DIGITAL X-RAY UPGRADE WITH PACS IMAGE DATA SYSTEM AND RADIOLOGY LAB RETROFIT

CAL STATE L.A. STUDENT HEALTH CENTER PROJECT #TM11-0098 DIGITAL X-RAY UPGRADE WITH PACS IMAGE DATA SYSTEM AND RADIOLOGY LAB RETROFIT SCOPE OF WORK The primary focus of this project is to replace the Student Health Center s obsolete Film X-ray machine with a new Digital Radiography (DR) X-ray machine and electronic imaging/data storage system, as well as to perform a necessary retrofit of the existing radiology rooms to accommodate the new equipment. This project is critical to assuring continued quality health care to our students. The scope of this project includes the removal of the Center s antiquated and obsolete Film X-ray machine & film developer, housed in HC 112B and C, which has become increasingly unreliable and is no longer supported or repairable. In addition, this project will require moderate construction in order to retrofit the existing space to accommodate new equipment and upgrade the X-ray rooms to conform to current health and safety standards. The overarching objective of this scope of work is to commission a single vendor to deliver a comprehensive turnkey digital x-ray laboratory complete with all the necessary equipment, electronic imaging and data storage capability, utility infrastructure, telecommunications and physical location improvements necessary to provide a fully operational digital x-ray laboratory that is HIPAA compliant. To this end, please review the attached three part proposal that provides an in depth and detailed look at the requirements for each element of this important project. A. Equipment -101607 Philips Essenta DR Digital X-Ray Machine B. Construction/Retrofit C. Radiology PACS System 1

PROJECT #TM11-0098 EQUIPMENT A: 101607 Philips Essenta DR & Trolley- Qty Product 1 NNAH127 Essenta DR 1 NRDN034 Single sided height adjustable TA-M trolley 1 NRDN060 OPTIMUS 80, 3- phase X-ray generator 1 NRDN080 SRO 33100 1 NRDN191 Automatic optimal image resolution 1 NRDN199 Adapt. Transf. 415-480 V 1 NRDN249 High resolution 19" TFT color LCD Display 1 NDCC061 DICOM Package 1 989001084241 Stretch grip f. wall stands Line # Part # Description Qty 1 **NNAH127 Philips Essenta DR 1 Essenta DR is a fully integrated digital Bucky system for routine skeletal and chest x-ray diagnostics. The system combines many advantages of a digital radiography unit: excellent image quality high efficiency through fast time to image good ergonomics reduced radiation dose and flexibility for integrating into other digital infrastructure The Essenta DR system supports both connection to a Radiology Information System (RIS) and to DICOM-compatible workstations, archives and printers. Applications: Typical applications for Essenta DR are to be found in general radiology departments. The full flexibility of procedures is achieved by automating the system and dispensing with cassettes. The user has the following exposure techniques available: Detector exposures with a vertical, horizontal and/or oblique radiation beam Free Exposure technique for CR systems of Philips or other vendors and film cassettes. 2

101607 Philips Essenta DR Main features: Improved efficiency and an improved patient throughput due to cassette less operation and automated image processing and routing Very high image quality due to state-of-the art detector technology with excellent quantum efficiency (DQE) and optimised image processing software Instantaneous display of the image on the monitor without waiting for film processing Reduction in the number of repeat exposures due to the elimination of overexposed and underexposed images Large detector area (43 cm x 43 cm, 17"x17") offers full diagnostic information even with large patients Network capability: RIS/HIS/PACS. System architecture is open for future developments Manual collimation Comprising: 1. Digital Flat Detector 2. Multi-Purpose U-Arm geometry 3. Operating Station with harmonized User Interface 3

