Document:

VisualMed Clinical Systems Inc.
                             391 Laurier Street West
                                Montreal, Quebec
                                     H2V 2K3

Montreal, December 8, 1999

Mr. Richard Le Hir
876B boulevard Pelletier
Brossard, Quebec

Dear Mr. Le Hir:

As a further  inducement to you to enter into an employment  agreement  with the
undersigned  ("VisualMed"),  we  undertake  to  issue  to  you,  following  your
execution of the agreement,  (and upon completion of the anticipated subdivision
of  VisualMed's  Share  Capital  creating  44,000,000  class "A"  common  shares
(actions  ordinaires de categorie "A")) 880,000 class "A" common shares (actions
ordinaires de categorie "A") with an attributed  value of $  0.084848477273  per
share.

Would you kindly acknowledge your agreement with the foregoing by signing in the
space  provided  below and we will proceed in due cause to the  preparation of a
share subscription agreement.

Yours very truly,

VisualMed Clinical Systems Inc.

Per:   (s) Gerard Dab
       -------------------------
       Gerard Dab

Agreed to and accepted this 8th day of December, 1999.

(s) Richard Le Hir
-----------------------------------------
Richard Le Hir

                              EMPLOYMENT AGREEMENT

BETWEEN   VISUALMED CLINICAL SYSTEMS INC., a corporation existing under the laws
of Canada,

                 (hereinafter referred to as the "Corporation"),

AND:      RICHARD  LE  HIR, residing and  domiciled at 8360 Pelletier Boulevard,
Brossard,  Quebec,
                              J4X 1N9

                  (hereinafter referred to as the "Executive")

     WHEREAS,  the Executive has over 25 years  experience in the management and
direction of companies and in commercial negotiations;

     WHEREAS,  the Executive is known by one of the founders of the  Corporation
for a period of over 20 years;

     WHEREAS,  the  Executive  was acting as a consultant  with the  Corporation
since October 1999;

     WHEREAS, the Corporation desires to benefit from the Executive's  expertise
and knowledge;

     WHEREAS,  the  Corporation  desires to retain the services of the Executive
and the Executive  wishes to be employed by the  Corporation  in the capacity of
Senior Vice-President and Chief Executive Officer;

     WHEREAS,  it is the  desire  of the  Corporation  that the  Corporation  be
managed by a collegial administration which vision is shared by the Executive;

     WHEREAS,  the  Corporation  acknowledges  that  the  Executive  is also the
Secretary of the Corporation;

IN CONSIDERATION OF THE RESPECTIVE  COVENANTS AND AGREEMENT HEREIN CONTAINED AND
FOR OTHER GOOD AND VALUABLE CONSIDERATION,  THE RECEIPT SUFFICIENCY OF WHICH ARE
HEREBY ACKNOWLEDGED BY EACH PARTY, THE PARTIES AGREE AS FOLLOWS:

1.       EMPLOYMENT

1.1.              The Corporation  hereby agrees to employ the Executive and the
                  Executive hereby accepts such employment as of the date hereof
                  in the capacity of Senior  Vice-President  and chief executive
                  officer  and, in  addition  the  Executive  shall serve as the
                  Secretary   of  the   Corporation   if  so  requested  by  the
                  Corporation's Board of Directors.

2.       DUTIES

2.1.              The  Executive  shall  perform such duties and  exercise  such
                  powers as are  normally  associated  with and  incidental  and
                  ancillary to the  responsibility of Senior  Vice-President and
                  Chief Executive Officer.

2.2.              The  Executive  shall report  directly to the President of the
                  Corporation  and Chairman of the Board of Directors.

2.3.              The  Executive  shall devote all of his time and attention and
                  his best efforts during normal  business hours to the business
                  and  affairs  of the  Corporation  and  shall  not,  without a
                  specific  prior  written  consent  of  the  President  of  the
                  Corporation  or the  President  of  the  Board  of  Directors,
                  undertake any other business or occupation.

2.4.              The Executive  shall perform those duties that may be assigned
                  to him by the President of the  Corporation or the Chairman of
                  the Board of Directors  diligently  and  faithfully and to the
                  best of the Executive's abilities.  In addition, the Executive
                  shall act in the best  interests  of the  Corporation  and the
                  Executive  shall use his best efforts to promote the interests
                  and goodwill of the Corporation.

3.       COMPENSATION

3.1.              The annual  salary  payable to the  Executive for his services
                  hereunder  shall be one  hundred and eighty  thousand  dollars
                  ($180,000.00)  or such higher  amount  that the  Corporation's
                  Board of Directors, in its sole discretion, may determine from
                  time  to  time,  exclusive  of  bonuses,  benefits  and  other
                  compensation.   Such   salary   shall  be   payable  in  equal
                  installments  in  accordance   with  the  usual   compensation
                  practices of the Corporation,  such installments shall be paid
                  no less frequently than monthly.

