, Veterinary use of Big Data Ulrich Göggerle, Chief Medical Officer, AniCura Group Emma Strömfelt, Chief Digital Officer, AniCura Group

1 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency This is AniCura

7,500 employees, 2,800 are veterinarians A leader within advanced care for companion animals 350 well known animal hospitals in Europe 3,000,000 patients per year Values driven company with unique culture Founded in in 2011 by a non-profit foundation (Animal Hospital Foundation in Greater Stockholm)

Born out of the idea that cooperation, shared resources and knowledge creates opportunities for better veterinary care

Part of Mars Veterinary Health family of practices

2 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency User Centric Development Click here to addSolving title real problems – for real users

Click here to add text • Level two o Level three - Level four PET OWNERS. Level five VETS & NURSES PETS

3 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency Click here to add title

Click here to add text • Level two o Level three - Level four It’s all. Level five about the DATA

4 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency Turning clinic data into actionable insights

1) Capture 2) Clean 3) Combine 4) Understand 5) Make actionable

5 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency Human powered by AI

6 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency Capture data with Voice-to-Text

3x faster to dictate compared to typing

7 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency Advanced analytics: Image recognition and analysis

1) Cleaning/Filtering images 2) Developing disease algorhythm 3) Embedding decision support to vet

8 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency AI chat bot triage prior to veterinary consultation

9 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency 10 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency QualiCuraClick here toQ4 add survey title on antibiotics 11 countries, 165 clinics Click here to add text Percentage of dogs given systemic antibiotics (%) during a week 25 • Level two o Level three 20 - Level four . Level five Decline in systemic 15 use of antibiotics in dogs over the last 5 10 years 5

0 Sweden the , & 2016 2017 2018 2019 2020

11 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency Click here to add title

Click here to add text • Level two o Level three - Level four . Level five

12 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency Click here to add title

Click here to add text • Level two o Level three - Level four . Level five

13 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency ClickDistribution here to withinadd title EMA categories across AniCura Group n=1914

CClick here to add text D • Level two 84% treated empirically o Level three - Level four . Level five

B

Do we really need to treat with amoxicillin-clavulanic acid?

14 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency Opportunities for the Future Click here to add title Pet Owners Vets & Nurses Pets Click here to add text • Level two o Level three - Level four . Level five

• Remote access to care • Digital decision support for • Early detection of health • Home diagnostics both diagnostics and condition through wearables • Proactive notifications treatment options • Chronic disease monitoring for care need • Real-time individualised reporting and suggestions for improvements

15 CONFIDENTIAL Classified as internal/staff & contractors by the European Medicines Agency Classified as internal/staff & contractors by the European Medicines Agency