SlideShare a Scribd company logo
1 of 23
MedCom
Connecting Health
CEO Henrik Bjerregaard Jensen
Ib Johansen, deputy manager

www.medcom.dk
Digitizing Healthcare

Nationwide Health Standards
Linde Healthcare
March 3rd - 2014
MedCom – Danish Health
Data Net
• Founded 1994
• Owned by Goverment, Regions and
Municialities
• Make IT projects between hospitals,
doctors and homecare
• Design standardized solutions
• Focus on large-scale national
implementation
Using standards – why???
+60 IT vendors with +100 IT systems

IT

IT

Internnational standards
IT

IT

IT

IT
Prescriptions
Referrals
Home Care Report
Radiology Report
Discharge Letter
Lab test Orders
Lab test Report
Reimbursement
etc.

IT

IT

IT

IT

IT

IT
M edCom

C enter for
S u n d h e d s- t e l e m a t i k

All using VANS
national MedCom
EDI / XML-standards
r
1

1 †
On-Line access to Health Data
Medi
cation

Hospital  Labs

Diag
noses

Lab
results

Secure Health
Net and NSP

Discharge
Outpatient
eRecord
Labresults
Labtest orders
Medication, FMK

Citizens
Sundhed.dk
Medication,FMK
EHR
Labresults
Referrals

GP
Referrals
Medication FMK
DDV
Lab Results
Lab test orders

….

Pharmacy
Homecare
Notification
Care reports
Phycisian Letters
Medication FMK

Medication FMK
Drug register
Denmark: GP e-Health
100 % e-Communication

•+6000 doctors, pharmacies,
municipalities and hospitals
•65 IT vendors
•6 mill. messages each month
•15% growth/year
•70 - 90% of all documents

E-Prescriptions = 90%

Disch.. Letters=100 %

Lab reports = 100 %

Lab test Orders = 100 %

E-Referrals = 95 %
Examples
Ex: ePrescription 2007

EU/Empirica: Benchmarking ICT use among
General Practitioners in Europe 2007
EX: Home care-Hospital

Co-operation

Municipality

Hospital
From e-Prescription to
SharedMedicationRecord
National
Net

Primary Care

Pharmacy

National
Repository
From e-Prescription to
SharedMedicationRecord

Pharmacy

Primary Care
National

SMR

Hospital

Citizen
Home Care
Ex: Home-monitoring
• Support patient treatment at home
• Transfer medical data to hospital
/homecare/GP
• KIH Project:Clinical Integreted
Homemonitoring
EX: e-Health on-line
Telemedicine:
Tele-consultation to expert

Treating patients with diabetic ulcers in own home
EX: Lab test orders
on-line
EX: Lab test orders
on-line
EU Benchmarking 2012
Denmark in Front?
EU benchmarking 2012

No1
GP
No2
Hospi
tals
Thank you

More Related Content

What's hot

2016 04-06 vitalis nordic reference architecture personal connected health
2016 04-06 vitalis nordic reference architecture personal connected health2016 04-06 vitalis nordic reference architecture personal connected health
2016 04-06 vitalis nordic reference architecture personal connected healthJohan Eltes
 
On the ground experiences & challenges of a connected diagnostics GxAlert in ...
On the ground experiences & challenges of a connected diagnostics GxAlert in ...On the ground experiences & challenges of a connected diagnostics GxAlert in ...
On the ground experiences & challenges of a connected diagnostics GxAlert in ...SystemOne
 
Connectivity Needs for Improved Patient Care
Connectivity Needs for Improved Patient CareConnectivity Needs for Improved Patient Care
Connectivity Needs for Improved Patient CareSystemOne
 
Cost Effective Technology for Effective and Rapid TB Response in Nigeria
Cost Effective Technology for Effective and Rapid TB Response in Nigeria Cost Effective Technology for Effective and Rapid TB Response in Nigeria
Cost Effective Technology for Effective and Rapid TB Response in Nigeria SystemOne
 
