INFORMATION DEPLOYED. SOLUTIONS ADVANCED. MISSIONS ACCOMPLISHED. Chemotherapy Order Management System (COMS) Stage 2 Enhancement Sprint Demonstration 9/19/2014 New 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: 23 Open, 41 Closed, 2 for Demonstration Today − Prototype: 8 Open, 8 Closed, 0 for Demonstration Today Defect Log − 30 Open, 24 Closed, 5 for Demonstration Today Miscellaneous Enhancements – 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 (23 Open, 41 Closed, 2 Today) FS View for Nurse Role Template Change Impact on Patients Medication Administration Sequencing Rolling Changes to Administration Dates Medication Reminder Allergies and Drug Interactions  Product Backlog – Prototype (8 Open, 8 Closed, 0 Today)  Defect Log (30 Open, 24 Closed, 5 Today) Therapy Medications Not Pushed to Administration Panel Medications Not Pushed to Flow Sheet Inoperative Backlogs and Defects Link Signing with Authorized Access/Verify Codes Failure to Save Infusion Reactions Panel  Miscellaneous Enhancements (3 Today) Template Selector Decongest Orders Tab via Patient Grouping Dispensed Units/Routes of Administration Remain Constant

4 | CACI Information Solutions and Services | | CACI Proprietary Information Projected Activities for Next Sprint  Medication Administration Sequencing – provide sequential view with ordinal indication for sequencing to serve as nursing checklist for administrations  Rolling Changes to Administration Dates – effect admin date changes to subsequent dates in the cycle and/or regimen  Medication Reminder – provide capability to remind providers to check on status/requirement for adjunct medications at prescribed intervals  Allergies and Drug Interactions – capability to cross-check drug interactions and allergies with known drug allergies and prescribed drugs in VistA  Various Aspects of Bar Code Functionality

5 | CACI Information Solutions and Services | | CACI Proprietary Information Items for Discussion / Clarification  Use of Common Toxicity Criteria Offer Common Toxicity Criteria (CTC) terminology for global use of common evidence-based terms vice local jargon Currently available in Treatment Documentation Module Assessment Panel and Flow Sheet Module Toxicity selections (as setup in Site Configuration)​

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 19  October 3  October 24  November 14  December 5  Recap of New Items for Prototype COMS Product Backlog  Upcoming Demonstrations  Stakeholder Questions  Closing Comments