3.2.              The  annual  salary  is  subject  to be re-evaluated twice per
                  year.

3.3.              The Corporation hereby grants the Executive,  on the first day
                  of each  quarter  during a two year period  commencing  on the
                  date hereof,  an option (the "First Options") to purchase that
                  number of shares which is equal to decimal twenty-five percent
                  (0.25%) of the total number of shares that shall be issued and
                  outstanding  immediately after the first closing. The exercise
                  price of the First  Options shall be fifteen cents ($0.15) per
                  share.  The Executive  shall have the right to exercise any or
                  all of the First Options, in whole or in part,  commencing two
                  years after the date on which each of them were granted;

3.4.              At such time as the Corporation  signs a contract with respect
                  to obtaining  its first United  States beta system ( the "U.S.
                  Beta System  Contract"),  the  Executive  shall have an option
                  (the "Second  Option") to purchase that number of shares equal
                  to decimal  twenty-five percent (0.25%) of the total number of
                  shares then issued and outstanding.  The exercise price of the
                  Second  Option  shall be equal to the book value of the issued
                  and  outstanding  shares of the Corporation at the date of the
                  signature of the U.S. Beta System Contract.  The Second Option
                  may be exercised  commencing two years after the date on which
                  it is granted;

3.5.              At such time as the Corporation  signs a contract with respect
                  to  the  third  sale  of  a  full  system  (the  "Full  System
                  Contract"),  the  Executive  shall have an option  (the "Third
                  Option")  to purchase  that number of shares  equal to decimal
                  twenty-five percent (0.25%) of the total number of shares then
                  issued and outstanding. The exercise price of the Third Option
                  shall be equal to the book value of the issued and outstanding
                  shares of the  Corporation at the date of the signature of the
                  Full  System  Contract.  The  Third  Option  may be  exercised
                  commencing two years after the date on which it is granted;

3.6.              At such time as the  Corporation  has made an aggregate of $10
                  million in sales since the  commencement  of  operations,  the
                  Executive  shall  have an  option  (the  "Fourth  Option")  to
                  purchase  that number of shares  equal to decimal five percent
                  (0.5%)  of  the  total   number  of  shares  then  issued  and
                  outstanding.  The exercise price of the Fourth Option shall be
                  fifteen  cents  ($0.15)  per share.  The Fourth  Option may be
                  exercised  commencing  two years after the date on which it is
                  granted;

3.7.              At such time as the Corporation has effected an initial public
                  offering or is otherwise listed on a stock exchange or a stock
                  quotation  system,  the  Executive  shall have an option  (the
                  "Fifth  Option")  to purchase  that number of shares  equal to
                  decimal  five  percent  (0.5%) of the  total  number of shares
                  issued and  outstanding  immediately  after the closing of the
                  public offering.  The exercise price of the Fifth Option shall
                  be fifteen  cents  ($0.15) per share.  The Fifth Option may be
                  exercised  commencing  two years after the date on which it is
                  granted;

3.8.              In the event that the  Executive's  employment  is  terminated
                  pursuant to Section 5 hereof  without  serious  reason or as a
                  result  of  a  Change  of  Control  or  Material  Breach,  the
                  Executive  shall have the right to exercise  any or all of the
                  First  Option,  Second  Option,  Third Option or Fourth Option
                  (the   "Options")   in   whole   or   in   part   immediately,
                  notwithstanding any provision hereof;

3.9.              In the event that the Executive's  employment is terminated as
                  a result of the permanent disability of the Executive pursuant
                  to  Section 5 hereof,  the  Executive  shall have the right to
                  immediately  exercise any Options that would have vested prior
                  to the  expiring  of the fiscal year of the  Corporation  next
                  following  the  fiscal  year  during  which  the   Executive's
                  employment  is so  terminated,  notwithstanding  any provision
                  hereof.

3.10.             The Executive shall be entitled to bonuses representing:

                  a)       a  lump  sum  of   $150,000.00   at  such   time  the
                           Corporation  has effected an initial public  offering
                           or is otherwise listed on a stock exchange or a stock
                           quotation system,  such bonus being payable within 60
                           days of such event;

                  b)       a lump  sum of  $50,000.00  upon the  signature  of a
                           contract  for the  placement of the first Beta system
                           in the United States. 50% of such bonus being payable
                           upon contract  signing and the remaining of the bonus
                           being upon receipt of first payment on the system;

                  c)       a lump  sum of  $10,000.00  upon the  signature  of a
                           contract  for the  placement of the first Beta system
                           in  Canada.  50% of such  bonus  being  payable  upon
                           contract signing and the remaining of the bonus being
                           payable upon receipt of first payment on the system;

                  d)       a  lump  sum  of  $100,000.00  upon  the  Corporation
                           reaching an  aggregate  of $10  millions CDN in sales
                           since de commencement of operations. Such bonus being
                           payable within 60 days of reaching such sales.

