A Report to Our Valued Clients. January 2013

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1 A Report to Our Valued Clients January 2013

2 C L I E N T R E P O R T P A G E 2 From the desk of Chris Winquist, Chief Operations Officer As always, our intention is to increase your satisfaction through improved software, services and quality. Happy New Year. As we look back at 2012, we measure our accomplishments and take note of where we need to work harder. Over the course of the year, we met nearly 90% of the commitments we made to deliver new and updated software. Or course, we always strive to meet 100% of our intended deliverables, and we believe that in 2013 we will perform even better. We hope that this report is useful to your planning and understanding of what s new at LUMEDX, and that it gives you confidence in us as a trusted partner that delivers quality software on time. There were many highlights in 2012, and I will cover them briefly. We made great progress on our core application transformation from Apollo to Apollo5 (LX). The product is now the generally available application platform for our shipping software and is performing well in live environments all over the country. We worked diligently on our new Report Editor patient reporting solutions and now have either GA or EA versions of: Cath, Echo, PedEcho, PVD, CT, Nuclear and Fetal. Many of our clients have recently gone live with one or more of them and are reporting that the implementations are a success. In our new HealthView solution set, we delivered Community data management features as well as innovative Web-based workflows for Chest Pain and CHF. We also reached a sustainable and wellperforming version of HealthView that allows us to host an entire CVIS at our hosting center or locally at yours. In our Analytics product line, we spent considerable time improving and expanding our registry reporting and now have a robust set of reports for all the national registries. We also developed new dashboard solutions that expand beyond the clinical and provide insightful financial key performance indicators. Our PACS product continues to be our best seller, and many current and new customers are finding it to be a great replacement for their existing systems. As always we released many new interfaces, updates to several registries and enhancements to other products such as Scheduling and Inventory, etc. All in all, it was a very busy year in Product Development, and there are now more products available, with significant enhancements and new features. We invite you to take a close look at all of them in In addition to our continued work on existing applications, in 2013 we are planning to release several new products. We will announce and showcase many of them at the upcoming ACC event in San Francisco. Please stay tuned for news about these products and come by during the show to say hello and see the exciting new solutions. Sincerely, Chris Chris Winquist Chief Operations Officer LUMEDX Corporation

3 C L I E N T R E P O R T P A G E 3 Key Software Releases - Q New / Upgrade Product Name Basic Description Requirements/Notes Core Software & Modules Fetal Echo - Report Editor CT - Report Editor Reduces report completion time and improves accuracy. Users can enter data and see the report build simultaneously. Record Linking feature allows users to link the fetal echo (mother's demographic) to the post-natal echocardiogram and subsequently to the post-natal report. Multiple pregnancy cases also supported. Built for the Apollo5 (LX) application. Improves report accuracy and accelerates report completion. Includes cardiac and vascular sections: Chambers, Valves, Great Vessels, Arch Vessels, Pulmonary Vein and Lower Extremities. Users can enter data and see the report build simultaneously. An add-on to the CT/MR module and built for the Apollo5 (LX) application. Record Linking Record Linking allows sites to link demographic records. Record Linking: Saves time for clinicians and staff HealthView Heart Failure Management HealthView Deployment SaaS (Hosted Applications) Integration Structured Reporting & Imaging Integration Manager Enables more complete patient reports Supports fully informed treatment decisions How it works: Pediatric echos are linked to fetal echos and the mother s record. Links appear in the clinical history of both patients, allowing clinicians to move from one to the other. Multiple links can be created for a single demographic record. In the case of a fetal echo study multiple links can be created to account for multiple pregnancies and babies. Example: A mother s clinical history panel can contain multiple links to the events of her children; the child s clinical history will contain a link back to the mother. A pure Web application. Users can electronically identify, screen and capture data on heart failure patients in the hospital. Includes heart failure reports and in-depth analysis of heart failure program operations. Streamlined model for Citrix communication. Application flow improvements and bug fixes. Improvements to multi-tenancy capability. LDAP authentication for SaaS sites. Performance improvements. Workflow enhancements. Enhanced threshold notification from various monitors. Improved ""Resolve Transaction"" page and Lock for Edit functionality. Enhanced refresh functionality.

4 Registries Analytics ANZSCTS Cardiac Surgery Registry ACC Interoperability Analytics Manager version 4.6 C L I E N T R E P O R T P A G E 4 Upgrade to include customer feedback and additional requirements from the registry governing body. Patient event data (ACC single episode of care) now shared between: CathPCI Registry ACTION Registry -GWTG ICD Registry IMPACT Registry(added for this upgrade). Saves time and reduces duplicative data entry. Streamlines multiple-registry participation. SQL 2008 Report Content Compatibility. Requires Microsoft Office 2007 or later. Requires the purchase and participation in at least two of the supported registries. Analytics Manager STS 2.73 SQL 2008 Reporting Server Compatibility. Requires new version of Analytics Manager. Analytics Manager ACTION Registry -GWTG SQL 2008 Reporting Server Compatibility. Requires new version of Analytics Manager. Analytics Manager ACC- NCDR CathPCI Registry 4.0 SQL 2008 Reporting Server Compatibility. Requires new version of Analytics Manager. Dashboard - PCI Financials Provides detailed and summary financial statistics for Cath Lab stent patients. Includes a McKesson Horizon Patient Manager (HPM) interface for customers with HPM.

