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TABLE OF CONTENTS

LIST OF FIGURES

LIST OF CHARTS

EXECUTIVE SUMMARY
1.1 OVERVIEW OF PACS AND EMR
1.2 PICTURE ARCHIVING COMMUNICATION SYSTEM (PACS)
1.3 ELECTRONIC MEDICAL RECORD (EMR)
1.4 DIGITAL IMAGING AND COMMUNICATIONS IN MEDICINE (DICOM) PRINTERS
1.5 COMPETITIVE ANALYSIS

RESEARCH METHODOLOGY
2.1 RESEARCH SCOPE
2.2 IDATA’S 9-STEP METHODOLOGY
Step 1: Project Initiation & Team Selection
Step 2: Prepare Data Systems and Perform Secondary Research
Step 3: Preparation for Interviews & Questionnaire Design
Step 4: Performing Primary Research
Step 5: Research Analysis: Establishing Baseline Estimates
Step 6: Market Forecast and Analysis
Step 7: Identify Strategic Opportunities
Step 8: Final Review and Market Release
Step 9: Customer Feedback and Market Monitoring

U.S. MARKET FOR PACS, EMR & DICOM PRINTERS
3.1 INTRODUCTION
3.1.1 Introduction to PACS
3.1.2 Introduction to EMR
3.1.3 Introduction to DICOM Printers
3.1.4 PACS, EMR and DICOM Printer Market Relationships
3.2 MARKET OVERVIEW
3.2.1 PACS, EMR and DICOM Printer Markets
3.2.2 Effect of Economic Crisis
3.3 MARKET ANALYSIS AND FORECAST
3.3.1 PACS Market
3.3.2 PACS Hardware
3.3.3 PACS Software
3.3.4 PACS Financing Options
3.3.5 EMR Market
3.3.6 EMR Hardware
3.3.7 EMR Software
3.3.8 EMR Financing Options
3.3.9 DICOM Printer Market
3.3.10 DICOM Printer Selection
3.4 TOTAL MARKET DRIVERS AND LIMITERS
3.4.1 Market Drivers for PACS
3.4.2 Market Limiters for PACS
3.4.3 Market Drivers for EMR Adoption
3.4.4 Market Limiters for EMR Adoption
3.4.5 Market Drivers for DICOM Printers
3.4.6 Market Limiters for DICOM Printers
3.5 LEGISLATION
3.5.1 PACS Legislation
3.5.2 EMR Legislation
3.5.3 EMR Certification
3.6 COMPETITIVE ANALYSIS
3.6.1 Overall Market Competitive Analysis
3.6.2 PACS Market Shares
3.6.3 EMR Market Shares
3.6.4 DICOM Printer Market Shares
3.7 MERGERS AND ACQUISITIONS
3.7.1 PACS
3.7.2 EMR

PICTURE ARCHIVING COMMUNICATION SYSTEM MARKET
4.1 INTRODUCTION
4.1.1 Definition of PACS
4.1.2 DICOM Standards for PACS
4.1.3 HL-7 Standards
4.1.4 Integrating the Healthcare Enterprise (IHE)
4.1.5 PACS Workflow
4.1.6 PACS Image Backup
4.1.7 Hospital Information Systems and Integration
4.2 MARKET OVERVIEW
4.2.1 Total PACS Market
4.2.2 Market Breakdown
4.2.3 PACS Hardware
4.2.4 PACS Software
4.2.5 PACS Financing Options
4.3 MARKET ANALYSIS AND FORECAST
4.3.1 Number of Facilities
4.3.2 Total PACS System Sales
4.3.2.1 PACS Market from New Unit Sales
4.3.2.2 PACS System Upgrades Market
4.3.3 PACS Service and Maintenance Market
4.4 INSTALLED BASE AND PENETRATION OF PACS
4.4.1 PACS Penetration
4.4.2 PACS Installed Base
4.5 PACS MARKET BY HOSPITAL TYPE
4.5.1 Large Hospital PACS Market
4.5.2 Medium Hospital PACS Market
4.5.3 Community Hospitals PACS Market
4.5.4 Non-Affiliated Imaging Center PACS Market
4.6 PACS MARKET BY SPECIALTY
4.6.1 Department PACS Systems by Market Share and Unit Share
4.6.2 Radiology PACS by Hospital Type
4.6.3 Cardiology PACS by Hospital Type
4.6.4 Orthopedic PACS by Hospital Type
4.7 DRIVERS AND LIMITERS
4.7.1 Market Drivers
4.7.2 Market Limiters
4.8 LEGISLATION
4.8.1 Health Insurance Portability and Accountability Act (HIPAA)
4.8.2 Integrating the Healthcare Enterprise Standard (IHE)
4.9 COMPETITIVE ANALYSIS
4.9.1 Leading Competitors in the PACS Market by Market Share
4.9.2 Leading Competitors in the PACS Market by Installed Base Share
4.9.3 Competitor Concentration
4.10 MERGERS AND ACQUISITIONS

