ZeeroMed Product Portfolio

High Speed Imaging Solutions

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Imaging without barriers

The ZeeroMed product portfolio is an innovative and technologically advanced
platform for the management of medical imaging, designed with the goal to
significantly reduce the cost of ownership, maximize gradual scalability and improve
clinical efficiency.

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9 Core Solutions
10 ZeeroMed.VIEW
14 ZeeroMed.STORE
16 ZeeroMed.RIS
21 Special Cases Solutions
23 Standalone edition
29 Tele consulting
33 Mini PACS
35 Patient Portal
39 Enterprise Wide Solutions
41 Cloud Solutions
45 Regional Integration Solutions
47 Support

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Core Solutions

The ZeeroMed Core applications do target the radiology department’s need; the top
systems are offered to pursue a smart digitalization and an increase in the
department’s efficiency.

Special Cases Solutions

The strong scalability of the ZeeroMed Portfolio allows the Hospital team to find a
modular solution for special needs, offering a ready-to-use option when fixed legacy
systems are currently present.

Enterprise Wide Solutions

The adaptability and customization of the ZeeroMed systems represent the
successful integration keys for multiple hospitals willing to consolidate the imaging
management, and for the development of regional healthcare networks.

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Core Solutions

ZeeroMed Core Solutions is an innovative and technologically advanced platform
for the management of medical imaging, designed with the goal to significantly
reduce the cost of ownership, maximize gradual scalability and improve clinical
efficiency; it provides a unique set of PACS, VNA, RIS, universal workstations and
advanced post-processing workstation.
ZeeroMed Core Solutions turns classic-minded views into long-term transparent
strategies, by enabling mindful IT integration and satisfied clinical teams.

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Workstation solution: ZeeroMed.View

ZeeroMed View is the Universal workstation that simplifies the access to clinical
imaging, offering connections to the ZeeroMed Store and to third party PACS
systems.
The immediate access to the patient’s history, the performing comparison with
previous examinations, modality-based 2D tools, different Oblique MIP/MPR views
and 3D volume reconstructions, allow the users to efficiently report every day’s
cases with only few clicks.
Everything through the browser, no client installation is needed.

The innovative browser-based architecture, purely and solely implemented via
HTML5, enables hospitals to access today the architecture of tomorrow.

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ZeeroMed.view.yourhospitaldomain.com

ACCESSIBLE EVERYWHERE SUPER FAST VIEW NO INSTALLATION

Access ZeeroMed.VIEW from Innovative algorithms give us a Pick one: Chrome, Safari,
every PC in the hospital stunning and immediate Internet Explorer 11. That’s all
visualization you need.

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Workstation solution: ZeeroMed.View

ZeeroMed View is the Universal workstation that simplifies the access to clinical imaging.

Full client Browser access

▪ Supports up to three monitors ▪ Supports up to two monitors

▪ One for the RIS, two for .View up to 5MP ▪ One for the RIS, one for .View, up to any resolution

▪ One for the RIS, one for .View up to 10MP ▪ Diagnostic quality, CE mark IIa
▪ Advanced hanging protocols
▪ Diagnostic quality, CE mark IIa ▪ Advanced mammography current-priors hanging protocols
▪ Advanced multi monitor hanging protocols ▪ Support for tomosynthesis mammography
▪ Advanced mammography current-priors hanging protocols ▪ Diagnostic measurements tools
▪ Support for tomosynthesis mammography ▪ Instant access to prior exams
▪ Diagnostic measurements tools ▪ 3D tools: MPR, Oblique MPR, MIP, Volume rendering, cut
▪ Instant access to prior exams ▪ Streaming technology
▪ 3D tools: MPR, Oblique MPR, MIP, Volume rendering, cut

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Archive solution: ZeeroMed.Store

The most important aspect of any IT archive is the standard of the storage process:
by the transparent implementation of DICOM, HL7 and IHE, ZeeroMed Store, the
PACS & VNA solution, ensures the hospital with complete ownership of its data and
full access to data storage. Future migrations won’t be vendor locked, as they will
be easy, cheaper and time-saving.
ZeeroMed Store proposes multi tiers registries and repositories by implementing
the XDS and XDS-i connectors; non-Dicom objects can be imported, merged with
patient’s data and registered in the VNA.
Whether the project is a small point of care, a multidisciplinary hospital, or an
integrated regional network, ZeeroMed Store provides a solution for every scenario,
preparing the architecture for future developments, providing integration for each
department and ensuring true future scalability.

