1. Electronic Dental Records and PACS in the Dental Community Health Sector NNOHA Presentation 11/04/09

2. Marc Capots Special Markets Technology Manager Henry Schein Special Markets Equipment Jeff Burgess DDS MSD Boarded in Oral Medicine Vice President of Sales and Marketing EBM Technologies

3. PACS Picture Archiving and Communication Systems

4. Industry Standards DICOM – Digital Communication in Medicine HL7 – Health Level 7 IHE – Integrating the Healthcare Enterprise HIPPA – Compliant

5. Yeoh & Muranaka Medical Center, based in Honolulu, Hawaii facilitates three outpatient imaging clinics. Imaging Center Exams per year : 50,000 4 Radiologists Serves pop. Of 900,000 EBM Solution UniSight™ UniWeb™ EBM PACS Server™ Imaging Devices 2 CT 4 US 2 BMD 4 DR 1 MR Case Study: USA

6. The EBM Pangea Dental Solution

7. Supports DICOM Worklist Supports DICOM Dental Tag Supports DICOM MPPS (Modality Procedure Performed Status) Supports DICOM Storage Commitment Allows conversion of non-digital images to DICOM standard UniGate® Workstation ‘To communicate with the non-DICOM devices’

8. The EBM Pangea Dental Solution Acts as QC Station to Preview Images DICOM Print function DICOM Portable Media Function (for CD/DVD Burner) Conversion of Images between DICOM and non- DICOM Supports DICOM Store (SCU/SCP) Function Supports DICOM Storage Commitment UniSight® Workstation

9. The EBM Pangea Dental Solution Stores DICOM images Keeps a log of image modifications and deletions Keeps a log of image query and retrieval by all users Logs problems Sends out SMS or email to headquarters (engineers) when a problem occurs Provides a log that helps track the image route between the modality and the server EBM Pacs Server®

10. The EBM Pangea Dental Solution Allows WEB Access to review Image (Internet Explorer) Web Access to DICOM Objects (WADO) Robust Viewing Tools Scalable Concurrent License Used for Teaching UniWeb® Workstation

11. HIS/RIS with HL7/non-HL7 HL7/non-HL7 Broker (EBM) DICOM Worklist Server (EBM) UniGate (EBM) Teleradiology Acquisition modalities support DICOM worklist EBM PACS Server/ Pangea Dental Clinicians Communication DICOM Printing Diagnostic/Vi ewing Station Acquisition modalities Non-DICOM

12. Hanging Protocol Multimodality – Device Neutral Web Based DICOM 3.0 Standards Pangea Dental Highlights Integration with RIS Systems Dynamic Analysis Functions

13. Hanging Protocol Pangea Dental Hanging Capability Flexible Customizable Customizable Supports mouse dragging for tooth selection Supports mouse dragging for tooth selection Supports image display of selected study date results Supports image display of selected study date results

14. Pangea Dental DICOM Tags

15. Pangea Dental Analysis Functions The ZOOM function allows the viewing of two or more images taken over time to document potential change.

16. Pangea Dental Analysis Functions The measurement functions allow for a gross calculation of the length, ratio, area, angles and a value based on the density of the location (area or single point) being viewed

17. Pangea Dental Analysis Functions CBCT Images

18. Pangea Dental – CBCT Images

19. Pangea Dental Analysis Functions Export/Import to DICOM Portable Media CD/DVD Viewer On CD®

20. Pangea Dental System Requirements Operation System : Microsoft Windows 2000, Windows XP Professional, Windows Vista 32 bit, Windows Vista 64 bit File/Data System : FAT32 or NTFS Software Requirements : For making a DICOM disc, the computer must have installed DVD/CD writing program, or with Windows build-in IMAPI CD-Burning COM Service

21. Pangea Dental System Requirements Hardware - Minimum Requirements A Machine with a mouse, CD-ROM and USB ports CPU: Pentium II 333MHz or better RAM: 512 MB or better. The number of images that can be viewed concurrently is limited by the size of RAM memory. Hard Disk: 2 GB or better Network Communications: Ethernet network card that supports TCP/IP

22. Pangea Dental System Requirements Hardware - Minimum Requirements Visual Card: resolution of 1024 x1024 pixels, 65536 colors or 24-bit true color, or gray scale display card Disc-writer/burner: Capable of writing/burning CD and or DVD disc

23. Pangea Dental System Requirements Needs assessment Financial considerations Creating a request for proposal Selecting a vendor.