medavis NO COMPROMISES

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1 medavis NO COMPROMISES YOUR WAY TO MORE EFFICIENCY

2 Orientation towards the Future through Innovation & Worldwide Networking medavis is the leading manufacturer of medical IT solutions since Our sophisticated radiology IT solution medavis RIS is available in many languages and internationally well established. Our design allows easy integration with all major PACS and HIS systems. WHY medavis CAN DO MORE? The applications create a workflow focused environment based on your requirements, smoothly integrated into existing IT structures. medavis enables you to create a streamlined multi-site-environment workflow. medavis delivers the complete range of services - development, installation, training and customer support. Our expertise enables us to co-operate with other healthcare system providers. NETWORKING WORLDWIDE The strong international network of regional managers and local partners delivers products with perfect service & support to customers worldwide. medavis VISION In our daily work, we constantly keep our sights on our target, i.e. of being a company leading from the front because we think and act in terms of greater progress and see people as the alpha and omega of all our developments and applications. For us, technology is not an end in itself, but rather a task we constantly engage with. We continuously develop our products, always deploying the very latest technologies. SUSTAINABILITY Our sustainable workflow solution stands for integrated resource, energy and cost-saving workflows in radiology. You benefit from technical progress and your initial investment over many years. More than 660 installations worldwide are proof of our success. TELERADIOLOGY The medavis RIS to RIS teleradiology solution offers you the possibility to create and send reporting orders across sites. The evaluation of teleradiological orders is done at one site, fully-integrated in your medavis RIS reporting workflow. STRUCTURED REPORTING* With structured reporting medavis RIS builds the bridge between structured documents and structured input and ensures that all elements of the structured reports can be read in a standardized manner across RIS providers. *Work in Progress

3 Perfect Workflow Management Reliable and Effective Patient Hospital Referrer PHONE WEB-PORTAL HIS-INTERFACE FAX SMS SCHEDULING EXAMINATION EVALUATION REPORT TRANSMISSION BILLING Home Office Service Provider Second Opinion Locations

4 Interoperability at Its Best From the connection of your modalities via DICOM to interfaces for PACS, HIS and therapy systems up to communication with web or mail servers - medavis RIS provides a smooth digital information flow in your radiology and beyond. A perfect PACS integration offers you many possibilities: RIS centric image call, image in the report, reports in PACS and PACS synchronization up to image preview and demo preparation. RIS preselects the data for you so you have to spend as little time as possible on searching. It recognizes e.g. from the current examinations if there are matching previous reports in the patient s history and automatically displays them. If you as a report provider are interested in one of them, you need only click once and the images will be displayed on the PACS screen. The same is true for the report templates and text modules. Here, the system also selects and displays only the corresponding ones for the context. You can select from several options to create a report. The most comfortable is the integrated SPEECH RECOGNITION. Thanks to a deep integration of the medavis SPEECH RECOGNITION, medavis RIS does not open a pop-up window. You can instantly start dictating your text directly into the report. With the help of voice commands, you can list text modules, select the correct one and enter it into the report. Of course, a combination of SPEECH RECOGNITION and digital dictation, i.e. working together with a typing pool, is possible. The excellent compatibility of medavis RIS and other systems thanks to HL7 and DICOM communication was confirmed during the last IHE Connectathon in Spring 2018 in Den Haag by successfully passing the usability/compatibility test.

5 WITH medavis RIS YOU ARE WELL EQUIPPED FOR THE RADIOLOGY OF THE FUTURE FOR IMAGING CENTERS OF ALL SIZES medavis RIS 4.x is suitable for imaging centers of all sizes due to its modular architecture and scalability: From the single imaging center to imaging center groups, imaging centers in hospitals and university clinics. No matter if you use it at one site or centrally across several sites: A high-performant RIS is essential for your daily work. This is why we at medavis in addition count on reliability and stability but most of all on performance. In order to meet the requirements, we rely on state-of-the-art database technology. We recommend medavis RIS users the usage of Sybase Anywhere database by SAP in the latest version 17 (SA17). YOUR ADVANTAGES: Increased data security through internal behavior changes in the database New tools for database monitoring and performance analysis with the SQL Anywhere Cockpit Especially for virtual environments: SA17 recognizes and uses the added CPU kernels dynamically without having to restart the server Parallelization: Improved support of multi-core processors Often used data is available more quickly thanks to intelligent prefetching Point-in-time recovery: In case of an error, you can restore the RIS database to a defined time Future support of the operating system Microsoft Windows

