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November 1, 2006
EHIT Ltd

Healthcare Solutions




                       November 1, 2006
Health Gateway
                              Healthcare and wellbeing solutions



    Health Gateway is an effective and secure
    tool to wirelessly transfer measured data from
    different measurement and training devices to
    the health care provider via a mobile platform



                   Glucose
             ECG
                       Coagulation
  Body weight
                                     EMG


Heart rate                    Blood pressure


  Peak flow
                           Temperature
       Oxygen saturation

                   Activity


                                                                   November 1, 2006
Health Gateway
           How does the system work?


                                               The results
                                             are transferred
                                             securely to the
                                               health care
                       The mobile               provider
                      device collects
                     the results from
                           the
                      measurement
 The patient             devices
  takes the
measurements
   with the                                          The results
measurement                                         are analysed
   devices                                       and feedback with
                                                    other patient
                                                  instructions are
                                                      prepared
                           Feedback is
                           sent securely
                            back to the
                          patient’s mobile
    The patient
                               device
    reviews the
   feedback and
     takes the
     necessary
      actions

                                                                     November 1, 2006
Health Gateway Solution

                                      eHIT Health Gateway
                                       eHIT Health Gateway
                                                                                           Other Information System

                                                                                       Hospital Information System

INR
                                                                                      Electronic Patient Record

                                                                                 Laboratory Information System
EMG
                                                                                  eHIT Health Gateway
          WIRELESS COMMUNICATION




Glucose
                                       Mobile Platform

                                     • Measurement acquisition
RR                                   • Data transfer to the Health
                                       Care centre
                                     • Information to the patient
Weight                               • Historical data                                         Clinic Platform
                                     • Data validation                       Server Platform

PEF                                  • Secure data transfer
                                     • Feedback to the patient
                                                                             • Real-time and actual data
SpO2 HR                              Supported platforms                     • Notification of alarms
                                     • Series40, Series60   2nd   &   3rd,   • Feedback to the patient
ECG                                    Series80 2nd
…                                    • Windows Mobile


                                                                                                                 November 1, 2006
Health Gateway
                          CASE: Female incontinence management




                                                       The measured results are
                     EMG
              Pelvic floor muscle   Bluetooth          transferred securely from
                                                        the mobile device to the
                                                        clinic by using wireless
   The mobile device                                         communication         Analysis
collects the data directly
from the training device
                                                               GSM/GPRS



                                    Mobile measuring            Secure
 The training program can be         and monitoring          communication
                                        platform
  updated to the FemiScanTM
                                                                                            Regular follow-up
  device using mobile device
                                                                                             and changes to
 to achieve the best possible
                                                                                          patients' treatment to
    incontinence treatment
                                            Feedback is sent                              fulfill patients' needs
                                              directly to the
                                             patient mobile
                                            device or by letter




                                                                                                   November 1, 2006
Health Gateway
                                   CASE: Diabetes management




                                      Infrared
                                     Bluetooth
                                                        The measured results are
                Blood glucose          Cable
                                                        transferred securely from
                                                         the mobile device to the
                                                         clinic by using wireless   Analysis
The mobile device collects
                                                              communication
 the data directly from the
   measurement devices
                                                                GSM/GPRS


  Combined results from
  multiple measurement               Mobile measuring            Secure
devices to achieve the best           and monitoring          communication
    possible diabetes                    platform
       management                                                                            Regular follow-up
                                                                                              and changes to
                                Bluetooth                                                  patients' treatment to
                                             Feedback is sent                              fulfill patients' needs
                                               directly to the
                                              patient mobile
                                             device or by letter
             Blood pressure
              Body weight


                                                                                                    November 1, 2006
Health Gateway
                                  CASE: Asthma management




                                     Infrared
                    PEF             Bluetooth         The measured results are
                 Spirometry           Cable           transferred securely from
                                                       the mobile device to the
The mobile device collects                             clinic by using wireless   Analysis
 the data directly from the                                 communication
   measurement devices
                                                              GSM/GPRS


  Combined results from
  multiple measurement             Mobile measuring            Secure
devices to achieve the best         and monitoring          communication
     possible asthma                   platform
       management                                                                          Regular follow-up
                                                                                            and changes to
                                Bluetooth                                                patients' treatment to
                                            Feedback is sent                             fulfill patients' needs
                                              directly to the
                                             patient mobile
                                            device or by letter
            Oxygen saturation
               Heartrate


                                                                                                  November 1, 2006
Health Gateway
                               CASE: Coagulation management