3.11.             During the term of the Executive's  employment,  the Executive
                  shall be entitled to participate in the Corporation's  Benefit
                  Plans in force at the time of the  present  Agreement  and any
                  other   replacement   benefit  programs   established  by  the
                  Corporation's  Board. Such replacement  benefit programs shall
                  be substantially similar to the current Benefit Plans.

3.12.             The Executive  shall be reimbursed for all  reasonable  travel
                  and out-of-pocket  expenses properly incurred by the Executive
                  from time to time in connection  with the  performance  of his
                  duties hereunder.  For all such expenses,  the Executive shall
                  furnish  to the  Corporation  invoices,  statements  or  other
                  appropriate  supporting  documents  in  respect  of which  the
                  Executive seeks reimbursement.

3.13.             The Executive shall  continue to  be covered by the Directors'
                  and  Officers'  liability  insurance  policies  maintained  by
                  the Corporation.

4.       VACATION

4.1.              The Executive shall be entitled to six weeks paid vacation per
                  calendar year, the timing of such vacation to be determined by
                  the Executive and President of the Corporation or the Chairman
                  of the Board of Directors,  subject to the need for the timely
                  performance of the Executive's responsibilities hereunder.

5.       TERMINATION OF EMPLOYMENT

5.1.              The Term

                  a)       The present  contract is  for a fixed term  and shall
                           end on March 13,  2007;

                  b)       Notwithstanding  Section  2090 of the  Civil  Code of
                           Quebec,   the   present   Agreement   shall   not  be
                           automatically or tacitly renewed. It shall be renewed
                           only if the parties to the present  Agreement  accept
                           such a renewal in writing and stipulate its terms and
                           conditions therein.

5.2.              The  employment of the Executive may be terminated at any time
                  by the  Corporation  for a serious  reason as that term may be
                  interpreted  and  applied  by the  Quebec  Courts and shall be
                  effective  immediately.  The Executive shall receive a written
                  notice setting out the reason(s) for such termination.

5.3.              The  employment  of the  Executive  may be  terminated  by the
                  Corporation,  without  a  serious  reason  by  giving  to  the
                  Executive a six (6) month prior written notice setting out the
                  reason(s) for such termination.

                  In such an event, the Corporation shall have the obligation to
pay to the Executive:

                  a)       the bonuses mentioned in paragraph 3.10 above, if the
                           terms and  conditions for their  entitlement  are met
                           during the remaining  period from the initial term of
                           the present Agreement;

                  b)       an indemnity representing his vacation as per Section
                           4 above,  for the  remaining  period from the initial
                           term of the present  Agreement,  shall be paid in one
                           installment at the date of termination;

                  c)       all expenses as per paragraph  3.12 above,  that have
                           not been reimbursed at the date of termination;

                  d)       one  of   the  two  following   indemnities  at   the
                           discretion of the Executive:

                           i)       a  lump   sum,   payable   at  the  date  of
                                    termination representing the base salary for
                                    the  remaining  period  out of  the  initial
                                    term, taking into account the twice per year
                                    increases and  representing  the minimum the
                                    cost of living allowance; or

                           ii)      the payment of the remaining base salary, as
                                    mentioned in subparagraph  5.3 d) (i) above,
                                    by  way of the  Corporation's  stock,  whose
                                    value will be  determined at the date of the
                                    Corporation's   last   financing,   if   any
                                    Shareholders    Agreement   to   which   the
                                    Executive is a party to allows it.

                  e)       all other  remuneration  or benefits  that would have
                           been  entitled  the  Executive  during the  remaining
                           period of the initial term.

5.4.              a)       This  agreement  may  be  terminated  at any  time by
                           the Corporation if the Executive becomes  permanently
                           disabled  by  giving  a  thirty  (30)  days   written
                           notice  of termination  to  the   Executive.  For the
                           purposes  of  the  present  section,   the  Executive
                           shall  be  considered  to  have   become  permanently
                           disabled  if   the   Executive   becomes  permanently
                           disabled   within  the   meaning  of  the  long  term
                           disability  policy  maintained by the Corporation and
                           applicable  to the  Executive  at  such time,  and so
                           far  he is  considered  as such  by the insurer,  and
                           written  notice  to  the  Executive to that effect is
                           given by any such insurer.

                  b)       The  Corporation  agrees  that,  in  the  event,  the
                           present  Agreement  is  terminated   because  of  the
                           Executive's   permanent   disability,   the   present
                           Agreement  shall  remain  in  force  and  ensure  the
                           continued  accrual of the benefits and pension rights
                           pursuant to the  Corporation's  Benefits Plan for the
                           balance of the term.

