MedStream Data Sheet

Every Medical Practitioner's Challenge

Doctors, nurses, residents and medical practitioners throughout the healthcare enterprise are always on the move treating patients in offices, satellite locations and hospital wards. They must make decisions based on a large body of constantly changing information regarding diseases, drugs and drug interactions. As information about new diseases, research, drugs and interactions become known on a daily basis, practitioners need to be able to treat patients based not only on what has been learned in school and in daily practice, but also based on the late breaking medical news of the day. Today's practitioners are facing a new world of medicine - a highly mobile environment where they are required to treat patients with constantly changing dynamic information.

Skyscape Solutions

In the past few years Skyscape has been delivering much needed solutions to medical practitioners operating in this dynamic new world. As a company that has pioneered the delivery of medical information on mobile handheld devices, Skyscape today has the most extensive portfolio of the highest quality handheld medical and nursing references available. Through the use of these handheld solutions, medical practitioners can diagnose cases, determine treatment, prescribe medication, identify drug interactions, calculate dosages and perform all the necessary care right at the patient's side.

Skyscape's proprietary SmartLink™ technology significantly enhances the value of medical references on the handheld by automatically cross-indexing information from a variety of independent sources and topics, in a manner similar to the way the human mind does. With a simple touch of his stylus, the physician can now move in a context-sensitive fashion from looking up details of a disease in a specific reference to reviewing the details of the appropriate drugs in another reference - as fast as he thinks. This has lead to a revolutionary new way for physicians to deal with large amounts of information and provide quality patient care while on the go.

MedStream - SmartLink Dynamic Content through Intelligent Mobile Channels

With the introduction of MedStream, Skyscape delivers the next major innovation in its enterprise technology strategy. MedStream allows practitioners to not only SmartLink between traditional references (information contained in medical texts) but also with dynamic information delivered to the handheld via intelligent mobile channels.

The MedStream intelligent mobile channels platform is available for FREE to all medical practitioners. MedStream supports multiple channels of information enabling the practitioner to dynamically access late breaking news such as drug and disease alerts, as

well as frequently updated information such as drug weeklies and journal subscriptions. A channel exists for each source of content which a user or enterprise selects for installation onto the handheld device. All channels are organized hierarchically in MedStream allowing for easy navigation and review of current information. Channels can contain many types of content including content from publishers, custom content, Web, journals, peer-reviewed content and newsletters. For example, one channel may provide information on the latest information on SARS from the CDC Website while another might provide drug alerts from the FDA.

Delivering Up-to-the Minute Medical Knowledge

MedStream is fundamentally different from any other mobile channel offering in the marketplace. Unlike other channel offerings which simply deliver information onto the handheld, dynamic information flowing into MedStream channels automatically SmartLinks with other channel information and with traditional "powered by Skyscape" reference content on the handheld. For example, if a physician in the course of treating a patient were to consider warfarin as potential treatment and then SmartLinks, he would be automatically informed about all of the latest information about warfarin that has flowed into the MedStream channels.

No longer are physicians practicing medicine with only what is already known. Instead, they would be treating their patients with the most current information available. This is medicine at its best, being practiced for today's world with up-to-the-minute knowledge - and with the power of MedStream technology making everything so much simpler, easier and more efficient.

But MedStream gives you even more. Not only are

practitioners able to receive dynamic information on handhelds, they or their enterprises are also in total control of the frequency and flow of dynamic information onto the handheld. SmartUpdate from Skyscape allows users to define a variety of parameters including the type of content wanted on the handheld, when and how often it will be updated and how much of the information will be stored on the handheld versus the desktop.

Skyscape's SmartUpdate solution is a distributed application that runs between the Skyscape server and the personal computer where the mobile device is synchronized. It communicates with the Skyscape server over HTTP, so it can be run behind most enterprise firewalls. SmartUpdate running on a personal computer can be started on demand but also polls the Skyscape server periodically, determines when there are content updates and automatically downloads this information to the personal computer. This allows the personal computer to efficiently transfer updates to the handheld the next time a synchronization is performed and no time is lost waiting for updates to be downloaded from the server to the desktop.

End-to-End Provisioning of Electronic Content - Skyscape's Enterprise Architecture

As the leading provider of intelligent mobile solutions to healthcare practitioners and enterprises, Skyscape's strategy is to develop the complete systems architecture that delivers a new class of enterprise applications for mobile devices. MedStream is an important step in that direction. These applications, targeted at highly mobile knowledge workers in information intensive industries, provide an intuitive experience on small form factor devices while combining information "content" with transactions, enabling these professionals to think through complex decision making processes, refer to vast stores

of relevant information, make informed decisions and act on them by executing transactions right from the device.

Taken together, all of these components represent Skyscape's core asset -- ART (the Advanced Reference and Transaction) intelligent mobile enterprise architecture. This approach of developing solutions that provide medical practitioners with the critical, actionable information they need, when they need it, and in a method that anticipates doctors' mode of thinking is what sets Skyscape apart as a standout solution provider for the medical community.

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