Oracle Embedded Technology for the Healthcare Industry Improving Patient CaremdashFrom the Inside

Oracle Embedded Technology Proven Power Less Complexity

Oracle offers the industryrsquos broadest selection of embeddable technology to ISV and OEM partners so you can choose the technical fit that best matches your requirements

Many healthcare systems today are deployed outside the datacenter or hospital networkmdash in mobile locations community clinics and even in patientsrsquo homes Increasingly these are special-purpose healthcare applications devices and equipment that must run unattended and manage data in a self-contained manner To stand up to the demands placed on them these systems must be always on highly scalable able to handle massive data volumes and provide real-time performance Oracle embedded technology delivers these capabilities and provides many other benefitsmdashnot only for independent software vendors (ISVs) and original equipment manufacturers (OEMs) developing healthcare applications but also for your customers

Oracle embedded solutions let you build critical technology directly into your products for higher cost savings improved management control and greater efficiency Oraclersquos leading position in the healthcare industry lets you offer turnkey applications that are easier to use and deliver increased interoperability and data-sharing capabilities that foster better collaboration within healthcare teams

Oraclersquos commitment to providing solutions for healthcare has never been stronger Our customers experience it our ISV and OEM partners share in it and analysts recognize the scope and strength of offerings that have been carefully developed with the input of thousands of valued customers By embedding proven Oracle technology you can get to market faster and gain a competitive advantage by focusing on delivering value-added services

1

FACT Oracle is 1 in embedded databases with more than double the share of the next competitor

(Source IDC Worldwide Embedded Database Management Systems 2007 Vendor Shares Doc 215446 December 2008)

HEALTHCARE SOLUTIONS WITH ADDED VALUE Oracle embedded technology can increase the functionality and benefits of healthcare applications such as the following

t Practice management solutions such as automated processes for patient and insurance billing reporting and scheduling to reduce costs

t Electronic medical records electronic health records that document full patient information such as demographics medication lists and allergies to provide safer care and better coordination and continuity of care

t Support for short- and long-term monitoring equipment such as cardiac equipment fetal monitors and vital signs monitoring systems to help caregivers provide follow-up care in a patientrsquos home

t Digital imaging systems with enhanced capabilities and easy secure viewing usingWeb services to streamline the process of capshyturing medical images reduce costs over traditional systems improve clinical diagnosis and foster professional collaboration

Focus on Innovative Healthcare Solutionsmdash Not Data Management

As developers of information technology (IT) solutions used by healthcare organizations you must address numerous issues such as interoperability patient privacy security and regulatory compliance An additional healthcare priority is to broaden the use of electronic health records to reduce costs decrease medical errors and improve the quality of patient care

The healthcare technology ecosystem has evolved to include new services that are delivered outside the hospital or datacentermdasheven in patientsrsquo homes Additionally care is often provided by geographically dispersed cross-discipline disease management teams This decentralization of patient care is driving the need for information-capture and knowledge-exchange capabilities that are full functioned yet easy to use Embedded Oracle technology solutions fill a vital role in meeting these requirements because they are designed to be self-managing and invisible to end users

Build or Buy There is no reason to build embedded data management capabilities yourselfmdasha range of proven cost-effective commercial off-the-shelf technology products are available from Oracle Building highly available reliable systems that can gracefully survive failures requires deep expertise and years of field deployments Oraclersquos embedded products have been proven through millions of mission-critical deployments and can greatly reduce your engineering cycle time costs and risk while allowing you to focus your resources on your solution and the unique value it brings to your users

As developers you need technical flexibility to push the boundaries of innovation Thatrsquos why Oraclersquos strategy is to offer the broadest selection of embeddable technology for a diverse range of healthcare applications Oracle embeddable solutions can deliver

t Advanced relational database capabilities for maximum performance minimal management and lower total cost of ownership

t Extremely fast response times and high transaction rates by keeping data in memory t Very high performance for applications that have static predictable access patterns t A small footprint for mobile devices in the field and synchronization with enterprise

database servers

2

ldquoThe ability to store DICOM image files directly in Oracle Database represents a major technological advancement to those of us involved in the development of enterprise image data management systems It comes at a time when medical image data is becoming increasingly important as a clinical end point and when the need to bring control organization and process to medical image data management is greater than everrdquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

The data management infrastructure used in healthcare must be able to manage large amounts of data ensure data security and integrity maintain regulatory compliance and interoperate with internal and external systems You can use the power of Oracle embedded technology to develop applications and devices that solve these problems for your customers

Manage Large Data Volumes

Many healthcare applications must manage very large amounts of complex data such as that generated by diagnostic image scanners or patient monitoring systems Oracle embedded technology can help your solutions cost-effectively provide fast secure access to this data and deliver superior system availability to meet the need for 247 healthcare operations

Oracle Database Delivers the Features to Cut Data Down to Size With the release of Oracle Database 11g Oracle delivers features that bring the benefits of a high-performance relational database to the problem of storing vast quantities of unstructured data The Oracle SecureFiles feature combines the security of a relational database with the speed of a fi le system to provide fast secure access to content traditionally stored in a separate file system With access times equal to or faster than file systems on the same hardware you no longer need specialized hardware so your costs are reduced And by moving unstructured data into databases your customers can better track and secure important data that is currently spread around their enterprise

Oracle Real Application Clusters and Oracle Grid Computing deliver powerful data manshyagement capabilities scale to manage data volumes of many terabytes and lower total cost of ownership by using less-costly server and storage devices to optimize resource utilization These solutions require no application changes and support the deployment of a single database across a cluster of serversmdashdelivering unbeatable fault tolerance performance and scalability that is designed to run in a ldquolights outrdquo environment

You can further improve performance and storage efficiency using Oracle Partitioning to split tables into smaller more-manageable components lowering query times from minutes to seconds To better use data management resources Oracle Advanced Compression works with any application to compress structured and unstructured data such as docushyments images and multimedia as well as network traffic and data in the backup process

ORACLE DATABASE DELIVERS BUILT-IN DICOM SUPPORT Diagnostic images are key comshyponents of patient information so efficient image storage and rapid delivery are important features of electronic health record systems Oracle Multimedia delivers full support for DICOM the format universally recognized as the standard for medical imaging with extensible metadata extraction to satisfy any institutionrsquos image storage requirements Oracle Multimedia

t Facilitates large repositories of DICOM-format content (data from CT MRI X-ray and ultrashysound equipment pathology images and more) that are managed and secured using Oracle Database tools

t Provides a rich set of security privacy conformance and valishydation features to enable open scalable healthcare applications

t Includes application programshyming interfaces JavaServer Page servlets and PLSQL procedures and functions to simplify development

t Automatically copies and reformats DICOM images into standard image formats such as JPEG

3

FACT 70 percent of the top multihospital systems in the US run Oracle technology

TOTAL HEALTHCARE INFORMATION MANAGEMENT A complete healthcare IT solution must address challenges conshycerns and requirements from a variety of sources With Oracle SecureCARE Oracle brings together its best-of-class applications into a total healthcare information management solution thatrsquos integrated innovative and built by a company that has provided leading-edge information manageshyment solutions for more than 30 years Oracle SecureCARE provides total healthcare solutions that let healthcare providers

tKeep data secure and private

tAccess and share information and knowledge

tGenerate reports and alerts

tCapture and maintain medical records at the point of care

tExchange comprehensive clinical information or records

By providing organizations with healthcare IT solutions that are comprehensive secure and cost-effective Oracle SecureCARE helps organizations improve the quality and effectiveness of their healthcare delivery systems reduce redundancies and provide better outcomes for their patients

Ensure Data Security and Integrity

Data safety and security are major concerns affecting the healthcare industry With Oracle embedded technology you can deliver security your customers can count on Data security is not just another line of business for Oraclemdashit is strategic to Oraclersquos entire product portfolio Oracle pioneered many of the database security technologies in widespread use today including network encryption row-level security and transparshyent data encryption Moreover Oracle databases have undergone the greatest number of internationally recognized security evaluations and have been expressly designed for embedded use ensuring overall system security

Guard Against Unauthorized Access Global directives typically call for separation of duties and other real-time preventive controls to ensure data integrity and patient-data privacy With Oracle Database Vault you can proactively safeguard application data stored in Oracle Database from being accessed by unauthorized users and even privileged database users Policies use built-in factors such as time of day IP address application name and authentication method to prevent application bypass and unauthorized ad hoc access

Oracle Database technologies also provide fine-grain access control and support the auditing querying and reporting of all metadata changes Oracle Audit Vault automates audit collection monitoring and reportingmdashturning audit data into a key security resource for detecting unauthorized activity Oracle Advanced Security and Oracle Label Security ensure that only properly authenticated users are allowed access to data designated as highly sensitive

Deliver Data Protection and High Availability You can help your customers reduce downtime and meet performance expectations by leveraging Oracle Database capabilities in your applications and devices Oracle Active Data Guard allows users to run real-time queries on a physical standby systemmdashdelivering faster business results and a greater optimization of resources By continuously mirroring production systems it also provides high availability and disaster protection against planned or unplanned outages

Oraclersquos unique grid computing technologies offer advanced levels of reliability and availability These technologies protect data and optimize performance by automatically mirroring and balancing data across all available storage devices Database maintenance and synchronization is coordinated across local and remote servers for rapid recovery from disaster or site failure

4

Make Regulatory Compliance Simply Part of the Process

Regulatory compliance is an important factor influencing the evolution of the healthcare technology market Audit and reporting requirements strain these organizations and require secure and solid data management With Oracle embedded technology you can provide best-of-breed solutions to address all regulatory compliance requirements while also delivering a high-performance scalable solution Compliance becomes nonintrusivemdash a natural outcome of the data management processmdashas Oracle technologies help ensure that your customers can control access to data audit changes safeguard security and retain and retrieve data as needed By using Oracle embedded technology in your hardshyware or software your customers can capture rich metadata as well as secure the data at its source

Oracle Advanced Security helps healthcare organizations comply with privacy and regushylatory mandates such as the Health Insurance Portability and Accountability Act as well as numerous security-breach-notification laws With Oracle Advanced Security you can transparently encrypt all application data or specific sensitive columns such as social security numbers and personally identifiable information By encrypting data in the datashybase as well as whenever it leaves the database over the network or during backups it provides the most cost-effective solution for comprehensive data protection

For added compliance support Oracle Total Recall allows you to essentially ldquorewindrdquo a databasemdashto take it back to before a change was made an error occurred or a transaction was completed This is helpful for auditing and compliance situations in which an organization needs to find out what a hacker or a DBA was doing at a certain time Using Oracle Total Recall you can very easily go back in timemdashsix months or a year or to whatever period you needmdashand track down exactly which changes were made to the database and who made them

Patient privacy regulations allow only certain classes of users to view image metadata that contains personally identifying information For example a clinician will need full access while a researcher should have only partial access to this metadata Oracle Database provides anonymity services directly in the database ensuring that role-appropriate access is granted for different classes of users of a Digital Imaging and Communications in Medicine (DICOM) archive regardless of the application used to access the archive Captured metadata can also be a valuable source of information about quality control and the audit measures needed to comply with regulations For example your applications can tag rejected images prompting later analysis and follow-up and they can collect proof of archival of imaging studies as mandated by regulations

IMPROVE DIGITAL IMAGING QUALITY AND ENHANCE PRODUCTIVITY Fujifilm is a full-service diagnostic imaging company with 40 years of expertise in the radiology market It developed Fujifilm Synapse Radiology as an integrated family of products that covers all areas of radiology from radiology inforshymation systems (RIS) and picture archiving and communication systems (PACS) to communicashytions and teleradiology Oracle Database is embedded in Synapse products delivering the power of two industry-leading technologies within a single license Fujifilm Synapse Radiology

t Provides secure access to RIS PACS mammography and cardiovascular images and data with a single sign-on from any internet-connected computer

t Reduces training costs and ensures rapid acceptance with a consistent Web-based interface for all users

t Improves diagnostic accuracy with multiple viewing options for patient images and data

t Scales to support imaging centers that run from 30000 to more than a million exams a year

t Supports the global HL7 data standard for integration with electronic health records

5

FACT 20 of the top 20 US health insurers run Oracle Applications

LOW IMPACT MIGRATIONS WITH ORACLE GOLDENGATE Cerner Corporation a leading worldwide supplier of healthcare information technology is taking the paper chart out of healthcare Cerner Millennium is a comprehenshysive solution suite that connects consumers clinicians and healthshycare organizations into a streamshylined unified processWhen Cerner planned a major upgrade in the application technology they develshyoped a best practice methodology The business goals were to

t Minimize application downtime

t Perform system migration with minimal infrastructure impact and ability to fall back if necessary

t Ensure application accuracy to support high-quality patient care

Cerner leveraged Oracle GoldenGate high-availability software with Cernerrsquos best practices approach As a result the actual ldquoplanned outagerdquo amounted to about 30 minutes with 90 minutes for testing data validation and start up with the new database The total downtime was two hoursmdash a significant improvement from previous practices which often took a weekend

Interoperate with Internal and External Systems

Developers of healthcare solutions face growing requirements to integrate data from various devices and multiple systems into electronic health records However these systems and devices often do not send data in a standard format or filter the enormous amounts of data they generate As the number of devices and applications on the market increases you need a scalable solution for device management and data integration

Service-Oriented Architectures and Web Services Increase Connections Oracle Fusion Middleware is a compelling offering for the healthcare industry Based on industry standards it helps you build and enhance services and it minimizes your development efforts by including healthcare standards such as DICOM and Health Level 7 (HL7) Supporting many hardware and software platformsmdashincluding Java 2 Platform Enterprise Edition application servers and directory servers as well as Microsoft IBM and SAP softwaremdashit lets you adopt a service-oriented architecture (SOA) in heterogeneous computing environments SOAs are based on loosely coupled services with interfaces that are independent of the implementation You can build use and reuse services according to changing business needs and easily integrate across dissimilar platforms

Oraclersquos comprehensive suite of SOA-enabled IT infrastructure applications boost interoperability by providing a complete solution for publishing consuming securing and managing Web services In addition these applications are supported with business process management tools you can use to develop deploy and manage integrated cross-organization processes as well as to orchestrate system services and workflows that facilitate a higher-quality unified delivery of healthcare services

Data Wherever and Whenever You Need It New mobile devices and wireless technologies are significantly changing the way healthcare is provided and how healthcare information is accessed Data can be captured remotely from a tablet PC used by a doctor during hospital rounds a laptop computer used by a nurse in a mobile clinic or directly from sensors worn by patients during their daily activities at home Equipment and applications that run Oracle embedded technology can securely transmit real-time data to both hospital and departmental information systems

To ensure that critical information is available with subsecond latency and 247 availability Oracle GoldenGate provides real-time change-data capture and delivery between heterogeneous systems with transactional integrity and minimal overhead on existing infrastructures

6

FACT More than 350 leading healthcare providers run Oracle Applications

This technology lets you build cost-effective and low-impact solutions for real-time business intelligence query offloading zero-downtime upgrades and migrations disaster recovery and high availability Your customers gain improved business insight lowered integration costs continuous system availability and increased data integrity and reliability with reduced risk

Interfaces between multiple systems provide more-reliable data because there is less risk at each step of entering incorrect patient information Additionally patient data can be tagged with a unique patient identifier that can be used to merge data from multiple healthcare providersmdasheven if they use different identification numbers within their own systems Interoperability also helps coordinate the workflow of a decentralized healthcare team leading to greater efficiencies and better quality of care Oracle technology solutions can provide an end-to-end infrastructure to manage devices throughout an applicationrsquos lifecycle letting clinicians access shared data wherever and whenever they need it

