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Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria www.aetos-it.co.za

AETOS-IT PRODUCTS AND SERVICES HABIT

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Page 1: AETOS-IT PRODUCTS AND SERVICES HABIT

Block C, Castle Walk Corporate Park,

3 Kuiseb Street, Erasmuskloof,

Pretoria

www.aetos-it.co.za

Page 2: AETOS-IT PRODUCTS AND SERVICES HABIT

AETOS-IT: PRODUCTS & SERVICES HABIT www.aetos-it.co.za

31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

Page 2 of 35

BACKGROUND

1. AETOS-IT PROFILE......................................................................................................... 3

1.1 Cloud Solutions Audit of Human Capital....................................................................

1.2 Audit of Customer Relations via CRM Pipeliner and System Code via Hawkeye &

APOD...........................................................................................................................

1.3 Aetos-it Shareholders...................................................................................................

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AGREEMENTS

2. AETOS-IT PARTNERS..................................................................................................... 6

2.1 EY.................................................................................................................................

2.2 Dimension Data............................................................................................................

2.3 Biotic Health Corporation............................................................................................

2.4 Matsei............................................................................................................................

2.5 Apace Systems…………………………………………..……………………………

2.6 InfoWatch………………………………….…………………………………………

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PRODUCTS

3. AETOS-HABIT...................................................................................................................

3.1 What is it? .....................................................................................................................

3.2 How it works? ..............................................................................................................

3.3 Why would I want to use it? ........................................................................................

3.4 The Health and Wellness Management Map................................................................

3.5 Would You? .................................................................................................................

3.6 How AETOS-HABIT helps Insurers & PEOs.............................................................

3.7 Why do Medical Practices & Networks love AETOS-HABIT? .................................

3.8 AETOS-HABIT for Corporate Wellness.....................................................................

3.9 Smart Devices...............................................................................................................

3.10Mainstream Health Services Delivery Model………………………………………..

3.11Components / Participants of AETOS-HABIT System……………………………….

3.12AETOS-HABIT Client / Patient Front End Interface…………………..……………

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ANNEXURES

Annexure A: AETOS-HABIT Client Detail……………………………………………………

Annexure B: AETOS-HABIT Devices Order Form…………..…………………………………

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TABLE OF CONTENTS

Page 3: AETOS-IT PRODUCTS AND SERVICES HABIT

AETOS-IT: PRODUCTS & SERVICES HABIT www.aetos-it.co.za

31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

Page 3 of 35

1. AETOS-IT PROFILE

AETOS-IT (Pty) Ltd Company Reg no: 2014/054899/07 emerged in January 2014 from the

amalgamation of several business solutions, into one company. The flagship business solution,

Hawkeye & APOD was launched in 2009 by the current owners of AETOS-IT. AETOS-IT is a

South Africa registered company whose main focus is the Audit of Technology systems, Audit of

Human capital and IT Consulting. We are the preferred supplier of Intelligent, Innovative &

Integrated Corporate Enterprise Solutions across South Africa and the rest of Africa.

1.1 Cloud Solutions Audit of Human Capital

1.1.1 Indaba Health & Wellness: Health and Behaviour Integrated Tool (HABIT)

An interactive, on line system, for behaviour modification with evidence based

monitoring. It combines Behaviour analysis with targeted e-learning and vital

statistic monitoring. It's an all-encompassing pro-active health and wellness

program for promoting health awareness. It teaches the participants precisely how

to modify their behaviour based on unique physical and behaviour tendencies. It

addresses the need for targeted health and wellness education through annual H&W

plans and personalised prevention plans. Evidence based monitoring is available

through a variety of sensing monitors of your choice and requirements. Encourages

compliance and verification of learning and progress. Can reduce insurance

underwriting costs and generate revenue for industry.

1.1.2 AETOS-IT / Profiles South Africa International

Aetos has a complete catalogue of state of the art occupational assessments that

target all phases of employment, from selection and hiring to training, self-

coaching and management of performance levels.