101607 Philips Essenta DR Line # Part # Description Qty 4. UNIQUE advanced image processing 1. Digital Flat Detector detector with field size 43 x 43 cm (17 x 17 inch) resolution 3000 x 3000 pixel pixel pitch 0.143 mm pixel depth 14 bits 2. Multi-Purpose U-Arm geometry All column and U-Arm movements (except detector and tube rotation) are motorized and software controlled resulting in total automatic functionality. The Essenta DR features a U-arm design with the X-ray tube always centered to the detector for fastest, most precise and convenient patient positioning. Depending on the user's preference, the system is available with either fixed or variable SID. Column height: 233 cm (7' 7.7") Vertical U-Arm movement: 150 cm (59 ") Vertical Speed: max 120mm/sec. SID: 40"-72" Rotation (motorized): +120-30 Detector tilt (manual): +45-45 Tube tilt (manual): +180-30 3. Operating Station with harmonized User Interface The Operating Workstation completes the system with a clear user interface, optimized for the technologist's work. Including HW: PC, keyboard and mouse Prepared for "DICOM Media" feature Including SW: Main application software for patient scheduling, image display, review, image and examination editing Clear and workflow optimized user interface Quick image display Immediate image verification on fully processed image UNIQUE, the best in class multi resolution image processing, delivers images of a uniformly high standard that are ideal for softcopy viewing and film printing. 4

101607 Philips Essenta DR Line # Part # Description Qty Full 12 bits pixel depth image chain (acquisition, processing, storage and export). Provides optimal image quality at all steps. DICOM Greyscale Standard Display Function, ensuring consistent presentation of images from screen to PACS or film. User password protection (log on, log off) for data security and privacy. "Advanced user only" concept for customization Documentation 4. UNIQUE advanced image processing UNIQUE advanced multi-resolution image processing allows for optimal Contrast Harmonization". Details will be enhanced while the overall impression remains natural. If used in combination with PCR UNIQUE, equal image impression results on both modalities. Uninterruptible Power Supply providing limited backup power for Philips CR (reader and terminal) and DR (terminal) systems in the event that main power is interrupted. One (1) 1.4 KVA UPS system consisting of: LED status display Audible alarm Note Recharge Time 5 hours. Runtime at typical system power consumption levels: 15 to 20 minutes. Dimensions: Height 8.5 inches, Width 6.7 inches, Depth 17.3 inches Weight: 53 lbs. Power Requirements: 120VAC/15 amps System Parts 980306030007 Cabinet Box Clinical Education Program for Essenta DR Clinical Education Specialists will provide twenty-four (24) hours of tailored Essenta DR OnSite Education for up to four (4) students, selected by customer, including technologists from night/weekend shifts if necessary. CEUs are not available in all cases. Please read Guidelines for more information, which will be provided to you during the scheduling process. Education Hours: Mon Fri 8:00am to 5:00pm, except Monday and Friday are half-days to allow for trainer s travel. Note: Philips personnel are not responsible for actual patient contact or operation of equipment during education sessions except to demonstrate proper equipment operation. Education entitlement expires one (1) year from equipment delivery date. 2 **NRDN034 Single sided height adjustable 1 TA-M trolley The single side suspended TA-M is a height adjustable trolley for easy positioning of patients in a digital radiography room. It has an excellent capability of longitudinal and transverse movements which supports easy maneuverability and handling at the patient side, and features a central pedal control at both sides. Main benefits at a glance 5