Pervasive Insight Improves Strategic Healthcare Initiatives In order to gain the greatest benefit from business intelligence (BI) healthcare organizations need BI products that inform all their processes financial clinical and operational Embedding Oracle technology solutions into your application lets you fast-track your development efforts by taking advantage of a highly scalable prebuilt BI foundation that can power both analysis tools and reporting applications Your BI solution can distill intelligence from multiple datasources to act as a shared data repository for your customersrsquo internal and external systems Insight is delivered across the enterprise using presentation methods that are easy to access and understand such as proactive detection and alerts dashboards and Web services

With the BI foundation your application delivers through embedded Oracle technology your customers gain a single standardized BI architecture that can manage and mashynipulate massive amounts of data and improve data quality They can develop strategic healthcare initiatives to cut administrative costs increase reimbursement rates identify fraudulent claims optimize their supply chain utilize cost-effective positive-outcome treatments and more When you deliver BI solutions that distribute high-quality real-time insight you let your customers make informed decisions when and where they have the greatest impact

ldquoWe chose Oracle as the embedded database technology in Fujifi lm Synapse PACS because of its robustness its reliability and its scalability Oracle offers fi ve-nines uptime which is essential for patient care systems in hospitals and trauma centers It was also the only commercial database capable of running multiple sites from one single instance supporting enormous volumes of remote users with no loss of performance and scaling seamlessly as our customersrsquo requirements growrdquo

Jim Morgan Executive Director of Marketing Network Systems Fujifi lm Medical Systems USA

7

FACT 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

Oracle Is Committed to Partner Success

Oracle embedded technology runs behind the scenes so the innovative capabilities you develop take center stage Oracle understands the challenges involved in incorporating embedded technology and offers technical assistance via support training and consulting during your development process After you deploy you can deliver superior service to your customers by being their primary point of contact while Oracle supports you with global 247 support in local languages The cost for this support will be far lower than maintaining your own homegrown solution You also benefit from Oraclersquos continued engineering investment in new product enhancements

Oracle has an ecosystem of more than 370000 customers and 30000 partnersmdash more than 3000 of these with a focus on Oracle embedded technology The Oracle PartnerNetwork offers a number of programs that can extend your marketing reach and help your business succeed Your marketing efforts can leverage the strength of the Oracle brand to increase confidence in your product giving you a competitive advantage Partnering with Oracle adds to your bottom line by integrating the power of Oracle techshynology marketing and sales helping you better meet the needs of your customers

Oraclersquos strategy for healthcare is to reduce the complexity of healthcare informatics ldquoOur efforts at IBIS to provide lower total cost of ownership and improve the scalability security and availability of

a comprehensive enterprise healthcare applications Oracle is committed to helping the healthcare industry leverage image data management information technology and deliver next-generation patient care with minimum costs solution have been greatly The bottom line Oracle embedded technology can help ISV and OEM partners that facilitated by the emergence target the healthcare industry decrease development time reduce integration costs of Oracle Database 11g increase quality minimize risk and speed time to market

This technology has enabled Gain a competitive edge by building your application on proven Oracle embedded

us to define a single secure technology Learn more about our products at oraclecomgotoembedded and about

stable scalable repository our partner program at oraclecompartnersenknowledge-zonedatabase021471htm for all DICOM data providing the future-proof platform on which the IBISimg repository is now built This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML XSL-based data extractionldquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

8

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

Oracle Embedded Technology Proven Power Less Complexity

Oracle offers the industryrsquos broadest selection of embeddable technology to ISV and OEM partners so you can choose the technical fit that best matches your requirements

Many healthcare systems today are deployed outside the datacenter or hospital networkmdash in mobile locations community clinics and even in patientsrsquo homes Increasingly these are special-purpose healthcare applications devices and equipment that must run unattended and manage data in a self-contained manner To stand up to the demands placed on them these systems must be always on highly scalable able to handle massive data volumes and provide real-time performance Oracle embedded technology delivers these capabilities and provides many other benefitsmdashnot only for independent software vendors (ISVs) and original equipment manufacturers (OEMs) developing healthcare applications but also for your customers

Oracle embedded solutions let you build critical technology directly into your products for higher cost savings improved management control and greater efficiency Oraclersquos leading position in the healthcare industry lets you offer turnkey applications that are easier to use and deliver increased interoperability and data-sharing capabilities that foster better collaboration within healthcare teams

Oraclersquos commitment to providing solutions for healthcare has never been stronger Our customers experience it our ISV and OEM partners share in it and analysts recognize the scope and strength of offerings that have been carefully developed with the input of thousands of valued customers By embedding proven Oracle technology you can get to market faster and gain a competitive advantage by focusing on delivering value-added services

1

FACT Oracle is 1 in embedded databases with more than double the share of the next competitor

(Source IDC Worldwide Embedded Database Management Systems 2007 Vendor Shares Doc 215446 December 2008)

HEALTHCARE SOLUTIONS WITH ADDED VALUE Oracle embedded technology can increase the functionality and benefits of healthcare applications such as the following

t Practice management solutions such as automated processes for patient and insurance billing reporting and scheduling to reduce costs

t Electronic medical records electronic health records that document full patient information such as demographics medication lists and allergies to provide safer care and better coordination and continuity of care

t Support for short- and long-term monitoring equipment such as cardiac equipment fetal monitors and vital signs monitoring systems to help caregivers provide follow-up care in a patientrsquos home

t Digital imaging systems with enhanced capabilities and easy secure viewing usingWeb services to streamline the process of capshyturing medical images reduce costs over traditional systems improve clinical diagnosis and foster professional collaboration

Focus on Innovative Healthcare Solutionsmdash Not Data Management

As developers of information technology (IT) solutions used by healthcare organizations you must address numerous issues such as interoperability patient privacy security and regulatory compliance An additional healthcare priority is to broaden the use of electronic health records to reduce costs decrease medical errors and improve the quality of patient care

The healthcare technology ecosystem has evolved to include new services that are delivered outside the hospital or datacentermdasheven in patientsrsquo homes Additionally care is often provided by geographically dispersed cross-discipline disease management teams This decentralization of patient care is driving the need for information-capture and knowledge-exchange capabilities that are full functioned yet easy to use Embedded Oracle technology solutions fill a vital role in meeting these requirements because they are designed to be self-managing and invisible to end users

Build or Buy There is no reason to build embedded data management capabilities yourselfmdasha range of proven cost-effective commercial off-the-shelf technology products are available from Oracle Building highly available reliable systems that can gracefully survive failures requires deep expertise and years of field deployments Oraclersquos embedded products have been proven through millions of mission-critical deployments and can greatly reduce your engineering cycle time costs and risk while allowing you to focus your resources on your solution and the unique value it brings to your users

As developers you need technical flexibility to push the boundaries of innovation Thatrsquos why Oraclersquos strategy is to offer the broadest selection of embeddable technology for a diverse range of healthcare applications Oracle embeddable solutions can deliver

t Advanced relational database capabilities for maximum performance minimal management and lower total cost of ownership

t Extremely fast response times and high transaction rates by keeping data in memory t Very high performance for applications that have static predictable access patterns t A small footprint for mobile devices in the field and synchronization with enterprise

database servers

2

ldquoThe ability to store DICOM image files directly in Oracle Database represents a major technological advancement to those of us involved in the development of enterprise image data management systems It comes at a time when medical image data is becoming increasingly important as a clinical end point and when the need to bring control organization and process to medical image data management is greater than everrdquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

The data management infrastructure used in healthcare must be able to manage large amounts of data ensure data security and integrity maintain regulatory compliance and interoperate with internal and external systems You can use the power of Oracle embedded technology to develop applications and devices that solve these problems for your customers

Manage Large Data Volumes

Many healthcare applications must manage very large amounts of complex data such as that generated by diagnostic image scanners or patient monitoring systems Oracle embedded technology can help your solutions cost-effectively provide fast secure access to this data and deliver superior system availability to meet the need for 247 healthcare operations

Oracle Database Delivers the Features to Cut Data Down to Size With the release of Oracle Database 11g Oracle delivers features that bring the benefits of a high-performance relational database to the problem of storing vast quantities of unstructured data The Oracle SecureFiles feature combines the security of a relational database with the speed of a fi le system to provide fast secure access to content traditionally stored in a separate file system With access times equal to or faster than file systems on the same hardware you no longer need specialized hardware so your costs are reduced And by moving unstructured data into databases your customers can better track and secure important data that is currently spread around their enterprise

Oracle Real Application Clusters and Oracle Grid Computing deliver powerful data manshyagement capabilities scale to manage data volumes of many terabytes and lower total cost of ownership by using less-costly server and storage devices to optimize resource utilization These solutions require no application changes and support the deployment of a single database across a cluster of serversmdashdelivering unbeatable fault tolerance performance and scalability that is designed to run in a ldquolights outrdquo environment

You can further improve performance and storage efficiency using Oracle Partitioning to split tables into smaller more-manageable components lowering query times from minutes to seconds To better use data management resources Oracle Advanced Compression works with any application to compress structured and unstructured data such as docushyments images and multimedia as well as network traffic and data in the backup process

ORACLE DATABASE DELIVERS BUILT-IN DICOM SUPPORT Diagnostic images are key comshyponents of patient information so efficient image storage and rapid delivery are important features of electronic health record systems Oracle Multimedia delivers full support for DICOM the format universally recognized as the standard for medical imaging with extensible metadata extraction to satisfy any institutionrsquos image storage requirements Oracle Multimedia

t Facilitates large repositories of DICOM-format content (data from CT MRI X-ray and ultrashysound equipment pathology images and more) that are managed and secured using Oracle Database tools

t Provides a rich set of security privacy conformance and valishydation features to enable open scalable healthcare applications

t Includes application programshyming interfaces JavaServer Page servlets and PLSQL procedures and functions to simplify development

t Automatically copies and reformats DICOM images into standard image formats such as JPEG

3

FACT 70 percent of the top multihospital systems in the US run Oracle technology

TOTAL HEALTHCARE INFORMATION MANAGEMENT A complete healthcare IT solution must address challenges conshycerns and requirements from a variety of sources With Oracle SecureCARE Oracle brings together its best-of-class applications into a total healthcare information management solution thatrsquos integrated innovative and built by a company that has provided leading-edge information manageshyment solutions for more than 30 years Oracle SecureCARE provides total healthcare solutions that let healthcare providers

tKeep data secure and private

tAccess and share information and knowledge

tGenerate reports and alerts

tCapture and maintain medical records at the point of care

tExchange comprehensive clinical information or records

By providing organizations with healthcare IT solutions that are comprehensive secure and cost-effective Oracle SecureCARE helps organizations improve the quality and effectiveness of their healthcare delivery systems reduce redundancies and provide better outcomes for their patients

Ensure Data Security and Integrity

Data safety and security are major concerns affecting the healthcare industry With Oracle embedded technology you can deliver security your customers can count on Data security is not just another line of business for Oraclemdashit is strategic to Oraclersquos entire product portfolio Oracle pioneered many of the database security technologies in widespread use today including network encryption row-level security and transparshyent data encryption Moreover Oracle databases have undergone the greatest number of internationally recognized security evaluations and have been expressly designed for embedded use ensuring overall system security

Guard Against Unauthorized Access Global directives typically call for separation of duties and other real-time preventive controls to ensure data integrity and patient-data privacy With Oracle Database Vault you can proactively safeguard application data stored in Oracle Database from being accessed by unauthorized users and even privileged database users Policies use built-in factors such as time of day IP address application name and authentication method to prevent application bypass and unauthorized ad hoc access

Oracle Database technologies also provide fine-grain access control and support the auditing querying and reporting of all metadata changes Oracle Audit Vault automates audit collection monitoring and reportingmdashturning audit data into a key security resource for detecting unauthorized activity Oracle Advanced Security and Oracle Label Security ensure that only properly authenticated users are allowed access to data designated as highly sensitive

Deliver Data Protection and High Availability You can help your customers reduce downtime and meet performance expectations by leveraging Oracle Database capabilities in your applications and devices Oracle Active Data Guard allows users to run real-time queries on a physical standby systemmdashdelivering faster business results and a greater optimization of resources By continuously mirroring production systems it also provides high availability and disaster protection against planned or unplanned outages

Oraclersquos unique grid computing technologies offer advanced levels of reliability and availability These technologies protect data and optimize performance by automatically mirroring and balancing data across all available storage devices Database maintenance and synchronization is coordinated across local and remote servers for rapid recovery from disaster or site failure

4

Make Regulatory Compliance Simply Part of the Process

Regulatory compliance is an important factor influencing the evolution of the healthcare technology market Audit and reporting requirements strain these organizations and require secure and solid data management With Oracle embedded technology you can provide best-of-breed solutions to address all regulatory compliance requirements while also delivering a high-performance scalable solution Compliance becomes nonintrusivemdash a natural outcome of the data management processmdashas Oracle technologies help ensure that your customers can control access to data audit changes safeguard security and retain and retrieve data as needed By using Oracle embedded technology in your hardshyware or software your customers can capture rich metadata as well as secure the data at its source

Oracle Advanced Security helps healthcare organizations comply with privacy and regushylatory mandates such as the Health Insurance Portability and Accountability Act as well as numerous security-breach-notification laws With Oracle Advanced Security you can transparently encrypt all application data or specific sensitive columns such as social security numbers and personally identifiable information By encrypting data in the datashybase as well as whenever it leaves the database over the network or during backups it provides the most cost-effective solution for comprehensive data protection

For added compliance support Oracle Total Recall allows you to essentially ldquorewindrdquo a databasemdashto take it back to before a change was made an error occurred or a transaction was completed This is helpful for auditing and compliance situations in which an organization needs to find out what a hacker or a DBA was doing at a certain time Using Oracle Total Recall you can very easily go back in timemdashsix months or a year or to whatever period you needmdashand track down exactly which changes were made to the database and who made them

Patient privacy regulations allow only certain classes of users to view image metadata that contains personally identifying information For example a clinician will need full access while a researcher should have only partial access to this metadata Oracle Database provides anonymity services directly in the database ensuring that role-appropriate access is granted for different classes of users of a Digital Imaging and Communications in Medicine (DICOM) archive regardless of the application used to access the archive Captured metadata can also be a valuable source of information about quality control and the audit measures needed to comply with regulations For example your applications can tag rejected images prompting later analysis and follow-up and they can collect proof of archival of imaging studies as mandated by regulations

IMPROVE DIGITAL IMAGING QUALITY AND ENHANCE PRODUCTIVITY Fujifilm is a full-service diagnostic imaging company with 40 years of expertise in the radiology market It developed Fujifilm Synapse Radiology as an integrated family of products that covers all areas of radiology from radiology inforshymation systems (RIS) and picture archiving and communication systems (PACS) to communicashytions and teleradiology Oracle Database is embedded in Synapse products delivering the power of two industry-leading technologies within a single license Fujifilm Synapse Radiology

t Provides secure access to RIS PACS mammography and cardiovascular images and data with a single sign-on from any internet-connected computer

t Reduces training costs and ensures rapid acceptance with a consistent Web-based interface for all users

t Improves diagnostic accuracy with multiple viewing options for patient images and data

t Scales to support imaging centers that run from 30000 to more than a million exams a year

t Supports the global HL7 data standard for integration with electronic health records

5

FACT 20 of the top 20 US health insurers run Oracle Applications

LOW IMPACT MIGRATIONS WITH ORACLE GOLDENGATE Cerner Corporation a leading worldwide supplier of healthcare information technology is taking the paper chart out of healthcare Cerner Millennium is a comprehenshysive solution suite that connects consumers clinicians and healthshycare organizations into a streamshylined unified processWhen Cerner planned a major upgrade in the application technology they develshyoped a best practice methodology The business goals were to

t Minimize application downtime

t Perform system migration with minimal infrastructure impact and ability to fall back if necessary

t Ensure application accuracy to support high-quality patient care

Cerner leveraged Oracle GoldenGate high-availability software with Cernerrsquos best practices approach As a result the actual ldquoplanned outagerdquo amounted to about 30 minutes with 90 minutes for testing data validation and start up with the new database The total downtime was two hoursmdash a significant improvement from previous practices which often took a weekend