5 C L I E N T R E P O R T P A G E 5 Projected Software Releases - Q New / Upgrade Product Name Basic Description Requirements/Notes Core Software & Modules PACS Echo - Report Editor Cath - Report Editor MR - Report Editor PVD - Report Editor Cath Clin Doc Pop-Up for Lesions and Devices Add-On Modules for Inventory CardioPACS 5.0 Rev CardioPACS 5.0 Rev 11 Pop-Up forms support scroll capability when viewed on small resolution monitors or via HealthView. Option to separate diagnostic findings from Interventional details in the Coronary Angiography narrative. Improves report accuracy and accelerates report completion. Includes cardiac and vascular sections: Chambers, Valves, Great Vessels, Arch Vessels, Pulmonary Vein and Lower Extremities. Users can enter data and see the report build simultaneously. An add-on to the CT/MR module and built for the Apollo5 (LX) application. Improves report accuracy and accelerates report completion. Facilitates reporting on non-invasive peripheral diagnosis Users can enter data and see the report build simultaneously. Includes reporting for duplex and physiologic studies. This is an add-on module to the Cath module. Simplifies adding lesions and associated devices while using Clinical Documentation. When using Clinical Documentation, a pop up UI displays the lesions and devices grids. Lesions and devices are added to the record and also to the procedure log at the same time. Compatible with the Cath Report Editor. Add-on Inventory modules for Apollo5 (LX). Cath and EP have their own add on inventory module. Compatible with Motorola tethered bar code scanners. Web performance enhancements: multiple parallel downloads and pre-caching. Enhanced HL7 support for ORM and SIU messages. Group Assignment. Enhanced IVUS measurements (additional license required). Protocol Trial Management (additional license required). Edge Server (with gateway and proxy functionality; additional license required). Additional routing rules for Edge Server. Stress-Echo improvements with presentation-state management. Support for SQL Optimized database structure for better performance. Requires ApolloLX or above.

6 HealthView C L I E N T R E P O R T P A G E 6 Heart Failure Management Improvements based on Early Adopter feedback. HealthView Deployment HealthView Web CVIS improvements Support for Citrix Xenapp 6.0 and 6.5. Integrated administrator tool for Citrix session management. Enhanced integration between HealthView and Citrix. Chest Pain Management Improvements based on Early Adopter feedback. SaaS (Hosted Applications) Integration Secure Transport Client Structured Reporting & Imaging Performance improvements. Support for larger files. Enhanced monitoring and logging. Upgrade HealthView & Apollo5 (LX) with performance improvements and manageability improvements. Maintenance. McKesson Horizon Cardiology XML Echo Import HL7 Results Reporting HL7 Results Report Import to PPPCU HL7 Scheduling Export Philips Xcelera Photofile Provides the ability to automatically populate the Apollo clinical database with discrete echo data elements. Acquires Horizon Cardiology study reports as thirdparty reports when exported along with the XML data transaction. Enhance to support the export of additional image files supported by Epic. Provides the off-the-shelf capability of extracting the textual contents of an HL7 Results Report and storing it as a third-party report associated with a new or existing event. Provides a form of user-defined report manipulation and parsing rules that can be used to extract data from the textual contents of the report for storage as discrete data in the module. Produce HL7 scheduling transactions to communicate and track scheduling appointments for: New appointments (S12). Rescheduling appointments (S13). Modified appointments (S14). Cancelled appointments (S15). And no-show appointments (S26). Supports optional handling of rescheduled appointments by issuing delete appointments (S17) followed by new appointments (S12). Add population of PVI imagery plus extend image recognition logic to match images to.inf file based on sequence number and amending characters (when present). Add Hosted Solutions features as well as incorporate other AIE enhancements.

7 C L I E N T R E P O R T P A G E 7 Registries ACC NCDR ACTION Registry -GWTG Upgrade to support v2.3 requirements. Analytics ACC Interoperability STS v2.73 Upgrade to support ACTION Registry-GWTG v2.3 requirements. This product shares patient event data (ACC single episode of care) between: CathPCI Registry ACTION Registry -GWTG ICD Registry IMPACT Registry Saves time and reduces duplicative data entry. Streamlines multiple-registry participation. Upgrade to support new method of determining Op Category. Requires the purchase and participation in at least two of the supported registries. New York State PCI Upgrade to support 2013 requirements. Scheduling Analytics Manager version 4.7 Analytics Manager ACC NCDR CathPCI Registry v4 Analytics Manager STS Thoracic Analytics Manager ACC NCDR ICD Registry v2 Various enhancements including: Audit log for reports access. Report subscription for 1 day / 1 week of data. Upgrade simplification. Report subscription security. Report 1: Patients WITH Acute Coronary Syndrome. PCI Procedures evaluated as appropriate according to Appropriateness of Use Criteria (AUC) guidelines. PCI Procedures evaluated as uncertain according to AUC guidelines. PCI Procedures evaluated as inappropriate according to AUC guidelines. Report 2: Patients WITHOUT Acute Coronary Syndrome. PCI Procedures evaluated as appropriate according to AUC guidelines. PCI Procedures evaluated as uncertain according to AUC guidelines. PCI Procedures evaluated as inappropriate according to AUC guidelines. Upgrade to support Various enhancements including the addition of views to facilitate customization of reports. SQL 2008 Reporting Server Compatibility. Requires new version of Analytics Manager. Scheduling Maintenance release with a combination of minor enhancements and resolution of minor issues. Field masking and parent-child dependencies will be added. Resolution of issues will include a height and weight label issue, extra white space in appointments and saving of tab layouts.

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