ASLM- Alere: Importance of Quality Systems
ASLM- Alere: Importance of Quality SystemsASLM- Alere: Importance of Quality Systems
ASLM- Alere: Importance of Quality SystemsSystemOne
 

What's hot (7)

Ristimaki presentation VTT SmartHealth Ecosystem Event 12.6.2019
Ristimaki presentation VTT SmartHealth Ecosystem Event 12.6.2019Ristimaki presentation VTT SmartHealth Ecosystem Event 12.6.2019
Ristimaki presentation VTT SmartHealth Ecosystem Event 12.6.2019
 
2016 04-06 vitalis nordic reference architecture personal connected health
2016 04-06 vitalis nordic reference architecture personal connected health2016 04-06 vitalis nordic reference architecture personal connected health
2016 04-06 vitalis nordic reference architecture personal connected health
 
On the ground experiences & challenges of a connected diagnostics GxAlert in ...
On the ground experiences & challenges of a connected diagnostics GxAlert in ...On the ground experiences & challenges of a connected diagnostics GxAlert in ...
On the ground experiences & challenges of a connected diagnostics GxAlert in ...
 
Connectivity Needs for Improved Patient Care
Connectivity Needs for Improved Patient CareConnectivity Needs for Improved Patient Care
Connectivity Needs for Improved Patient Care
 
Salaspuro presentation VTT SmartHealth Ecosystem Event 12.6.2019
Salaspuro presentation VTT SmartHealth Ecosystem Event 12.6.2019Salaspuro presentation VTT SmartHealth Ecosystem Event 12.6.2019
Salaspuro presentation VTT SmartHealth Ecosystem Event 12.6.2019
 
Cost Effective Technology for Effective and Rapid TB Response in Nigeria
Cost Effective Technology for Effective and Rapid TB Response in Nigeria Cost Effective Technology for Effective and Rapid TB Response in Nigeria
Cost Effective Technology for Effective and Rapid TB Response in Nigeria
 
ASLM- Alere: Importance of Quality Systems
ASLM- Alere: Importance of Quality SystemsASLM- Alere: Importance of Quality Systems
ASLM- Alere: Importance of Quality Systems
 

Similar to MedCom - Connecting Health

The Danish Digitalization Strategy
The Danish Digitalization StrategyThe Danish Digitalization Strategy
The Danish Digitalization StrategyHealthcare DENMARK
 
Preparing healthcare networks for mobility, digitalization and IoT
Preparing healthcare networks for mobility, digitalization and IoTPreparing healthcare networks for mobility, digitalization and IoT
Preparing healthcare networks for mobility, digitalization and IoTAlcatel-Lucent Enterprise
 
Ehr driven his jan 2016
Ehr driven his jan 2016Ehr driven his jan 2016
Ehr driven his jan 2016Anil Patil
 
Irish HSE EHR strategic business case master briefing deck v1.4
Irish HSE EHR strategic business case master briefing deck v1.4Irish HSE EHR strategic business case master briefing deck v1.4
Irish HSE EHR strategic business case master briefing deck v1.43GDR
 
Iotcloudandhealthcare nv-161130085731
Iotcloudandhealthcare nv-161130085731Iotcloudandhealthcare nv-161130085731
Iotcloudandhealthcare nv-161130085731Aravindharamanan S
 
Iot, cloud and healthcare - Challenges and Opportunities
Iot, cloud and healthcare - Challenges and OpportunitiesIot, cloud and healthcare - Challenges and Opportunities
Iot, cloud and healthcare - Challenges and OpportunitiesArash Ghadar
 
Health Data Exchange:. Still a Pipe Dream? A Presentation from 2009
Health Data Exchange:. Still a Pipe Dream? A Presentation from 2009Health Data Exchange:. Still a Pipe Dream? A Presentation from 2009
Health Data Exchange:. Still a Pipe Dream? A Presentation from 2009David Lee Scher, MD
 
