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www.siemens.com/medical

LANTIS OncologyInformation SystemComprehensive Electronic Medical Record

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The LANTIS Oncology InformationSystem is a complete Electronic MedicalRecord (EMR). Comprehensive in itsdesign, simple to use, and integrated atevery level, LANTIS provides the toolsnecessary to achieve the best possiblecare for patients undergoing cancertreatment.

The LANTIS system accommodatesdiagnosis and staging information, andmanages the administrative tasksnecessary in the delivery of care. TheLANTIS system reports utilization andoutcomes across disease sites. Treatmentverification and recording is an integralpart of a comprehensive process thatincludes registration, charting, scheduling,planning, simulation, code capture, billing,reporting, and quality management.

The LANTIS modules operate from asingle database. This high degree ofintegration provides the user significantbenefits.

Selecting the patient's scheduledappointment using the LANTIS Supervisoroption at the treatment machine allowsthe fields to be delivered and the billingcodes to be captured automatically.

With the LANTIS Digital Photos and Factsoption, digital ID and setup photos canbe associated with a field and displayedduring treatment or simulation.

With the LANTIS RTP Link/DICOM RToption, treatment parameters are importeddirectly from the treatment planningsystems via DICOM RT Plan or RTP file.

LANTIS

eChart Navigator provides patient status at a glance and asimple means to navigate within the patient chart.

The patients electronic chart stores all the informationrequired to deliver quality verifiable radiation treatments.

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LANTIS Modules MakingInformation Work for You

Commander

Supervisor centralizes and manages patient,staff, and location schedules, which are amongthe most time-consuming administrative dutiesin oncology departments today. With Supervisorcomes automated charge capture for treatmentprocedures, relieving staff of this routinepaperwork.

Commander provides the foundation forbuilding paperless radiation oncologyEMRs and building paperless patientcharts with ease.

Digital Photos and Facts provides greaterpeace of mind by confirming patientidentification and field or setup informationto ensure accurate treatment deliveryevery time. Captured digital images canbe imported into LANTIS and maintainedwithin the patients EMR.

Digital Photos and Facts

Supervisor

Transcriber

eScan

Clinical Assessments

Extended Bar Codes

RTP Link/DICOM RT

Beamshaper

Gateway

Reporter

Multiple Department Extension

eScan is the ultimate tool fora paperless environment.With eScan, external paperdocuments can be scanned intothe LANTIS databaseand stored in the respectivepatient file for easy access.

The LANTIS Beamshaper moduleoffers a means of creating andediting multileaf collimator (MLC)leaf positions by using a digitizer.The MLC leaf positions are storedin the LANTIS database andautomatically associated withthe respective patient chart.

Gateway interfaces oncologymanagement procedures withthe Hospital InformationSystem (HIS), billing systems,and laboratory systems tooptimize the flow of criticalpatient information andautomate administrativecommunications.

RTP Link/DICOM RT imports plans forstandard, conformal, forward planned

or inverse planned treatment fields, aswell as Multi-Segmented Fields (MSFs),directly from the treatment planningsystem to the patients electronic chart.It helps assure quality treatment whilesaving time.

Reporter provides the tools tocreate custom reports, in additionto the standard reports found inthe basic LANTIS system. Existingreports can be tailored to a usersspecific needs, including activities,such as reporting outcomes,tracking trends, and monitoringprotocols.

Multiple Department Extension (MDE) helpscentralize management of the oncologypractice by identifying a single location whereinformation from multiple departments isstored and easily retrieved. High-efficiencyarchitecture utilizes a single database formultiple radiation oncology departments.

Clinical Assessments tracks patientprogress through treatment protocols,enhances delivery of customized carebased on relevant assessments, andfacilitates Evidence Based Medicine.

Extended Bar Codes automatestime-consuming workflowprocesses, such as trackingmovement of charts and filmsthroughout departments.

Transcriber adds documentmanagement to the functionalityof LANTIS, bringing the fullyelectronic medical record a stepcloser.

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The LANTIS Commander is the coreof the comprehensive suite of LANTISsoftware modules.

It is important to track outcomes as ameans of quantifying services basedon quality, as well as cost. Diagnosisand staging information is an essentialcomponent in establishing the baselinefor outcome studies. With the LANTISsystem, diagnoses are easily enteredand form the basis of subsequent clinicaland administrative procedures. Thechart manages user-defined courses ofcare including unlimited prescriptionsites, treatment fields, and clinicalactivities.

