1. Clinician or proxy Public Health Patient or proxy Business Actors Sys Admin Outside Systems Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt 5.0. 1.0. 2.0. 3.0. 4.0. 6.0. 7.0. 8.0. 9.0. 10.0. 2006 AHIC Initial Use Cases 1.Lab results reporting 2.Medication tracking 3.PH Surveillance

2. Clinician or proxy Public Health Patient or proxy Business Actors Sys Admin Outside Systems Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt 5.0. 1.0. 2.0. 3.0. 4.0. 6.0. 7.0. 8.0. 9.0. 10.0.

3. Clinician or proxy Public Health Patient or proxy Business Actors Sys Admin Outside Systems Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt 5.0. 1.0. 2.0. 3.0. 4.0. 6.0. 7.0. 8.0. 9.0. 10.0. Clinician or proxy Public Health Patient or proxy Sys Admin Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt Clinician or proxy Public Health Patient or proxy Sys Admin Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt Clinician or proxy Public Health Patient or proxy Sys Admin Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt Clinician or proxy Public Health Patient or proxy Sys Admin Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt

4. Result and Document Delivery System Registration and Claims Repository Clinical User Authentication and Auditing Patient Record Location and Aggregation Medication Allergy Immunization Repository Patient User Authentication and Auditing Patient Pre - Registration System Patient Access to Medication System Clinician or proxy Public Health Patient or proxy Business Actors Sys Admin Outside Systems Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt Regional Network Provider 5.0. 1.0. 2.0. 3.0. 4.0. 6.0. 7.0. 8.0. 9.0. 10.0. 11.0. eHealth Summit 2006

5. 5

6. Result and Document Delivery System Registration and Claims Repository Clinical User Authentication and Auditing Patient Record Location and Aggregation Medication Allergy Immunization Repository Patient User Authentication and Auditing Patient Pre - Registration System Patient Access to Medication System Clinician or proxy Public Health Patient or proxy Business Actors Sys Admin Outside Systems Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt Regional Network Provider 5.0. 1.0. 2.0. 3.0. 4.0. 6.0. 7.0. 8.0. 9.0. 10.0. 11.0. Result and Document Delivery System Registration and Claims Repository Clinical User Authentication and Auditing Patient Record Location and Aggregation Medication Allergy Immunization Repository Patient User Authentication and Auditing Patient Pre - Registration System Patient Access to Medication System Clinician or proxy Public Health Patient or proxy Sys Admin Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt Result and Document Delivery System Registration and Claims Repository Clinical User Authentication and Auditing Patient Record Location and Aggregation Medication Allergy Immunization Repository Patient User Authentication and Auditing Patient Pre - Registration System Patient Access to Medication System Clinician or proxy Public Health Patient or proxy Sys Admin Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt Result and Document Delivery System Registration and Claims Repository Clinical User Authentication and Auditing Patient Record Location and Aggregation Medication Allergy Immunization Repository Patient User Authentication and Auditing Patient Pre - Registration System Patient Access to Medication System Clinician or proxy Public Health Patient or proxy Sys Admin Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt

7. Result and Document Delivery System Registration and Claims Repository Clinical User Authentication and Auditing Patient Record Location and Aggregation Medication Allergy Immunization Repository Patient User Authentication and Auditing Patient Pre - Registration System Patient Access to Medication System Clinician or proxy Public Health Patient or proxy Business Actors Sys Admin Outside Systems Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt Regional Network Provider 5.0. 1.0. 2.0. 3.0. 4.0. 6.0. 7.0. 8.0. 9.0. 10.0. 11.0. eHealth Summit 2008

8. Result and Document Delivery System Registration and Claims Repository Clinical User Authentication and Auditing Patient Record Location and Aggregation Medication Allergy Immunization Repository Patient User Authentication and Auditing Patient Pre - Registration System Patient Access to Medication System Clinician or proxy Public Health Patient or proxy Business Actors Sys Admin Outside Systems Clinical Results Source Systems Registration Systems Claims Systems PBM, Pharmacy Systems Decision Support Systems Health Plan Care Mgt State Based Services 5.0. 1.0. 2.0. 3.0. 4.0. 6.0. 7.0. 8.0. 9.0. 10.0. 11.0. eHealth Summit 2008 Regional Services

9. NEXT STEPS: Continue to Grow Social Capital Detailed Planning FundingImplementation