GeneCIS Communicating the Patient Journey
GeneCIS Communicating the Patient JourneyGeneCIS Communicating the Patient Journey
GeneCIS Communicating the Patient JourneyDMF-Systems
 
How to achieve speed, volume and physician satisfaction in clinical documenta...
How to achieve speed, volume and physician satisfaction in clinical documenta...How to achieve speed, volume and physician satisfaction in clinical documenta...
How to achieve speed, volume and physician satisfaction in clinical documenta...Nuance Healthcare EMEA
 
Digitized health
Digitized healthDigitized health
Digitized healthFrank Wang
 
Digitized health
Digitized healthDigitized health
Digitized healthFrank Wang
 
Telecommunication solutions, Fmc Dec 2016
Telecommunication solutions, Fmc Dec 2016Telecommunication solutions, Fmc Dec 2016
Telecommunication solutions, Fmc Dec 2016Bostjan Mencigar
 
NHS Direct and Eduserv Dreamcore Europe Presentation
NHS Direct and Eduserv Dreamcore Europe PresentationNHS Direct and Eduserv Dreamcore Europe Presentation
NHS Direct and Eduserv Dreamcore Europe PresentationEduserv
 
pitch2start ppt_mediclixx
pitch2start ppt_mediclixxpitch2start ppt_mediclixx
pitch2start ppt_mediclixxMediclixx Ltd
 
WIRELESS COMMUNICATION IN HEALTH CARE.ppt
WIRELESS COMMUNICATION IN HEALTH CARE.pptWIRELESS COMMUNICATION IN HEALTH CARE.ppt
WIRELESS COMMUNICATION IN HEALTH CARE.pptJauwadSyed
 
Peter Mcmahon digital by design
Peter Mcmahon digital by designPeter Mcmahon digital by design
Peter Mcmahon digital by designInforma Australia
 

Similar to MedCom - Connecting Health (20)

The Danish Digitalization Strategy
The Danish Digitalization StrategyThe Danish Digitalization Strategy
The Danish Digitalization Strategy
 
Preparing healthcare networks for mobility, digitalization and IoT
Preparing healthcare networks for mobility, digitalization and IoTPreparing healthcare networks for mobility, digitalization and IoT
Preparing healthcare networks for mobility, digitalization and IoT
 
Ehr driven his jan 2016
Ehr driven his jan 2016Ehr driven his jan 2016
Ehr driven his jan 2016
 
Irish HSE EHR strategic business case master briefing deck v1.4
Irish HSE EHR strategic business case master briefing deck v1.4Irish HSE EHR strategic business case master briefing deck v1.4
Irish HSE EHR strategic business case master briefing deck v1.4
 
Iotcloudandhealthcare nv-161130085731
Iotcloudandhealthcare nv-161130085731Iotcloudandhealthcare nv-161130085731
Iotcloudandhealthcare nv-161130085731
 
Iot, cloud and healthcare - Challenges and Opportunities
Iot, cloud and healthcare - Challenges and OpportunitiesIot, cloud and healthcare - Challenges and Opportunities
Iot, cloud and healthcare - Challenges and Opportunities
 
Health Data Exchange:. Still a Pipe Dream? A Presentation from 2009
Health Data Exchange:. Still a Pipe Dream? A Presentation from 2009Health Data Exchange:. Still a Pipe Dream? A Presentation from 2009
Health Data Exchange:. Still a Pipe Dream? A Presentation from 2009
 
GeneCIS Communicating the Patient Journey
GeneCIS Communicating the Patient JourneyGeneCIS Communicating the Patient Journey
GeneCIS Communicating the Patient Journey
 
GeneCIS
GeneCISGeneCIS
GeneCIS
 
How to achieve speed, volume and physician satisfaction in clinical documenta...
How to achieve speed, volume and physician satisfaction in clinical documenta...How to achieve speed, volume and physician satisfaction in clinical documenta...
How to achieve speed, volume and physician satisfaction in clinical documenta...
 