Profiles give Aetos-IT the market edge in areas of:

Recruitment & Selection,

Talent Management

Improving Workforce Productivity

Reducing Employee Theft & Fraud

Reducing Absenteeism

Improving Customer Service

Improving Call Centre Performance

Improving Sales Force Productivity

Reducing Voluntary Turnover

Doing more with fewer People

Manage Performance

BACKGROUND

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31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

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Manage Organisational Change

Improving Morale

Improving Coaching & Monitoring

Succession Planning

Career Pathing

Helping Managers Succeed

Building High Performance Teams

Building a performance Culture

Building a Competency Model

1.2 Audit of Customer Relations via CRM Pipeliner and System Code via AETOS-

HAWKEYE & APOD

1.2.1 Client Relationship Management System Pipeliner

Aetos-It is proud to be the only distributer partner of the most innovative CRM

software solution (cloud) in South Africa. With Pipeliner CRM we introduced new

ways of looking at sales and at the sales pipeline by making it more visual and more

interactive. The interactive user interface allows sales professionals to manage their

most important data with just a few clicks of the mouse.

It gives minimum risk and secure business whilst focussing on the future successes

of the company. "What Amazon is for books Pipeliner is for sales". Pipeliner allows

us to capture, monitor and promote sales activities whilst being fully visible at all

times in the cloud. It integrates all sales activities with client’s relations and allows

the company to manage its sales goals as it affects income. Monitoring can be done

on individual or group sales activities. It has a clear and colourful sales pipeline

which integrates all sales activities on a dashboard with the click of a mouse.

1.2.2 System Code Audit and analyser- AETOS-HAWKEYE & APOD

Consulting is provided for the installation, configuration, interpretation of results,

training of users, project management and program correction/remediation

services. The principals of Aetos IT have been providing consulting services for

over 20 years in the information technology sector. With expertise in large scale

systems implementations and extensive experience managing programming teams

and software implementation projects Aetos IT is well positioned to provide

consulting services associated with the advice & products we sell.

Consulting - Product\Tools

This covers the setting up of the system and the setting of coding guidelines (the

rules) in consultation with the client. Pricing subject to clients requirements and

can be estimate for each landscape that the client requires scanning.

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31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

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Consulting - Remedial work

This covers the placing of required skills to carry out remedial work. The cost of

consult depends on a variety of factors including the availability of the specific type

of resource required and the volume of work that is anticipated. It can take several

week or months to acquire the resources required depending on these factors.

Implementation Process

The implementation of the Aetos IT tools follows the path set out below. We

“Setup” the system by installing it for scanning, we “Scan” your code and we

“Validate and Configure”. At “Implementation” the system is up and running.

1.3 AETOS-IT Shareholders

The shareholders are:

Mr. Andrew Jansen van Vuuren - CEO of AETOS-IT (Pty) Ltd;

Mr. Rob Kading – IT Executive;

Mr. Collins Khumalo – Chairperson of AETOS-IT;

Mr. Jacob Ngakane – Professional engineer with expertise in manufacturing, mining and

development;

Mr. Emmanuel Christofides – Business Development Executive;

Mrs. Misti-Aletia Jonker – Corporate Executive;

Dr. Louis Powell – Health Advisor;

Mr. Lloyd Peter Chisholm – Financial Executive.

Page 6: AETOS-IT PRODUCTS AND SERVICES HABIT

AETOS-IT: PRODUCTS & SERVICES HABIT www.aetos-it.co.za

31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

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2. AETOS-IT PARTNERS

2.1 At EY, we are committed to building a better working world — with increased trust and

confidence in business, sustainable growth, development of talent in all its forms, and

greater collaboration. We want to build a better working world

through our own actions and by engaging with like-minded

organizations and individuals. This is our purpose — and why

we exist as an organization.

Strategic Alliance Agreement (effective 17 October 2014)

2.2 Dimension Data’s passion is to find ways to use ICT to make our clients’ business work

better. We turn your ambitions into achievements. We will position you to respond to

today's challenges, with targeted, pertinent services and IT

solutions. We ensure your business is supported by a robust

networking platform and help you optimise the performance

and availability of the unified communications and

collaboration tools that run on it – including desktop and

contact centre technologies.

Teaming Agreement (effective 27 January 2015)

2.3 Biotic Health Corporation is an impact-orientated company with the core objective of

promoting healthy lifestyles of consumers through managed health interventions. We

work with employers and communities together with the health

ecosystem to deliver tailored solutions that enhance the well-

being of individuals throughout Southern Africa. Our

interventions enable individuals to realise their full well-being

which translates into greater productivity, increased revenue,

reduced costs and increased morale in the workplace and

community.

