viewing Clinical Viewing Radiographer WS QC WS

15. Vision Tools Workspace , Web Protocols No need for special communication ports Database Server SQL Communication Port Http+ FTP Ports Web-FTP Server Dicom Communication Port PACS Server Only http / https ports

16. Vision Tools Workspace , Push/Pull Technology Work with both Push and Pull methods with a single solution Pull Studies are downloaded on-demand fom the Main server to local diagnostic workstation Connect Retrieve Worklist Download Studies Diagnose Report Log-Out Push Studies are pushed from the Main server to local diagnostic workstation to eliminate downloading waiting time Connect Search Worklist View Studies Diagnose Report Log-Out

17. High Availability Vision Tools Workspace , Availability Cost Effective Workspace Server cluster Workspace Single Server Cost Effective PACS Solution With RAID-5 Storage reaching 98.5% up-time Clustered Archiving Solutions with load balancing technologies to reach 99.99%up time for PACS Storage and provide full redundancy for patient data.

18. Vision Tools Workspace Components

19. Vision Tools Workspace , PACS Server • Priority queuing for emergency studies • Secure over the Internet and HIPAA compliant • Auto-routing between acquisition and reporting facilities • Multi- compression methods (JPEG, JPEG2000, lossy/lossless) • Handles transmission of studies and reports. • Short term archive in hospitals • Long Term archive in Data Center • Clustered Solution to get 99.9% uptime • Monitors the Round-trip time for studies • Assure the delivery of studies when link failure • Resume transmission automatically when link is up

20. Vision Tools Workspace , Users Worklist Management • Run on multiple Web Browsers (IE, Firefox) • Customized worklist with user profile through pre-stored search filters • On-demand viewing study by study of batch downloading of group of studies to be cashed on local PC and this view them locally. • Add / Read clinical notes for studies • Share clinical notes between multiple servers in case of tele-radiology or remote diagnosis operations. • Share studies between users for consultations and second opinion • Import other documents (doc, pdf, jpg, …etc. ) with study and ability to scan documents and upload it to the server to be shared with the study. • Burn studies to local CD/DVD. • Send studies to other dicom nodes • Merge/Edit Studies (for Q.C. purpose)

21. Vision Tools Workspace , Advanced Viewing • Dispersed downloading technology to speed up image retrieval • User defined image compression for rapid download so that user can retrieve fast lossy compressed images then get the full resolution lossless images in one mouse click • Smart image retrieval , user can navigate any image in study while study being downloaded. • Multiple screen layouts and visual hanging protocols • Display static and dynamic studies • Oblique, Bi-Oblique and Curved MPR/MIP • Slice Locator / Pilot Image for CT/MRI • Multiple Measurements • Image Processing and Annotations • 3D Reconstruction / Advanced Visualization Options • Printing on DICOM and A4 Printers

22. Vision Tools Workspace , Multiple Features CAD Overlay Image Stitch Coronary Analysis Enhanced CT/MRI NM SPECT PET/CT Film Design 3D VRT Vessel Analysis Virtual Colonography MPR/MIP Web Reporting

23. Vision Tools Workspace Clinical Viewing • Pure 100% web-based viewing (Zero-Foot-Print Application) • Based on HTML-5 Technology • Browser independent (IE, Firefox, Chrome, Safari, Opera, …etc.) • Search worklist with pre-stored search filters • View / Add clinical notes • View images with multiple layouts • Simple image processing (Zoom, Pan, WW/WL, Measurement, Annotation …etc) • Read and write Reports

24. Vision Tools Workspace Tablet | Mobile Viewing • Pure 100% web-based viewing (Zero-Foot-Print Application) • Based on HTML-5 Technology • Browser independent (IE, Firefox, Chrome, Safari, Opera, …etc.) • Search worklist with pre-stored search filters • View / Add clinical notes • View images with multiple layouts • Simple image processing (Zoom, Pan, WW/WL, Measurement, Annotation …etc) • Read and write Reports

25. Vision Tools Workspace , Web Reporting Dictation Transcription • Multiple methods to report that suite the majority of users Using Microsoft Word (Need MsWord license) Using Built-in Word Processor (Does not need MsWord license) Using Built-in HTML Reporting (Zero-foot-print , 100% web-based) Using Text Reporting for mobile (Zero-foot-print , 100% web-based) • Keep report edited drafts for medico-legal protection • Templates categorization and organization to ease operation • Compatible with Microsoft Word , Rich Text and HTML reporting • Retrieve images from PACS server (Key images or studies) • Insert images and annotations in reports • Voice Dictation and Transcription • Speech Recognition (Option) • Send Reports back to Hospitals using email , fax, dicom and HL7

26. Vision Tools Workspace Patient Portal • Fast, Simple, Secure Sharing of images and reports with patients • Secured log-in is generated and emailed to each patient after their exam. • predefined automatic expiry for patients login by the system administrator.

27. Vision Tools Workspace Patient Portal • Fast, Simple, Secure Sharing of images and reports with referring physicians. • Secured log-in is generated and emailed to each referring physician. • Referring physicians will only see their cases without affecting other users studies.

28. Vision Tools Workspace , Web Administration MiAdminweb based administrator • Web administration • Single administration for PACS/RIS • Manage user profiles • Manage user rights • View Audit logs • Manage Multi-Branches

29. Vision Tools Workspace , Integration with HIS Vision Tools Workspace Viewer Hospital Information System Application “HIS” Integration http://Vision Tools Workspace server/study details Easy Integration with any HIS application through URL calling to open images From any hospital application with Vision Tools Workspace Viewer

30. Vision Tools Workspace , Web Distribution Web Distribution for O.R. Web Distribution for clinicians Web viewing of images and reports all over the hospital and integration with the HIS interface. Touch screen operations to facilitate viewing of studies in O.R. Patient Images and reports transmitted from anywhere to anywhere Using Intranet inside the hospital for clinicians and other imaging facilities

31. Vision Tools Workspace Tele-radiology Workflow Requesting Hospitals Teleradiology Service Center Image Transfer Report Transfer Radiologists

32. Summray

33. Vision Tools Workspace , Summary Pure Web-Based Technology Same GUI for all users Depending on Active Server Pages “ASP” Model. Streaming with Dispersion over low band width lines. Multiple compression methods for studies Simple-Fast Search Results. Resume downloading of studies when connection failure. No need for special communication ports. Embedded reporting tool with dictation and speech option. Fast client Setup. Automatic client update. Supports of multi-branch hospitals Built for the enterprise

34. Vision Tools Workspace , Integration Integration is the whole idea • One Patient Folder “EPR” • True Electronic Delivery • Smooth working Environment • Filmless Paperless Concept • Increased Productivity

35. Vision Tools Workspace MILLENSYS Web-Based PACS and Reporting Solution Thank you