                                     Infrared
                                    Bluetooth
                    INR               Cable           The measured results are
                 Coagulation
                                                      transferred securely from
                                                       the mobile device to the
The mobile device collects                             clinic by using wireless   Analysis
 the data directly from the                                 communication
   measurement devices
                                                             GSM/GPRS


 Combined results from
 multiple measurement              Mobile measuring           Secure
 devices to achieve the             and monitoring         communication
     most accurate                     platform
  coagulation therapy                                                                      Regular follow-up
                                                                                            and changes to
                               Bluetooth                                                 patients' treatment to
                                           Feedback is sent                              fulfill patients' needs
                                             directly to the
                                            patient mobile
                                           device or by letter
              Blood pressure



                                                                                                  November 1, 2006
Health Gateway
                                 CASE: Muscle rehabilitation
                                Small self-contained
                                  battery operated
                               wireless EMG sensors




                                                 The measured results are
                                 Bluetooth       transferred securely from
                                                  the mobile device to the
                                                  clinic by using wireless
                                                       communication         Analysis

   The mobile device
collects the data directly
                                                          GPRS/3G
from the training device


                                 Mobile measuring          Secure
                                  and monitoring        communication
 The training program can be
                                     platform
    updated to the mobile
                                                                                      Regular follow-up
  device to achieve the best
                                                                                       and changes to
  possible training results.
                                                                                    patients' treatment to
                                         Feedback is sent                           fulfill patients' needs
    Mobile device guides
    through the training                directly back to the
         program.                          mobile device




                                                                                             November 1, 2006
Health Gateway
                                                  CASE: First Aid
   Combined results
     from multiple
    measurement                                           GSM/GPRS
   devices for most
       extensive
      information
                               Mobile measuring             Secure
                                and monitoring           communication                Clinic
   The mobile                      platform                                          platform
 device collects
data directly from                                   Measured data are
the measurement        Bluetooth                        transferred
     devices                                         securely from the
                                                      mobile device to
                                                        clinic using
                                                          wireless
                                                      communication

                     EKG

    Blood pressure          Oxygen saturation
                               Heartrate                                   Measured data are immediately
                                                                               available for analysis

                                                                         Feedback and/or further instruction
                                                                          can be quickly sent directly to the
                                                                           mobile device of the paramedics




                                                                                                  November 1, 2006
Health Gateway
                    Remote self-care monitoring environment

PATIENT’S HOME                Mobile device
                               collecting
Measuring devices             measurement                    GPRS / GSM
                                results                         3G


                                                                                HEALTHCARE PROVIDER

                     Wireless
                    Connection


                                                            Automatic switch
                                                                between
                                                            GPRS/GSM/3G
                                                          network and WLAN
                     The touch screen of                  network e.g. when
                     the tablet PC allows
                                               WLAN
                                                           the patient leaves
                       for a simple and
                                                                 home
                         effective user
                         interface also
                      suitable for senior
                            citizens
                                                          ADSL connection
                                                                                    EPR/LIS/HIS
                                            WLAN router
                                            ADSL modem

                                                                                         November 1, 2006
Health Gateway
                                             System configurations
                                                  COMPLETE SOLUTION

               Blood                                                                             Other
                                 Pulse-          Peak flow      Home care
              pressure                                                          Glucometer    measurement
                                oximeter           meter         device
              monitor                                                                           device

                                                                                                            • Infrared
                                                                                   Device connection
• Bluetooth                                                                                                 • Serial cable
• Infrared
                                                                 Health Gateway
• WLAN            Device connection
                                                                 eLink wireless adapter
• Cable
• Custom                                                                           Wireless connection      • Bluetooth

              Health Gateway                 Series40        Series60                  Series80
              Mobile Platform                Series60        Windows Mobile            Windows Mobile
                                                                                                            • GSM/GPRS
                                                                            Secure wireless connection      • SMS
                                                                                                            • WLAN
                                 Health Gateway
• SOAP/XML                       Server Platform
• HTTP
                  Full data access
• HTTPS
• TCP/IP                               Health Gateway
                                       Clinic Platform

                                Seamless integration to existing information systems


                                           Existing Physician Information System

                                                                                                         November 1, 2006
Health Gateway
                            Features and benefits



Remote measurement and monitoring at home, at the workplace and while
travelling
    – Real-time feedback regardless of location
    – Faster patient treatment process
Secure data communication
    – Preserves privacy
On-line consultation capabilities
    – More efficient
    – Less time and less paper work
    – Reduced travel expenses
Results and patient instructions are stored on-line to databases
    – Measurement results are accurate, available in real-time and in correct form
Straightforward user interface
    – Easy to use for both patient and nursing staff