Interoperate with Internal and External Systems

Developers of healthcare solutions face growing requirements to integrate data from various devices and multiple systems into electronic health records However these systems and devices often do not send data in a standard format or filter the enormous amounts of data they generate As the number of devices and applications on the market increases you need a scalable solution for device management and data integration

Service-Oriented Architectures and Web Services Increase Connections Oracle Fusion Middleware is a compelling offering for the healthcare industry Based on industry standards it helps you build and enhance services and it minimizes your development efforts by including healthcare standards such as DICOM and Health Level 7 (HL7) Supporting many hardware and software platformsmdashincluding Java 2 Platform Enterprise Edition application servers and directory servers as well as Microsoft IBM and SAP softwaremdashit lets you adopt a service-oriented architecture (SOA) in heterogeneous computing environments SOAs are based on loosely coupled services with interfaces that are independent of the implementation You can build use and reuse services according to changing business needs and easily integrate across dissimilar platforms

Oraclersquos comprehensive suite of SOA-enabled IT infrastructure applications boost interoperability by providing a complete solution for publishing consuming securing and managing Web services In addition these applications are supported with business process management tools you can use to develop deploy and manage integrated cross-organization processes as well as to orchestrate system services and workflows that facilitate a higher-quality unified delivery of healthcare services

Data Wherever and Whenever You Need It New mobile devices and wireless technologies are significantly changing the way healthcare is provided and how healthcare information is accessed Data can be captured remotely from a tablet PC used by a doctor during hospital rounds a laptop computer used by a nurse in a mobile clinic or directly from sensors worn by patients during their daily activities at home Equipment and applications that run Oracle embedded technology can securely transmit real-time data to both hospital and departmental information systems

To ensure that critical information is available with subsecond latency and 247 availability Oracle GoldenGate provides real-time change-data capture and delivery between heterogeneous systems with transactional integrity and minimal overhead on existing infrastructures

6

FACT More than 350 leading healthcare providers run Oracle Applications

This technology lets you build cost-effective and low-impact solutions for real-time business intelligence query offloading zero-downtime upgrades and migrations disaster recovery and high availability Your customers gain improved business insight lowered integration costs continuous system availability and increased data integrity and reliability with reduced risk

Interfaces between multiple systems provide more-reliable data because there is less risk at each step of entering incorrect patient information Additionally patient data can be tagged with a unique patient identifier that can be used to merge data from multiple healthcare providersmdasheven if they use different identification numbers within their own systems Interoperability also helps coordinate the workflow of a decentralized healthcare team leading to greater efficiencies and better quality of care Oracle technology solutions can provide an end-to-end infrastructure to manage devices throughout an applicationrsquos lifecycle letting clinicians access shared data wherever and whenever they need it

Pervasive Insight Improves Strategic Healthcare Initiatives In order to gain the greatest benefit from business intelligence (BI) healthcare organizations need BI products that inform all their processes financial clinical and operational Embedding Oracle technology solutions into your application lets you fast-track your development efforts by taking advantage of a highly scalable prebuilt BI foundation that can power both analysis tools and reporting applications Your BI solution can distill intelligence from multiple datasources to act as a shared data repository for your customersrsquo internal and external systems Insight is delivered across the enterprise using presentation methods that are easy to access and understand such as proactive detection and alerts dashboards and Web services

With the BI foundation your application delivers through embedded Oracle technology your customers gain a single standardized BI architecture that can manage and mashynipulate massive amounts of data and improve data quality They can develop strategic healthcare initiatives to cut administrative costs increase reimbursement rates identify fraudulent claims optimize their supply chain utilize cost-effective positive-outcome treatments and more When you deliver BI solutions that distribute high-quality real-time insight you let your customers make informed decisions when and where they have the greatest impact

ldquoWe chose Oracle as the embedded database technology in Fujifi lm Synapse PACS because of its robustness its reliability and its scalability Oracle offers fi ve-nines uptime which is essential for patient care systems in hospitals and trauma centers It was also the only commercial database capable of running multiple sites from one single instance supporting enormous volumes of remote users with no loss of performance and scaling seamlessly as our customersrsquo requirements growrdquo

Jim Morgan Executive Director of Marketing Network Systems Fujifi lm Medical Systems USA

7

FACT 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

Oracle Is Committed to Partner Success

Oracle embedded technology runs behind the scenes so the innovative capabilities you develop take center stage Oracle understands the challenges involved in incorporating embedded technology and offers technical assistance via support training and consulting during your development process After you deploy you can deliver superior service to your customers by being their primary point of contact while Oracle supports you with global 247 support in local languages The cost for this support will be far lower than maintaining your own homegrown solution You also benefit from Oraclersquos continued engineering investment in new product enhancements

Oracle has an ecosystem of more than 370000 customers and 30000 partnersmdash more than 3000 of these with a focus on Oracle embedded technology The Oracle PartnerNetwork offers a number of programs that can extend your marketing reach and help your business succeed Your marketing efforts can leverage the strength of the Oracle brand to increase confidence in your product giving you a competitive advantage Partnering with Oracle adds to your bottom line by integrating the power of Oracle techshynology marketing and sales helping you better meet the needs of your customers

Oraclersquos strategy for healthcare is to reduce the complexity of healthcare informatics ldquoOur efforts at IBIS to provide lower total cost of ownership and improve the scalability security and availability of

a comprehensive enterprise healthcare applications Oracle is committed to helping the healthcare industry leverage image data management information technology and deliver next-generation patient care with minimum costs solution have been greatly The bottom line Oracle embedded technology can help ISV and OEM partners that facilitated by the emergence target the healthcare industry decrease development time reduce integration costs of Oracle Database 11g increase quality minimize risk and speed time to market

This technology has enabled Gain a competitive edge by building your application on proven Oracle embedded

us to define a single secure technology Learn more about our products at oraclecomgotoembedded and about

stable scalable repository our partner program at oraclecompartnersenknowledge-zonedatabase021471htm for all DICOM data providing the future-proof platform on which the IBISimg repository is now built This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML XSL-based data extractionldquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

8

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

Oracle offers the industryrsquos broadest selection of embeddable technology to ISV and OEM partners so you can choose the technical fit that best matches your requirements

Many healthcare systems today are deployed outside the datacenter or hospital networkmdash in mobile locations community clinics and even in patientsrsquo homes Increasingly these are special-purpose healthcare applications devices and equipment that must run unattended and manage data in a self-contained manner To stand up to the demands placed on them these systems must be always on highly scalable able to handle massive data volumes and provide real-time performance Oracle embedded technology delivers these capabilities and provides many other benefitsmdashnot only for independent software vendors (ISVs) and original equipment manufacturers (OEMs) developing healthcare applications but also for your customers

Oracle embedded solutions let you build critical technology directly into your products for higher cost savings improved management control and greater efficiency Oraclersquos leading position in the healthcare industry lets you offer turnkey applications that are easier to use and deliver increased interoperability and data-sharing capabilities that foster better collaboration within healthcare teams

Oraclersquos commitment to providing solutions for healthcare has never been stronger Our customers experience it our ISV and OEM partners share in it and analysts recognize the scope and strength of offerings that have been carefully developed with the input of thousands of valued customers By embedding proven Oracle technology you can get to market faster and gain a competitive advantage by focusing on delivering value-added services

1

FACT Oracle is 1 in embedded databases with more than double the share of the next competitor

(Source IDC Worldwide Embedded Database Management Systems 2007 Vendor Shares Doc 215446 December 2008)

HEALTHCARE SOLUTIONS WITH ADDED VALUE Oracle embedded technology can increase the functionality and benefits of healthcare applications such as the following

t Practice management solutions such as automated processes for patient and insurance billing reporting and scheduling to reduce costs

t Electronic medical records electronic health records that document full patient information such as demographics medication lists and allergies to provide safer care and better coordination and continuity of care

t Support for short- and long-term monitoring equipment such as cardiac equipment fetal monitors and vital signs monitoring systems to help caregivers provide follow-up care in a patientrsquos home

t Digital imaging systems with enhanced capabilities and easy secure viewing usingWeb services to streamline the process of capshyturing medical images reduce costs over traditional systems improve clinical diagnosis and foster professional collaboration

Focus on Innovative Healthcare Solutionsmdash Not Data Management

As developers of information technology (IT) solutions used by healthcare organizations you must address numerous issues such as interoperability patient privacy security and regulatory compliance An additional healthcare priority is to broaden the use of electronic health records to reduce costs decrease medical errors and improve the quality of patient care

The healthcare technology ecosystem has evolved to include new services that are delivered outside the hospital or datacentermdasheven in patientsrsquo homes Additionally care is often provided by geographically dispersed cross-discipline disease management teams This decentralization of patient care is driving the need for information-capture and knowledge-exchange capabilities that are full functioned yet easy to use Embedded Oracle technology solutions fill a vital role in meeting these requirements because they are designed to be self-managing and invisible to end users

Build or Buy There is no reason to build embedded data management capabilities yourselfmdasha range of proven cost-effective commercial off-the-shelf technology products are available from Oracle Building highly available reliable systems that can gracefully survive failures requires deep expertise and years of field deployments Oraclersquos embedded products have been proven through millions of mission-critical deployments and can greatly reduce your engineering cycle time costs and risk while allowing you to focus your resources on your solution and the unique value it brings to your users

As developers you need technical flexibility to push the boundaries of innovation Thatrsquos why Oraclersquos strategy is to offer the broadest selection of embeddable technology for a diverse range of healthcare applications Oracle embeddable solutions can deliver

t Advanced relational database capabilities for maximum performance minimal management and lower total cost of ownership

t Extremely fast response times and high transaction rates by keeping data in memory t Very high performance for applications that have static predictable access patterns t A small footprint for mobile devices in the field and synchronization with enterprise

database servers

2

ldquoThe ability to store DICOM image files directly in Oracle Database represents a major technological advancement to those of us involved in the development of enterprise image data management systems It comes at a time when medical image data is becoming increasingly important as a clinical end point and when the need to bring control organization and process to medical image data management is greater than everrdquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

The data management infrastructure used in healthcare must be able to manage large amounts of data ensure data security and integrity maintain regulatory compliance and interoperate with internal and external systems You can use the power of Oracle embedded technology to develop applications and devices that solve these problems for your customers

Manage Large Data Volumes

Many healthcare applications must manage very large amounts of complex data such as that generated by diagnostic image scanners or patient monitoring systems Oracle embedded technology can help your solutions cost-effectively provide fast secure access to this data and deliver superior system availability to meet the need for 247 healthcare operations

Oracle Database Delivers the Features to Cut Data Down to Size With the release of Oracle Database 11g Oracle delivers features that bring the benefits of a high-performance relational database to the problem of storing vast quantities of unstructured data The Oracle SecureFiles feature combines the security of a relational database with the speed of a fi le system to provide fast secure access to content traditionally stored in a separate file system With access times equal to or faster than file systems on the same hardware you no longer need specialized hardware so your costs are reduced And by moving unstructured data into databases your customers can better track and secure important data that is currently spread around their enterprise

Oracle Real Application Clusters and Oracle Grid Computing deliver powerful data manshyagement capabilities scale to manage data volumes of many terabytes and lower total cost of ownership by using less-costly server and storage devices to optimize resource utilization These solutions require no application changes and support the deployment of a single database across a cluster of serversmdashdelivering unbeatable fault tolerance performance and scalability that is designed to run in a ldquolights outrdquo environment

You can further improve performance and storage efficiency using Oracle Partitioning to split tables into smaller more-manageable components lowering query times from minutes to seconds To better use data management resources Oracle Advanced Compression works with any application to compress structured and unstructured data such as docushyments images and multimedia as well as network traffic and data in the backup process

ORACLE DATABASE DELIVERS BUILT-IN DICOM SUPPORT Diagnostic images are key comshyponents of patient information so efficient image storage and rapid delivery are important features of electronic health record systems Oracle Multimedia delivers full support for DICOM the format universally recognized as the standard for medical imaging with extensible metadata extraction to satisfy any institutionrsquos image storage requirements Oracle Multimedia

t Facilitates large repositories of DICOM-format content (data from CT MRI X-ray and ultrashysound equipment pathology images and more) that are managed and secured using Oracle Database tools

t Provides a rich set of security privacy conformance and valishydation features to enable open scalable healthcare applications

t Includes application programshyming interfaces JavaServer Page servlets and PLSQL procedures and functions to simplify development

t Automatically copies and reformats DICOM images into standard image formats such as JPEG

3

FACT 70 percent of the top multihospital systems in the US run Oracle technology

TOTAL HEALTHCARE INFORMATION MANAGEMENT A complete healthcare IT solution must address challenges conshycerns and requirements from a variety of sources With Oracle SecureCARE Oracle brings together its best-of-class applications into a total healthcare information management solution thatrsquos integrated innovative and built by a company that has provided leading-edge information manageshyment solutions for more than 30 years Oracle SecureCARE provides total healthcare solutions that let healthcare providers

tKeep data secure and private

tAccess and share information and knowledge

tGenerate reports and alerts

tCapture and maintain medical records at the point of care

tExchange comprehensive clinical information or records

By providing organizations with healthcare IT solutions that are comprehensive secure and cost-effective Oracle SecureCARE helps organizations improve the quality and effectiveness of their healthcare delivery systems reduce redundancies and provide better outcomes for their patients

Ensure Data Security and Integrity

Data safety and security are major concerns affecting the healthcare industry With Oracle embedded technology you can deliver security your customers can count on Data security is not just another line of business for Oraclemdashit is strategic to Oraclersquos entire product portfolio Oracle pioneered many of the database security technologies in widespread use today including network encryption row-level security and transparshyent data encryption Moreover Oracle databases have undergone the greatest number of internationally recognized security evaluations and have been expressly designed for embedded use ensuring overall system security

Guard Against Unauthorized Access Global directives typically call for separation of duties and other real-time preventive controls to ensure data integrity and patient-data privacy With Oracle Database Vault you can proactively safeguard application data stored in Oracle Database from being accessed by unauthorized users and even privileged database users Policies use built-in factors such as time of day IP address application name and authentication method to prevent application bypass and unauthorized ad hoc access

Oracle Database technologies also provide fine-grain access control and support the auditing querying and reporting of all metadata changes Oracle Audit Vault automates audit collection monitoring and reportingmdashturning audit data into a key security resource for detecting unauthorized activity Oracle Advanced Security and Oracle Label Security ensure that only properly authenticated users are allowed access to data designated as highly sensitive

Deliver Data Protection and High Availability You can help your customers reduce downtime and meet performance expectations by leveraging Oracle Database capabilities in your applications and devices Oracle Active Data Guard allows users to run real-time queries on a physical standby systemmdashdelivering faster business results and a greater optimization of resources By continuously mirroring production systems it also provides high availability and disaster protection against planned or unplanned outages

Oraclersquos unique grid computing technologies offer advanced levels of reliability and availability These technologies protect data and optimize performance by automatically mirroring and balancing data across all available storage devices Database maintenance and synchronization is coordinated across local and remote servers for rapid recovery from disaster or site failure

