T-Systems is present all around the world T-Systems. Enabler of connected life and work. T-Systems is present all around the world Toronto, Canada Montreal, Canada Europe St-Petersburg, Russia Moscow, Russia Detroit, USA Beijing, China Chicago, USA New York, USA Ciudad de México, México Red Bank, USA Tokyo, Japan Reston, USA Jacksonville, USA Shanghai, China Houston, USA Hong Kong Puebla, México Pune, India Selangor, Malaysia Singapore Please find more information here: https://systemsnet.telekom.de/cms/tsi-d/en/company/organization/corporate-governance/templateId=renderInternalPage/id=263074.html. Juiz de Fora, Brazil Rio de Janeiro, Brazil São Paulo, Brazil São José dos Pinhais, Brazil Midrand, South Africa Córdoba, Argentina Blumenau, Brazil Bellville, South Africa Porto Alegre, Brazil Buenos Aires, Argentinia As of February 2011 2

Powerful presence in Europe T-Systems. Enabler of connected life and work. Powerful presence in Europe Europe Heerlen, Netherlands Farum, Denmark Vianen, Netherlands Malmö, Sweden Den Haag, Netherlands Oslo, Norway Bromma, Sweden Helsinki, Finland Luxemburg, Luxemburg Wroclaw, Poland Groot-Bijgaarden, Belgium Warszawa, Poland Hatfield, United Kingdom Prag, Czech Republic London, United Kingdom Košice, Slovakia Budapest, Hungary Lille, France Nearly 100 locations in Germany Debrecen, Hungary Paris, France Bucharest, Romania Kiev, Ukraine Nantes, France Gmünd, Austria Lyon, France Wien, Austria Grenoble, France Linz, Austria Toulouse, France Graz, Austria Ljubljana, Slovenia Please find more information here: https://systemsnet.telekom.de/cms/tsi-d/en/company/organization/corporate-governance/templateId=renderInternalPage/id=263074.html. Oviedo, Spain Sofia, Bulgaria Bilbao, Spain Sarajevo, Bosnia-Herzegovina Istanbul, Turkey Lisboa, Portugal Athena, Greece Porto Salvo, Portugal Vicenza, Italy Madrid, Spain Milano, Italy Barcelona, Spain Zollikofen, Switzerland Sevilla, Spain Napoli, Italy Valencia, Spain Palma de Mallorca, Spain Basel, Switzerland Zürich, Switzerland Roma, Italy As of February 2011 3

TSI is a global player with global resources T-Systems. Enabler of connected life and work. TSI is a global player with global resources Focus: Large corporations, multi- national companies, public sector and healthcare organizations Market position: No. 1 ICT provider in Germany provider for systems integration in Germany provider for the automotive industry in Western Europe International presence: Offices in over 20 countries, global delivery capability Employees: Approx. 47,600 (25,100 in Germany, 22,500 outside Germany) (2010 figures) Revenues: €9.1 billion (2010 figures) T-Systems intro 03/07/2012 4 4

T-Systems Hungary is the successor of the former subsidiaries 11/23/2009 T-Systems Hungary is the successor of the former subsidiaries – strictly confidential / confidential / internal / public – Autor / Thema der Präsentation Enterprise Telco & IT Services Telco & ICT Operations Systems Integration Co-location Services Healthcare applications Enterprise Magyar Telekom Plc.

Building a growing business IT revenue of T-Systems Hungary Acquisitions of the past 6 years

The most powerful team in the local market In total 1607 employees* 80 762 412 204 * as of June 2012 * The total includes Finance, HR, Mgmt and Pro-M employees too

Who we are T-Systems Magyarország Zrt. has been integrated as Hungary’s leading full-scale ICT service provider we work to help you accomplish your business objectives. Integrated. Owned 100% by Magyar Telekom, the new company is brought to life through the merger of long-established industry stakeholders in the Hungarian market: IQSYS Informatikai és Tanácsadó Zrt, Dataplex Kft. and ISH Informatikai Kft. are set merge into the new, integrated company on 30 September 2012 with Daten-Kontor Kft. to follow suit sometime in 2013. Full-scale. Owing to the experiences and knowledge amassed by the predecessors, Hungary's one and only "360 degree" ICT company has been born to provide full-scale telecommunication and IT infrastructure and application development services, as well as system integration services. Single-channel, customizable. Through its integrated solutions and, not the least, its convenient, effective and customizable single-channel contact model, it is already serving more than 5500 large corporate and government public administration clients. This makes the company a leader not only in the Hungarian market, but also one of the most important information and ICT companies in Europe.