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O3 systems .VIEW HTML5 Hospital wide access
Solution
.STORE (front-end Exams visualization
Solution creation component)
(communication and Reports integration
integration interfaces)
Hospital & regional
DICOM HL7 DB Security & users access
FS I/O WADO XDS LDAP Auth.
DB conn. Tablet & mobile
Current systems support

HIS / Zero footprint
solution
RIS PACS EHR /
Patient Ease of integration

portal

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RIS solution: ZeeroMed.RIS

ZeeroMed RIS is an innovative HTML5 Radiology Information System designed to
address the operational and financial needs of today’s healthcare systems. The
native integration with ZeeroMed Store ensures an efficient and complete patient-
centric management of the clinical workflows.
A comprehensive set of features allow the user to follow completely the clinical
path, from the patient’s record to the invoice registration; the advanced scheduling
engine improves the department performances by boosting the resource usage.
Data analytics is provided to track departmental, personnel and device productivity,
offering standard or customized KPIs with custom reports.
ZeeroMed RIS includes a secure Patient Portal for the digital distribution of reports
and images to the Patients, protecting privacy with a 2-factor authentication.

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▪ Pure web based and zero footprint, no plugins installation needed;
▪ Smart booking;
▪ Worklist management;
▪ Exam tracking and alerts;
▪ Doc management;
▪ Digital and grapho-metric signature on reports;
▪ Structured reporting with key images and measures;
▪ Integration with CD/DVD burners for patient CD;
▪ Strong statistics engine;

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Financial Benefits For the Managers For the IT Admins

▪ The solution is fairly priced and its ▪ Better outcomes, more fair and ▪ Simplified operations: updates and
gradual scalability makes it cost-effective pricing maintenance performed just on a
accessible to healthcare providers single point
of every size; ▪ Dramatic decrease in the total cost
of capital, by ensuring reuse of ▪ No need of installing software on
▪ The different license models, investments each client
ranging from the classical
installation to the pay-per-use, allow ▪ Quicker implementation and start-up ▪ Truly scalable infrastructure, with
the hospital to choose the financial ▪ Transparent storage for easy future reuse of previous investments
approach which better fits at the
time being; migrations ▪ Easier integration with current
▪ Significant financial savings by software systems
▪ The reporting through browsers
allows the hospital to cut down the integration capabilities ▪ Improved user’s satisfaction
hardware requirements of the
workstations, keeping valid the need
for radiological monitors;

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For the Radiologists For the referring physicians For the patients

▪ Ability to perform reading and ▪ Ability to perform reading and ▪ No more CDs, films or papers to
reporting of exams from everywhere reporting of exams from everywhere bring around

▪ Stunning opening speed ▪ Stunning opening speed ▪ Instant access to the personal
▪ Zero-footprint, no need of ▪ Zero-footprint, no need of imaging record

software/plugins installation software/plugins installation ▪ No installations needed, access is
▪ Instant comparison of priors ▪ Instant comparison of priors done just through a browser
▪ A more complete view of the ▪ A more complete view of the
▪ Increased engagement with the
patient’s medical history, with patient’s medical history, with hospital
support for multi-modal cases support for multi-modal cases
▪ Richer multimedia reporting ▪ Richer multimedia reporting
▪ Dramatic increase of productivity ▪ Dramatic increase of productivity

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Special cases solutions

The ZeeroMed Portfolio helps Hospital’s IT teams to find solution to those scenarios
where legacy software are currently in place but still need integration, innovation or
workflow fixes.
With the high scalability of the ZeeroMed systems, the ZeeroMed software can
integrate different systems, can be placed on their side to start a gradual migration,
or can replace part of the workflow to ensure a complete information efficiency.

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ZeeroMed.View – standalone edition

Very often PACS archives are already present, and bound by agreements; at the
same time the offered workstations are limited in number or license, and their
technology might be outdated.
This is the scenario where ZeeroMed.View standalone edition can kick in: it can get
connected to a single or multiple PACS systems via Dicom standard, and offer a
single or multiple concurrent accesses to the users of the hospital.
The introduction of ZeeroMed.View will allow the users to enjoy the great benefits of
a new technological architecture; the HTML5 technology will enable the simple
access through web browser, both within the network, and both outside of the
hospital boundaries.

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Core features CT features Mammo features

▪ General image processing tools ▪ Series synchronization ▪ Advanced hanging protocol
▪ Advanced exam comparison ▪ MPR management
▪ Patient history access
▪ Measurement & text annotaitons: ▪ MPR / Oblique MPR / MIP / ▪ At user level, role level and hospital
Average / MinIP algorithms level
ROI, lines, angles, poly-lines
▪ Local export: Single images, whole ▪ Centered plane exploration ▪ Loading and automatic display of
▪ Automatic follow view previous exams
study; Jpeg / Dicom / Dicom ▪ View inversion and roll
anonym. ▪ Instant interaction with following
▪ Exam move to 3rd party workstation ▪ Volume rendering protocols
▪ Patient CD import / export
▪ Print: local printer or film printer ▪ General transfer functions ▪ Automatic breast fit
▪ Text report creation, with ▪ Volume boundaries ▪ Tomosynthesis view
customizable template ▪ Volume scissors ▪ Magnification lens
▪ Camera controls ▪ Multiple monitor support
▪ Export of current view ▪ High resolution (5Mpx support)
▪ Burn CD via Burner Robot
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ECG Tracks Hemodynamic features Surgery & endo. features

▪ Real data visualization ▪ Realtime cine-loop ▪ Support for multiple video formats
▪ Layout management ▪ Video processing tools
▪ Track reorganization ▪ Customized rate
▪ Measurements ▪ Exam-specified rate ▪ Video cut

▪ Amplitude ▪ Realtime image processing ▪ Video resize

▪ Time ▪ Window-level ▪ Snapshot
▪ Zoom
▪ BPM ▪ Pan ▪ Time-stamped snapshots

▪ Amplitude change ▪ Multiple videos start ▪ Forward of data to long-term
▪ Filters ▪ Exam export archives
▪ Print ▪ Anatomic atlas for pathology
▪ Multimedia reporting
locations ▪ Video export

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Integration to the Dicom Archives

ZeeroMed.View has been developed following the clear definitions of the Dicom
standard and of the IHE guidelines.
The most common integration comes from the direct Dicom connection to the PACS
archive; multiple archive connections can be offered to the user, especially when
the hospital already has implemented different non integrated archives, or when a
network of hospitals is present.
When set to the “standalone mode”, the workstation will store temporarily the
exams requested by the users, and clear them periodically.
ZeeroMed.View has been developed to be finely tuned and to offer a distribution
access to the different departments, configured with fewer tools and with a smaller
hardware imprint.

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User interface In time

The same experience is Light-speed access
provider across different to images, also from
extra networks
devices
Quick consults
Diagnostic quality
Fast consults, fast
Images have the best interaction, fast
quality; attach a medical results

monitor for the top Low bandwidth
experience
Optimized for slow
That’s all you need networks: 3G over
mobile is perfect
No further installations
or updates. It’s ready! 27

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Tele consulting

ZeeroMED.View is the diagnostic workstation that connects physicians for the
delivering the best consulting performance.
Everywhere. Immediately. In real time.
ZeeroMed View offers to radiologists the instant way to share patient images,
perform remote diagnosis and to request real-time second opinions with peers.
Referring physicians, affiliated or not, can access remotely the reading and
reporting services, join multi-users tele-radiology sessions, with the guarantee to
receive diagnostic quality and rich information about the patient.

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▪ Real time collaboration at distance ▪ Cross platform and cross devices ▪ Pure zero-footprint HTML5
▪ No installation required application
▪ One to one; ▪ Optimized for low bandwidth
▪ One to multiple users ▪ Full diagnostic quality of images
connections ▪ Reduction of the time-to-read value
▪ Control policies ▪ Different ways of invitation ▪ Significant increase of clinical

▪ Only the organizer ▪ via email productivity
▪ Everybody ▪ By customised user list ▪ Increased safety of the visualized
▪ Via domain email
▪ Synchronized actions ▪ With QR code data
▪ With WhatsApp ® group post ▪ Virtually word-wide access to the
▪ Image processing tools
▪ Layout change 30 imaging portal
▪ Hanging protocols ▪ Availability of rich information:
▪ Patient history
▪ Highlighting marker clinical history, reports, imaging
exams
▪ Voice and text messages

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Mini PACS

The ZeeroMed Portfolio includes a perfectly-fit solution for every small clinic that
needs to go towards the digitalisation of radiology.
Due to its scalability skills, the ZeeroMed.Store and .View can be configured as
preset for an instant installation and quick availability.
The very fair end-user pricing will encourage healthcare providers to complete the
digitalisation process, embracing the digital storage and a fast access to the
radiological imaging.

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Patient Portal

The ZeeroMed Patient Portal is the online platform for the visualization and
exchange clinical data.
Patients will be able to securely check their own medical reports, clinical imaging
and multimedia reports; they have the possibility to upload further documents and
to directly book visits at the hospital.
The users can decide to share their own data with further doctors, and to use the
same platform for a second opinion, thus reducing the need of physically bring
around papers and films, while providing the physicians with a high quality
diagnostic visualization.

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Data preparation Patient login System features

▪ The report, once validated and ▪ The patient is informed about the ▪ The patient can access to his own
digitally signed, is sent to the availability of the report via mail, personal medical record
Patient Portal sms or call
▪ He can visualize the imaging
▪ Alignment check: exam code, ▪ The message might contain exams, download the images and
patient ID and report different kind of information, like the print them
link to open the clinical data
▪ The Patient Portal periodically ▪ The Patient can decide if, once the
checks the PACS for the availability ▪ Once the page is opened, he will exam and the report are
of the imaging exam type his ID and exam code downloaded, he wants the exam to
be closed and locked for further
▪ Once the images are found, further ▪ The Patient Portal will check the accesses, or to be kept open for
exam code – patient ID checks are credentials, and send the temporary further sharing (GPs)
performed password via sms (OTP)

▪ The exam is marked as «to be ▪ The generated password will be
delivered» to the patient stored

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Enterprise Wide Solutions

Healthcare Technology goes across the boundaries of the hospital network, and
completes the full clinical path by reaching other points of care. This is the scenario
where the ZeeroMed product portfolio shows its best strength: the top notch
technology, together with the solid integration experience of the ZeeroMed team, do
help organisations to integrate networks of departments, hospitals and Healthcare
IT systems.
Regional networks of hospitals can benefit from the open architecture and open
standard implementation of the ZeeroMed Archive solution, thus offering a unique
point of access to the complete regional imaging record.
The Cloud infrastructure, at the same time, will enable the true scalability of the
ZeeroMed Portfolio and enhance the real-time efficiency of the distributed access.

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Cloud solutions

The ZeeroMed Team provides secure Software-as-a-Service solutions for
PACS/RIS installations on Public or Private Cloud.
A cost-effective business model allows the Hospital to change the investment
strategy from a Capex to an Opex model, significantly reducing its financial impact
while keeping the same security and usability levels.
By the adoption of a cloud based solutions, the physical barriers of the healthcare
provider will be removed, allowing the doctors to access, collaborate and report
even from remote locations.
The Patient Portal automatically completes the benefits of adoption of a cloud
installation, immediately removing the need of paper prints, films and patient cd.

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Onsite Installation Hybrid Cloud Full Cloud

▪ $ /concur. users ▪ $ /exam ▪ $ /exam
▪ $ /exams per year ▪ User trainings on demand ▪ User trainings on demand

▪ Onsite installation at the hospital ▪ Cloud storage ▪ Fully cloud based

▪ Data within hospital’s network ▪ Local satellite ▪ Cloud as unique storage area
▪ Full self-sustainability ▪ Local graphical server ▪ Direct equipment-to-cloud
▪ Re-usage of current IT infrastructure ▪ Good for unstable connections
connection
▪ Stable network connection required

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Regional integration solutions

It is when different hospitals need integration that things get complicated. And here
comes the strength of the ZeeroMed Product Portfolio.
By following thoroughly the DICOM standard and the IHE guidelines, the ZeeroMed
systems represent a key success factor in the implementation of clean integration
architectures. The experience of integrating third party PACS archives gave the
ZeeroMed team a solid background to design successful implementations.
Being a competitor with the top industry brands, the ZeeroMed integration solutions
are a top choice for integrating different PACS archives, departments, hospitals and
complete regions.
Integration is ZeeroMed’s top differentiator.

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Support

The support plan offered is called “extended assistance”, which includes:
▪ “Corrective maintenance”: the diagnosis and removal of the causes of exceptional behaviours of the

solution
▪ “Aligning maintenance”: the activities aimed to constantly align the solution with the evolution of the

technical infrastructure (software, hardware)
▪ “Improving maintenance”: application of improvements and innovations to improve the efficiency of the

solution in terms of performances, usability and reliability
▪ “Evolutionary maintenance”: the adaptation of the solution to new requirements by the customer
▪ “Ordinary maintenance”: the execution of ordinary checks and cleaning

For the duration of the assistance plan, updates and new versions of the software will be provided to the
customer with no extra fee

The assistance service is offered for the whole solution with availability 24hrs/day and 7 days/week. The
assistance service is provided via phone and via email; extra documentation may be required to be
provided to the service team.

Once the gravity is identified, and the documentation is provided (if necessary), the service team will follow
up the intervention within the agreed SLA parameters.

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www.zeeromed.com
www.o3enterprise.com

O3 Enterprise s.r.l., Area Science Park, Padriciano 99, 34149 Trieste (TS), Italy // +39 040 9890750 // [email protected]
The ZeeroMed Solution is developed and sold by the joint partnership of o3Enterprise s.r.l. and MediShare s.r.l.
© 2017 O3 Enterprise s.r.l.

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