1. GE Healthcare IHE Case Study: Transforming Image Distribution Hainan Region China

2. 2 / GE / ASP Pilot site In HaiNan GE Healthcare IT ASP Services in HaiNan Partner with HN MOH, HNPPH, EMC, INTEL, CISCO, DELL 1 st phase: installed in HNPPH + two remote sites 2 nd phase: expand to more hospitals 3 rd phase: expand to HIS/LIS for rural hospitals. HAINAN Haikou Sanya

3. 3 / GE / ASP Pilot site In HaiNan Data Center Infrastructure HNPPH with PACS/RIS Remote site#1 Modality + WKS Remote site#2 Modality + WKS 10M 30M Partner with HN MOH, HNPPH, EMC, INTEL, CISCO, DELL Workstation in hospitals 10M network by China Telecom Dell 2950 Server EMC Storage 3T HAINAN Haikou Sanya

4. 4 / GE / ASP Pilot site In HaiNan Data Center Infrastructure HNPPH with PACS/RIS Remote site#1 Modality + WKS No Server & Storage Remote site#2 Modality + WKS No Server & Storage 10M 30M Try to No.1 PACS/RIS ASP demo site in China to show real ASP model in China and GE leadership. Partner with HN MOH, HNPPH, EMC, INTEL, CISCO, DELL 1 st phase: installed in HNPPH + two remote sites 2 nd phase: expand to more hospitals 3 rd phase: expand to HIS/LIS for rural hospitals. HAINAN Haikou Sanya

5. 5 / GE / Current Architecture of HaiNan ASP RIS/PACS Hosted Services operate independent with each site Remote Consultant for cross-enterprise workflow Manual verification of image transfer with Centricity Web 3 Independent IDNs 3 separate patient ID domains > 5% of studies require Consultancy Est. 15-25% Patient overlap between HNPPH and remote hospitals Est. 5-15% Patient overlap between remote hospitals

6. 6 / GE / Current 2 step process Manual verification Next phase - Improved using IHE Scheduled Workflow Single integrated step Integrated Verification IHE enabling improved departmental workflow Modality Worklist Images Verify Images Modality Worklist Images Storage Commitment MPPS Complete

7. 7 / GE / Enabling Image Exchange, relevant Priors Current Patient informs hospital of relevant priors at other hospital Manual search for patient in other C PACS Manual search for relevant priors Review prior images with other C PACS Review current study with your C PACS PACS queries PIX Mgr for global patient id PACS queries XDS registry for relevant priors PACS retrieves Image manifest from XDS repository PACS imports relevant priors into short term storage using IHE IRWF Review current with priors Patient search Retrieve Priors Retrieve current Next Phase- Improved Image Exchange using IHE IRWF, XDS-I & PIX Studies search Remote Hospital PIX Query XDS Query XDS Doc Retrieve XDS Image Retrieve

8. 8 / GE / Consult Workflow enhanced with XDS Current Patient health data is collected by RIS RIS notifies Consultancy Server of workitem with patient data Remote radiologist selects workitem from Consultancy application Reviews current study using your server Enhanced with XDS Patient health data is collected by RIS RIS creates an XDS-MS Referral & provides XDS document to XDS Repository RIS notifies consultancy server of workitem Remote radiologist selects workitem from consultancy application Retrieves patient data and image data using XDS profiles Reviews current study and patient data Creates an XDS Radiology Report & provides XDS document to XDS Repository

9. 9 / GE / Other Benefits to adopting the XDS Infrastructure Scalability XDS infrastructure is highly scalable when adding new hospitals –New patient IDs are added to the PIX mgr –leverages a common XDS registry/repository As the Hainan ASP project expands with more sites, the complexity will not Extensibility IHE has defined many common templates for patient health data, including Lab, Referrals, Discharge Summaries, etc IHE supports many generic health data formats as well, including CDA, text wrapped CDA HainNan ASP project can leverage the XSD infrastructure to add new services providing a more comprehensive view the Patients Health Record

10. 10 / GE / XDS/Application Services Architecture, enabling future growth in HaiNan HiaNan ASP Data Centre DocumentRegistry HiaNan ASP Infrastructure DocumentRepository Patient Registry IHE Based Services XDS, XDS-I, PIX, PDQ, BPPC Document Registry Document Repository Other HIE Infrastructure Patient Registry IHE Services PIX; PDQ, XDS, BPPC Rural Hospital Services IHE Client Services Scalability, Extensibility and adaptability – necessary for the changing needs of the region Large Hospital Services IHE Client Services Image Repository Application Services RIS, PACS, HIS, LIS Other Services Registry Other Services Repository Other HIE Data Centers RISPACSEMR