ELECTRONIC MEDICAL RECORD MARKET
5.1 INTRODUCTION
5.1.1 EMR vs. EHR
5.1.2 Significance of EMR Adoption
5.1.3 Implementation of Computerized Physician Order-Entry (CPOE)
5.1.4 HIMSS Analytics EMR Adoption Model
5.2 MARKET OVERVIEW
5.2.1 Total Ambulatory EMR Market
5.2.2 Acute vs. Ambulatory EMR
5.2.3 EMR Hardware
5.2.4 EMR Software
5.2.5 EMR Financing Options
5.3 MARKET ANALYSIS AND FORECAST
5.3.1 Total Revenue from Sales and Annual Support
5.3.2 Total Number of Ambulatory Practices
5.3.3 Installed Base and Penetration of EMR
5.3.3.1 EMR Installed Base
5.3.4 EMR Penetration
5.3.5 EMR Units Sold
5.3.6 EMR Average Selling Price of Per-Practice Model
5.3.7 EMR Average Selling Price of Subscription Model
5.4 QUANTITATIVE BENEFITS AFTER EMR IMPLEMENTATION
5.4.1 Reductions in Chart Pulls, Transcription Costs, Number of Patient Encounters and Malpractice Premiums
5.4.2 Reduction in Storage Space and Management of Archives
5.4.3 Total Cost Savings after Year One of EMR Implementation
5.4.4 Time Frame: Point of Purchase to EMR Installation
5.5 INFORMATION TECHNOLOGY AND EMR FUNCTIONALITIES
5.5.1 Physician Preference for Mode of IT Support
5.5.2 Physician Preference for EMR Model and Operating System
5.5.3 Preferred Functionalities by Physician Practices for EMR Package
5.6 MARKET DRIVERS AND LIMITERS
5.6.1 Market Drivers
5.6.2 Market Limiters
5.7 EMR LEGISLATION AND CERTIFICATION
5.7.1 EMR Legislation
5.7.2 EMR Certification
5.8 EMR COMPETITIVE ANALYSIS
5.8.1 Leading Competitors in the EMR Market by Market Share
5.8.2 Competitor Concentration
5.9 MERGERS AND ACQUISITIONS

DIGITAL IMAGING & COMMUNICATIONS IN MEDICINE PRINTERS
6.1 INTRODUCTION
6.2 MARKET ANALYSIS AND FORECAST
6.2.1 DICOM Printer Market
6.2.2 DICOM Printer Units Sold
6.2.3 DICOM Printer Selection
6.3 DRIVERS AND LIMITERS
6.3.1 Market Drivers
6.3.2 Market Limiters
6.4 COMPETITIVE ANALYSIS
6.4.1 Market Share
6.4.2 Installed Base Share
6.4.3 Competitor Concentration

