Med Project Galex Studio Content Expertise Solution Overview

Med. Project Galex Studio

Content • • • Expertise & Solution Overview e-Health System Concept Deploy Architecture e-Health Platform - Quality Attributes Architecture Benefits System components Hospital Informational System Laboratory Informational System Picture Archiving and Communication System (PACS) • PACS File Server Architecture – Presentation Layer • PACS Architecture • • • Healthcare Public Portal Business Intelligence Healthcare Card Solution Electronic Medical Record Integrated Hospital System Description Integrated Hospital System Benefits Import/Export Data Platform Technology Proposed Implementation Plan

Expertise & Solution Overview GALEX Studio Team participated in multiple medical projects at different hospitals (county, municipal, military, specialized, etc. ): • “Medproject” solution Implementation at national level project for storing DICOM Investigations in the data center- Dicom Network (dicom. md); • MSP Republican Hospital for ACSR Republic of Moldova • Republican Clinic Hospital • Opargo, LLC (SUA) • Ministry of Agriculture and Food Industry of Moldova

e-Health System Concept e-Health System HEALTHCARE CARD SOLUTION PUBLIC PORTAL ELECTRONIC MEDICAL RECORD BUSINESS INTELLIGENCE (BI) Integrated Hospital System Reporting Hospital 1 HIS Hospital 2 Statistic Hospital 3 LIS ………… Audit Hospital 20 PACS

Deploy Architecture DATA CENTER BUSINESS INTELLIGENCE ELECTRONICAL MEDICAL RECORD PORTAL EMR INTERFACE LOCAL HOSPITAL SERVER REQUIRED HOSPITAL 1 NO HOSPITAL SERVER HOSPITAL 2 HIS LIS PACS STABLE INTERNET CONNECTION HOSPITAL 1 HOSPITAL 2 HOSPITAL 3

e-Health Platform - Quality Attributes Extensibility Scalability + The possibility to increase productivity by increasing the number of IIS web servers and DB servers. Security The system access is secured depending on access rights, which can be set up to document level; the access can be made from any location, on different devices (smartphones, tablets, laptops, desktops) Flexibility The ability to adapt to possible or future changes in its requirements + The ability to have new functionality extended, in which the system’s internal structure, data flow and the effective work time are not affected Load Testing Monitoring system productivity when increase load; monitoring response time when more users access the system; monitoring SQL server stability when processing a large volume of data.

Architecture Benefits • Elimination of informational redundancy by registering and centralizing information once, making it accessible from any location; • Data consolidation from the entire system on a pyramidal structure; • Secure personal data by consolidating data to one database and grant access only by specific user rights; • Flexible system scalability that allows system to increase performance capacity and more functionalities on the fly; • Dynamics architecture that makes possible future system development and modules enhancing; • Reduced system administration costs by centralizing server cluster.

System components HOSPITAL HIS • EMR – Electronical Medial Record Hospital Informational System LIS Laboratory Informational System PACS Picture Archiving and Communication • BI – Business Intelligence • Public Portal • Health. Care Card Solution HOSPITAL • HIS – Hospital Informational System • LIS – Laboratory Informational System • PACS - Picture Archiving and Communication System for DICOM Investigations HIS Hospital Informational System LIS Laboratory Informational System PACS Picture Archiving and Communication

Hospital Informational System • Component should be installed for each Hospital. • Track all patient activity in the Hospital. REGISTRY CASHDESK AUDIT • Generates medical documentation • Integrated with Patient Insurance Information. SECTION NUTRITION STATISTICS • Consumable accounting • Calculate costs. • Medical Consultations • Generates reports for DRUGS PHARMACY REPORT CENTER hospital.

Laboratory Informational System • Integrated with HIS • Support Equipment INVESTIGATIONS REQUEST LABORATORY PROCEDURES integration CONSUMABLES • Print Test result • Calculate costs. • Consumable accounting • Generates reports for laboratory. MEDICAL EQUIPMENT

Laboratory Information System (LIS) • • • Management of analysis requests and costs; • The results centralization from the entire laboratory equipment, connected to the system; • • Creates the unique analysis electronic file for each patient; • Integrates the requests of lab analysis on patients, distributing them on the following types: payment/ discounting modalities, doctors, clients and contracts; • Connection to cash registers, generating the receipt. Tests identification by using bar codes labels; Automatically takeover of the results from all types of laboratory equipment that permits the automatic mode; Using various types of results (number, text, graphic, list, image);

PACS • Integrated with HIS • Equipment integration. • Online DICOM Viewer INVESTIGATIONS REQUEST • Calculate costs. • Write results to CD/DVD DICOM EQUIPMENT DICOM SERVER DICOM VIEWER • Print Images • Consumable accounting • Generates reports. CONSUMABLES

Picture Archiving and Communication System (PACS) • • • 13 Allows physicians to acquire a chronological view of patients’ radiology histories, facilitating the comparison of a number of previous studies; Quick and easy access to patient images and reports, by remotely viewing images, submitting reports, archiving images and transporting them if necessary via portable media; Diagnosis and data transfer – telemedicine; Zoom in on images and manipulate them for better viewing and analysis; More than 70% cost reduction related to the use of classical radiological films and decrease of storage space; Reduce the number of duplicate images since previous results are available electronically, improving data management efficiency.

PACS File Server Architecture – Presentation Layer Hospital 1 HIS DICOM File Server 1 DICOM DATA Interface HEALTHCARE CARD DICOM File Server 2 Hospital 3 ………… Hospital 20

PACS Architecture HEALTHCARE CARD User External Processing High Performance Computer Processing Interface Access DICOM Monitoring Investigati ons Investigation Info Patient and investigation info User HIS DICOM investigating archive Notes and Decision DICOM images DICOM server Medical Equipment DICOM images Investigation visualization PACS DICOM Viewer Specialist medical images

Healthcare Public Portal • Mini web Page for each Hospital. GENERAL INFO NEWS • Publish News and Events. • Publish public statistics PUBLIC STATISTIC HOSPITAL PAGE INFO CONTACT INFORMATION EVENTS CONTACTS integrated with HIS.

Healthcare Portal • • Access to general information about the institution, types of activities, information about specialists working in the institution; Minipage for each Hospital. Publish news and articles – CMS. Public information (statistics). Healthcare Portal Hospital 1 Hospital 2 Hospital 3 ………… Hospital 20

Healthcare Portal The structure of the algorithm management information and user interaction External administrator (department) ü Global settings ü Institutions adding ü Export data setting from HIS Local administrator (hospital) ü Content administrat or ü Local settings User ü Visits scheduling ü Online results ü Medical services history ü Secure access HIS ü Data export

Business Intelligence • Advanced reporting tool • Each report have features for paging, grouping, filtering, export print. ALERT SYSTEM STATISTICS REPORT CENTER AUDIT PLANNING MONITORING • Medical Statistics reports • Drug reporting and consumable calculations • Estimate consumable for each hospital • Monitor current hospital activity • Drugs • Consumables • Contracts and invoices, etc.

Healthcare Card Solution • • • Gives the permission to access the patient’s EMR (as a hard key); Easy identification of the people; Enables increased accessibility, acceptability, efficiency, effectiveness and equity of medical services provided by the healthcare institutions; Allergies and blood type can be printed on the card; Better control of the healthcare services; Facilitates the implementation of e-Prescription system, to assure, monitor and control the prescribing and release drugs methods.

Electronic Medical Record system contains all the medical information describing the dynamics of medical care and health state of all patient treatment events: Personal Patient Data List of temperature and blood pressure Primary and secondary diagnosis Daily status Transfers inside hospital Other specific documents Patient EMR Information on hospitalization Medical procedures Medication Consultations Laboratory tests DICOM investigations

Integrated Hospital System Description • • An integrated information system for the hospital management; • • Healthcare Workflow for different healthcare units’ operations; • • • Web-based technology – implies efficient implementation schedule; Complete Patient Record(EMR), doubled by patient evaluation management; Modular structure, easy to use, with intuitive screens, to reflect the roles and responsibilities performed by hospital employees. The modules can be used separately or together, depending on the specific activities of each healthcare institution; Easy integration with mobile devices (IOS, Android); Real-time complete patient information, regardless of their location; Multi-language platform; Extensive knowhow built through implementations in a fast evolving market.

Electronic Medical Record

Modules’ General Features Each module can work independently or together and it is designed to include custom components that can be group according to beneficiary requirements specifications. Each module allows collecting, monitoring, printing, reporting.

Dash. Board BI Each system role has a specific configured dashboard, with quick access to necessary data, alerts and notifications.

Configuration Each module can be configured in Control Panel and System Management Interface.

Forms Systems forms includes mandatory and drop-down fields according to requirements.

Print All forms and reports can be printed.

Revisions Each data change affects log file.

Reports (BI) Each report has paging, sorting, filtering, export (excel, csv, pdf), print, grouping and calculations.

Import/Export Data • Report • • Excel CSV MS-Word PDF • Data • XML • Json • Web Services • Image • DICOM

Integrated Hospital System Benefits A. Patient level • • Complete electronic medical history for the patient; Optimized the time patients have to spend at hospital; Storage and access real time data of patient’s electronic medical records; Access to EMR from any places, regardless of their location; Efficient and accurate administration process; Increase time for patient to receive result after testing; Fast and more accurate examination and treatment process.

Integrated Hospital System Benefits B. Hospital level • • Obtaining data in real-time allows the management to stabilize the hospital functioning through efficiency of its subordinate hospital wards; Reduce time and amount of administration work, in favor of the strictly professional one; Providing all necessary information to reduce costs of hospitalization day for not wasting money; Automating the processing and transfer of data and images; Transparency of prescribing activity and drugs release; Optimizing the time for releasing a prescription; Real-time medical information series increases the forecast supply process (eg. stocks); Increase productivity of hospital and quality of treatment.

Integrated Hospital System Benefits C. Health Department level • Provide a full management audit and control tool over all processes undertaken in the province medical filed; • • Budgeting efficiency of the province’s healthcare level; • • Everyone is satisfied: patient, doctor, management board; • Integrated healthcare services. Total control over the reporting; Accurate and real-time data; Real-time viewing of management indicators for evaluating the managers’ activity, to implement preventive and corrective measures needed to modify them in order to achieve the targeted level; Overview of the whole activity of the province healthcare system;

Platform Technology All Platform components are developed using the latest Microsoft technologies: Database: MS SQL Server 2014 Programming language: Frameworks: . Net Framework 4. 5. 1 WPF Memcached server Jquery 3. 1. 1 C# MVC. NET Cache: Session: ASP. net session state server Hosting: IIS 7

Proposed Implementation Plan The first phase consists of the following steps: Duration 1 System Analysis and Design 3 months 2 Development and customization of the Platform 3 months 3 Deployment (including testing and training) 4 months 4 Ongoing technical support for users 2 months

Thank you for your attention! Alexander GOLUBEV Technical Director, GALEXSTUDIO Mobile: E-mail: +373 69151470 galex@galex. md