4

Make Regulatory Compliance Simply Part of the Process

Regulatory compliance is an important factor influencing the evolution of the healthcare technology market Audit and reporting requirements strain these organizations and require secure and solid data management With Oracle embedded technology you can provide best-of-breed solutions to address all regulatory compliance requirements while also delivering a high-performance scalable solution Compliance becomes nonintrusivemdash a natural outcome of the data management processmdashas Oracle technologies help ensure that your customers can control access to data audit changes safeguard security and retain and retrieve data as needed By using Oracle embedded technology in your hardshyware or software your customers can capture rich metadata as well as secure the data at its source

Oracle Advanced Security helps healthcare organizations comply with privacy and regushylatory mandates such as the Health Insurance Portability and Accountability Act as well as numerous security-breach-notification laws With Oracle Advanced Security you can transparently encrypt all application data or specific sensitive columns such as social security numbers and personally identifiable information By encrypting data in the datashybase as well as whenever it leaves the database over the network or during backups it provides the most cost-effective solution for comprehensive data protection

For added compliance support Oracle Total Recall allows you to essentially ldquorewindrdquo a databasemdashto take it back to before a change was made an error occurred or a transaction was completed This is helpful for auditing and compliance situations in which an organization needs to find out what a hacker or a DBA was doing at a certain time Using Oracle Total Recall you can very easily go back in timemdashsix months or a year or to whatever period you needmdashand track down exactly which changes were made to the database and who made them

Patient privacy regulations allow only certain classes of users to view image metadata that contains personally identifying information For example a clinician will need full access while a researcher should have only partial access to this metadata Oracle Database provides anonymity services directly in the database ensuring that role-appropriate access is granted for different classes of users of a Digital Imaging and Communications in Medicine (DICOM) archive regardless of the application used to access the archive Captured metadata can also be a valuable source of information about quality control and the audit measures needed to comply with regulations For example your applications can tag rejected images prompting later analysis and follow-up and they can collect proof of archival of imaging studies as mandated by regulations

IMPROVE DIGITAL IMAGING QUALITY AND ENHANCE PRODUCTIVITY Fujifilm is a full-service diagnostic imaging company with 40 years of expertise in the radiology market It developed Fujifilm Synapse Radiology as an integrated family of products that covers all areas of radiology from radiology inforshymation systems (RIS) and picture archiving and communication systems (PACS) to communicashytions and teleradiology Oracle Database is embedded in Synapse products delivering the power of two industry-leading technologies within a single license Fujifilm Synapse Radiology

t Provides secure access to RIS PACS mammography and cardiovascular images and data with a single sign-on from any internet-connected computer

t Reduces training costs and ensures rapid acceptance with a consistent Web-based interface for all users

t Improves diagnostic accuracy with multiple viewing options for patient images and data

t Scales to support imaging centers that run from 30000 to more than a million exams a year

t Supports the global HL7 data standard for integration with electronic health records

5

FACT 20 of the top 20 US health insurers run Oracle Applications

LOW IMPACT MIGRATIONS WITH ORACLE GOLDENGATE Cerner Corporation a leading worldwide supplier of healthcare information technology is taking the paper chart out of healthcare Cerner Millennium is a comprehenshysive solution suite that connects consumers clinicians and healthshycare organizations into a streamshylined unified processWhen Cerner planned a major upgrade in the application technology they develshyoped a best practice methodology The business goals were to

t Minimize application downtime

t Perform system migration with minimal infrastructure impact and ability to fall back if necessary

t Ensure application accuracy to support high-quality patient care

Cerner leveraged Oracle GoldenGate high-availability software with Cernerrsquos best practices approach As a result the actual ldquoplanned outagerdquo amounted to about 30 minutes with 90 minutes for testing data validation and start up with the new database The total downtime was two hoursmdash a significant improvement from previous practices which often took a weekend

Interoperate with Internal and External Systems

Developers of healthcare solutions face growing requirements to integrate data from various devices and multiple systems into electronic health records However these systems and devices often do not send data in a standard format or filter the enormous amounts of data they generate As the number of devices and applications on the market increases you need a scalable solution for device management and data integration

Service-Oriented Architectures and Web Services Increase Connections Oracle Fusion Middleware is a compelling offering for the healthcare industry Based on industry standards it helps you build and enhance services and it minimizes your development efforts by including healthcare standards such as DICOM and Health Level 7 (HL7) Supporting many hardware and software platformsmdashincluding Java 2 Platform Enterprise Edition application servers and directory servers as well as Microsoft IBM and SAP softwaremdashit lets you adopt a service-oriented architecture (SOA) in heterogeneous computing environments SOAs are based on loosely coupled services with interfaces that are independent of the implementation You can build use and reuse services according to changing business needs and easily integrate across dissimilar platforms

Oraclersquos comprehensive suite of SOA-enabled IT infrastructure applications boost interoperability by providing a complete solution for publishing consuming securing and managing Web services In addition these applications are supported with business process management tools you can use to develop deploy and manage integrated cross-organization processes as well as to orchestrate system services and workflows that facilitate a higher-quality unified delivery of healthcare services

Data Wherever and Whenever You Need It New mobile devices and wireless technologies are significantly changing the way healthcare is provided and how healthcare information is accessed Data can be captured remotely from a tablet PC used by a doctor during hospital rounds a laptop computer used by a nurse in a mobile clinic or directly from sensors worn by patients during their daily activities at home Equipment and applications that run Oracle embedded technology can securely transmit real-time data to both hospital and departmental information systems

To ensure that critical information is available with subsecond latency and 247 availability Oracle GoldenGate provides real-time change-data capture and delivery between heterogeneous systems with transactional integrity and minimal overhead on existing infrastructures

6

FACT More than 350 leading healthcare providers run Oracle Applications

This technology lets you build cost-effective and low-impact solutions for real-time business intelligence query offloading zero-downtime upgrades and migrations disaster recovery and high availability Your customers gain improved business insight lowered integration costs continuous system availability and increased data integrity and reliability with reduced risk

Interfaces between multiple systems provide more-reliable data because there is less risk at each step of entering incorrect patient information Additionally patient data can be tagged with a unique patient identifier that can be used to merge data from multiple healthcare providersmdasheven if they use different identification numbers within their own systems Interoperability also helps coordinate the workflow of a decentralized healthcare team leading to greater efficiencies and better quality of care Oracle technology solutions can provide an end-to-end infrastructure to manage devices throughout an applicationrsquos lifecycle letting clinicians access shared data wherever and whenever they need it

Pervasive Insight Improves Strategic Healthcare Initiatives In order to gain the greatest benefit from business intelligence (BI) healthcare organizations need BI products that inform all their processes financial clinical and operational Embedding Oracle technology solutions into your application lets you fast-track your development efforts by taking advantage of a highly scalable prebuilt BI foundation that can power both analysis tools and reporting applications Your BI solution can distill intelligence from multiple datasources to act as a shared data repository for your customersrsquo internal and external systems Insight is delivered across the enterprise using presentation methods that are easy to access and understand such as proactive detection and alerts dashboards and Web services

With the BI foundation your application delivers through embedded Oracle technology your customers gain a single standardized BI architecture that can manage and mashynipulate massive amounts of data and improve data quality They can develop strategic healthcare initiatives to cut administrative costs increase reimbursement rates identify fraudulent claims optimize their supply chain utilize cost-effective positive-outcome treatments and more When you deliver BI solutions that distribute high-quality real-time insight you let your customers make informed decisions when and where they have the greatest impact

ldquoWe chose Oracle as the embedded database technology in Fujifi lm Synapse PACS because of its robustness its reliability and its scalability Oracle offers fi ve-nines uptime which is essential for patient care systems in hospitals and trauma centers It was also the only commercial database capable of running multiple sites from one single instance supporting enormous volumes of remote users with no loss of performance and scaling seamlessly as our customersrsquo requirements growrdquo

Jim Morgan Executive Director of Marketing Network Systems Fujifi lm Medical Systems USA

7

FACT 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

Oracle Is Committed to Partner Success

Oracle embedded technology runs behind the scenes so the innovative capabilities you develop take center stage Oracle understands the challenges involved in incorporating embedded technology and offers technical assistance via support training and consulting during your development process After you deploy you can deliver superior service to your customers by being their primary point of contact while Oracle supports you with global 247 support in local languages The cost for this support will be far lower than maintaining your own homegrown solution You also benefit from Oraclersquos continued engineering investment in new product enhancements

Oracle has an ecosystem of more than 370000 customers and 30000 partnersmdash more than 3000 of these with a focus on Oracle embedded technology The Oracle PartnerNetwork offers a number of programs that can extend your marketing reach and help your business succeed Your marketing efforts can leverage the strength of the Oracle brand to increase confidence in your product giving you a competitive advantage Partnering with Oracle adds to your bottom line by integrating the power of Oracle techshynology marketing and sales helping you better meet the needs of your customers

Oraclersquos strategy for healthcare is to reduce the complexity of healthcare informatics ldquoOur efforts at IBIS to provide lower total cost of ownership and improve the scalability security and availability of

a comprehensive enterprise healthcare applications Oracle is committed to helping the healthcare industry leverage image data management information technology and deliver next-generation patient care with minimum costs solution have been greatly The bottom line Oracle embedded technology can help ISV and OEM partners that facilitated by the emergence target the healthcare industry decrease development time reduce integration costs of Oracle Database 11g increase quality minimize risk and speed time to market

This technology has enabled Gain a competitive edge by building your application on proven Oracle embedded

us to define a single secure technology Learn more about our products at oraclecomgotoembedded and about

stable scalable repository our partner program at oraclecompartnersenknowledge-zonedatabase021471htm for all DICOM data providing the future-proof platform on which the IBISimg repository is now built This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML XSL-based data extractionldquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

8

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

FACT Oracle is 1 in embedded databases with more than double the share of the next competitor

(Source IDC Worldwide Embedded Database Management Systems 2007 Vendor Shares Doc 215446 December 2008)

HEALTHCARE SOLUTIONS WITH ADDED VALUE Oracle embedded technology can increase the functionality and benefits of healthcare applications such as the following

t Practice management solutions such as automated processes for patient and insurance billing reporting and scheduling to reduce costs

t Electronic medical records electronic health records that document full patient information such as demographics medication lists and allergies to provide safer care and better coordination and continuity of care

t Support for short- and long-term monitoring equipment such as cardiac equipment fetal monitors and vital signs monitoring systems to help caregivers provide follow-up care in a patientrsquos home

t Digital imaging systems with enhanced capabilities and easy secure viewing usingWeb services to streamline the process of capshyturing medical images reduce costs over traditional systems improve clinical diagnosis and foster professional collaboration

Focus on Innovative Healthcare Solutionsmdash Not Data Management

As developers of information technology (IT) solutions used by healthcare organizations you must address numerous issues such as interoperability patient privacy security and regulatory compliance An additional healthcare priority is to broaden the use of electronic health records to reduce costs decrease medical errors and improve the quality of patient care

The healthcare technology ecosystem has evolved to include new services that are delivered outside the hospital or datacentermdasheven in patientsrsquo homes Additionally care is often provided by geographically dispersed cross-discipline disease management teams This decentralization of patient care is driving the need for information-capture and knowledge-exchange capabilities that are full functioned yet easy to use Embedded Oracle technology solutions fill a vital role in meeting these requirements because they are designed to be self-managing and invisible to end users

Build or Buy There is no reason to build embedded data management capabilities yourselfmdasha range of proven cost-effective commercial off-the-shelf technology products are available from Oracle Building highly available reliable systems that can gracefully survive failures requires deep expertise and years of field deployments Oraclersquos embedded products have been proven through millions of mission-critical deployments and can greatly reduce your engineering cycle time costs and risk while allowing you to focus your resources on your solution and the unique value it brings to your users

As developers you need technical flexibility to push the boundaries of innovation Thatrsquos why Oraclersquos strategy is to offer the broadest selection of embeddable technology for a diverse range of healthcare applications Oracle embeddable solutions can deliver

t Advanced relational database capabilities for maximum performance minimal management and lower total cost of ownership

t Extremely fast response times and high transaction rates by keeping data in memory t Very high performance for applications that have static predictable access patterns t A small footprint for mobile devices in the field and synchronization with enterprise

database servers

2

ldquoThe ability to store DICOM image files directly in Oracle Database represents a major technological advancement to those of us involved in the development of enterprise image data management systems It comes at a time when medical image data is becoming increasingly important as a clinical end point and when the need to bring control organization and process to medical image data management is greater than everrdquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

The data management infrastructure used in healthcare must be able to manage large amounts of data ensure data security and integrity maintain regulatory compliance and interoperate with internal and external systems You can use the power of Oracle embedded technology to develop applications and devices that solve these problems for your customers

Manage Large Data Volumes

Many healthcare applications must manage very large amounts of complex data such as that generated by diagnostic image scanners or patient monitoring systems Oracle embedded technology can help your solutions cost-effectively provide fast secure access to this data and deliver superior system availability to meet the need for 247 healthcare operations

Oracle Database Delivers the Features to Cut Data Down to Size With the release of Oracle Database 11g Oracle delivers features that bring the benefits of a high-performance relational database to the problem of storing vast quantities of unstructured data The Oracle SecureFiles feature combines the security of a relational database with the speed of a fi le system to provide fast secure access to content traditionally stored in a separate file system With access times equal to or faster than file systems on the same hardware you no longer need specialized hardware so your costs are reduced And by moving unstructured data into databases your customers can better track and secure important data that is currently spread around their enterprise

Oracle Real Application Clusters and Oracle Grid Computing deliver powerful data manshyagement capabilities scale to manage data volumes of many terabytes and lower total cost of ownership by using less-costly server and storage devices to optimize resource utilization These solutions require no application changes and support the deployment of a single database across a cluster of serversmdashdelivering unbeatable fault tolerance performance and scalability that is designed to run in a ldquolights outrdquo environment

You can further improve performance and storage efficiency using Oracle Partitioning to split tables into smaller more-manageable components lowering query times from minutes to seconds To better use data management resources Oracle Advanced Compression works with any application to compress structured and unstructured data such as docushyments images and multimedia as well as network traffic and data in the backup process

ORACLE DATABASE DELIVERS BUILT-IN DICOM SUPPORT Diagnostic images are key comshyponents of patient information so efficient image storage and rapid delivery are important features of electronic health record systems Oracle Multimedia delivers full support for DICOM the format universally recognized as the standard for medical imaging with extensible metadata extraction to satisfy any institutionrsquos image storage requirements Oracle Multimedia

t Facilitates large repositories of DICOM-format content (data from CT MRI X-ray and ultrashysound equipment pathology images and more) that are managed and secured using Oracle Database tools

t Provides a rich set of security privacy conformance and valishydation features to enable open scalable healthcare applications

t Includes application programshyming interfaces JavaServer Page servlets and PLSQL procedures and functions to simplify development

t Automatically copies and reformats DICOM images into standard image formats such as JPEG

3

FACT 70 percent of the top multihospital systems in the US run Oracle technology

TOTAL HEALTHCARE INFORMATION MANAGEMENT A complete healthcare IT solution must address challenges conshycerns and requirements from a variety of sources With Oracle SecureCARE Oracle brings together its best-of-class applications into a total healthcare information management solution thatrsquos integrated innovative and built by a company that has provided leading-edge information manageshyment solutions for more than 30 years Oracle SecureCARE provides total healthcare solutions that let healthcare providers

tKeep data secure and private

tAccess and share information and knowledge

tGenerate reports and alerts

tCapture and maintain medical records at the point of care

tExchange comprehensive clinical information or records

By providing organizations with healthcare IT solutions that are comprehensive secure and cost-effective Oracle SecureCARE helps organizations improve the quality and effectiveness of their healthcare delivery systems reduce redundancies and provide better outcomes for their patients