Who we are Has a secure hinterland. With nearly 2000 employees and through the synchronization of company competences and providing flexible solutions, it offers expert partnership and a safe info-communication hinterland to its clients, employees and partners – and thereby shaping the future of Hungarian companies and hence the economy of Hungary. Improves your competitiveness. More than simply providing service, T-Systems Magyarország helps you to secure a competitive edge. This is the only Hungarian ICT service provider that offers expert advice in the full range of information and communication technologies – all of them with global supply capacity, according to the method of international quality assurance standards, with supplier independence and integration capabilities. Powerful international background. As a member of the Deutsche Telekom Group and a co-operating partner of T-Systems International, the company has a massive international hinterland that makes it the most reliable and financially stable partner for Hungarian businesses. Smart and highly qualified. Thanks to its staff of highly qualified Hungarian specialists, engineering competence, and the nearly 1700 Hungarian suppliers, the new 360-degree ICT company has a predominant role in improving the competitiveness of the Hungarian economy and bringing it up to date.

We Are On the Podium in All Market Segments Where We Selected To Compete System Integration Services: 1st position; 23,2% share Application Development Services: 1st position; 13,4% share 2011 IT Outsourcing: 1st position; 19,3% share IT Services Total 2011: 1st position; 15,8% share Data Center Services: 1st position; 43,2% share IT Security Services: 1st position; 15,0% share 2010 Business Intelligence Services: 1st position; 20,4% share Source: IDC

T-Systems Hungary Healthcare Competence Center 13.08.2007 Szerző / Prezentáció témája T-Systems Hungary Healthcare Competence Center Viktor Zala, T-Systems Magyarország Zrt.

About T-Systems Hungary Shareholder: 100% Magyar Telekom, Hungary 5 sites: Budapest, Szeged, Debrecen, Pécs, Warsaw Our main product is represented in 4 Hungarian Medical Universities, as a total of 50 systems in place International resellers: T-Systems/Deutsche Telekom Natcos ISH Polska (Poland) C-System (Czech Rep.) SIVECO (Romania) Medit (Bosnia-Herzegovina) Viatell (Slovakia) Technical partners: IBM, SAP, MIPS (CliniSys Group), Progress, ORACLE Our Vision: To become a leading Healthcare ICT organization and to improve quality and accessibility of healthcare services across Europe. Our Mission: Increase safety, quality, efficiency and continuity through improvements of our information systems. Doctors want to access the patient’s data anywhere they are (bedside, during travelling or at home) Doctors work more than one Hospital generally, but they want to reach their patient data anywhere, anytime!

Background With over 1800 employees T-Systems Magyarország Zrt. is one of the most dynamic companies within DT Group with partnerships across Central and Eastern Europe, but active also outside the region focusing on Hospital and Regional Healthcare IT sector. CCE Region: Poland Czech Rep. Slovakia Hungary Croatia Romania Slovenia Bosnia-Herczegovina Bulgaria Greece Serbia Montenegro Albania Kosovo Doctors want to access the patient’s data anywhere they are (bedside, during travelling or at home) Doctors work more than one Hospital generally, but they want to reach their patient data anywhere, anytime!

Product portfolio T-Systems provides various software and solutions to the healthcare sector, including in-house developed products and third-party products In-house developed products: MedSolution e-MedSolution MedSolution Pharmacy MedSAPsol (SAP) HISCOM HISMobile e-HealthConnect (Telemedicine) Doctors want to access the patient’s data anywhere they are (bedside, during travelling or at home) Doctors work more than one Hospital generally, but they want to reach their patient data anywhere, anytime!

T-Systems’ healthcare IT flagship: e-MedSolution 13.08.2007 Szerző / Prezentáció témája T-Systems’ healthcare IT flagship: e-MedSolution

Key features in brief Premium, integrated Hospital Information System (HIS) Originally developed by IBM Runs in WEB browser, ideal for thin client enviroment Available in 13 languages, 5 country specific version Database: Progress and ORACLE Data model (3 tiers: data, business logic, user interface) Development enviroment: WebSphere Application Developer Studio (JAVA) Release strategy: 1 per month supported by ClearCase Moderate license fees compared to WE competitor’s products Doctors want to access the patient’s data anywhere they are (bedside, during travelling or at home) Doctors work more than one Hospital generally, but they want to reach their patient data anywhere, anytime!