5.5.               a)      If at any  time  during  the  term of this  Agreement
                           a material  breach  is  caused,  , as  this  term  is
                           defined   in   paragraph    5.5b)   below,   by   the
                           Corporation,  which  material  breach  has  not  been
                           remedied  in all  material  aspect at any time within
                           30 days after  the  Executive  gives  written  notice
                           thereof,  and   after  the  expiry  of  such   30-day
                           period, provided the material  breach in question has
                           not been remedied, the Executive shall have the right
                           to terminate  his  employment  with  the  Corporation
                           within 60 days after the  occurrence  of the material
                           breach.  Any   such  termination   by  the  Executive
                           shall  not, for  the purposes of this  Agreement,  be
                           considered a voluntary  termination of  employment by
                           the   Executive,   but  instead   shall  entitle  the
                           Executive  to  the same  indemnity,  remuneration and
                           other benefits set forth in paragraph 5.3 above;

                    b)     For  purposes  of  the  present  Agreement,  Material
                           breach means:

                           i)       the  assignment  to  the  Executive  of  any
                                    duties inconsistent  with  the   Executive's
                                    position   (including   status,   title  and
                                    reporting  requirements), authority,  duties
                                    and  responsibilities,  or any other action
                                    by any member of the Corporation which would
                                    result in the diminution of  such  position,
                                    authority,  duties,  responsibilities  or in
                                    the  salary,  bonus  or  other compensation,
                                    benefits,  expenses, office or support staff
                                    previously  provided  to  the  Executive, in
                                    each   case,  without  the  consent  of  the
                                    Executive    but   excluding   an   isolated
                                    insubstantial  and  inadvertent  action  not
                                    taken in bad faith and which is remedied  by
                                    any  member  of  the  Corporation   promptly
                                    after  receipt of written  notice thereof by
                                    the Executive; or

                           ii)      any  material  breach by the  Corporation of
                                    any of its obligations under this Agreement.

5.6.                a)     The Executive  shall  have the right to terminate his
                           employment  with  the Corporation at any  time during
                           the six-month  period following  a change of control,
                           as this term is defined in paragraph 5.6b) below, and
                           such  termination  by  the  Executive shall  not, for
                           the  purposes of  this  Agreement,  be  considered  a
                           voluntary termination of employment by the Executive,
                           but  instead  shall  entitle  the  Executive  to  the
                           same  indemnity,  remuneration and other benefits set
                           forth in paragraph 5.3 above.

                    b)     For  purposes  of the  present Agreement,  Change  of
                           Control means:

                           i)       the  occurrence  of  any  transaction   that
                                    results  in the  sale  of 50% or more of the
                                    current  outstanding  shares or interests of
                                    the  Corporation  to a party that is not, at
                                    the  time  of  the  present   Agreement,   a
                                    Shareholder; or

                           ii)      the sale of all or a substantial  portion of
                                    the   Corporation's   assets  used  in   the
                                    Corporation's business.

6.       CONFIDENTIALITY AND NON-DISCLOSURE

6.1.              The  Executive  acknowledges  that  during  the  course of his
                  employment with the Corporation,  he has had and will have had
                  or  will have  access to and/or has been or will be  entrusted
                  with    various  trade  secrets  and  other  proprietary   and
                  confidential information,  whether technical or non-technical,
                  relating to the past, present or  contemplated  businesses and
                  operations  of  the  Corporation  or  those  of  its  clients,
                  suppliers,   customers,  agents  or  consultants,   including,
                  without   limitation,   trade  secrets,   products,   software
                  programs,  hardware  design and specifications / source  code,
                  drawings,   manuals,   letters,  notes,  notebooks,   reports,
                  records,  related  documentation  in hard  copy, research and
                  development,   customer   lists,   customer  data,   financial
                  information and business  practices (hereinafter  collectively
                  referred  to as  "Confidential Information"),  and the  direct
                  or indirect disclosure  of any of which to competitors  of the
                  Corporation  or to the general  public or to any person who is
                  not affiliated in an appropriate capacity with the Corporation
                  would be detrimental to the best interests of the Corporation.

6.2.              The Executive  further  acknowledges and agrees that the right
                  to  maintain  the  confidentiality  of all  such  Confidential
                  Information   constitutes  a   proprietary   right  which  the
                  Corporation is entitled to protect and that the Corporation is
                  the sole owner of such confidential Information.

6.3.              Accordingly,  the  Executive  acknowledges  and agrees that he
                  will  not at  any time  during  the  term  of  his  employment
                  hereunder  or at  any time  thereafter,  whether  directly  or
                  indirectly  ,divulge,  use,  publish,  reproduce,  communicate
                  or exploit for the benefit of himself or of any other physical
                  or moral person,  company, organism or any other group bearing
                  or  not  a moral,  legal or judicial personality  (hereinafter
                  collectively    or   individually    referred    to   as   the
                  "Third Party"),  any   Confidential  Information  which he has
                  acquired  during  or as  a result of  his employment  with the
                  Corporation  except  to  the   extent  tha   the  Confidential
                  Information may be  in the public  domain without  having been
                  disclosed by the Executive.

6.4.              The Executive  agrees that upon or within three  business days
                  of  the   termination   for  any  reason  of  the  Executive's
                  employment with the  Corporation,  the Executive will promptly
                  deliver to the  Corporation  the originals and all copies made
                  by or for the Executive or on the Executive's  instructions of
                  all Confidential Information which are then in the Executive's
                  possession or under the Executive's control.