Digitized health
Digitized healthDigitized health
Digitized health
 
Digitized health
Digitized healthDigitized health
Digitized health
 
Telecommunication solutions, Fmc Dec 2016
Telecommunication solutions, Fmc Dec 2016Telecommunication solutions, Fmc Dec 2016
Telecommunication solutions, Fmc Dec 2016
 
11. teledentistry
11. teledentistry11. teledentistry
11. teledentistry
 
NHS Direct and Eduserv Dreamcore Europe Presentation
NHS Direct and Eduserv Dreamcore Europe PresentationNHS Direct and Eduserv Dreamcore Europe Presentation
NHS Direct and Eduserv Dreamcore Europe Presentation
 
pitch2start ppt_mediclixx
pitch2start ppt_mediclixxpitch2start ppt_mediclixx
pitch2start ppt_mediclixx
 
WIRELESS COMMUNICATION IN HEALTH CARE.ppt
WIRELESS COMMUNICATION IN HEALTH CARE.pptWIRELESS COMMUNICATION IN HEALTH CARE.ppt
WIRELESS COMMUNICATION IN HEALTH CARE.ppt
 
Peter McMahon
Peter McMahonPeter McMahon
Peter McMahon
 
Peter Mcmahon digital by design
Peter Mcmahon digital by designPeter Mcmahon digital by design
Peter Mcmahon digital by design
 
Accelerate your paperless strategy
Accelerate your paperless strategy Accelerate your paperless strategy
Accelerate your paperless strategy
 

More from Healthcare DENMARK

Introduction to danish healthcare and healthcare initiatives
Introduction to danish healthcare and healthcare initiativesIntroduction to danish healthcare and healthcare initiatives
Introduction to danish healthcare and healthcare initiativesHealthcare DENMARK
 
Helle Gaub's presentation from Hospital + Innovation 2015
Helle Gaub's presentation from Hospital + Innovation 2015Helle Gaub's presentation from Hospital + Innovation 2015
Helle Gaub's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Peder Jest's, Cornelius Glismann's, and Jakob Uffelman's presentations from H...
Peder Jest's, Cornelius Glismann's, and Jakob Uffelman's presentations from H...Peder Jest's, Cornelius Glismann's, and Jakob Uffelman's presentations from H...
Peder Jest's, Cornelius Glismann's, and Jakob Uffelman's presentations from H...Healthcare DENMARK
 
Niki Nicolas Grigoriou's presentation from Hospital + Innovation 2015
Niki Nicolas Grigoriou's presentation from Hospital + Innovation 2015Niki Nicolas Grigoriou's presentation from Hospital + Innovation 2015
Niki Nicolas Grigoriou's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Mogens Sehested's, Per Grønbech's, Christian Christensen's, Jesper Allerup's,...
Mogens Sehested's, Per Grønbech's, Christian Christensen's, Jesper Allerup's,...Mogens Sehested's, Per Grønbech's, Christian Christensen's, Jesper Allerup's,...
Mogens Sehested's, Per Grønbech's, Christian Christensen's, Jesper Allerup's,...Healthcare DENMARK
 