Ensure Data Security and Integrity

Data safety and security are major concerns affecting the healthcare industry With Oracle embedded technology you can deliver security your customers can count on Data security is not just another line of business for Oraclemdashit is strategic to Oraclersquos entire product portfolio Oracle pioneered many of the database security technologies in widespread use today including network encryption row-level security and transparshyent data encryption Moreover Oracle databases have undergone the greatest number of internationally recognized security evaluations and have been expressly designed for embedded use ensuring overall system security

Guard Against Unauthorized Access Global directives typically call for separation of duties and other real-time preventive controls to ensure data integrity and patient-data privacy With Oracle Database Vault you can proactively safeguard application data stored in Oracle Database from being accessed by unauthorized users and even privileged database users Policies use built-in factors such as time of day IP address application name and authentication method to prevent application bypass and unauthorized ad hoc access

Oracle Database technologies also provide fine-grain access control and support the auditing querying and reporting of all metadata changes Oracle Audit Vault automates audit collection monitoring and reportingmdashturning audit data into a key security resource for detecting unauthorized activity Oracle Advanced Security and Oracle Label Security ensure that only properly authenticated users are allowed access to data designated as highly sensitive

Deliver Data Protection and High Availability You can help your customers reduce downtime and meet performance expectations by leveraging Oracle Database capabilities in your applications and devices Oracle Active Data Guard allows users to run real-time queries on a physical standby systemmdashdelivering faster business results and a greater optimization of resources By continuously mirroring production systems it also provides high availability and disaster protection against planned or unplanned outages

Oraclersquos unique grid computing technologies offer advanced levels of reliability and availability These technologies protect data and optimize performance by automatically mirroring and balancing data across all available storage devices Database maintenance and synchronization is coordinated across local and remote servers for rapid recovery from disaster or site failure

4

Make Regulatory Compliance Simply Part of the Process

Regulatory compliance is an important factor influencing the evolution of the healthcare technology market Audit and reporting requirements strain these organizations and require secure and solid data management With Oracle embedded technology you can provide best-of-breed solutions to address all regulatory compliance requirements while also delivering a high-performance scalable solution Compliance becomes nonintrusivemdash a natural outcome of the data management processmdashas Oracle technologies help ensure that your customers can control access to data audit changes safeguard security and retain and retrieve data as needed By using Oracle embedded technology in your hardshyware or software your customers can capture rich metadata as well as secure the data at its source

Oracle Advanced Security helps healthcare organizations comply with privacy and regushylatory mandates such as the Health Insurance Portability and Accountability Act as well as numerous security-breach-notification laws With Oracle Advanced Security you can transparently encrypt all application data or specific sensitive columns such as social security numbers and personally identifiable information By encrypting data in the datashybase as well as whenever it leaves the database over the network or during backups it provides the most cost-effective solution for comprehensive data protection

For added compliance support Oracle Total Recall allows you to essentially ldquorewindrdquo a databasemdashto take it back to before a change was made an error occurred or a transaction was completed This is helpful for auditing and compliance situations in which an organization needs to find out what a hacker or a DBA was doing at a certain time Using Oracle Total Recall you can very easily go back in timemdashsix months or a year or to whatever period you needmdashand track down exactly which changes were made to the database and who made them

Patient privacy regulations allow only certain classes of users to view image metadata that contains personally identifying information For example a clinician will need full access while a researcher should have only partial access to this metadata Oracle Database provides anonymity services directly in the database ensuring that role-appropriate access is granted for different classes of users of a Digital Imaging and Communications in Medicine (DICOM) archive regardless of the application used to access the archive Captured metadata can also be a valuable source of information about quality control and the audit measures needed to comply with regulations For example your applications can tag rejected images prompting later analysis and follow-up and they can collect proof of archival of imaging studies as mandated by regulations

IMPROVE DIGITAL IMAGING QUALITY AND ENHANCE PRODUCTIVITY Fujifilm is a full-service diagnostic imaging company with 40 years of expertise in the radiology market It developed Fujifilm Synapse Radiology as an integrated family of products that covers all areas of radiology from radiology inforshymation systems (RIS) and picture archiving and communication systems (PACS) to communicashytions and teleradiology Oracle Database is embedded in Synapse products delivering the power of two industry-leading technologies within a single license Fujifilm Synapse Radiology

t Provides secure access to RIS PACS mammography and cardiovascular images and data with a single sign-on from any internet-connected computer

t Reduces training costs and ensures rapid acceptance with a consistent Web-based interface for all users

t Improves diagnostic accuracy with multiple viewing options for patient images and data

t Scales to support imaging centers that run from 30000 to more than a million exams a year

t Supports the global HL7 data standard for integration with electronic health records

5

FACT 20 of the top 20 US health insurers run Oracle Applications

LOW IMPACT MIGRATIONS WITH ORACLE GOLDENGATE Cerner Corporation a leading worldwide supplier of healthcare information technology is taking the paper chart out of healthcare Cerner Millennium is a comprehenshysive solution suite that connects consumers clinicians and healthshycare organizations into a streamshylined unified processWhen Cerner planned a major upgrade in the application technology they develshyoped a best practice methodology The business goals were to

t Minimize application downtime

t Perform system migration with minimal infrastructure impact and ability to fall back if necessary

t Ensure application accuracy to support high-quality patient care

Cerner leveraged Oracle GoldenGate high-availability software with Cernerrsquos best practices approach As a result the actual ldquoplanned outagerdquo amounted to about 30 minutes with 90 minutes for testing data validation and start up with the new database The total downtime was two hoursmdash a significant improvement from previous practices which often took a weekend

Interoperate with Internal and External Systems

Developers of healthcare solutions face growing requirements to integrate data from various devices and multiple systems into electronic health records However these systems and devices often do not send data in a standard format or filter the enormous amounts of data they generate As the number of devices and applications on the market increases you need a scalable solution for device management and data integration

Service-Oriented Architectures and Web Services Increase Connections Oracle Fusion Middleware is a compelling offering for the healthcare industry Based on industry standards it helps you build and enhance services and it minimizes your development efforts by including healthcare standards such as DICOM and Health Level 7 (HL7) Supporting many hardware and software platformsmdashincluding Java 2 Platform Enterprise Edition application servers and directory servers as well as Microsoft IBM and SAP softwaremdashit lets you adopt a service-oriented architecture (SOA) in heterogeneous computing environments SOAs are based on loosely coupled services with interfaces that are independent of the implementation You can build use and reuse services according to changing business needs and easily integrate across dissimilar platforms

Oraclersquos comprehensive suite of SOA-enabled IT infrastructure applications boost interoperability by providing a complete solution for publishing consuming securing and managing Web services In addition these applications are supported with business process management tools you can use to develop deploy and manage integrated cross-organization processes as well as to orchestrate system services and workflows that facilitate a higher-quality unified delivery of healthcare services

Data Wherever and Whenever You Need It New mobile devices and wireless technologies are significantly changing the way healthcare is provided and how healthcare information is accessed Data can be captured remotely from a tablet PC used by a doctor during hospital rounds a laptop computer used by a nurse in a mobile clinic or directly from sensors worn by patients during their daily activities at home Equipment and applications that run Oracle embedded technology can securely transmit real-time data to both hospital and departmental information systems

To ensure that critical information is available with subsecond latency and 247 availability Oracle GoldenGate provides real-time change-data capture and delivery between heterogeneous systems with transactional integrity and minimal overhead on existing infrastructures

6

FACT More than 350 leading healthcare providers run Oracle Applications

This technology lets you build cost-effective and low-impact solutions for real-time business intelligence query offloading zero-downtime upgrades and migrations disaster recovery and high availability Your customers gain improved business insight lowered integration costs continuous system availability and increased data integrity and reliability with reduced risk

Interfaces between multiple systems provide more-reliable data because there is less risk at each step of entering incorrect patient information Additionally patient data can be tagged with a unique patient identifier that can be used to merge data from multiple healthcare providersmdasheven if they use different identification numbers within their own systems Interoperability also helps coordinate the workflow of a decentralized healthcare team leading to greater efficiencies and better quality of care Oracle technology solutions can provide an end-to-end infrastructure to manage devices throughout an applicationrsquos lifecycle letting clinicians access shared data wherever and whenever they need it

Pervasive Insight Improves Strategic Healthcare Initiatives In order to gain the greatest benefit from business intelligence (BI) healthcare organizations need BI products that inform all their processes financial clinical and operational Embedding Oracle technology solutions into your application lets you fast-track your development efforts by taking advantage of a highly scalable prebuilt BI foundation that can power both analysis tools and reporting applications Your BI solution can distill intelligence from multiple datasources to act as a shared data repository for your customersrsquo internal and external systems Insight is delivered across the enterprise using presentation methods that are easy to access and understand such as proactive detection and alerts dashboards and Web services

With the BI foundation your application delivers through embedded Oracle technology your customers gain a single standardized BI architecture that can manage and mashynipulate massive amounts of data and improve data quality They can develop strategic healthcare initiatives to cut administrative costs increase reimbursement rates identify fraudulent claims optimize their supply chain utilize cost-effective positive-outcome treatments and more When you deliver BI solutions that distribute high-quality real-time insight you let your customers make informed decisions when and where they have the greatest impact

ldquoWe chose Oracle as the embedded database technology in Fujifi lm Synapse PACS because of its robustness its reliability and its scalability Oracle offers fi ve-nines uptime which is essential for patient care systems in hospitals and trauma centers It was also the only commercial database capable of running multiple sites from one single instance supporting enormous volumes of remote users with no loss of performance and scaling seamlessly as our customersrsquo requirements growrdquo

Jim Morgan Executive Director of Marketing Network Systems Fujifi lm Medical Systems USA

7

FACT 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

Oracle Is Committed to Partner Success

Oracle embedded technology runs behind the scenes so the innovative capabilities you develop take center stage Oracle understands the challenges involved in incorporating embedded technology and offers technical assistance via support training and consulting during your development process After you deploy you can deliver superior service to your customers by being their primary point of contact while Oracle supports you with global 247 support in local languages The cost for this support will be far lower than maintaining your own homegrown solution You also benefit from Oraclersquos continued engineering investment in new product enhancements

Oracle has an ecosystem of more than 370000 customers and 30000 partnersmdash more than 3000 of these with a focus on Oracle embedded technology The Oracle PartnerNetwork offers a number of programs that can extend your marketing reach and help your business succeed Your marketing efforts can leverage the strength of the Oracle brand to increase confidence in your product giving you a competitive advantage Partnering with Oracle adds to your bottom line by integrating the power of Oracle techshynology marketing and sales helping you better meet the needs of your customers

Oraclersquos strategy for healthcare is to reduce the complexity of healthcare informatics ldquoOur efforts at IBIS to provide lower total cost of ownership and improve the scalability security and availability of

a comprehensive enterprise healthcare applications Oracle is committed to helping the healthcare industry leverage image data management information technology and deliver next-generation patient care with minimum costs solution have been greatly The bottom line Oracle embedded technology can help ISV and OEM partners that facilitated by the emergence target the healthcare industry decrease development time reduce integration costs of Oracle Database 11g increase quality minimize risk and speed time to market

This technology has enabled Gain a competitive edge by building your application on proven Oracle embedded

us to define a single secure technology Learn more about our products at oraclecomgotoembedded and about

stable scalable repository our partner program at oraclecompartnersenknowledge-zonedatabase021471htm for all DICOM data providing the future-proof platform on which the IBISimg repository is now built This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML XSL-based data extractionldquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

8

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

ldquoThe ability to store DICOM image files directly in Oracle Database represents a major technological advancement to those of us involved in the development of enterprise image data management systems It comes at a time when medical image data is becoming increasingly important as a clinical end point and when the need to bring control organization and process to medical image data management is greater than everrdquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

The data management infrastructure used in healthcare must be able to manage large amounts of data ensure data security and integrity maintain regulatory compliance and interoperate with internal and external systems You can use the power of Oracle embedded technology to develop applications and devices that solve these problems for your customers

Manage Large Data Volumes

Many healthcare applications must manage very large amounts of complex data such as that generated by diagnostic image scanners or patient monitoring systems Oracle embedded technology can help your solutions cost-effectively provide fast secure access to this data and deliver superior system availability to meet the need for 247 healthcare operations

Oracle Database Delivers the Features to Cut Data Down to Size With the release of Oracle Database 11g Oracle delivers features that bring the benefits of a high-performance relational database to the problem of storing vast quantities of unstructured data The Oracle SecureFiles feature combines the security of a relational database with the speed of a fi le system to provide fast secure access to content traditionally stored in a separate file system With access times equal to or faster than file systems on the same hardware you no longer need specialized hardware so your costs are reduced And by moving unstructured data into databases your customers can better track and secure important data that is currently spread around their enterprise

Oracle Real Application Clusters and Oracle Grid Computing deliver powerful data manshyagement capabilities scale to manage data volumes of many terabytes and lower total cost of ownership by using less-costly server and storage devices to optimize resource utilization These solutions require no application changes and support the deployment of a single database across a cluster of serversmdashdelivering unbeatable fault tolerance performance and scalability that is designed to run in a ldquolights outrdquo environment

You can further improve performance and storage efficiency using Oracle Partitioning to split tables into smaller more-manageable components lowering query times from minutes to seconds To better use data management resources Oracle Advanced Compression works with any application to compress structured and unstructured data such as docushyments images and multimedia as well as network traffic and data in the backup process

ORACLE DATABASE DELIVERS BUILT-IN DICOM SUPPORT Diagnostic images are key comshyponents of patient information so efficient image storage and rapid delivery are important features of electronic health record systems Oracle Multimedia delivers full support for DICOM the format universally recognized as the standard for medical imaging with extensible metadata extraction to satisfy any institutionrsquos image storage requirements Oracle Multimedia

t Facilitates large repositories of DICOM-format content (data from CT MRI X-ray and ultrashysound equipment pathology images and more) that are managed and secured using Oracle Database tools

t Provides a rich set of security privacy conformance and valishydation features to enable open scalable healthcare applications

t Includes application programshyming interfaces JavaServer Page servlets and PLSQL procedures and functions to simplify development

t Automatically copies and reformats DICOM images into standard image formats such as JPEG

3

FACT 70 percent of the top multihospital systems in the US run Oracle technology

TOTAL HEALTHCARE INFORMATION MANAGEMENT A complete healthcare IT solution must address challenges conshycerns and requirements from a variety of sources With Oracle SecureCARE Oracle brings together its best-of-class applications into a total healthcare information management solution thatrsquos integrated innovative and built by a company that has provided leading-edge information manageshyment solutions for more than 30 years Oracle SecureCARE provides total healthcare solutions that let healthcare providers

tKeep data secure and private

tAccess and share information and knowledge

tGenerate reports and alerts

tCapture and maintain medical records at the point of care

tExchange comprehensive clinical information or records

By providing organizations with healthcare IT solutions that are comprehensive secure and cost-effective Oracle SecureCARE helps organizations improve the quality and effectiveness of their healthcare delivery systems reduce redundancies and provide better outcomes for their patients

Ensure Data Security and Integrity

Data safety and security are major concerns affecting the healthcare industry With Oracle embedded technology you can deliver security your customers can count on Data security is not just another line of business for Oraclemdashit is strategic to Oraclersquos entire product portfolio Oracle pioneered many of the database security technologies in widespread use today including network encryption row-level security and transparshyent data encryption Moreover Oracle databases have undergone the greatest number of internationally recognized security evaluations and have been expressly designed for embedded use ensuring overall system security

Guard Against Unauthorized Access Global directives typically call for separation of duties and other real-time preventive controls to ensure data integrity and patient-data privacy With Oracle Database Vault you can proactively safeguard application data stored in Oracle Database from being accessed by unauthorized users and even privileged database users Policies use built-in factors such as time of day IP address application name and authentication method to prevent application bypass and unauthorized ad hoc access

Oracle Database technologies also provide fine-grain access control and support the auditing querying and reporting of all metadata changes Oracle Audit Vault automates audit collection monitoring and reportingmdashturning audit data into a key security resource for detecting unauthorized activity Oracle Advanced Security and Oracle Label Security ensure that only properly authenticated users are allowed access to data designated as highly sensitive

Deliver Data Protection and High Availability You can help your customers reduce downtime and meet performance expectations by leveraging Oracle Database capabilities in your applications and devices Oracle Active Data Guard allows users to run real-time queries on a physical standby systemmdashdelivering faster business results and a greater optimization of resources By continuously mirroring production systems it also provides high availability and disaster protection against planned or unplanned outages

Oraclersquos unique grid computing technologies offer advanced levels of reliability and availability These technologies protect data and optimize performance by automatically mirroring and balancing data across all available storage devices Database maintenance and synchronization is coordinated across local and remote servers for rapid recovery from disaster or site failure

4

Make Regulatory Compliance Simply Part of the Process

Regulatory compliance is an important factor influencing the evolution of the healthcare technology market Audit and reporting requirements strain these organizations and require secure and solid data management With Oracle embedded technology you can provide best-of-breed solutions to address all regulatory compliance requirements while also delivering a high-performance scalable solution Compliance becomes nonintrusivemdash a natural outcome of the data management processmdashas Oracle technologies help ensure that your customers can control access to data audit changes safeguard security and retain and retrieve data as needed By using Oracle embedded technology in your hardshyware or software your customers can capture rich metadata as well as secure the data at its source

Oracle Advanced Security helps healthcare organizations comply with privacy and regushylatory mandates such as the Health Insurance Portability and Accountability Act as well as numerous security-breach-notification laws With Oracle Advanced Security you can transparently encrypt all application data or specific sensitive columns such as social security numbers and personally identifiable information By encrypting data in the datashybase as well as whenever it leaves the database over the network or during backups it provides the most cost-effective solution for comprehensive data protection

For added compliance support Oracle Total Recall allows you to essentially ldquorewindrdquo a databasemdashto take it back to before a change was made an error occurred or a transaction was completed This is helpful for auditing and compliance situations in which an organization needs to find out what a hacker or a DBA was doing at a certain time Using Oracle Total Recall you can very easily go back in timemdashsix months or a year or to whatever period you needmdashand track down exactly which changes were made to the database and who made them

Patient privacy regulations allow only certain classes of users to view image metadata that contains personally identifying information For example a clinician will need full access while a researcher should have only partial access to this metadata Oracle Database provides anonymity services directly in the database ensuring that role-appropriate access is granted for different classes of users of a Digital Imaging and Communications in Medicine (DICOM) archive regardless of the application used to access the archive Captured metadata can also be a valuable source of information about quality control and the audit measures needed to comply with regulations For example your applications can tag rejected images prompting later analysis and follow-up and they can collect proof of archival of imaging studies as mandated by regulations

IMPROVE DIGITAL IMAGING QUALITY AND ENHANCE PRODUCTIVITY Fujifilm is a full-service diagnostic imaging company with 40 years of expertise in the radiology market It developed Fujifilm Synapse Radiology as an integrated family of products that covers all areas of radiology from radiology inforshymation systems (RIS) and picture archiving and communication systems (PACS) to communicashytions and teleradiology Oracle Database is embedded in Synapse products delivering the power of two industry-leading technologies within a single license Fujifilm Synapse Radiology

t Provides secure access to RIS PACS mammography and cardiovascular images and data with a single sign-on from any internet-connected computer

t Reduces training costs and ensures rapid acceptance with a consistent Web-based interface for all users

t Improves diagnostic accuracy with multiple viewing options for patient images and data

t Scales to support imaging centers that run from 30000 to more than a million exams a year

t Supports the global HL7 data standard for integration with electronic health records

5

FACT 20 of the top 20 US health insurers run Oracle Applications

LOW IMPACT MIGRATIONS WITH ORACLE GOLDENGATE Cerner Corporation a leading worldwide supplier of healthcare information technology is taking the paper chart out of healthcare Cerner Millennium is a comprehenshysive solution suite that connects consumers clinicians and healthshycare organizations into a streamshylined unified processWhen Cerner planned a major upgrade in the application technology they develshyoped a best practice methodology The business goals were to

t Minimize application downtime

t Perform system migration with minimal infrastructure impact and ability to fall back if necessary

t Ensure application accuracy to support high-quality patient care

Cerner leveraged Oracle GoldenGate high-availability software with Cernerrsquos best practices approach As a result the actual ldquoplanned outagerdquo amounted to about 30 minutes with 90 minutes for testing data validation and start up with the new database The total downtime was two hoursmdash a significant improvement from previous practices which often took a weekend

Interoperate with Internal and External Systems

Developers of healthcare solutions face growing requirements to integrate data from various devices and multiple systems into electronic health records However these systems and devices often do not send data in a standard format or filter the enormous amounts of data they generate As the number of devices and applications on the market increases you need a scalable solution for device management and data integration

Service-Oriented Architectures and Web Services Increase Connections Oracle Fusion Middleware is a compelling offering for the healthcare industry Based on industry standards it helps you build and enhance services and it minimizes your development efforts by including healthcare standards such as DICOM and Health Level 7 (HL7) Supporting many hardware and software platformsmdashincluding Java 2 Platform Enterprise Edition application servers and directory servers as well as Microsoft IBM and SAP softwaremdashit lets you adopt a service-oriented architecture (SOA) in heterogeneous computing environments SOAs are based on loosely coupled services with interfaces that are independent of the implementation You can build use and reuse services according to changing business needs and easily integrate across dissimilar platforms

Oraclersquos comprehensive suite of SOA-enabled IT infrastructure applications boost interoperability by providing a complete solution for publishing consuming securing and managing Web services In addition these applications are supported with business process management tools you can use to develop deploy and manage integrated cross-organization processes as well as to orchestrate system services and workflows that facilitate a higher-quality unified delivery of healthcare services

Data Wherever and Whenever You Need It New mobile devices and wireless technologies are significantly changing the way healthcare is provided and how healthcare information is accessed Data can be captured remotely from a tablet PC used by a doctor during hospital rounds a laptop computer used by a nurse in a mobile clinic or directly from sensors worn by patients during their daily activities at home Equipment and applications that run Oracle embedded technology can securely transmit real-time data to both hospital and departmental information systems

To ensure that critical information is available with subsecond latency and 247 availability Oracle GoldenGate provides real-time change-data capture and delivery between heterogeneous systems with transactional integrity and minimal overhead on existing infrastructures

6

FACT More than 350 leading healthcare providers run Oracle Applications

This technology lets you build cost-effective and low-impact solutions for real-time business intelligence query offloading zero-downtime upgrades and migrations disaster recovery and high availability Your customers gain improved business insight lowered integration costs continuous system availability and increased data integrity and reliability with reduced risk

Interfaces between multiple systems provide more-reliable data because there is less risk at each step of entering incorrect patient information Additionally patient data can be tagged with a unique patient identifier that can be used to merge data from multiple healthcare providersmdasheven if they use different identification numbers within their own systems Interoperability also helps coordinate the workflow of a decentralized healthcare team leading to greater efficiencies and better quality of care Oracle technology solutions can provide an end-to-end infrastructure to manage devices throughout an applicationrsquos lifecycle letting clinicians access shared data wherever and whenever they need it

Pervasive Insight Improves Strategic Healthcare Initiatives In order to gain the greatest benefit from business intelligence (BI) healthcare organizations need BI products that inform all their processes financial clinical and operational Embedding Oracle technology solutions into your application lets you fast-track your development efforts by taking advantage of a highly scalable prebuilt BI foundation that can power both analysis tools and reporting applications Your BI solution can distill intelligence from multiple datasources to act as a shared data repository for your customersrsquo internal and external systems Insight is delivered across the enterprise using presentation methods that are easy to access and understand such as proactive detection and alerts dashboards and Web services

With the BI foundation your application delivers through embedded Oracle technology your customers gain a single standardized BI architecture that can manage and mashynipulate massive amounts of data and improve data quality They can develop strategic healthcare initiatives to cut administrative costs increase reimbursement rates identify fraudulent claims optimize their supply chain utilize cost-effective positive-outcome treatments and more When you deliver BI solutions that distribute high-quality real-time insight you let your customers make informed decisions when and where they have the greatest impact

ldquoWe chose Oracle as the embedded database technology in Fujifi lm Synapse PACS because of its robustness its reliability and its scalability Oracle offers fi ve-nines uptime which is essential for patient care systems in hospitals and trauma centers It was also the only commercial database capable of running multiple sites from one single instance supporting enormous volumes of remote users with no loss of performance and scaling seamlessly as our customersrsquo requirements growrdquo

Jim Morgan Executive Director of Marketing Network Systems Fujifi lm Medical Systems USA

7

FACT 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

Oracle Is Committed to Partner Success

Oracle embedded technology runs behind the scenes so the innovative capabilities you develop take center stage Oracle understands the challenges involved in incorporating embedded technology and offers technical assistance via support training and consulting during your development process After you deploy you can deliver superior service to your customers by being their primary point of contact while Oracle supports you with global 247 support in local languages The cost for this support will be far lower than maintaining your own homegrown solution You also benefit from Oraclersquos continued engineering investment in new product enhancements

Oracle has an ecosystem of more than 370000 customers and 30000 partnersmdash more than 3000 of these with a focus on Oracle embedded technology The Oracle PartnerNetwork offers a number of programs that can extend your marketing reach and help your business succeed Your marketing efforts can leverage the strength of the Oracle brand to increase confidence in your product giving you a competitive advantage Partnering with Oracle adds to your bottom line by integrating the power of Oracle techshynology marketing and sales helping you better meet the needs of your customers

Oraclersquos strategy for healthcare is to reduce the complexity of healthcare informatics ldquoOur efforts at IBIS to provide lower total cost of ownership and improve the scalability security and availability of

a comprehensive enterprise healthcare applications Oracle is committed to helping the healthcare industry leverage image data management information technology and deliver next-generation patient care with minimum costs solution have been greatly The bottom line Oracle embedded technology can help ISV and OEM partners that facilitated by the emergence target the healthcare industry decrease development time reduce integration costs of Oracle Database 11g increase quality minimize risk and speed time to market

This technology has enabled Gain a competitive edge by building your application on proven Oracle embedded

us to define a single secure technology Learn more about our products at oraclecomgotoembedded and about

stable scalable repository our partner program at oraclecompartnersenknowledge-zonedatabase021471htm for all DICOM data providing the future-proof platform on which the IBISimg repository is now built This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML XSL-based data extractionldquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

8

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

FACT 70 percent of the top multihospital systems in the US run Oracle technology

TOTAL HEALTHCARE INFORMATION MANAGEMENT A complete healthcare IT solution must address challenges conshycerns and requirements from a variety of sources With Oracle SecureCARE Oracle brings together its best-of-class applications into a total healthcare information management solution thatrsquos integrated innovative and built by a company that has provided leading-edge information manageshyment solutions for more than 30 years Oracle SecureCARE provides total healthcare solutions that let healthcare providers

tKeep data secure and private

tAccess and share information and knowledge

tGenerate reports and alerts

tCapture and maintain medical records at the point of care

tExchange comprehensive clinical information or records

By providing organizations with healthcare IT solutions that are comprehensive secure and cost-effective Oracle SecureCARE helps organizations improve the quality and effectiveness of their healthcare delivery systems reduce redundancies and provide better outcomes for their patients

Ensure Data Security and Integrity

Data safety and security are major concerns affecting the healthcare industry With Oracle embedded technology you can deliver security your customers can count on Data security is not just another line of business for Oraclemdashit is strategic to Oraclersquos entire product portfolio Oracle pioneered many of the database security technologies in widespread use today including network encryption row-level security and transparshyent data encryption Moreover Oracle databases have undergone the greatest number of internationally recognized security evaluations and have been expressly designed for embedded use ensuring overall system security

Guard Against Unauthorized Access Global directives typically call for separation of duties and other real-time preventive controls to ensure data integrity and patient-data privacy With Oracle Database Vault you can proactively safeguard application data stored in Oracle Database from being accessed by unauthorized users and even privileged database users Policies use built-in factors such as time of day IP address application name and authentication method to prevent application bypass and unauthorized ad hoc access

Oracle Database technologies also provide fine-grain access control and support the auditing querying and reporting of all metadata changes Oracle Audit Vault automates audit collection monitoring and reportingmdashturning audit data into a key security resource for detecting unauthorized activity Oracle Advanced Security and Oracle Label Security ensure that only properly authenticated users are allowed access to data designated as highly sensitive

Deliver Data Protection and High Availability You can help your customers reduce downtime and meet performance expectations by leveraging Oracle Database capabilities in your applications and devices Oracle Active Data Guard allows users to run real-time queries on a physical standby systemmdashdelivering faster business results and a greater optimization of resources By continuously mirroring production systems it also provides high availability and disaster protection against planned or unplanned outages

Oraclersquos unique grid computing technologies offer advanced levels of reliability and availability These technologies protect data and optimize performance by automatically mirroring and balancing data across all available storage devices Database maintenance and synchronization is coordinated across local and remote servers for rapid recovery from disaster or site failure

4

Make Regulatory Compliance Simply Part of the Process

Regulatory compliance is an important factor influencing the evolution of the healthcare technology market Audit and reporting requirements strain these organizations and require secure and solid data management With Oracle embedded technology you can provide best-of-breed solutions to address all regulatory compliance requirements while also delivering a high-performance scalable solution Compliance becomes nonintrusivemdash a natural outcome of the data management processmdashas Oracle technologies help ensure that your customers can control access to data audit changes safeguard security and retain and retrieve data as needed By using Oracle embedded technology in your hardshyware or software your customers can capture rich metadata as well as secure the data at its source

Oracle Advanced Security helps healthcare organizations comply with privacy and regushylatory mandates such as the Health Insurance Portability and Accountability Act as well as numerous security-breach-notification laws With Oracle Advanced Security you can transparently encrypt all application data or specific sensitive columns such as social security numbers and personally identifiable information By encrypting data in the datashybase as well as whenever it leaves the database over the network or during backups it provides the most cost-effective solution for comprehensive data protection

For added compliance support Oracle Total Recall allows you to essentially ldquorewindrdquo a databasemdashto take it back to before a change was made an error occurred or a transaction was completed This is helpful for auditing and compliance situations in which an organization needs to find out what a hacker or a DBA was doing at a certain time Using Oracle Total Recall you can very easily go back in timemdashsix months or a year or to whatever period you needmdashand track down exactly which changes were made to the database and who made them

Patient privacy regulations allow only certain classes of users to view image metadata that contains personally identifying information For example a clinician will need full access while a researcher should have only partial access to this metadata Oracle Database provides anonymity services directly in the database ensuring that role-appropriate access is granted for different classes of users of a Digital Imaging and Communications in Medicine (DICOM) archive regardless of the application used to access the archive Captured metadata can also be a valuable source of information about quality control and the audit measures needed to comply with regulations For example your applications can tag rejected images prompting later analysis and follow-up and they can collect proof of archival of imaging studies as mandated by regulations

IMPROVE DIGITAL IMAGING QUALITY AND ENHANCE PRODUCTIVITY Fujifilm is a full-service diagnostic imaging company with 40 years of expertise in the radiology market It developed Fujifilm Synapse Radiology as an integrated family of products that covers all areas of radiology from radiology inforshymation systems (RIS) and picture archiving and communication systems (PACS) to communicashytions and teleradiology Oracle Database is embedded in Synapse products delivering the power of two industry-leading technologies within a single license Fujifilm Synapse Radiology

t Provides secure access to RIS PACS mammography and cardiovascular images and data with a single sign-on from any internet-connected computer

t Reduces training costs and ensures rapid acceptance with a consistent Web-based interface for all users

t Improves diagnostic accuracy with multiple viewing options for patient images and data

t Scales to support imaging centers that run from 30000 to more than a million exams a year

t Supports the global HL7 data standard for integration with electronic health records