The LANTIS Commander contains featuresdesigned to help implement qualitypolicies to standardize care, such asmultilevel security, electronic to dolists, action points and alerts, andelectronic messaging. Quality caredepends on the accurate, timelycommunication of information.

The LANTIS procedure library is fullyuser-customizable. Capturing proceduresbecomes a seamless part of assigningand delivering care. Reviewing capturedprocedures helps manage resourceutilization, budgeting, and reimbursement.

The LANTIS system provides the mostextensive database available forcomprehensive reporting, as well asa number of standard reports. Eachsubsequent LANTIS option comesequipped with a variety of usefulstandard reports.

The multi-vendor open-system interfaceoptions assure system compatibility. Useof industry standards, such as HealthLevel 7 (HL-7) and Digital Imaging andCommunications in Medicine (DICOM),assure reliable data exchange withexternal systems.

The LANTIS network consists of powerfulserver software and uses a relationaldatabase engine. Local or wide-areanetwork configurations are available.

Commander

Diagnosis and staging lays the groundwork for oncology EMRauto-staging, and optional on-line staging reference materialis available.

LANTIS includes a comprehensive list of f ilterable reports toassist the practice management.

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No matter what mix of treatment andsimulation machines is in the department,the LANTIS system interfaces with all majorequipment models. Such compatibilitydemonstrates Siemens commitment to anopen-system interface strategy. The LANTISmulti-vendor open system interfacesmedical devices with the vital setupinformation stored in the EMR.

Accelerator interfaces include:* Siemens Varian Elekta/Philips General Electric

Simulator interfaces include:* Siemens Nucletron Varian Philips

The LANTIS software can be configuredto automatically set up parameters onmost treatment units. Clinics can configurewhich parameters are enabled for thisfunction on each machine.

The LANTIS system can be configuredto verify the specific treatment unit, beamand geometric parameters, and encodedaccessories. User-defined tolerancesgive control over the level of precisionenforced, while providing flexibility forminor setup variations. The system allowsonly authorized users to override setupdiscrepancies, and allows a secondtherapist to log in individually for amore accountable treatment record.

The LANTIS interfaces support all vendorstechniques for delivering Intensity-Modulated Radiation Therapy (IMRT).Complex sequences of beams are deliveredquickly and precisely without operatorintervention. These interfaces andspecial accelerator technology enableeven complicated treatments to bedelivered in the shortest amountof time.

Multi-Vendor Open-System Interfaces

Settings from simulators are automatically captured for treatmentfield creation.

*For details on models supported, please contact your Siemens sales representative .

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Scheduling is perhaps one of the mostimportant facets of computer-assistedprocess management. Many of theproblems inherent with paper-basedscheduling systems are solved with theautomatic, timesaving features of theLANTIS Supervisor option.

Prompt quality care is the key to patientsatisfaction. Keeping on schedule requirescarefully planning appointments, accuratelyestimating visit durations, and quicklyreacting to the changes that inevitablyoccur.

Schedules for staff, patients, and otherresources can be accessed from anyLANTIS workstation to review notes andpatient status information in real time.Wave scheduling automates the schedulingof multiple appointments in virtuallyany pattern. Notification is immediatelyprovided in the event of a conflict, andoptions for resolution are displayed.

The LANTIS Supervisor option includesa number of timesaving features includingsophisticated find features that enablethe user to quickly locate a patientsappointment on the schedule, or identify

an open appointment or a block ofappointments based on the specifiedcriteria. The LANTIS Supervisor moduleautomates many management processes.Integrated procedure code capture helpstrack departmental activities as a resultof caregiving rather than as an extrastep.

The LANTIS schedule provides an up-to-the-minute account of department activity,reporting the number of completedappointments, cancellations, no-shows,and unresolved appointments for any dayor date range.

Using the LANTIS Multiple DepartmentExtension option with the LANTISSupervisor allows multiple departmentsor clinics to maintain separate schedulesand procedure codes, yet share a commonpatient database for enterprise-widemanagement and reporting.

The LANTIS Supervisor module is anactive administration tool that helpsoptimize department time and resourcesby centralizing department schedulingand automating schedule administration.

Supervisor

Procedure capture is automated using the LANTIS Supervisor option. Wave scheduling allows scheduling a series of appointments in one step.