ABBREVIATIONS

LIST OF FIGURES
EXECUTIVE SUMMARY
RESEARCH METHODOLOGY
U.S. MARKET FOR PACS, EMR & DICOM PRINTERS
Figure 3-1: Total PACS, EMR and DICOM Printer Markets, U.S., 2005 - 2015
Figure 3-2: Total PACS Market, U.S., 2005 - 2015
Figure 3-3: Total Ambulatory EMR Market, U.S., 2008
Figure 3-4: Total Market for DICOM Printers, U.S., 2005 - 2015
Figure 3-5: PACS, EMR and DICOM Printer Markets Drivers and Limiters, U.S., 2008
Figure 3-6: Leading Competitors for PACS, EMR and DICOM Printer Market Shares, U.S., 2008
PICTURE ARCHIVING COMMUNICATION SYSTEM MARKET
Figure 4-1: Total PACS Market, U.S., 2005 - 2015
Figure 4-2: Number of Facilities, U.S., 2005 - 2015
Figure 4-3: Percentage of Revenue from PACS Sales, U.S., 2005 - 2015
Figure 4-4: PACS Market from New Unit Sales, U.S., 2005 - 2015
Figure 4-5: Percentage of Revenue from System Upgrades, U.S., 2005 - 2015
Figure 4-6: Percentage of Revenue from Service and Maintenance, U.S., 2005 - 2015
Figure 4-7: Penetration of PACS, U.S., 2005 - 2015
Figure 4-8: Number of Facilities with PACS, U.S., 2008
Figure 4-9: Installed Base for PACS, U.S., 2005 - 2015
Figure 4-10: PACS Units Sold in the Large Hospital Market, U.S., 2005 - 2015
Figure 4-11: PACS Units Sold in the Medium Hospital Market, U.S., 2005 - 201590
Figure 4-12: PACS Units Sold in the Community Hospital Market, U.S., 2005 - 2015
Figure 4-13: PACS Units Sold in the Non-Affiliated Imaging Center Market, U.S., 2005 - 2015
Figure 4-14: PACS Market Drivers and Limiters, U.S., 2008
Figure 4-15: Leading Competitors in the PACS Market for Market Share, U.S., 2008
Figure 4-16: Leading Competitors in the PACS Market for Installed Base Share, U.S., 2008
Figure 4-17: Competitor Concentration in the PACS Market, U.S., 2005 - 2015
ELECTRONIC MEDICAL RECORD MARKET
Figure 5-1: Total Ambulatory EMR Market, U.S., 2008
Figure 5-2: Total Revenue from Sales and Annual Support in Ambulatory Care, U.S., 2005 - 2015
Figure 5-3: Total Number of Ambulatory Practices, U.S., 2008
Figure 5-4: Ambulatory EMR Installed Base for EMR, U.S., 2005 - 2015
Figure 5-5: EMR Penetration in Ambulatory Care, U.S., 2005 - 2015
Figure 5-6: Total Units Sold in Ambulatory Care, U.S., 2005 - 2015
Figure 5-7: ASP of Per-Practice Ambulatory EMR Installation, U.S., 2005 - 2015139
Figure 5-8: ASP of Ambulatory EMR Subscription Model, U.S., 2005 - 2015
Figure 5-9: Quantitative Benefits after EMR Implementation, U.S., 2008
Figure 5-10: Quantitative Benefit in Reduction of Storage Space and Management of the Archive, U.S., 2008
Figure 5-11: Total Cost Savings after Year One of Ambulatory EMR Implementation, U.S., 2008
Figure 5-12: Time from Point of Purchase to EMR Installation for Ambulatory Practices and Acute Care Setting, U.S., 2008
Figure 5-13: Physician Preference for EMR Model and Operating System Types, U.S., 2008
Figure 5-14: EMR Market Drivers and Limiters, U.S., 2008
Figure 5-15: Leading Competitors in the EMR Market, U.S., 2008
Figure 5-16: Competitor Concentration in the EMR Market, U.S., 2005 - 2015 . 172
DIGITAL IMAGING & COMMUNICATIONS IN MEDICINE PRINTERS
Figure 6-1: Total Market for DICOM Printers, U.S., 2005 - 2015
Figure 6-2: Units Sold in the Total DICOM Market, U.S., 2005 - 2015
Figure 6-3: Drivers and Limiters for the DICOM Printer Market, U.S., 2008
Figure 6-4: Leading Competitors for the DICOM Printer Market by Market Share, U.S., 2008
Figure 6-5: Competitor Concentration in the DICOM Printer Market, U.S., 2005 - 2015
ABBREVIATIONS

