1. 16 February, 2003medXchange© 2003 Private & Confidential 1 PATIENT CENTRIC META DATA BASE AND INFORMATION SYSTEM FOR MEDICAL CALL CENTER SUPPORT

2. 16 February, 2003medXchange© 2003 Private & Confidential 2 Key Objectives Reduce health risks Health and medical profiles and documentation support Support proactive health programs Medical call desk documentation and information support 30% Reduction telephonic consultation time

3. 16 February, 2003medXchange© 2003 Private & Confidential 3 Innovative Approach to Health & Medical Risk Management Complete medical documentation Out of medically credible trustworthy sources Interface to medical information systems Clinics, Laboratories, Radiology, Biosensors, Dentists, etc. Patient profile & health assessment Dynamic interactive profile changes Case - disease management EBM for good medical practice - golden standards Confidential data exchange point All patient related medical and health data For authorised healthcare professionals

4. 16 February, 2003medXchange© 2003 Private & Confidential 4 Patient Centric Meta Database Meta Database Implant Register Physician Medical Record Health Cards Medical Information & Images Output Input Output Input I E M R Clinical Medical Records Health Profile Dispensed Medication Disease Profile Laboratory Results Medical Call Center

5. 16 February, 2003medXchange© 2003 Private & Confidential 5 Electronic Health Record Intuitively understandable by healthcare professionals worldwide Multi Language Ergonomically structured to physicians working methods Easy to consult by patient

6. 16 February, 2003medXchange© 2003 Private & Confidential 6 Patient support applications: Examples Health Profile Occupational Health Assessment MyHabit Human Ability Building Allergy Card Optic Card Dental Card

7. 16 February, 2003medXchange© 2003 Private & Confidential 7 Health & Medical Data Protection & Security Individual is legal owner of data in IEMR Access rights controlled by individual Individual can request data to be rectified Individual’s data in meta database is anonymous Data remains private between physician and individual

8. 16 February, 2003medXchange© 2003 Private & Confidential 8 Creating / updating the Electronic Health Record Individual controls access to record Health data updated by individual / healthcare professional Medical data certified by healthcare professional All data traced to source Created through health assessment program Created during regular medical check-up Medical call center assists in creating Health Record Physician & individual notified of updates Health Key issued by Health Insurance Company

9. 16 February, 2003medXchange© 2003 Private & Confidential 9 Patient – Medical Call Center Interaction Patient passes key and password of EHR to medical call center electronically or by telephone Patient remains anonymous – call center has access to key health and medical data in the EHR or IEMR Medical call center can update EHR with notes, observations, recommendations or links to detailed medical information. Electronic Health Record Medical Call Center Patient

10. 16 February, 2003medXchange© 2003 Private & Confidential 10 24 / 7 access to key medical data in the Integrated Electronic Medical Record Integrated Electronic Medical Record, allows a physician to be much more efficient and secure in the treatment of a patient. Unnecessary medical examinations, treatments and the associated risks are minimized

11. 16 February, 2003medXchange© 2003 Private & Confidential 11 Healthcare Rationalization Individual Greater medical security – one Health Record - Improved healthcare treatment Improved quality of healthcare Optimization of healthcare services  Early warning system in case of problems with medical implants and drugs  Supervision of compliance with medical regulations

12. 16 February, 2003medXchange© 2003 Private & Confidential 12 40% decrease in patient audit costs 10% reduction of malpractice claims 10% reduction of medical costs Health Insurers Healthcare Rationalization

13. 16 February, 2003medXchange© 2003 Private & Confidential 13 access authorized by the individual platform dedicated to healthcare professionals open standard for medical data exchange using existing technologies and investments integrating not replacing current systems The patient centric meta database

14. 16 February, 2003medXchange© 2003 Private & Confidential 14 Designed by physicians for healthcare professionals Complete individual medical data and documentation Follows physician working methods Individual disease support and profile Individual pro-active health support and profile Disease and health risk analyis The EHR & Medical Knowledge Base