##### 



Exhibit 10.19
 CONFIDENTIAL TREATMENT REQUESTED
 FIFTH AMENDMENT TO
SERVICE AGREEMENT
  PREAMBLE
   Construction




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##### 



CONFIDENTIAL TREATMENT REQUESTED
  The Extended Term
  Monthly Fee Per
    
    Yearly Fee PerSales
    
    SalesPeriod
    
    Representative
    
    RepresentativeMay 15, 2006 
May 14, 2007
(Extended Year One)
    
    $[***]
    
    $[***]May 15, 2007 
May 14, 2008 (Extended Year Two)
    
    $[***]
    
    $[***]
    2




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CONFIDENTIAL TREATMENT REQUESTED
     Counterparts; Execution
  3




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CONFIDENTIAL TREATMENT REQUESTED
 Binding Effect
  VENTIV COMMERCIAL SERVICES, LLCBy:Name: Terrell G. HerringTitle: President and Chief Executive OfficerADEZA BIOMEDICAL
CORPORATIONBy:Name:Title:
  4




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##### 





CONFIDENTIAL TREATMENT REQUESTED


EXHIBIT A
SALES FORCE AUTOMATION SERVICES







    
    Target BackOffice Core
    
    Target CommSync Server
    
    Target Mobile Web Sales Management Edition
    
    Target Mobile Field Sales Pocket Edition
    
    Target BackOffice Management Reporting Option
    
    Target SFA Third Party Sales Data Support Option
    
    Target SFA Organizational Call Support Option


1. Sublicense Grant; Ownership of Intellectual Property Rights; Restrictions




5




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##### 



CONFIDENTIAL TREATMENT REQUESTED
               6




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##### 





CONFIDENTIAL TREATMENT REQUESTED












7




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##### 



CONFIDENTIAL TREATMENT REQUESTED
       2. Ventiv Responsibilities.
   3. Adeza responsibilities
     8




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##### 



CONFIDENTIAL TREATMENT REQUESTED
 4. Fees and Costs for Sales Force Automation Services
  Service Fees
 monthly Fee PerAdeza Sales
    
    monthly Fee PerPeriod
    
    Representative
    
    Adeza ManagerThrough July 31, 2006
    
    $[***]
    
    $[***]August 1, 2006
through July 31, 2007
    
    $[***]
    
    $[***]August 1, 2007 
through end of 
Extended Year Two
    
    $[***]
    
    $[***]
    9




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##### 



CONFIDENTIAL TREATMENT REQUESTED
 SCHEDULE 1
DETAILED ANALYSIS AND REPORTING LEVELS
 Work to be performedStandardAnnual
    
    Standard
    
    TypicalDatabase
    
    Base assumptions
    
    Frequency
    
    Timing
    
    TurnaroundInitial Data Loads
    
    Data provided from one source in
basic Ventiv provided layout
    
    [***]
    
    [***]
    
    [***]Universe Deletions
    
    Data provided from
one source in basic Ventiv provided layout
    
    [***]
    
    [***]
    
    [***]Universe Merges
    
    Data provided from one source in
basic Ventiv provided layout
    
    [***]
    
    [***]
    
    [***]Universe Additions
    
    Data provided from one source in
basic Ventiv provided layout
    
    [***]
    
    [***]
    
    [***]Universe Zip/Terr Changes
    
    Standard (zip code :from territory
:to territory) format
    
    [***]
    
    [***]
    
    [***]Major
realignments (more
    
    Standard (zip code :from territory :than 25% of
universe changes)
    
    to territory) format
    
    [***]
    
    [***]
    
    [***]Universe matches to
third party
    
    Matchable unique identifiers
    
    [***]
    
    [***]
    
    [***]Target changes
    
    
    
    [***]
    
    [***]
    
    [***]Data Extracts
    
    standard format-no charge for setup
    
    [***]
    
    [***]
    
    [***]Data Extracts to
    
    standard format-no charge for setup-per
  10




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##### 



CONFIDENTIAL TREATMENT REQUESTED
 Work to be performedStandardAnnual
    
    Standard
    
    TypicalDatabase
    
    Base assumptions
    
    Frequency
    
    Timing
    
    Turnaroundthird party vendors
    
    run charge (TBD with
complexity.Standard Reports
    
    Base assumptions
    
    Standard
Frequency
    
    Standard
Timing
    
    [***]Call Activity
    
    Standard Format
    
    [***]
    
    [***]
    
    [***]National Level Dashboard Reports
    
    Standard Format
    
    [***]
    
    [***]
    
    [***][***]
    
    [***]
    
    [***]Territory Summary
    
    Customized to specific activity
measurements within set up matrix (calls, targets only, reach,
frequency, sample distribution)
    
    [***]
    
    [***]
    
    [***]Call Planning
    
    Hourly rate
    
    [***]
    
    [***]
    
    [***]Alignments
    
    Hourly rate
    
    [***]
    
    [***]
    
    [***]Incentive Compensation
    
    Hourly rate
    
    [***]
    
    [***]
    
    [***]Non-Standard Reporting
    
    Hourly rate
    
    [***]
    
    [***]
    
    [***]Web Portal Customizations
    
    Hourly rate
    
    [***]
    
    [***]
    
    [***]Data Extract Set Up and Modifications
    
    Hourly rate
    
    [***]
    
    [***]
    
    [***]Data Set up For Third Party Data
    
    Hourly Rate
    
    [***]
    
    [***]
    
    [***]
  11




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##### 



CONFIDENTIAL TREATMENT REQUESTED
 Work to be performedStandardAnnual
    
    Standard
    
    TypicalDatabase
    
    Base assumptions
    
    Frequency
    
    Timing
    
    Turnaround*All customizations
performed at hourly
rate of
$[ *** ]
per hour.
    
    
    
    [***]
    
    [***]
    
    [***]
  12