101607 Philips Essenta DR Line # Part # Description Qty X-ray from head to toe, for all radiographic applications Robust design with maximum patient load of 225 kg (496 lbs) Single sided concept allows easy positioning on a digital detector Easy positioning through floating tabletop in transverse direction and in longitudinal direction by fixing the vertical axes of the wheels Easy horizontal and vertical patient positioning with large movement range Excellent access to the patient from all sides Completely flat tabletop Hands-free operation via foot pedals Brake system at each side Hydraulic height adjustment through foot pedals Foot pedal on each side for central activation and release of brakes and tabletop functions The floating tabletop provides good coverage due to its travel range, allowing quick and effortless positioning. Thus the patient can be better examined and do not need to be moved during the examination, which is particularly important for emergency and trauma. The hydraulic height adjustment with pedal gives a total lift of 27 cm (10.6 ) to adjust to a comfortable and safe working height. The lowest position allows loading a patient being in a wheel chair. Specifications Maximum patient weight: 225 kg (496 lbs) Hydraulic height adjustment: from 60 to 87 cm (23.6 to 34.3 ) Maximum dimensions with accessories: 227 x 90 cm (7 5.4 x 35.5 ) Tabletop type: floating tabletop of sandwich design with carbon fiber overlay, flat top side Tabletop size: 220 x 67 cm (7 2.6 x 26.4 ), thickness 5.4 cm (2.1 ) Tabletop length of X-ray transparent area: 1.73 m (5 8.1 ) Tabletop travel: transverse ±10 cm (±4.3 ), longitudinal by fixing the vertical axes of the wheels Tabletop attenuation equivalent: less or equal to 1.4 mm (0.06 ) Al at 100 kv Weight: 130 kg (286 lbs) All accessories for the TH-S table can be used with this trolley Comprising Height adjustable trolley with tabletop 3 **NRDN060 OPTIMUS 80, 3- phase X-ray 1 generator OPTIMUS 80, 3- phase X-ray generator 80 kw generator for BuckyDiagnost And DigitalDiagnost system components Computer controlled converter X-ray generator 1- tube version 3 phases, 360-440 VAC, 50/60 Hz Dual speed rotor control High voltage: 40-150 kv 6

101607 Philips Essenta DR Line # Part # Description Qty Tube current: 10-1100 ma mas product: 0,5-850 mas Exposure time: 1 ms - 6 s Max tube current: 1100 ma at 70 kv 1000 ma at 80 kv 800 ma at 100 kv 640 ma at 125 kv 533 ma at 150 kv 19" 40E cabinett 4 **NRDN080 SRO 33100 1 Comprising: SUPER ROTALIX tube SRO 33100 With nominal focal spots values: 0.6 / 1.2 Loads in kw: 33 / 100 With thermal safety switch Total filtration: min. 2,6 mm Al Clamp fitting 5 **NRDN191 Automatic optimal image 1 resolution Philips unique VarioFocus generator technology ensures optimal image resolution for all kind of examinations, by avoiding to compromise on which tube focus spot size to use, power load and exposure time. Main benefits at a glance Optimal image quality through mixed focus spot adapted to each examination Optimal resolution at the needed power Minimum exposure time Minimum motion artifacts Minimum geometrical blur Fully automatic By using both focus spots simultaneously to define a variable focus spot, Philips VarioFocus automatically balances the power on both focus spots in a defined ratio, ensuring optimal image resolution at any required power. In addition, tube filaments are preserved through power balancing on both focus spots and reduced power load on each of them, which may result in longer tube life. Comprising 7

101607 Philips Essenta DR Line # Part # Description Qty Software license Compatible with: Philips 50, 65, 80 kw generators Philips X-ray tubes RO1750, SRO0951, SRO2550, SRO33100 6 **NRDN199 Comprising: Adapt. Transf. 415-480 V 1 three-phase transformer for mains supply voltage adaptation of 415/440/460/480 V to 400 Vand for 380/400 V for mains supply without N (neutral) to be built into the base of generator. Compatible with: Generator OPTIMS 50, 1tube second tube connection extension to 65 kw extension to 80 kw 7 **NRDN249 High resolution 19" TFT color 1 LCD Display Resolution: 1280 x 1024 8 **NDCC061 DICOM Package 1 This package provides all DICOM features available with PCR Eleva: DICOM Print, DICOM Image Export, RIS connection, MPPS. For full description, please refer to the mentioned features. Buying this feature once for the reader will make the functionality available on all workspots that have been purchased for this reader. Compatible with: PCR Eleva software release 1.0 and above Comprising: DICOM WLM & Classic RIS Interface to Radiology Information System (RIS). Worklist handling via a DICOM Basic Work List Management (BWLM) or FTP RIS interface. The DICOM & Classic RIS connection package allows the Eleva workspot to automatically load the acquisition modality s worklist from a RIS server. The worklist query can be performed 'broad' (generic) or specific (patient oriented), and both interactively (on operator request) and automatically (in background). For further details on DICOM BWLM, please refer to the system DICOM Conformance Statement. 8

