1. October 18, 2004 eHealth Smart Cart Project - Germany Enabling Integration In Health Care Sofia - December 13th, 2004

2. Page 2 eHealth Sofia/Dec 2004 2 ICW AT A GLANCE InterComponentWare was founded in 1998 Locations: Walldorf, Germany (Headquarter) San Mateo, CA (USA) – Product Management, Sales USA Sofia (Bulgaria) - Development Employees: 95 Independent shareholder structure Company Focus: Integration of primary care systems for seamless health data exchange. Rollout and operation of a Web-Based Personal Health Record with controlled access for care-providers (clinics, physicians, pharmacies, etc.) and patients for high quality service delivery. Member of the BIT4Health-Consortium for the German-wide rollout of Telematics Infrastructure including eHealthCard

3. Page 3 eHealth Sofia/Dec 2004 3 Dimensions in Healthcare

4. Page 4 eHealth Sofia/Dec 2004 4 2.Interconnecting Clinicians 3.Personalize Patient-care 1.Inform Clinical Practice 4.Improving Population Health 1.EHR – Primary Systems 2.Regional Information Exchanges 3.PHR, Remote Patient Monitoring 4.Data Warehouse, Predictive Modeling, Health Surveillance and Patient Monitoring Health IT Strategic Framework - Framework goals according to David Brailer:

5. Page 5 eHealth Sofia/Dec 2004 5 Reference bIT4Health: Partners

6. Page 6 eHealth Sofia/Dec 2004 6 Q3/04 Q4/04 Q1/05 Q2/04 BIT4Health Project, Timeline Mio Euro architecture framework solution- architecture Samples & prototypes module tests Integration- Tests „Mini“- Tests Pilot- Region Modell- Region Q3/06 Mass- rollout solution architecture / development/ localized tests service starts in pilot regionens mass-rollout + mass-servies

7. Page 7 eHealth Sofia/Dec 2004 7 Framework Telematic Infrastructuure in Germany considering European developments Solution Outline Detailled description of components with focus on processes related to HealthCard In preparation: Test Regions, implement solutions and prepare general Rollout Reference bIT4Health (Top Down Strategy in Germany)

8. Page 8 eHealth Sofia/Dec 2004 8 Reference bIT4Health: Loosely Coupled Architecture

9. Page 9 eHealth Sofia/Dec 2004 9 Doctors Network in Flensburg (Bottom Up Strategy with PCPs and Hospitals) Administrative Daten Insurance+Sex+Payment Digital Picture-ID Emergency Dataset Medication Blood Group Allergies, Risc Factors Vaccinations Implantations Authentication and security for eCard Pregnancy Pasports Transplantaion Desease Management Electronic Prescription On the ChipOn the Chip/PHRIn the PHR eGK Electronic Ordering Living Will

10. Page 10 eHealth Sofia/Dec 2004 10 Reference Breast Cancer Centre Tübingen (Bottom Up Strategy for Information Exchange) LifeSensor ODSeasy in Clinic 1 ODSeasy in Clinic 2 E x p o r t I m p o r t Information Exchange + DMP Tool PCP Patient Cancer Assistant for Patient

11. Page 11 eHealth Sofia/Dec 2004 11 LifeSensor as Information Exchange: Increase Process Effectiveness and Efficiency Creation of patient-masterdata and first Diagnosis Completing PHR with diagnosis, PHD letters und picture information (PACS) Patients personal monitoring Formular-services, acknowledgement and ordering, Interdisziplined decisiones about care action plan Care action plan from onkology, timeschedules, envolvement of PHD Radiology plan, labratory, medication,surgery- report, PHD letter PMS-SystemHIS PACS HIS PACS PMS-System Different Primary systems physisian hospital cancer- conference independent radiology LifeSensor PHR Primär Systems DMP Monitor Download Upload Upload/ Download

12. October 18, 2004 eHealth Smart Cart Project - Germany Enabling Integration In Health Care Sofia - December 13th, 2004