Summary Report Project Name: Voluntary Universal Healthcare Identifiers Brief Project Description: The VUHID project enables patients who are members of a health information exchange to obtain a globally unique set of healthcare IDs to enable error-free patient identification and enhanced privacy management of clinical data. Major milestones to date: Server operational, 2008 Projected milestones: Production system, Q3, 2010, first HIE operational Q3, 2010 Major release dates: NA Contribution date: Currently available for integration Contribution value: 20 person years The Voluntary Universal Healthcare Identifier (VUHID, pronounced “view hid”) project represents 22 years of development work based on two ASTM international standards. The project aims to facilitate healthcare information exchange and “meaningful use” by making available unique healthcare identifiers that can be used to enable error-free patient identification and enhanced privacy management of clinical information that operates across clinical, geographic, and operational boundaries. The basic VUHID server has been available since 2008 and we are actively seeking health information exchange beta test sites to help demonstrate the value and benefits that the system provides.

VUHID Project Q2/2010 Boca Chart Content Pressures Added Identify funding options Establish beta test sites Engage EMPI vendors and systems integrators Engage health information exchanges Overcome industry un- certainty due to reform legislation VUHID server demo system completed HIMSS patient identity integrity white paper published CAP Today article on VUHID published Veteran’s Administration has used Version 1 VUHID IDs for 12 years for 16 million veterans Participating in joint grant application with an HIE Deleted & Changed Dependencies Milestones Funding continues to be a challenge in the current healthcare environment. The current phase of ARRA healthcare reform is just beginning to gain momentum and is anticipated will to produce a significant amount of activity during the second half of 2010. Recently the Health Information Management and Systems Society (HIMSS) published a patient identity integrity white paper that specified the need for unique healthcare identifiers to supplement the operation of enterprise master person index systems. This white paper was chosen by HIMSS as its top legislative priority for the year 2010. In addition the Journal CAP today published an article elaborating on the need for a unique healthcare identifier and commenting on the counterproductive nature of the current congressional ban on studying this issue. The VUHID server has now been running in test mode for 18 months and has issued one test identifier for each person in the United States. In addition, a demonstration system has been developed that illustrates how the VUHID can support the activities of individual EMPI systems. Packaging Editions Develop a spectrum of operational beta sites VUHID server has been running for 18 months One identifier now issued for each person in the U.S. Unique ID was HIMSS #1 legislative request Demo system operational Joint HIMSS/VA presentation at HIMSS virtual conf. Statistics Over 300 million test VUHID identifiers issued

Major Dates and Deliverables Q2, 2010 12 Month Rolling Plan Major Dates and Deliverables Q2, 2010 2Q11 Full VUHID management system deployed 1Q11 Accelerate market deployment 4Q10 Begin substantial market deployment We anticipate that by the end of the second quarter of 2010, Global Patient Identifiers Inc. will have achieved sufficient revenue to emerge from its financial hibernation phase. When that occurs we intend to begin more aggressive marketing in order to establish and promote beta test sites around the country. Over time, these test sites will form the basis upon which the value of VUHID identifiers can be demonstrated in a variety of clinical situations. This should lead to an accelerating deployment of the system as other health information exchanges begin to realize the benefits and value that they can achieve through the use of VUHID identification capabilities. 3Q10 Initiate aggressive marketing, launch initial grant project 2Q10 GPII emerges from financial ‘hibernation’, establish production system