Strategic Agreement (effective date 10 February 2015)

2.4 Matsei’s experience centres on the design, provision and effective implementation of IT

solutions into the Public Sector in general as well as specialising in solutions for both the

Military and Industry domains of the Aerospace and

Defence, Utilities, Telecommunication, Transportation,

Financial Resources and Health sectors. Matsei provide and

support a complete range of quality Enterprise -Business -

and Solution Architecture services, System Engineering,

Integration support as well as Data and Business Solution

(ERP, EAM, MRO and ECM solutions) Implementation

services. Strategic Partner Agreement (effective 25 October 2014)

AGREEMENTS

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31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

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2.5 Apace Systems set out to create an independent switch that is fast, secure, open and easy

to use, and that could be used throughout anywhere in the world with no country-specific

restrictions while abiding by each country's local regulations

and requirements. Best practices were adhered to from the

start, which makes the system flexible to each client's needs

and the requirements of their country or regulatory body.

The apace switch is a type-agnostic switch that can handle

data across any industry and format. It provides multiple

connectivity options and abides by the highest forms of

security. Built as a completely pluggable interface it can

enable specific features as and when required. Transactions

can be processed in real-time, as batch or as a hybrid where

transactions are received as batch, but passed to the backend

as real-time.

Strategic Partner Agreement (effective 17 March 2015)

2.6 InfoWatch is a group of innovative technology companies focused on developing and

providing cutting-edge comprehensive technologies and services dedicated to Data Loss

Prevention & Protection, Intellectual Property Protection,

Customer Experience and Reputation Management, as well

as Risk Management and Compliance solutions. InfoWatch

products allow clients to reduce to a minimum the risks

associated with the processing, movement and storage of

information within the corporate secure area and outside it.

InfoWatch's integrated solutions not only protect

information, but automatically collect a body of evidence

that can be used in administrative and legal proceedings in

the event of a violation of the rules governing corporate

information assets by company employees.

Strategic Partner Agreement

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31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

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3. AETOS-HABIT

What is it and what can it do for you?

Indaba Health and Wellness (IHW) has created an end-to-end behaviour management solution that

we call the Health and Behaviour Integration Tool (HABITTM). We cannot change our health

without fundamentally changing our behaviours. In order to improve our health in the long-term,

we can’t just participate in fad diets or take week-long exercise classes. We have to make a lifestyle

change. This change has to be made because we want it, not because someone tells us to do it.

That’s why it is such a challenge to find a wellness program that works.

The interactive online activities in the AETOS-HABIT program empower the participant to decide

how to proceed. They can set their own goals and decide for themselves which one is most

important.

Leaving the power in the hands of the participant will motivate them to make positive lifestyle

changes. Here is a brief overview of the program:

Health Risk Assessment (HRA) and Report featuring Age and Gender appropriate

recommendations;

Behaviour Assessment and Report featuring DISCflexTM

methodologies

eLearning Insights Section: Start thinking about what’s important to you

eLearning Health Factor Section: Targeted section based on risk factors from the HRA

eLearning Goals Section: Participant focuses on one goal at a time to complete the

program

Vital Statistic Monitoring: The dashboard allows participants to track their vital

statistics either manually or with a Wi-Fi enabled tracking device

PRODUCTS

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3.1 What is it?

An interactive, on line system, for behaviour modification with evidence based monitoring.

AETOS-HABIT ties together behaviour modification, evidence-based monitoring and goal

setting to improve member’s personal health outcomes. Members are given access to

assessments, reports, and eLearning materials at a cost unseen in this marketplace. The cost

is a fraction of what you will be saving as your members improve their health. We provide

unlimited access instantly upon signing up annually.

3.2 How it works?

It combines Behavioural analysis with targeted e-learning and vital statistic monitoring.

AETOS-HABIT members take health risk and behaviour assessments that produce

individual customized reports. This data allows members to analyse their health and

identify areas needing improvement. By digging into what’s important to them, we are

able to guide members through a validated program proven to help them set and achieve

goals.

Throughout the program, members receive personalized messaging to notify them of

accomplishments, offer important tips, and encourage motivation. Our virtual “AETOS-

HABIT coach” guides members through a unique behavioural road map using HD quality

videos, quizzes, and activities. Our program equips members with the tools to improve

their behaviour, but encourages personal responsibility. We provide them with the

knowledge to become healthier!

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31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

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3.3 Why would I want to use it?

3.3.1 It’s an all-encompassing pro-active health and wellness program for promoting

health awareness.

