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

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

Easy Setup / Easy Operation 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 3

Fundamentals

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

Web Based PACS Client/Server PACS Client/Server vs. Web Based Web Based PACS Client/Server PACS Internet Browser Based Application Based One Database Multiple Databases Same application for every body in/out of the hospital Multiple applications for radiologists, technicians and clinicians, home viewing Single-node web based administration Multi-node administration Concurrent or unlimited licensing License per seat or per user Uses internet/intranet communication Uses DICOM / Network communication No need for firewall configuration Lot of configuration with firewall Low risk for virus attacks High risk for virus attacks Scalable and Built for Enterprise Limited scalability Easy upgradability Long time to upgrade Support cloud computing SAAS technology Is not built for cloud 6

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.

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

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

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

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

Vision Tools Workspace Structure Core Design and Architecture Image Viewer 2D / 3D Reporting Tool Template / Dictation Document Import / Scanning 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 Compression Store / Archive Routing Deletion PACS Server DICOM Modalities (DICOM Store) Modality

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

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

No need for special communication ports 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

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

High Availability Cost Effective Vision Tools Workspace , Availability High 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. 17

Vision Tools Workspace Components

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

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)

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

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

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 23

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 24

Vision Tools Workspace , Web Reporting 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) Dictation 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 Transcription

Fast, Simple, Secure Sharing of images and reports with patients 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.

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.

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

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 29

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 30

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

Summray

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

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

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