5

FACT 20 of the top 20 US health insurers run Oracle Applications

LOW IMPACT MIGRATIONS WITH ORACLE GOLDENGATE Cerner Corporation a leading worldwide supplier of healthcare information technology is taking the paper chart out of healthcare Cerner Millennium is a comprehenshysive solution suite that connects consumers clinicians and healthshycare organizations into a streamshylined unified processWhen Cerner planned a major upgrade in the application technology they develshyoped a best practice methodology The business goals were to

t Minimize application downtime

t Perform system migration with minimal infrastructure impact and ability to fall back if necessary

t Ensure application accuracy to support high-quality patient care

Cerner leveraged Oracle GoldenGate high-availability software with Cernerrsquos best practices approach As a result the actual ldquoplanned outagerdquo amounted to about 30 minutes with 90 minutes for testing data validation and start up with the new database The total downtime was two hoursmdash a significant improvement from previous practices which often took a weekend

Interoperate with Internal and External Systems

Developers of healthcare solutions face growing requirements to integrate data from various devices and multiple systems into electronic health records However these systems and devices often do not send data in a standard format or filter the enormous amounts of data they generate As the number of devices and applications on the market increases you need a scalable solution for device management and data integration

Service-Oriented Architectures and Web Services Increase Connections Oracle Fusion Middleware is a compelling offering for the healthcare industry Based on industry standards it helps you build and enhance services and it minimizes your development efforts by including healthcare standards such as DICOM and Health Level 7 (HL7) Supporting many hardware and software platformsmdashincluding Java 2 Platform Enterprise Edition application servers and directory servers as well as Microsoft IBM and SAP softwaremdashit lets you adopt a service-oriented architecture (SOA) in heterogeneous computing environments SOAs are based on loosely coupled services with interfaces that are independent of the implementation You can build use and reuse services according to changing business needs and easily integrate across dissimilar platforms

Oraclersquos comprehensive suite of SOA-enabled IT infrastructure applications boost interoperability by providing a complete solution for publishing consuming securing and managing Web services In addition these applications are supported with business process management tools you can use to develop deploy and manage integrated cross-organization processes as well as to orchestrate system services and workflows that facilitate a higher-quality unified delivery of healthcare services

Data Wherever and Whenever You Need It New mobile devices and wireless technologies are significantly changing the way healthcare is provided and how healthcare information is accessed Data can be captured remotely from a tablet PC used by a doctor during hospital rounds a laptop computer used by a nurse in a mobile clinic or directly from sensors worn by patients during their daily activities at home Equipment and applications that run Oracle embedded technology can securely transmit real-time data to both hospital and departmental information systems

To ensure that critical information is available with subsecond latency and 247 availability Oracle GoldenGate provides real-time change-data capture and delivery between heterogeneous systems with transactional integrity and minimal overhead on existing infrastructures

6

FACT More than 350 leading healthcare providers run Oracle Applications

This technology lets you build cost-effective and low-impact solutions for real-time business intelligence query offloading zero-downtime upgrades and migrations disaster recovery and high availability Your customers gain improved business insight lowered integration costs continuous system availability and increased data integrity and reliability with reduced risk

Interfaces between multiple systems provide more-reliable data because there is less risk at each step of entering incorrect patient information Additionally patient data can be tagged with a unique patient identifier that can be used to merge data from multiple healthcare providersmdasheven if they use different identification numbers within their own systems Interoperability also helps coordinate the workflow of a decentralized healthcare team leading to greater efficiencies and better quality of care Oracle technology solutions can provide an end-to-end infrastructure to manage devices throughout an applicationrsquos lifecycle letting clinicians access shared data wherever and whenever they need it

Pervasive Insight Improves Strategic Healthcare Initiatives In order to gain the greatest benefit from business intelligence (BI) healthcare organizations need BI products that inform all their processes financial clinical and operational Embedding Oracle technology solutions into your application lets you fast-track your development efforts by taking advantage of a highly scalable prebuilt BI foundation that can power both analysis tools and reporting applications Your BI solution can distill intelligence from multiple datasources to act as a shared data repository for your customersrsquo internal and external systems Insight is delivered across the enterprise using presentation methods that are easy to access and understand such as proactive detection and alerts dashboards and Web services

With the BI foundation your application delivers through embedded Oracle technology your customers gain a single standardized BI architecture that can manage and mashynipulate massive amounts of data and improve data quality They can develop strategic healthcare initiatives to cut administrative costs increase reimbursement rates identify fraudulent claims optimize their supply chain utilize cost-effective positive-outcome treatments and more When you deliver BI solutions that distribute high-quality real-time insight you let your customers make informed decisions when and where they have the greatest impact

ldquoWe chose Oracle as the embedded database technology in Fujifi lm Synapse PACS because of its robustness its reliability and its scalability Oracle offers fi ve-nines uptime which is essential for patient care systems in hospitals and trauma centers It was also the only commercial database capable of running multiple sites from one single instance supporting enormous volumes of remote users with no loss of performance and scaling seamlessly as our customersrsquo requirements growrdquo

Jim Morgan Executive Director of Marketing Network Systems Fujifi lm Medical Systems USA

7

FACT 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

Oracle Is Committed to Partner Success

Oracle embedded technology runs behind the scenes so the innovative capabilities you develop take center stage Oracle understands the challenges involved in incorporating embedded technology and offers technical assistance via support training and consulting during your development process After you deploy you can deliver superior service to your customers by being their primary point of contact while Oracle supports you with global 247 support in local languages The cost for this support will be far lower than maintaining your own homegrown solution You also benefit from Oraclersquos continued engineering investment in new product enhancements

Oracle has an ecosystem of more than 370000 customers and 30000 partnersmdash more than 3000 of these with a focus on Oracle embedded technology The Oracle PartnerNetwork offers a number of programs that can extend your marketing reach and help your business succeed Your marketing efforts can leverage the strength of the Oracle brand to increase confidence in your product giving you a competitive advantage Partnering with Oracle adds to your bottom line by integrating the power of Oracle techshynology marketing and sales helping you better meet the needs of your customers

Oraclersquos strategy for healthcare is to reduce the complexity of healthcare informatics ldquoOur efforts at IBIS to provide lower total cost of ownership and improve the scalability security and availability of

a comprehensive enterprise healthcare applications Oracle is committed to helping the healthcare industry leverage image data management information technology and deliver next-generation patient care with minimum costs solution have been greatly The bottom line Oracle embedded technology can help ISV and OEM partners that facilitated by the emergence target the healthcare industry decrease development time reduce integration costs of Oracle Database 11g increase quality minimize risk and speed time to market

This technology has enabled Gain a competitive edge by building your application on proven Oracle embedded

us to define a single secure technology Learn more about our products at oraclecomgotoembedded and about

stable scalable repository our partner program at oraclecompartnersenknowledge-zonedatabase021471htm for all DICOM data providing the future-proof platform on which the IBISimg repository is now built This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML XSL-based data extractionldquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

8

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

Make Regulatory Compliance Simply Part of the Process

Regulatory compliance is an important factor influencing the evolution of the healthcare technology market Audit and reporting requirements strain these organizations and require secure and solid data management With Oracle embedded technology you can provide best-of-breed solutions to address all regulatory compliance requirements while also delivering a high-performance scalable solution Compliance becomes nonintrusivemdash a natural outcome of the data management processmdashas Oracle technologies help ensure that your customers can control access to data audit changes safeguard security and retain and retrieve data as needed By using Oracle embedded technology in your hardshyware or software your customers can capture rich metadata as well as secure the data at its source

Oracle Advanced Security helps healthcare organizations comply with privacy and regushylatory mandates such as the Health Insurance Portability and Accountability Act as well as numerous security-breach-notification laws With Oracle Advanced Security you can transparently encrypt all application data or specific sensitive columns such as social security numbers and personally identifiable information By encrypting data in the datashybase as well as whenever it leaves the database over the network or during backups it provides the most cost-effective solution for comprehensive data protection

For added compliance support Oracle Total Recall allows you to essentially ldquorewindrdquo a databasemdashto take it back to before a change was made an error occurred or a transaction was completed This is helpful for auditing and compliance situations in which an organization needs to find out what a hacker or a DBA was doing at a certain time Using Oracle Total Recall you can very easily go back in timemdashsix months or a year or to whatever period you needmdashand track down exactly which changes were made to the database and who made them

Patient privacy regulations allow only certain classes of users to view image metadata that contains personally identifying information For example a clinician will need full access while a researcher should have only partial access to this metadata Oracle Database provides anonymity services directly in the database ensuring that role-appropriate access is granted for different classes of users of a Digital Imaging and Communications in Medicine (DICOM) archive regardless of the application used to access the archive Captured metadata can also be a valuable source of information about quality control and the audit measures needed to comply with regulations For example your applications can tag rejected images prompting later analysis and follow-up and they can collect proof of archival of imaging studies as mandated by regulations

IMPROVE DIGITAL IMAGING QUALITY AND ENHANCE PRODUCTIVITY Fujifilm is a full-service diagnostic imaging company with 40 years of expertise in the radiology market It developed Fujifilm Synapse Radiology as an integrated family of products that covers all areas of radiology from radiology inforshymation systems (RIS) and picture archiving and communication systems (PACS) to communicashytions and teleradiology Oracle Database is embedded in Synapse products delivering the power of two industry-leading technologies within a single license Fujifilm Synapse Radiology

t Provides secure access to RIS PACS mammography and cardiovascular images and data with a single sign-on from any internet-connected computer

t Reduces training costs and ensures rapid acceptance with a consistent Web-based interface for all users

t Improves diagnostic accuracy with multiple viewing options for patient images and data

t Scales to support imaging centers that run from 30000 to more than a million exams a year

t Supports the global HL7 data standard for integration with electronic health records

5

FACT 20 of the top 20 US health insurers run Oracle Applications

LOW IMPACT MIGRATIONS WITH ORACLE GOLDENGATE Cerner Corporation a leading worldwide supplier of healthcare information technology is taking the paper chart out of healthcare Cerner Millennium is a comprehenshysive solution suite that connects consumers clinicians and healthshycare organizations into a streamshylined unified processWhen Cerner planned a major upgrade in the application technology they develshyoped a best practice methodology The business goals were to

t Minimize application downtime

t Perform system migration with minimal infrastructure impact and ability to fall back if necessary

t Ensure application accuracy to support high-quality patient care

Cerner leveraged Oracle GoldenGate high-availability software with Cernerrsquos best practices approach As a result the actual ldquoplanned outagerdquo amounted to about 30 minutes with 90 minutes for testing data validation and start up with the new database The total downtime was two hoursmdash a significant improvement from previous practices which often took a weekend

Interoperate with Internal and External Systems

Developers of healthcare solutions face growing requirements to integrate data from various devices and multiple systems into electronic health records However these systems and devices often do not send data in a standard format or filter the enormous amounts of data they generate As the number of devices and applications on the market increases you need a scalable solution for device management and data integration

Service-Oriented Architectures and Web Services Increase Connections Oracle Fusion Middleware is a compelling offering for the healthcare industry Based on industry standards it helps you build and enhance services and it minimizes your development efforts by including healthcare standards such as DICOM and Health Level 7 (HL7) Supporting many hardware and software platformsmdashincluding Java 2 Platform Enterprise Edition application servers and directory servers as well as Microsoft IBM and SAP softwaremdashit lets you adopt a service-oriented architecture (SOA) in heterogeneous computing environments SOAs are based on loosely coupled services with interfaces that are independent of the implementation You can build use and reuse services according to changing business needs and easily integrate across dissimilar platforms

Oraclersquos comprehensive suite of SOA-enabled IT infrastructure applications boost interoperability by providing a complete solution for publishing consuming securing and managing Web services In addition these applications are supported with business process management tools you can use to develop deploy and manage integrated cross-organization processes as well as to orchestrate system services and workflows that facilitate a higher-quality unified delivery of healthcare services

Data Wherever and Whenever You Need It New mobile devices and wireless technologies are significantly changing the way healthcare is provided and how healthcare information is accessed Data can be captured remotely from a tablet PC used by a doctor during hospital rounds a laptop computer used by a nurse in a mobile clinic or directly from sensors worn by patients during their daily activities at home Equipment and applications that run Oracle embedded technology can securely transmit real-time data to both hospital and departmental information systems

To ensure that critical information is available with subsecond latency and 247 availability Oracle GoldenGate provides real-time change-data capture and delivery between heterogeneous systems with transactional integrity and minimal overhead on existing infrastructures

6

FACT More than 350 leading healthcare providers run Oracle Applications

This technology lets you build cost-effective and low-impact solutions for real-time business intelligence query offloading zero-downtime upgrades and migrations disaster recovery and high availability Your customers gain improved business insight lowered integration costs continuous system availability and increased data integrity and reliability with reduced risk

Interfaces between multiple systems provide more-reliable data because there is less risk at each step of entering incorrect patient information Additionally patient data can be tagged with a unique patient identifier that can be used to merge data from multiple healthcare providersmdasheven if they use different identification numbers within their own systems Interoperability also helps coordinate the workflow of a decentralized healthcare team leading to greater efficiencies and better quality of care Oracle technology solutions can provide an end-to-end infrastructure to manage devices throughout an applicationrsquos lifecycle letting clinicians access shared data wherever and whenever they need it

Pervasive Insight Improves Strategic Healthcare Initiatives In order to gain the greatest benefit from business intelligence (BI) healthcare organizations need BI products that inform all their processes financial clinical and operational Embedding Oracle technology solutions into your application lets you fast-track your development efforts by taking advantage of a highly scalable prebuilt BI foundation that can power both analysis tools and reporting applications Your BI solution can distill intelligence from multiple datasources to act as a shared data repository for your customersrsquo internal and external systems Insight is delivered across the enterprise using presentation methods that are easy to access and understand such as proactive detection and alerts dashboards and Web services

With the BI foundation your application delivers through embedded Oracle technology your customers gain a single standardized BI architecture that can manage and mashynipulate massive amounts of data and improve data quality They can develop strategic healthcare initiatives to cut administrative costs increase reimbursement rates identify fraudulent claims optimize their supply chain utilize cost-effective positive-outcome treatments and more When you deliver BI solutions that distribute high-quality real-time insight you let your customers make informed decisions when and where they have the greatest impact

ldquoWe chose Oracle as the embedded database technology in Fujifi lm Synapse PACS because of its robustness its reliability and its scalability Oracle offers fi ve-nines uptime which is essential for patient care systems in hospitals and trauma centers It was also the only commercial database capable of running multiple sites from one single instance supporting enormous volumes of remote users with no loss of performance and scaling seamlessly as our customersrsquo requirements growrdquo

Jim Morgan Executive Director of Marketing Network Systems Fujifi lm Medical Systems USA

7

FACT 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

Oracle Is Committed to Partner Success

Oracle embedded technology runs behind the scenes so the innovative capabilities you develop take center stage Oracle understands the challenges involved in incorporating embedded technology and offers technical assistance via support training and consulting during your development process After you deploy you can deliver superior service to your customers by being their primary point of contact while Oracle supports you with global 247 support in local languages The cost for this support will be far lower than maintaining your own homegrown solution You also benefit from Oraclersquos continued engineering investment in new product enhancements

Oracle has an ecosystem of more than 370000 customers and 30000 partnersmdash more than 3000 of these with a focus on Oracle embedded technology The Oracle PartnerNetwork offers a number of programs that can extend your marketing reach and help your business succeed Your marketing efforts can leverage the strength of the Oracle brand to increase confidence in your product giving you a competitive advantage Partnering with Oracle adds to your bottom line by integrating the power of Oracle techshynology marketing and sales helping you better meet the needs of your customers

Oraclersquos strategy for healthcare is to reduce the complexity of healthcare informatics ldquoOur efforts at IBIS to provide lower total cost of ownership and improve the scalability security and availability of

a comprehensive enterprise healthcare applications Oracle is committed to helping the healthcare industry leverage image data management information technology and deliver next-generation patient care with minimum costs solution have been greatly The bottom line Oracle embedded technology can help ISV and OEM partners that facilitated by the emergence target the healthcare industry decrease development time reduce integration costs of Oracle Database 11g increase quality minimize risk and speed time to market

This technology has enabled Gain a competitive edge by building your application on proven Oracle embedded

us to define a single secure technology Learn more about our products at oraclecomgotoembedded and about

stable scalable repository our partner program at oraclecompartnersenknowledge-zonedatabase021471htm for all DICOM data providing the future-proof platform on which the IBISimg repository is now built This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML XSL-based data extractionldquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

8

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

FACT 20 of the top 20 US health insurers run Oracle Applications

LOW IMPACT MIGRATIONS WITH ORACLE GOLDENGATE Cerner Corporation a leading worldwide supplier of healthcare information technology is taking the paper chart out of healthcare Cerner Millennium is a comprehenshysive solution suite that connects consumers clinicians and healthshycare organizations into a streamshylined unified processWhen Cerner planned a major upgrade in the application technology they develshyoped a best practice methodology The business goals were to

t Minimize application downtime

t Perform system migration with minimal infrastructure impact and ability to fall back if necessary

t Ensure application accuracy to support high-quality patient care

Cerner leveraged Oracle GoldenGate high-availability software with Cernerrsquos best practices approach As a result the actual ldquoplanned outagerdquo amounted to about 30 minutes with 90 minutes for testing data validation and start up with the new database The total downtime was two hoursmdash a significant improvement from previous practices which often took a weekend

Interoperate with Internal and External Systems

Developers of healthcare solutions face growing requirements to integrate data from various devices and multiple systems into electronic health records However these systems and devices often do not send data in a standard format or filter the enormous amounts of data they generate As the number of devices and applications on the market increases you need a scalable solution for device management and data integration

Service-Oriented Architectures and Web Services Increase Connections Oracle Fusion Middleware is a compelling offering for the healthcare industry Based on industry standards it helps you build and enhance services and it minimizes your development efforts by including healthcare standards such as DICOM and Health Level 7 (HL7) Supporting many hardware and software platformsmdashincluding Java 2 Platform Enterprise Edition application servers and directory servers as well as Microsoft IBM and SAP softwaremdashit lets you adopt a service-oriented architecture (SOA) in heterogeneous computing environments SOAs are based on loosely coupled services with interfaces that are independent of the implementation You can build use and reuse services according to changing business needs and easily integrate across dissimilar platforms

Oraclersquos comprehensive suite of SOA-enabled IT infrastructure applications boost interoperability by providing a complete solution for publishing consuming securing and managing Web services In addition these applications are supported with business process management tools you can use to develop deploy and manage integrated cross-organization processes as well as to orchestrate system services and workflows that facilitate a higher-quality unified delivery of healthcare services

Data Wherever and Whenever You Need It New mobile devices and wireless technologies are significantly changing the way healthcare is provided and how healthcare information is accessed Data can be captured remotely from a tablet PC used by a doctor during hospital rounds a laptop computer used by a nurse in a mobile clinic or directly from sensors worn by patients during their daily activities at home Equipment and applications that run Oracle embedded technology can securely transmit real-time data to both hospital and departmental information systems

To ensure that critical information is available with subsecond latency and 247 availability Oracle GoldenGate provides real-time change-data capture and delivery between heterogeneous systems with transactional integrity and minimal overhead on existing infrastructures

6

FACT More than 350 leading healthcare providers run Oracle Applications

This technology lets you build cost-effective and low-impact solutions for real-time business intelligence query offloading zero-downtime upgrades and migrations disaster recovery and high availability Your customers gain improved business insight lowered integration costs continuous system availability and increased data integrity and reliability with reduced risk

Interfaces between multiple systems provide more-reliable data because there is less risk at each step of entering incorrect patient information Additionally patient data can be tagged with a unique patient identifier that can be used to merge data from multiple healthcare providersmdasheven if they use different identification numbers within their own systems Interoperability also helps coordinate the workflow of a decentralized healthcare team leading to greater efficiencies and better quality of care Oracle technology solutions can provide an end-to-end infrastructure to manage devices throughout an applicationrsquos lifecycle letting clinicians access shared data wherever and whenever they need it

Pervasive Insight Improves Strategic Healthcare Initiatives In order to gain the greatest benefit from business intelligence (BI) healthcare organizations need BI products that inform all their processes financial clinical and operational Embedding Oracle technology solutions into your application lets you fast-track your development efforts by taking advantage of a highly scalable prebuilt BI foundation that can power both analysis tools and reporting applications Your BI solution can distill intelligence from multiple datasources to act as a shared data repository for your customersrsquo internal and external systems Insight is delivered across the enterprise using presentation methods that are easy to access and understand such as proactive detection and alerts dashboards and Web services

With the BI foundation your application delivers through embedded Oracle technology your customers gain a single standardized BI architecture that can manage and mashynipulate massive amounts of data and improve data quality They can develop strategic healthcare initiatives to cut administrative costs increase reimbursement rates identify fraudulent claims optimize their supply chain utilize cost-effective positive-outcome treatments and more When you deliver BI solutions that distribute high-quality real-time insight you let your customers make informed decisions when and where they have the greatest impact

ldquoWe chose Oracle as the embedded database technology in Fujifi lm Synapse PACS because of its robustness its reliability and its scalability Oracle offers fi ve-nines uptime which is essential for patient care systems in hospitals and trauma centers It was also the only commercial database capable of running multiple sites from one single instance supporting enormous volumes of remote users with no loss of performance and scaling seamlessly as our customersrsquo requirements growrdquo

Jim Morgan Executive Director of Marketing Network Systems Fujifi lm Medical Systems USA

7

FACT 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

Oracle Is Committed to Partner Success

Oracle embedded technology runs behind the scenes so the innovative capabilities you develop take center stage Oracle understands the challenges involved in incorporating embedded technology and offers technical assistance via support training and consulting during your development process After you deploy you can deliver superior service to your customers by being their primary point of contact while Oracle supports you with global 247 support in local languages The cost for this support will be far lower than maintaining your own homegrown solution You also benefit from Oraclersquos continued engineering investment in new product enhancements

Oracle has an ecosystem of more than 370000 customers and 30000 partnersmdash more than 3000 of these with a focus on Oracle embedded technology The Oracle PartnerNetwork offers a number of programs that can extend your marketing reach and help your business succeed Your marketing efforts can leverage the strength of the Oracle brand to increase confidence in your product giving you a competitive advantage Partnering with Oracle adds to your bottom line by integrating the power of Oracle techshynology marketing and sales helping you better meet the needs of your customers

Oraclersquos strategy for healthcare is to reduce the complexity of healthcare informatics ldquoOur efforts at IBIS to provide lower total cost of ownership and improve the scalability security and availability of

a comprehensive enterprise healthcare applications Oracle is committed to helping the healthcare industry leverage image data management information technology and deliver next-generation patient care with minimum costs solution have been greatly The bottom line Oracle embedded technology can help ISV and OEM partners that facilitated by the emergence target the healthcare industry decrease development time reduce integration costs of Oracle Database 11g increase quality minimize risk and speed time to market

This technology has enabled Gain a competitive edge by building your application on proven Oracle embedded

us to define a single secure technology Learn more about our products at oraclecomgotoembedded and about

stable scalable repository our partner program at oraclecompartnersenknowledge-zonedatabase021471htm for all DICOM data providing the future-proof platform on which the IBISimg repository is now built This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML XSL-based data extractionldquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

8

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

FACT More than 350 leading healthcare providers run Oracle Applications

This technology lets you build cost-effective and low-impact solutions for real-time business intelligence query offloading zero-downtime upgrades and migrations disaster recovery and high availability Your customers gain improved business insight lowered integration costs continuous system availability and increased data integrity and reliability with reduced risk

Interfaces between multiple systems provide more-reliable data because there is less risk at each step of entering incorrect patient information Additionally patient data can be tagged with a unique patient identifier that can be used to merge data from multiple healthcare providersmdasheven if they use different identification numbers within their own systems Interoperability also helps coordinate the workflow of a decentralized healthcare team leading to greater efficiencies and better quality of care Oracle technology solutions can provide an end-to-end infrastructure to manage devices throughout an applicationrsquos lifecycle letting clinicians access shared data wherever and whenever they need it

Pervasive Insight Improves Strategic Healthcare Initiatives In order to gain the greatest benefit from business intelligence (BI) healthcare organizations need BI products that inform all their processes financial clinical and operational Embedding Oracle technology solutions into your application lets you fast-track your development efforts by taking advantage of a highly scalable prebuilt BI foundation that can power both analysis tools and reporting applications Your BI solution can distill intelligence from multiple datasources to act as a shared data repository for your customersrsquo internal and external systems Insight is delivered across the enterprise using presentation methods that are easy to access and understand such as proactive detection and alerts dashboards and Web services

With the BI foundation your application delivers through embedded Oracle technology your customers gain a single standardized BI architecture that can manage and mashynipulate massive amounts of data and improve data quality They can develop strategic healthcare initiatives to cut administrative costs increase reimbursement rates identify fraudulent claims optimize their supply chain utilize cost-effective positive-outcome treatments and more When you deliver BI solutions that distribute high-quality real-time insight you let your customers make informed decisions when and where they have the greatest impact

ldquoWe chose Oracle as the embedded database technology in Fujifi lm Synapse PACS because of its robustness its reliability and its scalability Oracle offers fi ve-nines uptime which is essential for patient care systems in hospitals and trauma centers It was also the only commercial database capable of running multiple sites from one single instance supporting enormous volumes of remote users with no loss of performance and scaling seamlessly as our customersrsquo requirements growrdquo

Jim Morgan Executive Director of Marketing Network Systems Fujifi lm Medical Systems USA

7

FACT 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

Oracle Is Committed to Partner Success

Oracle embedded technology runs behind the scenes so the innovative capabilities you develop take center stage Oracle understands the challenges involved in incorporating embedded technology and offers technical assistance via support training and consulting during your development process After you deploy you can deliver superior service to your customers by being their primary point of contact while Oracle supports you with global 247 support in local languages The cost for this support will be far lower than maintaining your own homegrown solution You also benefit from Oraclersquos continued engineering investment in new product enhancements

Oracle has an ecosystem of more than 370000 customers and 30000 partnersmdash more than 3000 of these with a focus on Oracle embedded technology The Oracle PartnerNetwork offers a number of programs that can extend your marketing reach and help your business succeed Your marketing efforts can leverage the strength of the Oracle brand to increase confidence in your product giving you a competitive advantage Partnering with Oracle adds to your bottom line by integrating the power of Oracle techshynology marketing and sales helping you better meet the needs of your customers

Oraclersquos strategy for healthcare is to reduce the complexity of healthcare informatics ldquoOur efforts at IBIS to provide lower total cost of ownership and improve the scalability security and availability of

a comprehensive enterprise healthcare applications Oracle is committed to helping the healthcare industry leverage image data management information technology and deliver next-generation patient care with minimum costs solution have been greatly The bottom line Oracle embedded technology can help ISV and OEM partners that facilitated by the emergence target the healthcare industry decrease development time reduce integration costs of Oracle Database 11g increase quality minimize risk and speed time to market

This technology has enabled Gain a competitive edge by building your application on proven Oracle embedded

us to define a single secure technology Learn more about our products at oraclecomgotoembedded and about

stable scalable repository our partner program at oraclecompartnersenknowledge-zonedatabase021471htm for all DICOM data providing the future-proof platform on which the IBISimg repository is now built This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML XSL-based data extractionldquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

8

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

FACT 10 of the top 12 Fortune Global 500 healthcare organizations run Oracle Applications

Oracle Is Committed to Partner Success

Oracle embedded technology runs behind the scenes so the innovative capabilities you develop take center stage Oracle understands the challenges involved in incorporating embedded technology and offers technical assistance via support training and consulting during your development process After you deploy you can deliver superior service to your customers by being their primary point of contact while Oracle supports you with global 247 support in local languages The cost for this support will be far lower than maintaining your own homegrown solution You also benefit from Oraclersquos continued engineering investment in new product enhancements

Oracle has an ecosystem of more than 370000 customers and 30000 partnersmdash more than 3000 of these with a focus on Oracle embedded technology The Oracle PartnerNetwork offers a number of programs that can extend your marketing reach and help your business succeed Your marketing efforts can leverage the strength of the Oracle brand to increase confidence in your product giving you a competitive advantage Partnering with Oracle adds to your bottom line by integrating the power of Oracle techshynology marketing and sales helping you better meet the needs of your customers

Oraclersquos strategy for healthcare is to reduce the complexity of healthcare informatics ldquoOur efforts at IBIS to provide lower total cost of ownership and improve the scalability security and availability of

a comprehensive enterprise healthcare applications Oracle is committed to helping the healthcare industry leverage image data management information technology and deliver next-generation patient care with minimum costs solution have been greatly The bottom line Oracle embedded technology can help ISV and OEM partners that facilitated by the emergence target the healthcare industry decrease development time reduce integration costs of Oracle Database 11g increase quality minimize risk and speed time to market

This technology has enabled Gain a competitive edge by building your application on proven Oracle embedded

us to define a single secure technology Learn more about our products at oraclecomgotoembedded and about

stable scalable repository our partner program at oraclecompartnersenknowledge-zonedatabase021471htm for all DICOM data providing the future-proof platform on which the IBISimg repository is now built This technology has also enriched our data quality and validation processes and provides extensive data mining options using XML XSL-based data extractionldquo

Tony OrsquoSullivan VP Operations Impact Business Information Solutions (IBIS)

8

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

CONTACT US

For more information on how your organization can benefit from Oracle embedded technology please e-mail healthcareembedded_usoraclecom or call +1800ORACLE1 to speak to an Oracle representative

OUTSIDE NORTH AMERICA

Visit oraclecomcorporatecontactglobalhtml to find the phone number for your local Oracle office

Oracle Corporation WORLDWIDE HEADQUARTERS 500 Oracle Parkway Redwood Shores CA 94065 USA

WORLDWIDE INQUIRIES Phone +16505067000 +1800ORACLE1

Fax +16505067200

oraclecom

Copyright copy 2010 Oracle andor its affiliates All rights reserved Published in the USA This document is provided for information purposes only and the contents hereof are subject to change without notice This document is not warranted to be error-free nor subject to any other warranties or conditions whether expressed orally or implied in law including implied warranties and conditions of merchantability or fitness for a particular purpose We specifically disclaim any liability with respect to this document and no contractual obligations are formed either directly or indirectly by this document This document may not be reproduced or transmitted in any form or by any means electronic or mechanical for any purpose without our prior written permission

Oracle and Java are registered trademarks of Oracle andor its affiliates Other names may be trademarks of their respective owners

AMD Opteron the AMD logo and the AMD Opteron logo are trademarks or registered trademarks of Advanced Micro Devices Intel and IntelXeon are trademarks or registered trademarks of Intel Corporation All SPARC trademarks are used under license and are trademarks or registered trademarks of SPARC International Inc UNIX is a registered trademark licensed through XOpen Company Ltd

09031344 | C16959