3.3.2 It teaches the participants precisely how to modify their behaviour based on their

unique physical and Behavioural tendencies

3.3.3 Addresses the need for targeted health and wellness education

Annual H&W plans and personalised prevention plans;

Evidence based monitoring is available through a variety of sensing monitors

of your choice and requirements;

Encourages compliance and verification of learning and progress;

3.3.4 Can help reduce insurance claims for health care.

3.3.5 May be used to generate revenue for medical practices.

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T: 082 560 9134

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R

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31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

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3.4 The Health and Wellness Management Map

1. Assessments (Self Assessed)

Behaviour assessments

Health Risk Assessment

4. E Learning Targeted Areas

Self-Talk

Goal setting

Decision making

2. Sensor inputs (optional)

Weight

Body fat

Calorie expenditure

Sleep patterns

Oxygen levels

Blood glucose

Body Mass Index

Heart Rate

Blood Pressure

Diet & Nutrition

Weight management

Activity

Monitor Out puts (Customised Plan)

Behaviour report

Recommendations & Goal setting

Preventative intervention

eLearning feedback

Notifications

Hydration level

Muscle mass

Bone Mass

TB

STI’s

HIV

Malaria

3. E learning modules (Analyse)

Values

What’s important to me

Habits and Goals

Knowing yourself

Health Factors

Digging deeper

Consequences and benefits

Self-Talk

Creating stickiness

Contingency planning

BEHAVIOR MODIFICATION PROCESS

1

2

4

3

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T: 082 560 9134

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3.5 Would You?

- like to have a personalised health and wellness program?

- like to be able to keep track of your health statistics that are important to you all on one

site?

- want to participate in a program that would help you to understand how your natural

behaviour patterns influence your health and wellness?

- benefit from having a personal health assessment?

- benefit from a personal Behavioural assessment?

- appreciate being able to set health and wellness goals based on your actual current

circumstance and then be able to monitor it over time?

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31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

Page 14 of 35

3.6 How AETOS-HABIT helps Insurers & PEOs (Professional Employer Organisations)

Chronic disease prevention

Some risk factors for chronic disease are

potentially "modifiable." This means that they

can be changed – as in treated or controlled

directly by the individual. When individuals

understand how much control they have over

modifiable risk factors, there is good evidence

that behavioural change and treatment can often

lead to significant reductions in the occurrence

and consequences of chronic diseases.

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Ongoing virtual AETOS-HABIT Coach

Many challenges of health education and

preventive services revolve around too much

information that is not personalized to the

participant. The AETOS-HABIT Program acts

as a virtual coach that guides the participant

through their personalized prevention plan.

Encourages personal ownership

Building long-term motivation is key to

modifying risk factors. The AETOS-HABIT

program was designed to create lasting results

that don’t fade away over time. Personal

ownership and responsibility are only built when

the participant understands and states their

motivation to be healthier. Our behavioural

modification process helps the participant buy-in

to their goals.

AETOS-HABIT eMessaging pushes timely notifications to subscribers

Includes individualized reminders, eMessaging,

and constant reminders for:

Annual check-ups and preventive

screenings (mammograms, colonoscopy,

bone density, etc.)

Health tips and preventive care needs

Proactive health care monitoring

Provides empirical data on risk pool status

Understanding the biggest problems that affect

the risk pool is valuable to finding the correct

solutions. The data collected through the

AETOS-HABIT Program provides insight that

can help your organization focus on the right

solutions.

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3.7 Why do Medical Practices & Networks love AETOS-HABIT?

Earn revenue through the Annual Wellness Visit (AWV) G-codes

AWV HCPCS CODES

BILLING CODE DESCRIPTIONS

G0438 Annual wellness visit includes a Personalized Prevention Plan of Service (PPPS), initial visit

G0439 Annual wellness visit includes a Personalized Prevention Plan of Service (PPPS), subsequent visit

Our system helps you meet the requirements to

bill for the AWV. The AETOS-HABIT program

saves you time and effort, while providing your

patients with a tool to keep themselves healthier

throughout the year. Doctors are finding the

AETOS-HABIT program easy to use and

effective at helping to meet the new Affordable

Care Act billing code requirements.

Provides framework and documentation of ACA AWV* & P3**

Weight management, diet and nutrition, blood

pressure, tobacco use, prescription drugs, and

alcohol abuse are among the topics broached in

the Annual Wellness Plan.

