Subscription: Healthcare IT Siddharth Saha, Industry Analyst Healthcare London – April 27, 2004 European Electronic Medical Records Markets © 2003 Frost & Sullivan. All rights reserved. This document contains highly confidential information and is the sole property of Frost & Sullivan. No part of it may be circulated, quoted, copied or otherwise reproduced without the written approval of Frost & Sullivan.

2 1.Relevance of the Study on the EMR Market 2.Current Market Scenario - Challenges 3.Market Dynamics - Drivers and Restraints 4.Market Size 5.Trends Across Europe 6.Competitive Structure in Europe 7.Future Trends 8.Questions European Electronic Medical Records Markets

3 Relevance of the Study on the EMR Market Increased interest in systems ensuring patient safety and reduction in medical errors Major healthcare IT vendors showing interest in Europe Study of market dynamics altered by government initiatives Next solutions portfolio poised for growth after PACS/RIS and LIS

4 Current Market Scenario - Challenges Immediate Challenges for EMR Product Vendors  Infrastructure to Achieve Continuity of Care  Clear Direction and Authority to Guide Standardisation  Achieving Penetration in the European Marketplace  Clear Conceptual Model and Scalable Architecture for EMR  Stakeholders Ready to Face Complexities of Implementation

5 Dearth of Consensus Other Expenses Eclipse Demand Coping With Staff Shortages HIGHLOWMEDIUM IMPACT RESTRAINTS DRIVERS Automation Controls Costs Fragmented Nature of Ind No Initiative to Develop National Infrast Patient Safety Source: Frost & Sullivan Market Dynamics - Drivers and Restraints

6 Market Size - Europe 2003 revenues from EMR estimated at $ 207 million going up to $688 million by 2010.

% of Healthcare Facilities UK Scandinavia Germany France Italy Major Markets Penetration of EMR Source: Frost & Sullivan Trends Across Europe

frost.com8 Competitive Structure in Europe

EMR Capabilities 1. Business Decision Support 2. Wireless Applications 3. Integration with Enterprise Systems 1. CPOE Functions 2. Use of ASP model 3. Complete Integration with Clinical Systems 1. Patient Details, Lab Results, Treatment Notes 2. Separate Primary Care Systems and Enterprise Systems 3. Clinical Decision Support Source: Frost & Sullivan Future Trends

10 Related Reports B European PACS Market Review B European PACS Professional Services Report B LIMS/LIS in Europe B European CPOE Market European Hospital Information Systems Markets European Market for Wireless Applications in Healthcare

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