6.5.              The Executive  covenants and warrants to the Corporation  that
                  the  Executive is not now under any  obligation to any person,
                  firm or other entity which is inconsistent or in conflict with
                  this Agreement or which would prevent,  limit or impair in any
                  way the  performance  by the Executive of his  obligations  or
                  duties hereunder.

7.       RESTRICTIVE COVENANTS

7.1.              In  consideration  of the benefits and conditions  provided to
                  the  Executive  pursuant  to  this  Agreement,   the Executive
                  covenants   and   agrees  that  he  shall  not,  without   the
                  specific   prior  written  consent   of  the  President of the
                  Corporation or the Chairman of the Board of  Directors, during
                  the term of  this  Agreement  and for a  period of twelve (12)
                  months  following the  termination of his  employment  hereof,
                  either on his own behalf or on the behalf of any  Third Party,
                  directly or indirectly, solicit the services of,  entice away,
                  employ  or use  the services   of any  person  employed by  or
                  otherwise providing services to the Corporation on a full-time
                  or  part-time  basis,  or  solicit any  customers,  clients or
                  suppliers  of the  Corporation to transfer  business  from the
                  Corporation  to  any Third  Party.  For the  purposes  of  the
                  present  Agreement,  customers, clients  or suppliers  of  the
                  Corporation  means  any  customer,  client or supplier  of the
                  Corporation during the Executive's  employment  or at the date
                  of the termination of the Executive Employment.

7.2.              In  consideration  of the benefits and conditions  provided to
                  the Executive  pursuant  to  this  Agreement,   the  Executive
                  covenants and agrees that he shall not,  without the  specific
                  prior  written  consent of the  President of  the  Corporation
                  or the Chairman of  the Board of  Directors,  during  the term
                  of  this  Agreement and  for a  period of twelve  (12)  months
                  following the  termination  of  his  employment  hereof,  both
                  individually or jointly  with a Third Party  whether as owner,
                  shareholder,  creditor,  agent, employee, officer, director or
                  in any other capacity, effect any work or perform  any service
                  whatsoever  in the field of  medical, clinical and information
                  management software,  nor act as a consultant,  lend monies or
                  guarantee  debts or  obligations,  nor  permit  that  his name
                  or part of his name be used  or  employed,  whether  it be for
                  his  own personal  benefit or  for the  benefit of  any  Third
                  Party,  engaged,  concerned or  interested in any   enterprise
                  which carries on business or pursues  activities  in the field
                  of medical, clinical or information management software in the
                  territory of Canada and the Unites States.

7.3.              In  addition  and  without  prejudice to all  other rights and
                  remedies  available to the  Corporation,  the Corporation  may
                  enforce  the  compliance  and  respect of any  and  all of the
                  provision  of the  present  Sections  6 and 7 by way  of,  but
                  not  limiting  to,  injunction, and  may obtain  an injunction
                  in  order  to  enjoin  any  breach  or  threatened  breach  of
                  any of the  provisions  thereof.  The Executive  expressly and
                  specifically acknowledges that in the event of a breach of any
                  of the  obligations  described  in the  Sections  6 or 7, such
                  breach  shall  cause  the Corporation  to suffer  damages  for
                  which an  injunction  is  an  effective  relief.  This  remedy
                  shall be in addition to and  not in  limitation of any  rights
                  or remedies to which the Corporation is or may be entitled to.

7.4.              During  the  term  of  this  Agreement,  the  Executive  shall
                  promptly  disclose to the President of the  Corporation or the
                  Chairman of the Board of Directors full information concerning
                  any interest, direct or indirect, of the Executive (whether as
                  owner,   shareholder,   partner,  vendor  or  other  investor,
                  director,  officer, employee,  consultant or otherwise) or any
                  member  of his  immediate  family,  in any  business  which is
                  reasonably  known to the  Executive  to purchase or  otherwise
                  obtain  services or  products  from,  or to sell or  otherwise
                  provide   services  or  product  to,  any  person  within  the
                  Corporation.

8.       GENERAL

8.1.              The preamble  of the present Agreement  forms an integral part
                   to it for any legal purposes.

8.2.              If any provision of this Agreement  shall be held by any court
                  of competent  jurisdiction to be invalid or unenforceable,  in
                  whole or in part,  such invalidity or  unenforceability  shall
                  not affect the  validity or  enforceability  of the  remaining
                  provisions  of this  Agreement and such  remaining  provisions
                  shall remain enforceable and binding.

8.3.              A waiver of any term or condition of this  Agreement by either
                  party  shall  not be  construed  as a waiver  of a  subsequent
                  breach or failure of the same term or  condition,  or a waiver
                  of any other term or condition.