101607 Philips Essenta DR Line # Part # Description Qty Buying this feature once for the system will make the functionality available on all workspots that have been purchased for this system. Comprising: DICOM Worklist Management software license FTP RIS Interface software license Compatible with: PCR Eleva software release 1.0 and above Essenta DR release1.0 and above DICOM MPPS DICOM Modality Performed Procedure Step (MPPS) DICOM service for notifying the RIS server about start and end of performed procedure steps. The messages contain references to the originating worklist items (patient and procedure data), a list of exported DICOM images and post exposure data. MPPS requires that the DICOM WLM feature is enabled. For further details, please refer to the system DICOM Conformance Statement. Buying this feature once for the system will make the functionality available on all workspots that have been purchased for this system. Comprising: Software license Compatible with: PCR Eleva software release 1.0 and above Essenta DR release 1.0 and above Generator Data will not be reported automatically for Essenta DR and PCR Eleva! DICOM Image Export DICOM Storage and DICOM Storage Commitment The DICOM Image Export feature provides the DICOM Storage service to send images to PACS or any other DICOM destination in DICOM format. The Eleva workspot supports DICOM Greyscale Display Standard. Calibration of Eleva workspot and the receiving DICOM node will result in consistently same high image quality. DICOM Image Export also includes the DICOM Storage Commitment service, allowing the Eleva workspot to be informed by storage destination if images have been securely stored. This trigger is used by the Eleva workspot to allow related images to be deleted locally. For further details, please refer to the sytem DICOM Conformance Statement. Buying this feature once for the reader will make the functionality available on all workspots that have been purchased for this system. 9

101607 Philips Essenta DR Line # Part # Description Qty Comprising: Software license Compatible with: PCR Eleva software release 1.0 and above Essenta DR release 1.0 and above DICOM Print DICOM Print interface for manual and automatic printing. DICOM Print allows for manual and automatic printing directly from the Eleva workspot. It enables the user to transfer images to a networked DICOM imager with the choice of different printing modes: Autoprint: automatic printing of images on predefined film layouts according to the examination Manual print: Manual image placement on predefined film layouts or image placement on free layout composing. For further details, please refer to the system DICOM Conformance Statement. Buying this feature once for the system will make the functionality available on all workspots that have been purchased for this system. Comprising: Software license Compatible with: PCR Eleva software release 1.0 and above Essenta DR release 1.0 and above For compatible printers see product info Technical Data: Only printing via DICOM protocol is possible. 9 **989001084241 Stretch grip f. wall stands 1 To keep the patient s arm overhead or beside the Bucky unit during exposure. To be inserted at the Bucky unit at right or left side. Comprising: Arm rest, U- shaped for different grip height, tiltable from 90 to +90 for height and side position 10

wall holder for parking Compatible with: BuckyDiagnost VS (advanced package) BuckyDiagnost VS with digital detector and DigitalDiagnost VM 11

B: Construction/Retrofit of Student Health Center X-ray Laboratory: Work closely with or under direct supervision of primary x-ray equipment vendor. Follow all CSULA university guidelines & procedures forbuilding safety and supervision of employees. Work closely with our University Facilities Planning & Construction Office to meet all construction requirements and applicable construction codes. New DR System should be converted to appropriate size circuit breaker. Work closely with campus Environmental Health & Safety and provide necessary third party Physicist authorized to certify safety standards of finished construction.. Vendor must meet our university procurement requirements for General LiabilityInsurance and workers compensation requirements. Any design & redesign work required must be reviewed and approved by appropriate University authorities. DESIGN: All architectural and engineering work necessary to complete the project described above, including: Preliminary/schematic design and design development work as required to obtain sign off by the Clinic Weekly Customer meetings are included. All required survey and testing work. Construction document production (drawings & specs). Include (1) physicist report for required lead shielding include the post installation physicist testing certification. Copies of the construction documents as required by all parties and other miscellaneous printing costs including read-only CADD files. All review and approval work and fees as required by local agencies or other governmental authorities having jurisdiction over the work. Any redesign work required by review and approval authorities. Any pre-construction meetings. Shop drawing and submittal review. All necessary construction progress inspections, including punch-list and occupancy inspections. As-built drawings and specifications showing all changes made during construction. Travel costs and all other miscellaneous expenses. Include mechanical engineering for new plumbing work. CONSTRUCTION: General Requirements 12