Mie Krog's presentation from Hospital + Innovation 2015
Mie Krog's presentation from Hospital + Innovation 2015Mie Krog's presentation from Hospital + Innovation 2015
Mie Krog's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Edzard Schultz' presentation from Hospital + Innovation 2015
Edzard Schultz' presentation from Hospital + Innovation 2015Edzard Schultz' presentation from Hospital + Innovation 2015
Edzard Schultz' presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Frank Hansen's presentation from Hospital + Innovation 2015
Frank Hansen's presentation from Hospital + Innovation 2015Frank Hansen's presentation from Hospital + Innovation 2015
Frank Hansen's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Christian Karlsson's presentation from Hospital + Innovation 2015
Christian Karlsson's presentation from Hospital + Innovation 2015Christian Karlsson's presentation from Hospital + Innovation 2015
Christian Karlsson's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Andy Black's presentation from Hospital + Innovation 2015
Andy Black's presentation from Hospital + Innovation 2015Andy Black's presentation from Hospital + Innovation 2015
Andy Black's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Sophie Hæstorp-Andersen's presentation from Hospital + Innovation 2015
Sophie Hæstorp-Andersen's presentation from Hospital + Innovation 2015Sophie Hæstorp-Andersen's presentation from Hospital + Innovation 2015
Sophie Hæstorp-Andersen's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Peter Fosgrau's presentation from Hospital + Innovation 2015
Peter Fosgrau's presentation from Hospital + Innovation 2015Peter Fosgrau's presentation from Hospital + Innovation 2015
Peter Fosgrau's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Lisbeth Kallestrup's presentation from Hospital + Innovation 2015
Lisbeth Kallestrup's presentation from Hospital + Innovation 2015Lisbeth Kallestrup's presentation from Hospital + Innovation 2015
Lisbeth Kallestrup's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Johan Permert's presentation from Hospital + Innovation 2015
Johan Permert's presentation from Hospital + Innovation 2015Johan Permert's presentation from Hospital + Innovation 2015
Johan Permert's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Jocelyn Cornwell's presentation from Hospital + Innovation 2015
Jocelyn Cornwell's presentation from Hospital + Innovation 2015Jocelyn Cornwell's presentation from Hospital + Innovation 2015
Jocelyn Cornwell's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Jens Friis Bak's presentation from Hospital + Innovation 2015
Jens Friis Bak's presentation from Hospital + Innovation 2015Jens Friis Bak's presentation from Hospital + Innovation 2015
Jens Friis Bak's presentation from Hospital + Innovation 2015Healthcare DENMARK
 
Dorthe Kjerkeaard's and Hans Danielsen's presentation from Hospital + Innovat...
Dorthe Kjerkeaard's and Hans Danielsen's presentation from Hospital + Innovat...Dorthe Kjerkeaard's and Hans Danielsen's presentation from Hospital + Innovat...
Dorthe Kjerkeaard's and Hans Danielsen's presentation from Hospital + Innovat...Healthcare DENMARK
 
Dag Bøhler's presentation from Hospital + Innovation 2015
Dag Bøhler's presentation from Hospital + Innovation 2015Dag Bøhler's presentation from Hospital + Innovation 2015
Dag Bøhler's presentation from Hospital + Innovation 2015Healthcare DENMARK
 

More from Healthcare DENMARK (20)

E-health in Denmark
E-health in DenmarkE-health in Denmark
E-health in Denmark
 
Introduction to danish healthcare and healthcare initiatives
Introduction to danish healthcare and healthcare initiativesIntroduction to danish healthcare and healthcare initiatives
Introduction to danish healthcare and healthcare initiatives
 
E-health in Denmark
E-health in DenmarkE-health in Denmark
E-health in Denmark
 
Helle Gaub's presentation from Hospital + Innovation 2015
Helle Gaub's presentation from Hospital + Innovation 2015Helle Gaub's presentation from Hospital + Innovation 2015
Helle Gaub's presentation from Hospital + Innovation 2015
 
Peder Jest's, Cornelius Glismann's, and Jakob Uffelman's presentations from H...
Peder Jest's, Cornelius Glismann's, and Jakob Uffelman's presentations from H...Peder Jest's, Cornelius Glismann's, and Jakob Uffelman's presentations from H...
Peder Jest's, Cornelius Glismann's, and Jakob Uffelman's presentations from H...
 
Niki Nicolas Grigoriou's presentation from Hospital + Innovation 2015
Niki Nicolas Grigoriou's presentation from Hospital + Innovation 2015Niki Nicolas Grigoriou's presentation from Hospital + Innovation 2015
Niki Nicolas Grigoriou's presentation from Hospital + Innovation 2015
 
Mogens Sehested's, Per Grønbech's, Christian Christensen's, Jesper Allerup's,...
Mogens Sehested's, Per Grønbech's, Christian Christensen's, Jesper Allerup's,...Mogens Sehested's, Per Grønbech's, Christian Christensen's, Jesper Allerup's,...
Mogens Sehested's, Per Grønbech's, Christian Christensen's, Jesper Allerup's,...
 