8.4.              This  Agreement  shall  enure to the benefit of and be binding
                  upon the heirs,  executors,  administrators and legal personal
                  representatives  of  the  Executive  and  the  successors  and
                  assigns of the Corporation.  This Agreement is personal to the
                  Executive and may not be assigned by him.

8.5.              The parties acknowledge that the present Agreement constitutes
                  a complete,  faithful and whole  reproduction of the agreement
                  between them and  supercedes  any prior  Agreement to the same
                  effect  and  the  parties  formally  renounce  to  rely on any
                  discussions and  negotiations,  whether oral or written,  that
                  preceded its signing.

8.6.              The parties  acknowledge that any modification may not be made
                  to the  present  Agreement  unless  agreed  upon  between  the
                  parties and attested to by a written document to this effect.

8.7.              This  Agreement  shall  be  governed   by  and   construed  in
                  accordance with the laws of the Province of Quebec.

8.8.              The  Executive  acknowledges  and warrants to the  Corporation
                  that he has had  sufficient  time to review and consider  this
                  Agreement  thoroughly,  has read and understands the terms and
                  the  Executive's  obligations  hereunder and has been given an
                  opportunity to obtain  independent legal advice, or such other
                  advice the Executive may desire, concerning the interpretation
                  and effect of this  Agreement.  The Executive has entered into
                  this Agreement freely and voluntarily.

8.9.              The parties hereby acknowledge that it is their expressed wish
                  that this Agreement and all documents related thereto be drawn
                  up in the English language.  Les parties  reconnaissent  qu'il
                  est de leur  volonte que la  presente  entente et que tous les
                  documents s'y rapportant soient rediges en anglais.

IN WITNESS WHEREOF, THE PARTIES HAVE EXECUTED THIS AGREEMENT

ON THE 8TH DAY OF DECEMBER, 1999 IN THE CITY OF MONTREAL, QUEBEC

VISUALMED CLINIC SYSTEMS INC.

Per:   /s/ Gerard Dab                           /s/ Richard LeHir
           Gerard Dab                               Richard LeHirOption Exchange Schedule - A

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Gerard Dab

Date Option Granted:  February 15, 1999

Number of Shares Under Option:    1,760,000

Exercise Price :  $0.15

Vesting Schedule:  Vested proportionally on a quarterly basis,  starting July 1,
1999

Expiration Date:  10 years from date of grant

Date of Directors' Resolution:  January 15, 2000

Source of Options:  Founder

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  575,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

-----------------
Gerard Dab

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option") granted to you pursuant to an option agreement with VisualMed  Clinical
Systems Inc.  ("VisualMed  Canada") as further governed by the Stock Option Plan
adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Gerard Dab

                          Option Exchange Schedule - B

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Gerard Dab

Date Option Granted: Conditional (but may be exercised at any time if employment
agreement is terminated without just cause).

Number of Shares Under Option:  When sales made since commencement of operations
reach an aggregate of 10M$:   an option for that  number of shares corresponding
to 0.5% of all issued and outstanding shares at such time.

Exercise Price :  $0.15

Vesting Schedule :  2 years after granting

Expiration Date :  10 years from date of grant

Date of Directors' Resolution:  December 20, 1999

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  125,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

---------------------
Gerard Dab

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Gerard Dab

                          Option Exchange Schedule - C

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Art Gelston

Date Option Granted:  February 15, 1999

Number of Shares Under Option:    1,760,000

Exercise Price :  $0.15

Vesting Schedule :  Vested proportionally on a quarterly basis, starting July 1,
999

Expiration Date :  10 years from date of grant

Date of Directors' Resolution:  January 15, 2000

Source of Options:  Founder

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  575,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

-----------------
Art Gelston

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option") granted to you pursuant to an option agreement with VisualMed  Clinical
Systems Inc.  ("VisualMed  Canada") as further governed by the Stock Option Plan
adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Art Gelston

                          Option Exchange Schedule - D

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Art Gelston

Date Option Granted:  Conditional

Number of Shares Under Option:  When sales made since commencement of operations
reach an aggregate of 10M$: an option for that number of shares corresponding to
0.5% of all issued and outstanding shares at such time.

Exercise Price :  $0.15

Vesting Schedule :  2 years after granting

Expiration Date :  10 years from date of grant

Date of Directors' Resolution:  December 20, 1999

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  125,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

----------------
Art Gelston

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Art Gelston

                          Option Exchange Schedule - O

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Robert Chafetz

Date Option Granted:  August 3, 1998

Number of Shares Under Option:    440,000

Exercise Price :  $0.15

Vesting Schedule :  2 years after granting

Expiration Date :  10 years from date of grant

Date of Directors' Resolution:  January 15, 2000

Source of Options:  Services

The above number of shares and exercise price is replaced by shares in VisualMED
linical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  132,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

-----------------
Robert Chafetz

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option") granted to you pursuant to an option agreement with VisualMed  Clinical
Systems Inc.  ("VisualMed  Canada") as further governed by the Stock Option Plan
adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Robert Chafetz

                          Option Exchange Schedule - P

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Robert Chafetz

Date Option Granted:  Conditional

Number of Shares Under Option:  When and IPO is  made or a listing  is otherwise
obtained or when a third  round of financing is made:  an option for that number
of shares corresponding to 10% of management allotment of stock option.