                                                                        November 1, 2006
Health Gateway Solution
                                   Personal mode, without online link


                                        eHIT Health Gateway
                                                                         • All Health Gateway mobile
                                         eHIT Health Gateway               applications can be
                                                                           configured to work as
INR
                                                                           personal health diaries only

EMG                                                                      • Applications can be
                                                                           configured to send
          WIRELESS COMMUNICATION




                                                                           information to family
Glucose
                                          Mobile Platform                  members or other selected
                                       • Measurement acquisition           persons (e.g. SMS)
RR                                     • Information to the patient
                                       • Historical data
                                                                         • Export/Import supported
                                       • Data validation
Weight                                                                     with different measurement
                                       Supported platforms
                                                                           device manufacturer
                                       • Series40, Series60 2nd & 3rd,
PEF                                      Series80 2nd                      software formats
                                       • Windows Mobile
                                                                         • Output reports (PC, printers,
SpO2 HR
                                                                           email, MMS…)
ECG
…
                                                                                               November 1, 2006
eHIT Ltd
                          Contact information



                    Mr. Kalevi Voutilainen
                    President
                    tel.     +358 (0)40 828 6072
                    email:   kalevi.voutilainen@ehit.fi



Technical issues:                        Sales:
Mr. Arto Holopainen                      Mr. Fabrizio Galbiati
R&D Manager                              Sales Manager
tel.      +358 (0)40 739 4341            tel.      +358 (0)40 720 6761
email:    arto.holopainen@ehit.fi        email:    fabrizio.galbiati@ehit.fi



    eHIT Ltd, P.O. Box 1199, Microkatu 1, FIN-70211 Kuopio, Finland




                                                                         November 1, 2006

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Ehit Ltd Health Gateway

  • 2. EHIT Ltd Healthcare Solutions November 1, 2006
  • 3. Health Gateway Healthcare and wellbeing solutions Health Gateway is an effective and secure tool to wirelessly transfer measured data from different measurement and training devices to the health care provider via a mobile platform Glucose ECG Coagulation Body weight EMG Heart rate Blood pressure Peak flow Temperature Oxygen saturation Activity November 1, 2006
  • 4. Health Gateway How does the system work? The results are transferred securely to the health care The mobile provider device collects the results from the measurement The patient devices takes the measurements with the The results measurement are analysed devices and feedback with other patient instructions are prepared Feedback is sent securely back to the patient’s mobile The patient device reviews the feedback and takes the necessary actions November 1, 2006
  • 5. Health Gateway Solution eHIT Health Gateway eHIT Health Gateway Other Information System Hospital Information System INR Electronic Patient Record Laboratory Information System EMG eHIT Health Gateway WIRELESS COMMUNICATION Glucose Mobile Platform • Measurement acquisition RR • Data transfer to the Health Care centre • Information to the patient Weight • Historical data Clinic Platform • Data validation Server Platform PEF • Secure data transfer • Feedback to the patient • Real-time and actual data SpO2 HR Supported platforms • Notification of alarms • Series40, Series60 2nd & 3rd, • Feedback to the patient ECG Series80 2nd … • Windows Mobile November 1, 2006
  • 6. Health Gateway CASE: Female incontinence management The measured results are EMG Pelvic floor muscle Bluetooth transferred securely from the mobile device to the clinic by using wireless The mobile device communication Analysis collects the data directly from the training device GSM/GPRS Mobile measuring Secure The training program can be and monitoring communication platform updated to the FemiScanTM Regular follow-up device using mobile device and changes to to achieve the best possible patients' treatment to incontinence treatment Feedback is sent fulfill patients' needs directly to the patient mobile device or by letter November 1, 2006
  • 7. Health Gateway CASE: Diabetes management Infrared Bluetooth The measured results are Blood glucose Cable transferred securely from the mobile device to the clinic by using wireless Analysis The mobile device collects communication the data directly from the measurement devices GSM/GPRS Combined results from multiple measurement Mobile measuring Secure devices to achieve the best and monitoring communication possible diabetes platform management Regular follow-up and changes to Bluetooth patients' treatment to Feedback is sent fulfill patients' needs directly to the patient mobile device or by letter Blood pressure Body weight November 1, 2006
  • 8. Health Gateway CASE: Asthma management Infrared PEF Bluetooth The measured results are Spirometry Cable transferred securely from the mobile device to the The mobile device collects clinic by using wireless Analysis the data directly from the communication measurement devices GSM/GPRS Combined results from multiple measurement Mobile measuring Secure devices to achieve the best and monitoring communication possible asthma platform management Regular follow-up and changes to Bluetooth patients' treatment to Feedback is sent fulfill patients' needs directly to the patient mobile device or by letter Oxygen saturation Heartrate November 1, 2006
  • 9. Health Gateway CASE: Coagulation management Infrared Bluetooth INR Cable The measured results are Coagulation transferred securely from the mobile device to the The mobile device collects clinic by using wireless Analysis the data directly from the communication measurement devices GSM/GPRS Combined results from multiple measurement Mobile measuring Secure devices to achieve the and monitoring communication most accurate platform coagulation therapy Regular follow-up and changes to Bluetooth patients' treatment to Feedback is sent fulfill patients' needs directly to the patient mobile device or by letter Blood pressure November 1, 2006
  • 10. Health Gateway CASE: Muscle rehabilitation Small self-contained battery operated wireless EMG sensors The measured results are Bluetooth transferred securely from the mobile device to the clinic by using wireless communication Analysis The mobile device collects the data directly GPRS/3G from the training device Mobile measuring Secure and monitoring communication The training program can be platform updated to the mobile Regular follow-up device to achieve the best and changes to possible training results. patients' treatment to Feedback is sent fulfill patients' needs Mobile device guides through the training directly back to the program. mobile device November 1, 2006
  • 11. Health Gateway CASE: First Aid Combined results from multiple measurement GSM/GPRS devices for most extensive information Mobile measuring Secure and monitoring communication Clinic The mobile platform platform device collects data directly from Measured data are the measurement Bluetooth transferred devices securely from the mobile device to clinic using wireless communication EKG Blood pressure Oxygen saturation Heartrate Measured data are immediately available for analysis Feedback and/or further instruction can be quickly sent directly to the mobile device of the paramedics November 1, 2006
  • 12. Health Gateway Remote self-care monitoring environment PATIENT’S HOME Mobile device collecting Measuring devices measurement GPRS / GSM results 3G HEALTHCARE PROVIDER Wireless Connection Automatic switch between GPRS/GSM/3G network and WLAN The touch screen of network e.g. when the tablet PC allows WLAN the patient leaves for a simple and home effective user interface also suitable for senior citizens ADSL connection EPR/LIS/HIS WLAN router ADSL modem November 1, 2006
  • 13. Health Gateway System configurations COMPLETE SOLUTION Blood Other Pulse- Peak flow Home care pressure Glucometer measurement oximeter meter device monitor device • Infrared Device connection • Bluetooth • Serial cable • Infrared Health Gateway • WLAN Device connection eLink wireless adapter • Cable • Custom Wireless connection • Bluetooth Health Gateway Series40 Series60 Series80 Mobile Platform Series60 Windows Mobile Windows Mobile • GSM/GPRS Secure wireless connection • SMS • WLAN Health Gateway • SOAP/XML Server Platform • HTTP Full data access • HTTPS • TCP/IP Health Gateway Clinic Platform Seamless integration to existing information systems Existing Physician Information System November 1, 2006
  • 14. Health Gateway Features and benefits Remote measurement and monitoring at home, at the workplace and while travelling – Real-time feedback regardless of location – Faster patient treatment process Secure data communication – Preserves privacy On-line consultation capabilities – More efficient – Less time and less paper work – Reduced travel expenses Results and patient instructions are stored on-line to databases – Measurement results are accurate, available in real-time and in correct form Straightforward user interface – Easy to use for both patient and nursing staff November 1, 2006
  • 15. Health Gateway Solution Personal mode, without online link eHIT Health Gateway • All Health Gateway mobile eHIT Health Gateway applications can be configured to work as INR personal health diaries only EMG • Applications can be configured to send WIRELESS COMMUNICATION information to family Glucose Mobile Platform members or other selected • Measurement acquisition persons (e.g. SMS) RR • Information to the patient • Historical data • Export/Import supported • Data validation Weight with different measurement Supported platforms device manufacturer • Series40, Series60 2nd & 3rd, PEF Series80 2nd software formats • Windows Mobile • Output reports (PC, printers, SpO2 HR email, MMS…) ECG … November 1, 2006
  • 16. eHIT Ltd Contact information Mr. Kalevi Voutilainen President tel. +358 (0)40 828 6072 email: kalevi.voutilainen@ehit.fi Technical issues: Sales: Mr. Arto Holopainen Mr. Fabrizio Galbiati R&D Manager Sales Manager tel. +358 (0)40 739 4341 tel. +358 (0)40 720 6761 email: arto.holopainen@ehit.fi email: fabrizio.galbiati@ehit.fi eHIT Ltd, P.O. Box 1199, Microkatu 1, FIN-70211 Kuopio, Finland November 1, 2006