Key features in brief e-MedSolution is the foundation Health Information System (HIS). It is an on-line, interactive data base system which provides patient registration, admission, discharge, transfer and functions that support the processing of patient orders, the tracking of work to be performed, reporting of results, recording of patient medical data and communication within the healthcare facility. A key feature of the system is the on-line maintenance of support data, such as departments, clinics, wards, rooms, beds, diagnoses, doctor/room schedules, health user information, code tables and service items. Doctors want to access the patient’s data anywhere they are (bedside, during travelling or at home) Doctors work more than one Hospital generally, but they want to reach their patient data anywhere, anytime!

Key features in brief Positioned as a large complex product, for large and medium hospitals having simple or sophisticated needs in CEE. JAVA technology with thousands of functions from patient management to complex medical management. Functions take into consideration mainly the CEE regulations and environment. Doctors want to access the patient’s data anywhere they are (bedside, during travelling or at home) Doctors work more than one Hospital generally, but they want to reach their patient data anywhere, anytime!

Compatibility with other systems Diagnostic Sytems: PACS (AGFA, Siemens, eRad, Kodak etc.) Chemical laboratory (MIPS, Diagon, Meditcom, IntegraMed etc.) Patient monitor (Draeger) Speech recognition (Philips) External Systems: Patient queuing (Q-MATIC) Barcode solutions (Motorola) Individual intelligent devices (Siemens mammography) Doctors want to access the patient’s data anywhere they are (bedside, during travelling or at home) Doctors work more than one Hospital generally, but they want to reach their patient data anywhere, anytime!

e-MedSolution modules Gynecology Pediatry Cardiology Gastroenterology Nephrology Pulmonology Endocrinology Ophthalmology Ear-Nose-Throat Dermatology Surgery Traumathology Orthopediatry Neurology Oncology Pathology Cytology Radiology - RTG Radiology - US Radiology – MRI, CT Microbiology Central laboratory Emergency unit Intensive therapy Drug Aministration PACS, LAB and ERP via collaboration with third parties Doctors want to access the patient’s data anywhere they are (bedside, during travelling or at home) Doctors work more than one Hospital generally, but they want to reach their patient data anywhere, anytime!

Hospital Information Systems Communication (HISCOM) We would like to spend more time with HISCOM because this probably new approach for you and this is THE strategic product Inter-Institutional Communication Patient-Doctor, Mobile Provider-Patient, Doctor-Doctor 26/11/2012 – András Decker, T-Systems Magyarország Zrt.

Current situation on the market Population LIS Info systems exist Communication is essential Information flow is paper- based Patients have no access HIS RIS X GPs HIS RIS Healthcare service providers have their own IT systems Intra-institutional communication resolutions already exist Between the service providers information delivery is paper-based The patients cannot connect electronically

Demands of inter-institutional communication Data access Patient centric data storage Cost optimization Preparation for decision making Care and capacity organization Telemedicine Data mining Regional data flow between care provider institutions International patient identification (epSOS) HIS HIS

Conditions of inter-institutional communication Keeping the already existing systems Monolith systems with simple extensibility Standard communication channels Simple, cost effective operation Transmission the document is essential ?

Our answer - HISCOM HISCOM WEB Server Browser HISCOM Centre The HIS system is collecting the parameters of integration, which are cached at „gateways” „Gateway” „Gateway” „Gateway” Lab report X-ray report ER case file HIS1 HIS2 Policlinic

Introduction Project Company: Pan-Inform Kft. Sponsored by: T-Systems Magyarország Zrt. Realization: 31 October 2011 Primary target groups: Hospitals, clinics, national institutes Surgery and diagnostic centres Care & rehabilitation agencies Secondary target groups: Insurance, health insurance Pharmacies GPs, private doctors This is my child We have to sign a distributor contract with Pan-Inform I say as Montecucolli The success of HISCOM needs Lobby, lobby, lobby Examples at the end

Characteristics of HISCOM Hospital Information Systems COMmunication Complete integration between the already existing systems Robust operation Provides data and documents as well Real time data access Safe access Multiple channel access Flexible to extension and open to improvement Complies with the avarage European data protection law Compatibility to IHE and other relevant standards Hospital Information Systems COMmunication Provides data in real time Completely integrates the already existing systems – naturally the other side of interface has to developed by the other IS provider Provides data and documents as well Robust operation (even without a hospital system) Safe access Multiple channel access Flexible to extension and open to improvement The Hungarian data protection law is outstandingly strict in a European average, so we are confident if we meet the Hungarian requirement then we will meet also the other EU memeber states ones.