Exercise Price:  $0.15

Vesting Schedule:  2 years after granting

Expiration Date:  10 years after granting

Date of Directors' Resolution:  December 20, 1999

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  264,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

---------------
Robert Chafetz

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Robert Chafetz

                          Option Exchange Schedule - Q

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Richard Blouin

Date Option Granted:  January 15, 2000

Number of Shares Under Option:  440,000

Exercise Price:  $0.15

Vesting Schedule: September 15, 2001

Expiration Date:  10 years after granting

Date of Directors' Resolution:  January 15, 2000

Source of Options:  Inventor/services

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  132,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

----------------
Richard Blouin

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option") granted to you pursuant to an option agreement with VisualMed  Clinical
Systems Inc.  ("VisualMed  Canada") as further governed by the Stock Option Plan
adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Richard Blouin

                          Option Exchange Schedule - E

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Richard Le Hir

Date Option Granted:  Date of agreement

Number of Shares Under Option: Option for that number of shares corresponding to
0.25% of all issued and outstanding shares after the "first closing".

Exercise Price:   $0.15

Vesting Schedule:  Granted  proportionally  on a  quarterly basis,  for a 2-year
period, starting on the date of execution of the employment agreement.  Vested 2
years after granting.

Expiration Date:  10 years from grant

Date of Directors' Resolution:  December 20, 1999

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
inical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  420,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Gerard Dab

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Gerard Dab

Agreed to by:

----------------
Richard Le Hir

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Gerard Dab

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Gerard Dab

Agreed as of the 9th day of May, 2000

Richard Le Hir

                          Option Exchange Schedule - F

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Richard Le Hir

Date Option Granted: Conditional (but may be exercised at any time if employment
agreement is  terminated without  just cause). Accelerated  vesting in  case  of
disability.

Number  of  Shares  Under  Option:   At signature  of a contract  regarding  the
obtaining  of  a  first  US  Beta  system:  an  option for that number of shares
corresponding to 0.25% of all issued and outstanding shares at such time.

Exercise Price:  book value at such date

Vesting Schedule:  2 years after granting

Expiration Date:  10 years from grant

Date of Directors' Resolution:  December 20, 1999

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
linical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  62,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Gerard Dab

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Gerard Dab

Agreed to by:

----------------
Richard Le Hir

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Gerard Dab

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Gerard Dab

Agreed as of the 9th day of May, 2000

Richard Le Hir

                          Option Exchange Schedule - G

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Richard Le Hir

Date Option Granted: Conditional (but may be exercised at any time if employment
agreement  is  terminated without just cause).  Accelerated vesting  in case  of
disability.

Number  of Shares  Under Option:  At signature of a contract  providing for  the
sale of a third "full system": an option for that number of shares corresponding
to 0.25% of all issued and outstanding shares at such time.

Exercise Price:    book value at such date

Vesting Schedule:  2 years after granting

Expiration Date:  10 years from grant

Date of Directors' Resolution:  December 20, 1999

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  62,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Gerard Dab

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Gerard Dab

Agreed to by:

----------------
Richard Le Hir

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Gerard Dab

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Gerard Dab

Agreed as of the 9th day of May, 2000

Richard Le Hir

                          Option Exchange Schedule - H

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Richard Le Hir

Date Option Granted: Conditional (but may be exercised at any time if employment
agreement is terminated  without just cause).  Accelerated  vesting in case  of
disability.

Number of Shares Under Option:  When sales made since commencement of operations
reach an aggregate of 10M$: an option for that number of shares corresponding to
0.5% of all issued and outstanding shares at such time.

Exercise Price:  $0.15

Vesting Schedule:  2 years after granting

Expiration Date:  10 years from grant

Date of Directors' Resolution:  December 20, 1999

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  125,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Gerard Dab

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Gerard Dab

Agreed to by:

----------------
Richard Le Hir

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Gerard Dab

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Gerard Dab

Agreed as of the 9th day of May, 2000

Richard Le Hir

                          Option Exchange Schedule - I

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Richard Le Hir

Date Option Granted:  Conditional

Number of Shares Under  Option:  When an IPO is  made or a listing  is otherwise
obtained:  an  option for  that number of  shares  corresponding to  0.5% of all
issued and  outstanding shares  after the closing of the IPO or obtaining of the
listing.