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With the LANTIS Digital Photos andFacts option, a digital photograph ofthe patients face can be stored in theEMR as a means of identification andverification. When the photo is containedin the EMR, it is available at the click ofa button at any workstation.

Acquiring setup photographs, figures,and diagrams is easy to do in the LANTISsoftware. Digital images can be acquiredin real time and stored for import.When imported, each diagram or photois associated with a patient, prescriptionsite, or field. LANTIS can also displaysetup photos. This setup and positioninginformation is simultaneously displayedon the operators console and insidethe treatment room using the LANTISTreatment Room Extension option.This display is an indispensable aid inreproducing the treatment setup.

Digital Photos and Facts

Identification and field setup photos.

A list of all images is accessible withone keystroke from eChart Navigator.Therefore, image records, such as surgicalphotos, skin effects, or anatomicaldiagrams, are always available to theclinical staff.

The LANTIS Digital Photos and Factsoption imports images in industry-standard formats such as .bmp and .jpg.Most commercial scanners and digitalcameras support these formats.

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The LANTIS Extended Bar Codes optionprovides features that have a positiveimpact on productivity, quality of care,and patient satisfaction. These featuresinclude Chart Tracking, Film Tracking,Procedure Capture, Accessory Verification,and Automated Patient Queuing.

The systems quick-start feature allowsprinting of all the bar codes required fora newly registered patient. For instance,print a patient selection bar code thatcan be applied to the patients ID card,chart, and film jacket. Patients can queuethemselves upon arrival by simply swipinga bar-coded card through a scanner.Swipe the card as the patient arrives inother locations, and the patient queueis updated with current information. Thepatient queue can be accessed from anyworkstation for a real-time display of thepatient location in the clinic.

Throughout the day, the patient queuedisplays the changing number ofqueued patients, current locations, andappointment destinations, providinga quick means of assessing the clinics

Extended Bar Codes

Print pages of charge bar codes to scan for capturingnonscheduled procedure and supply charges.

Print individual bar codes for tracking patientcharts and film.

activity. The LANTIS Supervisor optionprovides a variety of scheduling reportsfor a detailed look at wait times andappointment durations.

Extended bar coding enables trackingof charts and film jackets by scanningthe attached bar code and then scanningthe location or staff member bar codeto indicate either where it is in thedepartment or who has it. Any staffmember can easily locate a chart orfilm jacket by displaying the chart orfilm tracking options.

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The LANTIS Transcriber module takes anydepartment one step closer to becomingpaperless by using Microsoft Wordprocessing software. Together with thissoftware, patient documentation ismanaged integrally within the EMR.From Consultations and History andPhysical to On Treatment Notes andFollow Up, all patient documents canbe stored in LANTIS.

Create multiple templates for eachdocument type and merge information,such as Patient ID number, ReferringPhysician, Diagnosis, etc., that is storedin LANTIS. When a template is assignedto a patient, the appropriate informationfrom LANTIS is automatically enteredinto the document.

Use the on-site feature of LANTISTranscriber to directly transcribedocuments into the LANTIS application.Or use a remote transcription serviceby installing the off-site feature onthe transcriptionist workstation.

Transcriber

Manage transcription status in the documents window.

Documents transcribed remotely areeasily batched and exported to LANTISfor import using the document importfeature. When these documents areimported, they are automatically savedas part of the patients EMR with a statusof Pending.

Changing the status of each document iseasy as it flows through the department,with choices such as Dictation Requiredor Transcription Required to Pendingor Approved. Transcription edit andapproval processes are controlled by thesecurity privileges of the logged-in user.

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Assessment of patient status before,during, and after treatment is vital forassuring optimal patient care and forrefining clinical pathways. Use the LANTISClinical Assessments option to assignquantitative or standardized values tokey assessment indicators, which canthen be used for gauging patient statusand reporting outcomes.

Patient information and assessments areorganized in a series of electronic formsthat can be customized. Everything fromvital sign measurements to pain ratings,once recorded in the system, are madeinstantly available for viewing andcomparison at any workstation. Thisensures that all caregivers on amultidisciplinary team can immediatelyreview a patients status by simplyopening the EMR.

The LANTIS database is populated withhundreds of assessment indicators thatcan be used to create custom electronicassessment forms for specific regimens,disease types, or symptom management.

Clinical Assessments

Create custom forms with simple, standardized data entry.