Keep a current and up to date copy of the construction documents on the job site marked with red-lines for all changes that occur during the work. Provide all required shop drawings and submittals, and keep a copy of all approved shop drawings and submittals in the job site office. Turn over all approved files as well as all appropriate operation and maintenance manuals to the Owner upon completion of the project. Provide all necessary samples and test panels. Provide all necessary temporary utility hook-ups. Provide all necessary permits and pay for all deputy inspection fees. Pay all applicable taxes on the work. Standard job site work hours are 8 AM to 5 PM. Permission to work at the site during any periods other than standard work hours must be approved in advance, in writing. HEPA filters and infection control procedures as required by the facility. Maintain negative pressure in the construction area as required by the facility. Provide for daily broom cleaning of the job site and debris removal and appropriate disposal. Use of walk off mats as required by the facility. The entire job site shall be thoroughly cleaned upon completion of the work, prior to turnover to the customer. Compliance with the Owner's security regulations and dress codes is included. Existing Conditions The installation of code compliant temporary partitions to secure areas, control dust, protect adjacent areas and equipment as required are included. Include removal and disposal of all existing floors, case work, ceiling tiles & grid and electrical components as required to accommodate the new work. Include removal of the existing wing wall. Lead drywall and lead window. Provide labor and equipment to demo a 36 wide opening from the dark room into the Rad room. Include saw cutting in dark room to tap into the waste line for relocated sink. Concrete Patch concrete slabs at all cuts, cores, and areas affected by the construction. Include patching and infilling concrete where removed for plumbing work in the dark room. Include rebar and dowels as required. Metals Furnish labor and material to frame new control wall per space plan LAYOUT X-RAY ROOM (see enclosed layout drawing). Furnish labor and material to frame in existing processor opening at existing dark room. Furnish and install 3 x3 x ¼ steel angles for attachment of Philips Essenta DR equipment in accordance with structural requirements. Frame new cased opening from dark room (Room 112C) into Radiology room (112B). Furnish labor and material to frame in new 24 x24 view window at dark room (non lead). 13

Include patching wall at dark room where new plumbing is installed. Wood, Plastics and Composites Provide and install 9 lineal feet of plastic laminate counter at control (L-Shape) Include 16 tall plexiglass divider at sink per drawing. 6 Lineal feet of work counter in dark room opposite the control counter. Openings Existing doors to remain in existing location. Include new lever hardware at (2) doors in the X-Ray room to meet ADA requirements. Furnish and install (1) 24 x 24 standard glass window with timely frame at the dark room (facing vestibule area). Finishes All existing drywall and/or plaster construction disturbed by the work shall be patched, repaired or replaced as required with materials and construction type compatible with the existing construction. Provide new 2' x 4 suspended ceiling system in the X-Ray room only. Ceiling tiles to match existing area. (NOTE: Ceiling to be raised to 9-3 from 9-0 ) All walls shall be primed coat painted, and (none) of the walls shall receive commercial grade vinyl wall covering of the owners choosing from samples submitted by the material supplier -the balance of the walls shall be final coat painted in no more than two different colors as selected by the owner from samples submitted by the material supplier. Furnish and install new 1/8th inch thick commercial grade non-static 12 x12 VCT to meet facility standards. Include patching and repairs at areas affected by our work. Furnish new VCT in the dark room with 4 topset base. All materials to be as selected by the owner from samples provided by the material supplier. All door frames shall be painted, all doors shall be plastic laminate to meet facility standards. All existing finishes disturbed by the work shall be patched, repaired or replaced as required with materials and construction type compatible with the existing construction. Equipment Furnish labor and equipment to remove the existing X-Ray equipment, film developer and components. Special Construction FLOOR PLATES: Installation of the Philips supplied equipment base plate(s) is included (If applicable) RADIATION SHIELDING -X-RAY: Supply and install all radiation shielding as required. Include patching and repair of existing lead shielding where affected by our project. Include new 24 x24 lead view window (Per X-RAY rooms). FLOOD SAFETY PAN: Install flood safety pan above x-ray machine with appropriate drainage to safeguard against water damage in the event of a roof or plumbing leak. Plumbing 14