Exercise Price:  $0.15

Vesting Schedule:  2 years after granting

Expiration Date:  10 years from grant

Date of Directors' Resolution:  December 20, 1999

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  125,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Gerard Dab

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Gerard Dab

Agreed to by:

----------------
Richard Le Hir

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Gerard Dab

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Gerard Dab

Agreed as of the 9th day of May, 2000

Richard Le Hir:

                          Option Exchange Schedule - L

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Robert H. Cohen

Date Option Granted:  Conditional

Number of Shares Under Option:  Option for 50,000 shares at the sale of a "first
system"

Exercise Price:  $0.15

Vesting Schedule:  2 years after granting

Expiration Date:  10 years from grant

Date of Directors' Resolution:  January 15, 2000

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  15,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

----------------
Robert Cohen

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Robert Cohen

                          Option Exchange Schedule - M

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Robert Cohen

Date Option Granted:  Conditional

Number of Shares Under Option: Option for 50,000 shares at the sale of a "second
system"

Exercise Price:  $0.15

Vesting Schedule:  2 years after granting

Expiration Date:  10 years from grant

Date of Directors' Resolution:  January 15, 2000

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  15,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

----------------
Robert Cohen

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Robert Cohen

                          Option Exchange Schedule - N

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Robert Cohen

Date Option Granted:  Conditional

Number of Shares Under Option:  Optional for 100,000  shares at meeting of quota
before  July 31,  2001.  If quota is missed  but  company  achieves  $10,000,000
worldwide orders before July 31, 2000, option is granted for 50,000 shares.

Exercise Price:  $0.15

Vesting Schedule:  2 years after granting

Expiration Date:  10 years from grant

Date of Directors' Resolution:  January 15,  2000

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  30,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

----------------
Robert Cohen

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Robert Cohen

                          Option Exchange Schedule - K

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Barry Scharf

Date Option Granted:  Conditional

Number  of  Shares  Under  Option:  Every time  the applicable  criteria  (to be
determined) is met: an option to purchase that number of shares corresponding to
0.5% of all issued and outstanding shares at the time.

Exercise Price:  Fair market value on date of grant

Vesting Schedule:  Vested

Expiration Date:  For each option:  60 months after grant

Date of Directors' Resolution:  March 2, 2000

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  125,000

Exercise Price:  $2.00 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

----------------
Barry Scharf

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Barry Scharf

                          Option Exchange Schedule - J

Options in VisualMED Clinical Systems Inc. (VisualMED Canada)

Optionee Name:  Joseph Mah

Date Option Granted: Conditional (but may be exercised at any time if employment
agreement  is terminated  without just cause).  Accelerated vesting  in case  of
disability.

Number of Shares Under Option:  Option for number of Class A common shares equal
to 0.5% of the  issued  and  outstanding  shares  following  an  initial  public
offering or other listing.

Exercise Price:  $0.15

Vesting Schedule:  2 years

Expiration Date:  10 years from grant

Date of Directors' Resolution:  March 2, 2000

Source of Options:  Employment agreement

The above number of shares and exercise price is replaced by shares in VisualMED
Clinical Systems Corp. (VisualMED U.S.) as follows:

Number of Shares:  125,000

Exercise Price:  $0.34 US

              VisualMED Clinical Systems Inc. (a CBCA corporation)

Per:
Richard Le Hir

             VisualMED Clinical Systems Corp. (a Nevada corporation)

Per:
Richard Le Hir

Agreed to by:

----------------
Joseph Mah

                            Option Exchange Agreement

                                                                     May 9, 2000

Dear Optionee:

Reference  is hereby  made to certain  share  purchase  options  (the  "Canadian
Option")  granted to you pursuant to your  employment  agreement  with VisualMed
Clinical  Systems  Inc.  ("VisualMed  Canada") as further  governed by the Stock
Option Plan adopted by VisualMed Canada, (the "Canadian Plan").

This  letter  will  serve  to  confirm  our  agreement  that,  in  view  of  the
Corporation's having become, effective today, a subsidiary of VisualMed Clinical
Systems  Corp.  ("VisualMed  U.S."),  and taking into  account  the  adjustments
necessarily  resulting  from  the  exchange  ratio  of  Exchangeable  Shares  of
VisualMed  Canada as expressed in its  articles as well as U.S.  accounting  and
securities  practice in respect of stock options of United  States  incorporated
corporations,  you hereby  exchange  your rights under the  Canadian  Option for
rights to acquire a number of shares of VisualMed  U.S.  common stock at a price
per share and at the exercise price per share set out in the attached  Schedule.
All other terms of the Canadian  Option,  including the terms of exercise stated
therein  shall  apply,  mutatis  mutandis,  the  whole  as  may be  modified  or
supplemented  by the 2000  Stock  Option  and Stock  Incentive  Plan  adopted by
VisualMed U.S. (as amended from time to time).

Kindly  evidence  your  agreement  with the  foregoing  by  signing in the space
provided below.

Yours very truly,

         VisualMed Clinical Systems Inc.
         (a CBCA corporation)

Per:
         -----------------------------------
         Richard Le Hir

         VisualMed Clinical Systems Corp.
         (a Nevada corporation)

Per:
         -----------------------------------
         Richard Le Hir

Agreed as of the 9th day of May, 2000

Joseph Mah

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