A patients performance status, lab values,pain rating, and other assessment itemscan be viewed at a glance. Alarms andwarnings can be set to flag laboratoryvalues and assessment levels that areout of the normal range. Colors can beassigned to threshold values for immediatevisual indications of areas of concern.

The LANTIS Clinical Assessments optionexpedites the documentation process byproviding pop-up tables with predefinedselections and by the direct electronicimport of lab results into the EMR usingthe LANTIS Gateway option.

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RTP Link/DICOM RT

When importing a plan, all treatment fields and corresponding parameterscan be accessed and modified from one screen.

The LANTIS RTP Link/DICOM RT optionallows the EMR to be configured tocommunicate with treatment planningand beam shaping programs. The LANTISRTP Link/DICOM RT option automatesand streamlines the flow of informationbetween planning, simulation, andtreatment. The interface retrievespatient treatment planning dataexported by the treatment planningsystem and populates the LANTISdatabase with field setup and dosimetryinformation.

Entering the data required for advancedtreatment techniques using multileafcollimators and automatic fieldsequencing (SIMTEC Delivery System)are made both efficient and practicalwith the LANTIS RTP Link/DICOM RToption.

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As imaging becomes increasinglyimportant in oncology care, the syngoSuite for Oncology delivers the integrationand functionality clinicians need today,while also providing a platform for theimage-guided and Adaptive RadiationTherapy (ART) needs of the future.

syngo Suite for Oncology enables all clinicalteam members oncologists, physicists,dosimetrists, and therapists to easilyaccess all the data and tools that theyrequire to complete their tasks efficientlyand accurately. Common componentswithin the workspaces eliminate theneed to learn different user interfaces;the data required to complete eachtask is seamlessly integrated into theworkflow and can be accessed quickly,regardless of system storage location.

syngo Suite for Oncology supports theclinical workflow from start to finish.LANTIS is integrated with the syngoSuite for Oncology and provides instantaccess to all patient information whileusing one monitor, mouse, and keyboard.

syngo Suite for Oncology

The LANTIS application is fully integrated in the syngo RT User Interface.

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The delivery of healthcare services isan information-intensive effort, whichhas been conducted to a great extenton paper. As healthcare becomescomputerized and department-specificapplications become prevalent, interestin integrating the information relatedto delivery of healthcare has increased.The LANTIS Network Gateway ESI (ExternalSystem Interface) option provides anindustry-standard open-system interfaceto seamlessly connect the oncologydepartment to the entire healthcareinformation infrastructure.

This option includes: ADT Import Lab Result Import Procedure and Scheduling Export

The interface is equipped to handlethe import of admission, discharge,and transfer (ADT) messages, so thatthe patients status is always keptcurrent in LANTIS.

ESI Gateways

Patient demographics are imported from the HIS via the ADTImport Gateway.

The Lab Result Import option receives and stores laboratoryresults in Clinical Assessments.

Procedure codes captured and storedusing the LANTIS Commander, Supervisor,or Extended Bar Codes option can beexported to HIS or billing systems usingthe LANTIS Gateway Advanced HL-7option. Gateway Advanced HL-7 can beconfigured to meet the requirementsof different countries for information to beavailable for reimbursement. Furthermore,Gateway Advanced HL-7 allows for theexport of scheduling information, which,among others, can be useful for settingup DICOM Modality Worklist.

The LANTIS Lab Result Import optioncan be configured to provide the directelectronic import of lab results into theLANTIS EMR the instant they becomeavailable, expediting the documentationprocess.

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The ability to extract critical clinicalinformation is a key requirement of anyhealthcare information managementsystem. The LANTIS Reporter is animportant tool for developing an accuratepicture of the departments patientvolume, cost structure, utilization,outcomes, and case mix.

Diagnosis and staging information areessential components in establishingbaselines for clinical studies. Once thisinformation is in the LANTIS system, itcan be easily reported with subsequenttreatment and outcome information.

Evidence Based Medicine requirestracking of statistically valid outcomemeasurements as a means ofdifferentiating services based onquality rather than cost.

The LANTIS Reporter tool transformsthe raw material stored in the LANTISdatabase into informative reports thatprovide an effective tool for assessing

departmental performance. Any datastored in the database can be reported on.The LANTIS system provides standardreports that can be user-configured byselecting filter and sort criteria fromeasy-to-read dialog boxes. The LANTISReporter kit provides tools to modify thesestandard reports and to custom-buildnew reports.