Furnish labor and material to re-plumb the existing dark room sink including relocating the waste, hot and cold water. Include re-routing the vent line and tieing in above ceiling to same point of connection. Furnish labor and material to cap off the existing floor drain and floor sink in the dark room. Install ESD (www.esdvinyltile.com) Tile in the X-ray & Dark Room for proper Grounding of floor to prevent static. Keep existing small Dental film developer in the Dark Room. Heating Ventilating and Air Conditioning Furnish labor and material to re-balance the existing air serving the room. Include reconnecting existing grilles to new t-bar ceiling in both the RAD room and the Dark room. Include test and balance of the HVAC system(s) affected by the work shall be performed by a qualified independent testing agency certified for such work. Any rework required to bring the HVAC system (or portion of the system affected by the work) to within design specifications is included. Provide copies of all test reports is needed. Electrical Existing main Circuit Breaker enclosure to remain is existing location. The power feed shall connect to the existing 100 AMP breaker located in the existing X-Ray room and must meet Philips Essenta DR imaging system requirements for power quality as specified in the Philips site planning documents. Include safe off for removal of existing X-Ray equipment currently in the control room. Include installation of all required conduits, raceway and boxes per equipment requirements. All raceway to be surface mounted. All required circuit breakers, taps, sub-panels, etc. as required are included. Installation of misc. Philips equipment related items as specified on the referenced Philips Site Planning Department documents is included. Furnish and install (4) new 2x4 florescent light fixtures in the X-Ray room. Furnish and install (1) new florescent light fixtures in the dark room and (3) H7 incandescent light fixtures in the dark room. Include removal of old fixtures as required. Communications TELEPHONE SYSTEMS: Provide all conduit, junction boxes, back-boxes, mounting boards, cover plates and pull boxes and pull strings for owners telephone system to meet facility standards (system and installation by others). Rough-ins for telephone outlets to be in the following rooms: Control desk. COMPUTER NETWORK SYSTEMS: Provide all conduit, junction boxes and pull strings for owner s computer network system to meet facility standards (system and installation by others). Rough-ins for computer outlets to be in the following rooms: Control desk. 15

Location for the Generator Remove X-ray Machine DARK ROOM 112C Remove film developer X-RAY ROOM 112B Layout X-RAY ROOMS 16

C: Radiology PACS Data Storage and Retreival System - (DICOM Archive & Server) PREFER: (1). Primary PACS Storage Server and (2). ASTRA Cloud Hosted Off Site Archiving OPTION: (3). Secondary PACS Storage Server for DATA Backup Fully integrated server and RAID 5 Storage in single hardware Web-based Administrator User Interface Integrate with Philips Essenta DR Ability to manage & archive digital medical images on CDs Or DVDs. PACS system must compliance with HIPAA DICOM Encapsulation support for the attachment of non-dicom files such as PDF, Jpeg or TIF, etc to patient study. Ability to send report to radiography office to read the DR images. HL7 Integration Requirement. Integration of ImageGrid PACS with Point N Click Integration of ImageGrid PACS with Point N Click software via HL7 or Integration API. DICOM Data Migration: Migration of existing Onyx-Rad imaging data in DICOM format from an existing archive into ImageGrid PACS using ImageGrid Data Migration Module. Data migration is done via remote access only and requires the ability to DICOM query / retrieve from existing archive at CSULA. Standard Warranty and Basic Support Plan One-year hardware warranty with Next Business Day on-site support for ImageGrid Storage /Servers. Software Warranty is one-year phone/e-mail support Monday to Friday during work hour, with access to software updates as well as software upgrades. Provide extended Warranty and Support from 2 to 5 year for Hardware and Software Service. Service include installation and training such as: One-day onsite installation, configuration of ImageGrid Storage/Server and training PACS Admin on user interface 1: For Primary PACS Storage: One (1) of Rack - mountable multi-modality & Multi-Workstation PACS appliance with 4 TB of raw/2.7tb usable capacity RAID 5 DICOM archiving & Server. (X-ray Office) DICOM compliant appliance OS and routing/replication software with the ability to receive studies from any DICOM modality and communicate with third party DICOM Workstations; no additional fees for adding modalities / additional remote AE Titles No limitations in the number of studies per year Intel Xeon E5650, 2.66Ghz, 12M Cache, 5.86 GT/s QPI, Turbo, HT, 4GB Memory, 1066MHz Dual Ranked UDIMMs, PERC 6/i SAS RAID Controller, redundant fans, power supplies, Dual Gigabit Ethernet NIC. 17