LIST OF CHARTS
EXECUTIVE SUMMARY
Chart 1-1: Total PACS and EMR Market, U.S., 2005 - 2015
Chart 1-2: Total PACS Market Value, U.S., 2005 - 2015
Chart 1-3: Total PACS Market from New Unit Sales, U.S., 2005 - 2015
Chart 1-4: Total Ambulatory EMR Market, U.S., 2005 - 2015
Chart 1-5: Total Ambulatory EMR Units Sold, U.S., 2005 - 2015
Chart 1-6: Total Market Value for DICOM Printers, U.S., 2005 - 2015
Chart 1-7: Total DICOM Printer Units Sold, U.S., 2005 - 2015
Chart 1-8: Leading Competitors, PACS, EMR and DICOM printers, U.S., 2008
RESEARCH METHODOLOGY U.S. MARKET FOR PACS, EMR & DICOM PRINTERS
Chart 3-1: Total PACS, EMR and DICOM Printer Markets, U.S., 2005 - 2015
Chart 3-2: Total PACS Market, U.S., 2005 - 2015
Chart 3-3: Total Ambulatory EMR Market, U.S., 2008
Chart 3-4: DICOM Printer Market, U.S., 2005 - 2015
Chart 3-5: Leading Competitors for U.S. PACS, EMR and DICOM Printer Market Shares, 2008
PICTURE ARCHIVING COMMUNICATION SYSTEM MARKET
Chart 4-1: Total PACS Market, U.S., 2005 - 2015
Chart 4-2: PACS Revenue Segmentation, U.S., 2008
Chart 4-3: Percentage of Revenue from PACS Sales, U.S., 2005 - 2015
Chart 4-4: Total PACS Market from New Unit Sales, U.S., 2005 - 2015
Chart 4-5: Percentage of Revenue from System Upgrades, U.S., 2005 - 2015
Chart 4-6: Percentage of Revenue from Service and Maintenance, U.S., 2005 - 2015
Chart 4-7: Penetration of PACS, U.S., 2005 - 2015
Chart 4-8: Installed Base for PACS, U.S., 2008
Chart 4-9: PACS Units Sold in the Large Hospital Market, U.S., 2005 - 2015
Chart 4-10: PACS Units Sold in the Medium Hospital Market, U.S., 2005 - 2015 91
Chart 4-11: PACS Units Sold in the Community Hospital Market, U.S., 2005 - 2015
Chart 4-12: PACS Units Sold in the Non-Affiliated Imaging Center Market, U.S., 2005 - 2015
Chart 4-13: Leading Segments by Market Value, U.S., 2008
Chart 4-14: Leading Segments by Unit Share, U.S., 2008
Chart 4-15: Radiology PACS Units by Hospital Type, U.S., 2008
Chart 4-16: Cardiology PACS Units by Hospital Type, U.S., 2009
Chart 4-17: Orthopedic PACS Units by Hospital Type, U.S., 2008
Chart 4-18: Leading Competitors in the PACS Market for Market Share, U.S., 2008
Chart 4-19: Leading Competitors in the PACS Market for Installed Base Share, U.S., 2008
Chart 4-20: Competitor Concentration in the PACS Market, U.S., 2005 - 2015
ELECTRONIC MEDICAL RECORD MARKET
Chart 5-1: Total Ambulatory EMR Market, U.S., 2008
Chart 5-2: Total Market Value from Sales and Annual Support in Ambulatory
Care, U.S., 2005 - 2015
Chart 5-3: Total Number of Ambulatory Practices, U.S., 2008
Chart 5-4: Ambulatory EMR Installed Base, U.S., 2005 - 2015
Chart 5-5: Ambulatory EMR Units Sold, U.S., 2008
Chart 5-6: EMR Penetration in Ambulatory Practices, U.S., 2008
Chart 5-7: Total Units Sold in Ambulatory Care, U.S., 2005 - 2015
Chart 5-8: ASP of Per-Practice Ambulatory EMR Installation, U.S., 2005 - 2015140
Chart 5-9: ASP of Ambulatory EMR Subscription Model, U.S., 2005 - 2015
Chart 5-10: Quantitative Benefit in Reduction of Storage Space and Management of the Archive, U.S., 2008
Chart 5-11: Total Cost Savings after Year One of Ambulatory EMR Implementation, U.S., 2008
Chart 5-12: Mode of IT Support Preferred By Physician Practices, U.S., 2008
Chart 5-13: Physician Preference for “ASP” versus Client/Server Model, U.S., 2008
Chart 5-14: Physician Preference for Windows vs. Open Source/Linux Operating Systems, U.S., 2008
Chart 5-15: Preferred Functionalities for EMR by Physicians, U.S., 2008
Chart 5-16: Leading Competitors in the EMR Market, U.S., 2008
Chart 5-17: Competitor Concentration in the EMR Market, U.S., 2005 - 2015
DIGITAL IMAGING & COMMUNICATIONS IN MEDICINE PRINTERS
Chart 6-1: Total Market for DICOM Printers, U.S., 2005 - 2015
Chart 6-2: Units Sold in the Total DICOM Market, U.S., 2005 - 2015
Chart 6-3: Leading Competitors for the DICOM Printer Market by Market Share, U.S., 2008
Chart 6-4: Leading Competitors for the DICOM Printer Market by Installed Base Share, U.S., 2008
Chart 6-5: Competitor Concentration in the DICOM Printer Market, U.S., 2005- 2015
ABBREVIATIONS