Integration platform for real time services Hospital 1 General Practitioner Surgery HISCOM Health Insurance Companies Hospital 2 Patient Key features As mentioned before + HISCOM system is like a UTILITY for regional e-Health base Additional mobile services can be offered, like notification of action (do not forget to take the pill, scheduled visit) and real time authorization of doctor for a document access HISCOM, as integration platform for real time services Ensures that information from different sources and nature such as documents, images and signals being integrated within a single environment Provides real-time data about the patient’s history Reduces the operation costs and provides more time for professional activities Sophisticated management of related data accessibility by the patient HISCOM system is like an UTILITY for regional e-Health base Additional mobile services can be offered, like notification of action (do not forget to take the pill, scheduled visit) and real time authorization of doctor for a document access.

One example for a Healthcare-Info-Portal Infarction register Cancer register online services for customers Value added/ portal services Screening services e- Registration Portal (B2C patient private medical history access WEB2 patient private health data upload Authentication/ WEB, mobile, IPTV access) E-prescription publish, access, routing Basic service level HISCOM (B2B medical history & data, central database & data exchange between hospitals) Data: collecting, sharing Data level

Help for patients, doctors, directors and authorities Scheduling, web and mobile services Patient history and document management Mobile authorization management Decision support Workflow management Telemedicine and consultancy Human resources management epSOS

Hospital view of a case history

Personal page on the portal

HISMobile® – Hospital in doctors pocket 13.08.2007 Szerző / Prezentáció témája 33 HISMobile® – Hospital in doctors pocket 26/11/2012 – András Decker, T-Systems Magyarország Zrt.

Background Market situation & demand: To use the widely spread smartphones in the everyday work of the doctors. Primary target groups: Doctors in Hospitals Secondary target groups: GPs, private doctors Patients Pharmacies Conception & Created by: T-Systems Hungary Sponsored by: Magyar Telekom Acceptance: successful trial in National Institution of Cardiology, Hungary Doctors want to access the patient’s data anywhere they are (bedside, during travelling or at home) Doctors work more than one Hospital generally, but they want to reach their patient data anywhere, anytime!

The main features of HISMobile (1) Secure, safe and quick data access Target devices used are smartphones/tablets (iOS or Android) Very easy to learn solution – no training is expected Read only mode for case history of patients in HIS examinations schedules of the doctor Lifelike communication from doctors side

The main features of HISMobile (2) More workplace/hospital access from one device Results (LAB) & messages are pushed to the mobile device online VIP Patients (or Favorites) access with one step/tap Able to access more type of hospital systems using free/published interface High Level data security & privacy protection: No data stored on mobile and HISMobile Center Secured communication (SSL) User rights of the doctor is originated from the HIS! Continous access tracking

Functions of HISMobile Patient data access in HIS trough 3G/GSM or WIFI Search between patients by Name / Social Insurance ID / Hospital Case ID Immediate reach of scheduling data of the doctor Immediate reach of patient data Communication to the nurses in the department Recording of verbal commands, Picture taking, text message typing uploading the 3 types of messages to the HIS Receiving the answers and messages from HIS (Notification center) History News service (optional)

Architecture HISMobile solution for professionals HM Center eMedSolution eMedSolution Hospital Policlinic

HISMobile Center Full transaction tracing Wide range of usage statistics Different systems can be interfaced Based on Java server platform Shall be operated as a separate service

Some pictures about the HISMobile SW Felső sorban az Androidos screen-shotok, az alsó sorban az iPhone felvételek vannak.

Roadmap - Complex View HISCOM „Gateway” HISMobile solution for professionals HM Center HISCOM HISCOM center HISMobile solution for patients „Gateway” HIS1 HIS2 Policlinic

Thank you for your attention!