*AWV = Annual Wellness Visit

**P3 = Personalized Prevention Plan

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Includes digital timestamps for key ACA compliance records

Our system logs the date and time each patient

takes the Health Risk Assessment (HRA) as well

as the Behaviour Assessment (BA). If you are

audited, you will be able to furnish a

comprehensive list of all patients who have taken

the HRA and BA, with timestamps.

AETOS-HABIT eMessaging pushes timely notifications to patients and health care

professionals

Includes individualized reminders, eMessaging,

and constant reminders for:

Annual check-ups and preventive

screenings (mammograms, colonoscopy,

bone density, etc.)

Health tips and preventive care needs

Proactive health care monitoring

AETOS-HABIT can be customized and private labelled

Make the program your own. Private labelling

gives you the freedom to add AETOS-HABIT to

any of your packages, seemingly as part of your

system.

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3.8 AETOS-HABIT for Corporate Wellness

A healthier work force lowers insurance costs to employers

The AETOS-HABIT program helps employers

lower their yearly insurance costs by reducing

the overall risk pool within the organization. By

reducing claims, your organization can expect

better coverage from your insurance company

and better rebates as a result of healthier

employees.

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Ongoing Virtual AETOS-HABIT Coach guides users seamlessly through the program

The AETOS-HABIT program acts as a virtual

coach that guides the participant through their

personalized prevention plan. Employees find it

easy to navigate through the program because the

instructions and feedback are provided in a

logical and friendly manner.

Successful incentive programs require benefits & consequences

Most incentive programs only focus on the

rewards and what the employee can win from

participating in the program. However, the most

effective incentive programs also look at the

consequences of not participating. With the

AETOS-HABIT program, you can easily track

which employees are doing their learning.

Healthier employees and higher workplace attendance rates lead to more revenue

When employees miss work, it costs your

organization. Healthier employees are less likely

to call in sick or take vacation days. The AETOS-

HABIT program helps improve workplace

productivity as employees become more

disciplined with their goals. Our philosophy is

that discipline in one area leads to discipline in

other areas. By helping your employees achieve

their health goals, you are also setting them up

for success to achieve business goals.

The AETOS-HABIT program increases employee motivation

Healthier employees are more motivated

employees. When you have your employees

working toward goals they WANT to achieve,

they are more likely to carry that enthusiasm over

into their work responsibilities. Motivation is

even more prevalent when employees are

helping each other reach their goals.

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3.9 Smart Devices

3.9.1 Smart Body Analyzer - Set goals, stay fit

Get high-accuracy weight and body fat measurements, as well as your Body Mass

Index. Pinpoint your weight & body composition. Reach an unprecedented level of

precision with the proprietary technologies developed by the pioneer of smart

scales. Position Control™ helps you properly place your body for the most accurate

weigh in. Gravity Compensation ensures a consistent measurement wherever you

weigh yourself.

The Smart Body Analyzer

measures:

weight,

body composition,

heart rate and

air quality.

3.9.2 Pulse O₂Track – Advance tracking, every step of the way

Whatever your fitness lever or style, the Withings Pulse O₂ can help you be more

active and improve your health. During the day it captures steps, distance walked,

elevation climbed and calories burned. At night, it monitors your sleeping cycles.

And when asked, it measures your heart rate and blood oxygen level. The

Pulse O₂ offers and empowering

experience, as you are able to better

yourself by making informed choices.

A "wear it your way" tracker to

monitor:

your activity and sleep,

read vital signs and improve your overall health.

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T: 082 560 9134

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3.9.3 The first HD camera with air quality sensors

Enjoy a complete

home monitoring solution

in just 30 seconds:

Set up the Withings Home

Watch live and interact

Get notified of events

3.9.4 Wireless Blood Pressure Monitor

Fits your everyday life

Easy and precise self-measurement of

your blood pressure with your

Smartphone.

Blood Pressure Monitoring made

simple

Simply slip on the cuff, turn on the

Wireless Blood Pressure Monitor and the

Health Mate app will automatically

launch. Following a brief set of

instructions, you will be ready to take your

blood pressure.

3.9.5 OneTouch Verio® Meter

The NEW OneTouch Verio® Meter helps you better understand your result without

any extra work. The new OneTouch Verio® Meter gives you more than

just a number. And it's easy to use because

there’s no need to scroll or push buttons.

Know where you stand at a glance with a colour-

coded dot to tell you if your result is high, in-

range, or low.