6 Make your Reporting your Marketing Instrument medavis REFERRER PORTAL YOUR REPORTING YOUR MARKETING INSTRUMENT This way your referring physicians remain loyal to you! Each radiological examination results in studies and reportings that are transmitted to the referring physician. With the medavis REFERRER PORTAL you invest in a modern solution to share these with referring colleagues. With the medavis REFERRER PORTAL, your referring physicians can easily access the reportings and studies you have created online, without any separate installation - even physicians without PACS, thanks to the integrated viewer. The display of previous images is possible in the portal as well as the download of the original DICOM data. As an instrument for referral loyalty, you increase the reputation of your radiology with the medavis REFER- RER PORTAL. With this service, you differentiate yourself from your competitors and sustainably increase the profitability of your practice. With the medavis REFERRER PORTAL treatment cycles become shorter and faster, as well as working more comfortably. SAFE AND INDEPENDENT The medavis REFERRER PORTAL stands for flexibility, independence and the highest level of security standards: The safe handling of sensitive medical data is always guaranteed The data is encrypted and securely transferred Inspire your referrers with your service referrer.medavis.com

7 Controlling in Radiology Leading safely with Facts! CONTROLLING IN THE RADIOLOGY medavis has developed the cockpit4med for you so that you can benefit from the flood of data. cockpit4med enables you to manage your radiological workflow quickly and effectively by providing you with important information from various data sources in real time. Current data is clearly analyzed. This allows you to analyse the work situation in your practice and initiate targeted measures. medavis cockpit4med provides extensive overviews of: Waiting times Appointment and room utilization Locations Examinations Reportings Billing Sales turnover Referrer Communication and HL7 Queue The cockpit4med also records data from the REFERRER PORTAL so that you always know how the referring physicians use your service. cockpit4med The web-based dashboard for display of any data in real time. The most important information at a glance, at any time and from anywhere. Do you want to know what is going on anytime and from anywhere? cockpit.medavis.com

8 Date by From APPOINTMENT NOTIFICATION to PATIENT NOTIFICATION Date by SMS In the course of digital and networked communication with patients, the APPOINTMENT NOTI- FICATION was expanded to promote automated patient communication by and SMS not only before but also after the appointment at the imaging center. BEFORE THE APPOINTMENT: Date confirmation Date changes Appointment reminder AFTER THE APPOINTMENT: Thank the patient for visiting the imaging center and at the same time ask for an evaluation YOUR ADVANTAGES WITH PATIENT NOTIFICATION: Service and comfort for your patients through improved communication The number of patients not showing up for appointments is significantly minimized Comfortable appointment management with consideration of lead times Relief in the acceptance by less telephone appointment information Improving the quality of the imaging center with the help of patient evaluation Strengthening of online positioning Differentiate from other radiologists, practices and clinics Based on the experience of your patients, you can carry out focused improvement measures in your imaging center. You can sustainably strengthen your digital reputation and set yourself apart from other radiologies and imaging centers. Strengthen your reputation with patient reviews reviews.medavis.com Interface to Dose Management Systems Lean processes through optimal integration in your workflow. With the implementation of the European EURATOM policy, radiation protection at the workplace, for the general public and medical radiation protection is to be further improved. The policy is based on the latest scientific standard and aims to ensure comprehensive protection against ionising, i.e. high-energy radiation. The policy had to be implemented into national law by 6 th February medavis offers your users the possibility to connect any dose management system in medavis RIS via an interface. In addition to the automated integration of dose values into the radiological reporting, the connection also enables an external dose management system to be called up at examination and patient level. The call up is supported both from the reporting and from other parts of medavis RIS. YOUR ADVANTAGES WITH THE medavis INTERFACE TO A DOSE MANAGEMENT SYSTEM: Complete integration into your medavis RIS workflow, without additional effort during reporting Automated integration of dose values into the radiological repor ting via corresponding placeholders in the reporting templates Call an external dose management system at examination and patient level directly from the reporting Integrate a dose management system into your workflow and feel free to contact us dose.medavis.com

9 Teleradiology, with medavis RIS Integrated Reporting from Another Location Networked work across multiple locations use your full potential. With the medavis RIS teleradiology solution, you will be able to create and send diagnostic orders across locations. The diagnosis of teleradiological orders is carried out at another location, fully integrated into your medavis RIS reporting workflow. You always have a complete overview of your current reporting orders and are able to add new locations and manage their recipients ADVANTAGES WITH THE medavis RIS TELERADIOLOGY SOLUTION: Location-independent receipt and dispatch of reporting orders Fully integrated reporting work flow from another site, including speech recognition and image call up Electronic report return transmission to the ordering system following release Electronic processing of the justifying indication and treatment of patient consent Central administration of the participating locations Support of the cross-sites diagnostic pool, in order to group and address any specialists for execution of the diagnostics in a closed manner Central monitoring of your reporting orders, including status management Optional: MASTER PATIENT INDEX: The medavis Master Patient Index (MPI) ensures the management of individual patient identities for multisite RIS installations. This is done by assigning central IDs that link individual local identities with each other Optional: ELECTRONIC PATIENT FILE: Based on the medavis MPI, the electronic patient file enables access to Patient data from any location With the medavis RIS teleradiology solution you lay the foundation for networked work and invest in a secure future. Contact us for your personal solution with medavis teleradiology teleradiology.medavis.com Teleradiology 3 Orders

10 Paying with more Comfort Additionally, the RIS 4.x offers the possibility to add QR codes to your invoices. In this way you make it easier for the patient to make the bank transfer for your invoice. Simply scan the QR code with a smartphone and all relevant data are available for mobile banking. Costs for treatment can be transferred quickly and without errors. SCANNING QR code integration for your patient invoices

11 Innovative RIS Functions for Evaluation PAINTER IMPROVED COMMUNICATION THROUGH GRAPHIC The RIS function PAINTER is a digital drawing tool, that is integrated into the RIS text processing and can be opened quickly by clicking on the respective button during evaluation. Template is an example FUNCTIONS Directly integrated into the RIS word processing Typical tools for drawing available: Freehand drawing Several shapes: Rectangle, circle, line, arrow and more More colors, line widths and filling patterns Text tools Drawing on the templates you selected Each graphic in the report can be opened and drawn or marked With the help of the PAINTER you are able to enter graphic elements into your report templates, that before consisted most of the time only of text. Referrer and patient can be guided through the affected areas in this way. Your report text is clearer and can be better understood. For prostate examinations you can e.g. provide valuable additional information for the treating physician that is important for an optimal continued treatment of your joint patient. For this, you simply add the image by drag & drop into your report template, mark the image and select the desired editing function as in standard drawing programs. You can link your drawing with examination methods and regions and use a template in the master data configuration. Advantage: The PAINTER opens the correct image template automatically. REPORT COMPARISON The REPORT COMPARISON makes it possible to compare two report versions on the screen. The differences are marked in color. Your advantage: Reduced workload for the collaboration in the team. If e.g. the senior physician releases the report of an assisting physician, the assisting physician can retrace the changes and learn from them. This works similarly to the change mode of common word processing programs according to the following color scheme: GREEN: New content RED: Deleted content YELLOW: Changed content

12 INTERFACE DIGITAL PATIENT CLARIFICATION OPTIMIZED WORKFLOW ADVANTAGES Inform the patient comfortably about medical procedures Quick registration of patient details Process optimization through a seamless integration into the workflow of your imaging center or clinic Provide questionnaires concerning anamnesis, information and warnings about the procedure on mobile devices for your patients and enable them to prepare optimally for the consent discussion with the doctor Quick and reliable exchange of data and documents e.g. via HL7 or similar Advanced biometrical signature Paperless patient clarification - no copies or scanning required Anamnesis details are registered digitally and only once, which is a substantial time saving Automatic electronic archiving Archived documents are available - no data will be lost The RIS INTERFACE DIGITAL PATIENT CLARIFICATION takes process automatization to the next level by connecting an external solution. Up to now, this registration process could not be done digitally now you can seamlessly integrate it into your digital RIS workflow via interface. Filling out the patient clarification and questionnaires on anamnesis details was usually done on paper therefore creating additional organizational costs, as the patient details have to be registered digitally afterwards. The digital registration is important for two reasons: on the one hand to archive the details in the electronic patient record and on the other hand to be able to provide the patient with a copy for their files. Suppliers of digital patient clarification letter solutions design this step completely digitally by letting the patient enter their details with ipads, PCs or special scanner pens. No matter which system you use, medavis RIS will automatically re- ceive the patient clarification letter as PDF so that it can be archived in the electronic patient record without media disruption. The medavis RIS INTERFACE DIGITAL PATIENT CLARIFICATION is already being used with three different solutions. The connection of other solutions is possible, as the integration is done via a standard interface. Please contact us if you are interested. INTERFACE DIGITAL PATIENT CLARIFICATION More information - patientclarification.medavis.com

13 RIS-Service Agreement Software Maintenance that Pays Off! KEEPS YOUR RIS FUTURE-PROOF PROTECTS YOUR INVESTMENT PREDICTABLE COST From the very start operation IT systems are exposed to influences from various areas. Every software application needs permanent maintenance to ensure compatibility with evolving operating system and hardware environments. This is particularly true for healthcare software that needs to quickly adapt to constantly changing legal or health insurance requirements as well as healthcare standards. The medavis service team always provides you with software applications that are up to date with the latest healthcare standards and technological developments. The medavis support team always gives you a helping hand when you are stuck within any issue that may arise with your applications or data. Hence the medavis RIS Service Agreement is your effective way to benefit from technological advancements while keeping your initial investment safe. WHAT IS INCLUDED? Access to the medavis support organization and the medavis service catalogue with a variety of attractive support offers for your individual local installation Bug fixing, regular update services with service priority Remote diagnosis by medavis RIS experts in case of software issues Free input of change requests, adoptions and qualified feedback WHAT IS NEW? The medavis Service Center allows you to enter your service tickets and track their processing status at any time. Just register and start by entering your service tickets directly via secure access. Reliable System Stability Service Ticket via Secure Access Local Support & Global Standard Long-Lasting System Operability Avoidance of Malfunctions or Failures Closing Security Gaps Software maintenance that pays off! - service.medavis.com

14 Structured Reporting of the Future* medavis shows you in a product study and in the RIS reporting module the structured reporting of the future. This enables you to create your reporting with a predefined structure and controlled terms in a clearer, more complete and higher quality way. You save time in communicating with the referring physician because the reports are formulated uniformly. STANDARDIZED FORMAT WITH STRUCTURED INPUT Structured reporting means that your future reports are no longer stored as pure text, but in a standardized format. This procedure ensures that all elements of the structured reportings can be read in a standardized manner across all manufacturers. With the structured reporting medavis RIS builds the bridge between structured document and structured input. In order to generate a structured report, your data is already entered by a selection of structured terms and codes. TAKE ADVANTAGE OF THE HTML5 FINDINGS TEMPLATES FROM DRG AND RSNA Standardized guidelines by technical committees Unified recording of examinations High-quality reporting templates Template setup and exchange according to IHE standard Free text fields for individual situations Selection and distribution of templates via repositories on the Internet Selection of elements by voice control and voice recognition HTML5 templates offer the possibility to exchange results in a standardized, manufacturerindependent and structured format (IHE-CDA) HTML5 templates contain elements that can be operated with a few clicks or voice commands HTML5 templates can contain logics that display or hide additional context-sensitive elements *WORK IN PROGRESS *Work in Progress (WIP) Arrange your personal appointment report.medavis.com NEW POTENTIAL FOR MORE QUALITY AND EFFICIENCY

15 Interface to Document Management Systems Supporting EPR* THE MAGIC WORD IS: IHE XDS.b medavis cannot do magic, however with the IHE XDS.b Profile support we enable the distribution, access and management of your Electronic Patient Records (EPR) in a standardized and manufacturerindependent manner. With the profile XDS.b (Cross Enterprise Document Sharing) and the corresponding profiles ATNA (Audit Trail and Node Authentication) and CT (Consistent Time) medavis supports the connection to your document management system to create an electronic patient file. HOW DOES IT WORK? Documents are managed in a registry and archived in a repository. Access is via messages according to IHE specifications. XDS.b defines an XDS.b affinity domain, that uses the same policies and infrastructure. medavis supports the following IHE profiles: XDS.b as document consumer and document source CT as Time Client ATNA as Secure Application Tested at IHE Connectathon *PLANNED Give us the magic word IHE XDS.b and we will be happy to advise you patientrecord.medavis.com Outlook medavis A SECURE INVESTMENT INTO THE FUTURE Our software is constantly evolving. In addition to the legal and technological requirements, we also implement the wishes of our users. The following innovations are already being implemented: Structured reporting* Distributed reporting work flow utilizing medavis teleradiology Adjustments according the EU General Data Protection Regulation Increased interoperability through additional IHE profiles IHE Connectathon medavis is there *WORK IN PROGRESS

16 RADIOLOGY WORKFLOW MANAGEMENT Since 1997, medavis has been synonymous with medical IT that goes the extra mile: State-of-the-art software technology Future-orientated, scalable and upgradable IT processes Customizable services IT experts in radiology process optimization and network architecture High-performance products with the highest functional depth Long-standing project experience Top-class customer service with qualified staff Imaging centers, hospitals, clinic chains and teaching institutions in Germany and abroad over 660 medical institutions of all sizes already rely on our radiology workflow solutions by medavis. medavis GmbH Bannwaldallee Karlsruhe Germany Tel: Fax: medavis GmbH All rights reserved. RIS 4.x EN 01/2019. All product and company names mentioned here are trademarks of their respective owners.