Medting is a web platform designed for physicians to share medical images and videos, facilitating the creation of clinical cases and enhancing medical education through a knowledge database. It supports both public and private case sharing, integrating SNOMED terminology and automatic translation for better content indexing. The platform is particularly focused on building international collaborations in telemedicine, such as the development of a global telestroke network for improved stroke patient management.

1. Medting – Using Web 2.0 Tools for Medical Video / Image Sharing

2. Medting is a web plataform that allows physicians to share medical images and videos and build clinical cases. Medting is useful for posting and searching cases, Knowledge database, managing private cases (telemedicine ) and linking professionals around specific health topics. Medting uses SNOMED and is also integrated with PubMed. Automatic Translation. The Power of Collective Wisdom

3. Create your organization relevant clinical cases and teaching repository for your medical community (clinicians, students, residents) Improve medical education and quality of care Clinical Transformation , Knowledge Management and Transfer Using Social Networking Connect your doctors with reference academic centers New ways for the medical community to build relationships within the organization The collective intelligence of a broad community exceeds the capabilities on any individual member. Next generation

4. Clinical Cases Medting.com

5. Atlas Medting.com

6. Multilanguage Keywords (tags) are based on SNOMED CT terminology Automatic translation of the keywords SNOMED provides a battery of 1 million+ clinical terms in several languages. The more SNOMED terms used as keywords, the better the content is indexed. Medting.com

7. Repository and Tool Private and Public cases: Public cases can be reviewed by any user since it is published on the platform. Private content (cases, images or videos) can be also posted and uploaded to Medting. Those cases will not be shown on the MEDTING website and only invited users will be permitted to review those cases. This functionality is useful for telemedicine and second opinion services. Any user can be invited by the author to review a private case: Medting.com

8. Current Projects Pilot projects University of Geneva Heilderberg University* King Fahd Medical City Temos COTMES* Enterprise contracts Catalonia Health Ministry* USP Hospitals Group Rey Juan Carlos University (Madrid) Universitat Oberta de Catalonia Optomed, Ltd International Medical Support Action*

9. Doctors Students Residents International Collaboration Telemedicine Network, Second Opinion EHR RHIO Relevant Clinical Cases Academic Teaching Repository International Telestroke Network

10. One click telemedicine

11. Telestroke is being a priority for Health organizations worldwide Some regional / national networks already exist Base technology is a videoconferencing system But we can see further, international collaboration and exchange can be relevant. Medting can help To create a private a exclusively network and knowledge repository of stroke sample cases To connect worldwide institutions and reference centers for a second opinion / recommendation as a data collecting tool and asynchronous discussion To link and integrate disparate EMR’s on a case exchange To provide a huge repository of stroke images and cases for education, research Connect your doctors with reference academic centers Integrated with already exiting videoconferencing systems or robots The collective wisdom of a broad community better than an individual member for stroke patient management International Telestroke Network Medting Value Proposition

12. First International Telestroke Network Pilot Research Project Dr. Bart Demaerschalk, Vascular Neurology, Mayo Clinic, Principal Investigator Dr. Gordon Vail, Emergency Medicine, Hotel Dieu Grace Hôpital, Co-Principal Investigator

13. Objective Telestroke workflow validation Pilot To validate Medting as a Telemedicine Platform for acute stroke To establish the first international telestroke network between Mayo Clinic, Phoenix, USA Hôtel-Dieu Grace, Windsor, Canada Medting as Global Health platform allowing to exchange clinical case referral between worldwide hospitals Some extra functionalities will be later implemented under a global project scope The pilot will implement the basic automation capabilities for a first evaluation.

14. The Challenge Telestroke workflow validation (Pilot) CT Scan Images and other complementary media should be captured, indexed and stored into Medting as a new clinical case. Physicians should be capable to easily share them, privately , with their colleagues. All images and videos stored into Medting should be accessible by registered physicians for reviewing and reporting using web browsers Dicom source images could be also reviewed with a Dicom Viewer Images should be automatically uploaded into Medting directly from CT Scan.

15. Pilot project workflow proposal 2. MIO Workstation (Listener) MIO gets patient ID and Images, uploads content and creates a private Case on Medting Website 3. MEDTING Clinical case web repository. MEDTING stores and indexes uploaded images, videos and data. MEDTING web interface allows the sender physician to invite the receiver specialist. 4. Review (Mayo Clinic) (Using any web browser receiver doctors can review, exchange and report all the information (images, videos and data) that has been uploaded to MEDTING. Images could be also reviewed with a Dicom Viewer. 1. Source Hospital (Windsor, Canada) Hospital CT Scan automatically sends Dicom Images to MIO . < Patient ID & Images Images, Videos, Data > Images, Videos, Data > OUT OF THE PILOT PROJECT SCOPE Specialist recommendations Alerts: possibility to send an alert / notification to receiver physician (SMS, pager, phone call) Automatic Invitation : possibility to automatically invite receiver group of physicians to review the case. Online VideoConferencing : possibility to activate an online videoconference or collaborative session or integration with already existing videoconferencing system

16. Features Research pilot conducted in Canada Proof of concept Validate clinical workflow IRB approval and oversight in Canada PI Dr. Vail at Hotel Dieu Grace Hospital 12 Patients at Hotel Dieu Grace Hospital Utilize existing hub & spoke workflow Duration of trial, 1 year Medting sponsorship Dr. Demaerschalk, Mayo Clinic consultant Canadian, licensed in Ontario, Canada Ontario neurologists, responsible post pilot Regional goal, pilot is stepping stone for established regional network and an international network