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Henrik L. Ibsen, CEO

hibsen@OpenTeleHealth.com+45 30701155http://www.opentelehealth.com

• CEmarkedmedicaldeviceClassI,IIa:Q22016• 25.000+hoursdevelopment• LivesinceFebruary2013(1500+pts)• Allchronicdiseasescovered(COPD,CHFetc.)• Simple,scalable,standardised,cheap• Provenclinicalandeconomiceffect• OfficialDanishtelemed.platform• Nation-wideinDenmarkby2019

OpenTeleHealth at a glance

2Medical device

VIDEO CONF. &MESSAGING

REMOTE PATIENT MONITORING | DOCTORS DILEMMA

?

PREGNANCY

“OTHER” DISEASE”

DIABETES

CHF

$$$!!COPD

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Pilotitis !Too complex hardware/software

Too expensiveToo disease-specific

REMOTE PATIENT MONITORING - solution

“OTHER” DISEASECHF

COPD

DIABETES

PREGNANCY

4Generic platform with flexibility to adaptMedical

device class 2

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DIAGNOSTIC INPUT

POSTUREPhysical position and state of patient

• Smoke?• Exercise?• Coffee?• Medications?

• Sitting• Resting-5

minutes

Questionsandanswersaboutpatientsymptoms

Healthdata

DOCTORS CONSULTATION

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SIMPLE, SCALABLE, STANDARDIZED

OPEN TELE SIMULATED CONSULTATION

PROCESS FORM

Posture

Q&A

DataTime

SENDFORM

REVIEW & INTERVENE

OR PERHAPS…

GO TO HOSPITAL

VIDEOCONFERENCE

DESIGN FORM

Posture Q&A Data

Automatic or Manual input • Blood saturation/pulse• CTG• ECG• Blood pressure• Weight• Glucose in blood• Lung function (spirometer)• Continual glucose measurement• Temperature

Manual input• Glucose i urine • CRP• Hemoglobin • Protein i urine• Blood in urine• Nitrites in urine• Leukocytes in urine• Respiratory rate• Height

The new disruptive healthcare model

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Nurse reviewsand intervenes

https://vimeo.com/99186324PASSWORD : OpenTele4All

For a feature-complete overview :

Co-morbidity scenario

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Cardio Diabetes COPD Nursingpers.

https://www.youtube.com/watch?v=WkzJYaRxp3I

Patient can review the data on the tablet

World markets

Medical device

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OEMplatform - White label

Partner(s)

Partner(s)

Partner(s)

Partner(s)Partner(s)

Partner(s)

Partner(s)

LEGEND(In millions)

50+

25 – 49,9

10 – 24,9

5 – 9,9

<5

TO DELIVER AFFORDABLE CLOUD BASED REMOTE PATIENT MONITORING AND REMOTE DIAGNOSTICS - TO ANY ORGANISATION IN THE WORLD.

WORLD MARKETS

• Mature platform • Life threatening diseases • Platform delivered and maintained

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Businesscase - Value chain Components - OTH

• OpenTeleHealth SaaS• Platform support

• Basic Consulting (integration/implementation/education)• Basic Add-on development• Hosting in the Region (optional)• Sales and marketing• Local Consulting (implementation/training/language)• Devices (subscription/delivery)• Logistics

• Pairing devices• Delivery• On-site maintenance

• Support helpdesc - tech• Healthcare CallCenter• Configuration and consulting• Internet connection Wifi/SIM• Video infrastructure (VIDYO)

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OpenTeleHealth

Marketpartner(Business)

Marketpartner(HealthCare)

Marketpartner(Infrastructure)

OpenTele Architecture

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Clinician

Patient

ContinuaHealthAlliance

medicaldevices

(Client/PatientGUISupportBYOD)

OpenTele GUI

ERP/EHR/EMR/???

An OpenTele based platformPrimary

Healthcare IT platform

Medical device class 2

?VMbasedprivatecloud

VMbasedpubliccloud

Other GUIOther GUI

High availability platform

Datastreams

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Data processed and notificationsare triggered due to :- Values outside threshold intervals- Answers indicative of problems- Failing to respond as scheduled

Data from devices @home

Symptoms and Observations

Messaging

Video

Automated events Scheduling

Data from devices @hospital

Data from otherdevices (IoT)

Current datastreams

Future datastreams

Events and notifications

TPS Application Architecture

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Bluetooth wrapper:•  2Net mobile hub OR•  Native bluetooth drivers

Grails pluginOpenTele core

Grails Application CITIZEN

Grails ApplicationCLINICIAN

Rest API HTML5 APP

Real-time data (CTG)

Citizen services/

logic

Joint services and domain objects

Persistence layer/Hibernate

Batch handlingCentral

services/logic

GUI orchestration

IntegrationAPI

Data layer/RDBMS

HTML5 APP

<Browser>Clinician GUI

JSON/REST HTML/JavaScript

Web-server(s), horizontallyscalable

Web-server(s), horizontallyscalable

HTML5standalone

<System>Service Consumer

JSON/REST

HTML5 APP

2Net Hub (wall socket)- GSM+Bluetooth

2Net !cloud!

Optional!

OpenTele Scalable architecture

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OpenTele Enterprise Architecture!

External EHR/EMR Systems!

Multiple OpenTele installations in a scalable private cloud.!

Central XDS and DB XDS repository, HL7/PHMR

Consolidates data from multiple OpenTele installations

Virtually limitless capacity scalability, but….. Challenges to scalability are organizational !

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Thank you for your attention!