Mie Krog's presentation from Hospital + Innovation 2015
Mie Krog's presentation from Hospital + Innovation 2015Mie Krog's presentation from Hospital + Innovation 2015
Mie Krog's presentation from Hospital + Innovation 2015
 
Edzard Schultz' presentation from Hospital + Innovation 2015
Edzard Schultz' presentation from Hospital + Innovation 2015Edzard Schultz' presentation from Hospital + Innovation 2015
Edzard Schultz' presentation from Hospital + Innovation 2015
 
Frank Hansen's presentation from Hospital + Innovation 2015
Frank Hansen's presentation from Hospital + Innovation 2015Frank Hansen's presentation from Hospital + Innovation 2015
Frank Hansen's presentation from Hospital + Innovation 2015
 
Christian Karlsson's presentation from Hospital + Innovation 2015
Christian Karlsson's presentation from Hospital + Innovation 2015Christian Karlsson's presentation from Hospital + Innovation 2015
Christian Karlsson's presentation from Hospital + Innovation 2015
 
Andy Black's presentation from Hospital + Innovation 2015
Andy Black's presentation from Hospital + Innovation 2015Andy Black's presentation from Hospital + Innovation 2015
Andy Black's presentation from Hospital + Innovation 2015
 
Sophie Hæstorp-Andersen's presentation from Hospital + Innovation 2015
Sophie Hæstorp-Andersen's presentation from Hospital + Innovation 2015Sophie Hæstorp-Andersen's presentation from Hospital + Innovation 2015
Sophie Hæstorp-Andersen's presentation from Hospital + Innovation 2015
 
Peter Fosgrau's presentation from Hospital + Innovation 2015
Peter Fosgrau's presentation from Hospital + Innovation 2015Peter Fosgrau's presentation from Hospital + Innovation 2015
Peter Fosgrau's presentation from Hospital + Innovation 2015
 
Lisbeth Kallestrup's presentation from Hospital + Innovation 2015
Lisbeth Kallestrup's presentation from Hospital + Innovation 2015Lisbeth Kallestrup's presentation from Hospital + Innovation 2015
Lisbeth Kallestrup's presentation from Hospital + Innovation 2015
 
Johan Permert's presentation from Hospital + Innovation 2015
Johan Permert's presentation from Hospital + Innovation 2015Johan Permert's presentation from Hospital + Innovation 2015
Johan Permert's presentation from Hospital + Innovation 2015
 
Jocelyn Cornwell's presentation from Hospital + Innovation 2015
Jocelyn Cornwell's presentation from Hospital + Innovation 2015Jocelyn Cornwell's presentation from Hospital + Innovation 2015
Jocelyn Cornwell's presentation from Hospital + Innovation 2015
 
Jens Friis Bak's presentation from Hospital + Innovation 2015
Jens Friis Bak's presentation from Hospital + Innovation 2015Jens Friis Bak's presentation from Hospital + Innovation 2015
Jens Friis Bak's presentation from Hospital + Innovation 2015
 
Dorthe Kjerkeaard's and Hans Danielsen's presentation from Hospital + Innovat...
Dorthe Kjerkeaard's and Hans Danielsen's presentation from Hospital + Innovat...Dorthe Kjerkeaard's and Hans Danielsen's presentation from Hospital + Innovat...
Dorthe Kjerkeaard's and Hans Danielsen's presentation from Hospital + Innovat...
 
Dag Bøhler's presentation from Hospital + Innovation 2015
Dag Bøhler's presentation from Hospital + Innovation 2015Dag Bøhler's presentation from Hospital + Innovation 2015
Dag Bøhler's presentation from Hospital + Innovation 2015
 

Recently uploaded

Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Deliverynehamumbai
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Servicemakika9823
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 

Recently uploaded (20)

Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
 

MedCom - Connecting Health