Web-based GUI administration software for easy set-up, admin, addition of modalities and workstations etc. Intelligent System Self-monitoring and diagnostics with E-Mail and paging notification for maximizing up-time Remote monitoring capability for proactive monitoring of system and key components Redundant and hot-swappable drives, power supplies, and fans No limitations on number of modalities (Remote AE Titles) Storage Expansion Options up to hundreds of terabytes in additional capacity 2: ASTRA Cloud Hosted Off Site Archiving: Prefer the Cloud over the Secondary Backup Server C: Option below. Archiving of a DICOM compliant patient study of up to 50 MB in size on the Candelis Cloud for one year. Price includes One(1) upload of study and One(1) download. Studies will be uploaded from ImageGrid PACS. Data is archived "on-line" and is easily accessible to customer. Each additional incremental 50 MB beyond the first 50 MB is priced at only $0.10 per year or less. Price per TB (or fraction thereof) per Year for archiving of DICOM or DICOM-RT compliant patient studies. Price includes uploading of study and One(1) time download. Studies will be uploaded from ImageGrid PACS. Vendor will retain data in a fully encrypted form for the term of service. Data is archived "on-line" and is easily accessible to the SHC. 3: Optional Secondary ImageGrid DICOM Archive & Server for Data Backup for Disaster Recovery and Business Continuity If ASTRA Cloud Hosted Off Site Archiving doesn t meet Campus approval: One (1) of the Rack-mountable Multi-modality and multi-workstation PACS appliance with 4 TB of raw/ 2.7 TB Usable capacity RAID 5 DICOM Archiving and Server consisting of 1 Local AE Title and 1 Remote AE. Ability to automatically receive studies from primary ImageGrid PACS storage / server. This will be the Secondary ImageGrid DICOM Archive and Server for Data Back-up for Disaster Recovery and Business Continuity. (Computer Room, in the SHC). SOFTWARE/VIEWER Radiology FDA 510(k) Cleared Viewer Software and Radiologist Workstation (Image Viewers) One software license available up to Five Concurrent Users ImageGrid Radiology Viewer which is a web enabled application residing on the ImageGrid PACS and will provide physicians with diagnostic reading access from any PC Workstation with at least 4 GB of RAM. The price is a one time license and there are no limitations in the number of studies per year or any annual license fees. Also included, is the ability to burn studies onto CD with a "lite" version of the viewer on it (for providing referring physicians with the 18

ability to receive the CD and see the study) in the Exam Room or Physicians Office. There will be no limitations on the number of user names and passwords which can be created. HARDWARE: Two Flat Panel Display in the X-Ray & Physician (ECC) Office Need to purchase two (2) Workstation for thin-client Mammography or Radiology featuring PC with Quad Core Intel Xeon E5506 2.13GHz, 4M L2, 4.8GT/s 1066 MHz. 12 GB RAM, 160GB SATA, 10K RPM Hard Drive with 16MB DataBurst Cache, 20" Flat Panel Display, Genuine Windows 7 Professional, with Media, 64-bit, English, CD/DVD R/W Drive. Note: Vendor must test these workstations configuration and provides the best performance and user experience for the Viewers. These workstations must include: Including:Graphics Card for 2 MP Grayscale or Color Eizo 2 MP Medical Grade Display - Color. Price included 5 years of warranty Eizo Calibration and Puck 19