It looks for signs of progress by reviewing past

results and letting you know how you’re doing

with on-screen in-range messages to reinforce

your hard work.

The Test Strips use our smallest sample size

ever. Plus, you can apply blood to either side of

the test strip, so it’s great for righties and lefties.

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3.10 Mainstream Health Services Delivery Model

Electronic Health Record

Medical Insurance

Government Health Services

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One Patient One Health Record

(Cloud Data Center)

XyoMed

eStreem

Aetos’s Next Generation EHR (Total integration without boundaries)

Centre)

Page 24: AETOS-IT PRODUCTS AND SERVICES HABIT

AETOS-IT: PRODUCTS & SERVICES HABIT www.aetos-it.co.za

31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

Page 24 of 35

3.11 Components / Participants of AETOS-HABIT System

Front End Interface Back End Interface

R110 Doctor

hosting fee per month

Medical

Switch

Insurance

Companies

Professional Employment

Organisations

SAMA –

Doctors supporting

Medical Insurance

Patients

Call Centre:

AETOS-HABIT

System

Administrator

Medical Doctors

R40 per person per visit

(Private Doctors

Association –

Cash Only)

Page 25: AETOS-IT PRODUCTS AND SERVICES HABIT

AETOS-IT: PRODUCTS & SERVICES HABIT www.aetos-it.co.za

31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

Page 25 of 35

3.12 AETOS-HABIT Client / Patient Front End Interface

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Page 27: AETOS-IT PRODUCTS AND SERVICES HABIT

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Page 28: AETOS-IT PRODUCTS AND SERVICES HABIT

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Page 29: AETOS-IT PRODUCTS AND SERVICES HABIT

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T: 082 560 9134

Page 29 of 35

Page 30: AETOS-IT PRODUCTS AND SERVICES HABIT

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T: 082 560 9134

Page 30 of 35

Page 31: AETOS-IT PRODUCTS AND SERVICES HABIT

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T: 082 560 9134

Page 31 of 35

Page 32: AETOS-IT PRODUCTS AND SERVICES HABIT

AETOS-IT: PRODUCTS & SERVICES HABIT www.aetos-it.co.za

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T: 082 560 9134

Page 32 of 35

Page 33: AETOS-IT PRODUCTS AND SERVICES HABIT

AETOS-IT: PRODUCTS & SERVICES HABIT www.aetos-it.co.za

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T: 082 560 9134

Page 33 of 35

Page 34: AETOS-IT PRODUCTS AND SERVICES HABIT

AETOS-IT: PRODUCTS & SERVICES HABIT www.aetos-it.co.za

31 March 2015 Block C, Castle Walk Corporate Park, 3 Kuiseb Street, Erasmuskloof, Pretoria

T: 082 560 9134

Page 34 of 35

ANNEXURE A: AETOS-HABIT CLIENT DETAIL

Health and Behaviour Integration Tool Application Form

PERSONAL DETAILS

Surname:

Full Name:

Date of Birth:

ID Number:

CONTACT DETAILS

Home Telephone Number:

Cell Number:

Work Telephone Number:

Email Address:

Physical Address:

Postal Address:

Medical Aid Provider:

Membership Number:

Doctors Name:

Doctors Address:

Doctors Telephone Number:

Office Use Date Received Bank Details Received Capturing Date Captured By

ANNEXURES

Page 35: AETOS-IT PRODUCTS AND SERVICES HABIT

AETOS-IT: PRODUCTS & SERVICES HABIT www.aetos-it.co.za

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T: 082 560 9134

Page 35 of 35

ANNEXURE B: AETOS-HABIT DEVICES ORDER FORM

Health and Behaviour Integration Tool Application Form

Name:

Delivery Address:

Email Address:

Cell Number:

Description Cash

Purchase Qty

Subscription

Model Qty

Habit per

month

WS-50 Smart Body

Analyser

R 2,145

R 124 p.m.

for 24

months

R 40 p.m.

Wireless Blood

Pressure Monitor

Cuff

R 1,860

R 118 p.m.

for 24

months

Pulse O2 Activity,

Sleep and Heart

Rate SPO2 monitor

R 1,930

R 119 p.m.

for 24

months

Home Wireless

Camera with Air

Quality Sensors

R 2,860

R 128 p.m.

for 24

months

One Touch Verio

Sync Blood Glucose

Monitor

R 429 R 60 p.m. for

24 months

Office Use Date of Order: Order Delivery Date: Payment Received Date: