INFORMATION DEPLOYED. SOLUTIONS ADVANCED. MISSIONS ACCOMPLISHED. Chemotherapy Order Management System (COMS) Stage 2 Enhancement Sprint Demonstration 6/20/2014 Audio: , Conference Code # * Please do not use telephone “hold” during meeting *

2 | CACI Information Solutions and Services | | CACI Proprietary Information Agenda  Welcome & Attendance  COMS Functionality Demonstration (Q & A throughout) Product Backlog − Proof of Concept: 33 Open, 31 Closed, 3 for Demonstration Today − Prototype: 6 Open, 7 Closed, 0 for Demonstration Today Defect Log − 28 Open, 18 Closed, 1 for Demonstration Today Miscellaneous Enhancement – 3 for Demonstration Today  Projected Activities for Next Sprint  Items for Discussion / Clarification  Wrap up & Adjournment

3 | CACI Information Solutions and Services | | CACI Proprietary Information COMS Functionality Demonstration  Product Backlog – Proof of Concept (37 Open, 27 Closed, 3 Today) Selection of Intelligent Data Elements – enable user to select data points (e.g., height/weight) for BSA calculation Warning of Adverse Reaction History – functionality for selection of “No Adverse Reaction” to display a warning if patient has history Adverse Reaction Alert – provide adverse reaction information in Patient Header with display of details FS View for Nurse Role – add Held/Cancelled medication information Toxicity/Side Effects for Flow Sheet – truncated search capability to annotate one or more toxicities/side effects  Product Backlog – Prototype (6 Open, 7 Closed, 0 Today)  Defect Log (28 Open, 18 Closed, 1 Today) Incorrect Weight Units Displayed in BSA Calculation  Miscellaneous Enhancement (3 Today) Indication of No Adverse Reactions Laboratory Results Display within Flow Sheet Integrated Use of Local VistA Instance’s National Library of Medicine (NLM) Drug List

4 | CACI Information Solutions and Services | | CACI Proprietary Information Projected Activities for Next Sprint  FS View for Nurse Role – add information for medications Held or Cancelled  Toxicity/Side Effects for Flow Sheet – truncated search capabilities to annotate one or more toxicities/side effects  Lifetime Cumulative Dosing – capture lifetime dosing information for specified medications (e.g., Mitomycin, Bleomycin, and Anthracyclines*)  Entering Historical/Previous Dosing – capability for provider to enter cumulative dosing previously administered  Cumulative Dose Checking – capability to check cumulative doses and prompt user to resolve those exceeding maximum values *Anthracyclines – Daunorubicin (Cerubidine, Daunomycin), Doxorubicin (Adriamycin, Rubex), Epirubicin (Ellence, Pharmorubicin), Valrubicin, Idarubicin (Idamycin), and Mitoxantrone

5 | CACI Information Solutions and Services | | CACI Proprietary Information Items for Discussion / Clarification  PICC (Peripherally Inserted Central Catheter) Line – capability to document dressing changes and lumens flushing  Relevant Flow Sheet Data – integrate relevant data from multiple sources  User Ability to Tailor Flow Sheet Views – capability for users to select more/less abstract or more/less compact views of Flow Sheet

6 | CACI Information Solutions and Services | | CACI Proprietary Information Wrap Up and Adjournment 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  Recap of New Items for Prototype COMS Product Backlog  Upcoming Demonstrations  Stakeholder Questions  Closing Comments