Chemotherapy Order Management System (COMS) Stage 2 Enhancement Sprint Demonstration 5/9/2014 Audio: 1.877.771.2574, Conference Code 961.612.0419# * Please do not use telephone “hold” during meeting *

Agenda Welcome & Attendance COMS Functionality Demonstration (Q & A throughout) Product Backlog Proof of Concept: 42 Open, 22 Closed, 4 for Demonstration Today Prototype: 6 Open, 7 Closed, 0 for Demonstration Today Defect Log 26 Open, 18 Closed, 0 for Demonstration Today Miscellaneous Enhancement – 1 for Demonstration Today Projected Activities for Next Sprint Items for Discussion / Clarification Wrap up & Adjournment

COMS Functionality Demonstration Product Backlog – Proof of Concept (42 Open, 22 Closed, 4 Today) Neutropenia Risk – Chemotherapy/Biotherapy Header Reference Documenting Attendance for Patient Discharge Instructions Site Specific Information for Patients – Clinic Contact Information Linking Templates and Discharge Instructions Drill Down Items – Printable Instructions & Appointment Information Product Backlog – Prototype (6 Open, 7 Closed, 0 Today) Defect Log (26 Open, 18 Closed, 0 Today) Miscellaneous Enhancement (1 Today) VA Branding for Login Page

Projected Activities for Next Sprint Drill Down Items – printable instructions & appointment information for patients Intelligent Data Entry Detection – prompts for vital signs entries exceeding specified parameters Height Confirmation – compare entries and alert users to discrepancies Selection of Intelligent Data Elements – enable user to select data points (e.g., height/weight) Staging Designation – provide staging options in a contextual manner

Items for Discussion / Clarification Accessing Sandbox COMS within VA Domain Intelligent Data Entry Detection Prompt users when entries in vital signs exceed expected parameters Settings to select variance or minimum/maximum checks then alerts Temperature: X% variance from 98.6F/37C then confirm Height: X% variance from last entry then confirm Weight: X% variance from last entry then confirm Pulse: X% variance from last entry then confirm Respirations: X% variance from last entry then confirm Blood Pressure: X values for minimum/maximum then medical attention for Y degree of hypotension or hypertension SP O2 %: < 80% as minimum then alert for medical attention? Review Previous Order – Enable OEM user to review previous order (for treatment of specific patient) then select new regimen or continue to order options​

Wrap Up and Adjournment Recap of New Items for Prototype COMS Product Backlog Upcoming Demonstrations Stakeholder Questions Closing Comments 2014 Schedule January 3 January 24 February 14 March 7 March 28 April 18 May 9 May 30 June 20 July 11 August 1 August 22 September 12 October 3 October 24 November 14 December 5