With the LANTIS Reporter kit, criticalmanagement reports are available ondemand. Whether analyzing resourceutilization, comparing outcomes byprotocol, or reviewing a cross sectionof the patient population, LANTIS saveshours of time and offers the benefit ofmore complete, accurate informationfor decision making.

The LANTIS Repor ter tools provide theability to transform comprehensive datainto valuable information for analysisand discovery.

Reporter

LANTIS Reporter provides the tools to collect data fromthe LANTIS system and present them in customer formats.

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The LANTIS Multiple DepartmentExtension (MDE) option extends LANTISfrom a single department applicationto a multiple department configuration.

LANTIS MDE is specifically designedfor clinics composed of two or moredepartments that want to share a commonpatient database, yet manage resourcesand administrative functions separately.

The LANTIS MDE module provides amechanism for oncology service providersto effectively subdivide into multipleworkgroups while maintaining centralizedcontrol over certain administrative andclinical functions. The ability to managepatient data from a central location helpsoptimize resources, standardize patternsof care, and coordinate communicationthroughout the network.

The LANTIS MDE option provides theability to selectively assign staff, resources,activities, and processes to specificworkgroups. The system limits user accessto only those items that are assignedto the users workgroup, yet preserves

Multiple Department Extension

a common patient database for managingclinical information throughout theprovider network.

As care providers collaborate to offerbest practices, interest in integratinginformation has increased. Using theLANTIS MDE software with the LANTISSupervisor option allows multipledepartments or clinics to maintainseparate schedules, yet share a commonpatient database for enterprise-widemanagement and reporting.

Operational scenarios can be centralized,such as treatment planning using theDICOM RT Plan Import option, and protocolstandardization. Summary reports,including utilization, charge, and activitysummaries, can be performed acrossmultiple departments.

The LANTIS MDE option can be configuredfor operation with intra-facility workgroupson a common LAN, or with inter-facilityworkgroups that require a supplementalWAN infrastructure.

Each departments procedure codes can be managed independently. Locations can be characterized as global or assigned to individualdepartments.

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Health institutions of all sizes are facingthe challenge of the growing amountof health information and putting measuresin place to protect patient privacy. Inthe United States, for example, HIPAAregulations require numerous proceduresand policies to be implemented to meetthose patient privacy and securityrequirements.

While ultimately the responsibility of theinstitution, LANTIS provides the tools forthe prevention of inappropriate use anddisclosure of patient health information,protecting against unauthorized access,alteration, deletion, and transmission.

Patient Privacy and Data Security

User logs monitor and store details on all user activity.

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LANTIS the most comprehensive approachto oncology information management.

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On account of certain regional limitations ofsales rights and service availability, we cannotguarantee that all products included in thisbrochure are available through the Siemenssales organization worldwide. Availability andpackaging may vary by country and are subjectto change without prior notice. Some/All of the

features and products described herein may notbe available in the United States.

The information in this document containsgeneral technical descriptions of specificationsand options, as well as standard and optionalfeatures that do not always have to be present inindividual cases.

Siemens reserves the right to modify the designand specifications contained herein without priornotice. Please contact your local Siemens salesrepresentative for the most current information.

Note: Any technical data contained in thisdocument may vary within defined tolerances.

Original images always lose a certain amountof detail when reproduced.

Please find fitting accessories:www.siemens.com/medical-accessories

LANTIS and SIMTEC are trademarks and syngois a registered trademark of Siemens MedicalSolutions USA, Inc.

03.2007, Siemens AGOrder No. A91004-M2660-E761-01-4A00Printed in USAOCS-096 KL JO 5M

Siemens Medical Solutions USA, Inc.Oncology Care Systems4040 Nelson AvenueConcord, CA 94520 USA

HeadquartersSiemens Medical Solutions USA51 Valley Stream ParkwayMalvern, PA 19355USATelephone: +1-888-826-9702www.usa.siemens.com/medical

Contact AddressSiemens Medical Solutions USA, Inc.Oncology Care Systems4040 Nelson AvenueConcord, CA 94520USATelephone: +1-925-246-8200

+1-888-826-9702 (US & Canada)www.siemens.com/oncology

Siemens AGMedical SolutionsHenkestrae 127D-91052 ErlangenGermanyTelephone: +49 9131 84-0www.siemens.com/medical

www.siemens.com/oncology