1. Pilots Sample configuration S&I Framework November 16, 2011

2. Actors Involved A pilot may involve the following participants from the healthcare ecosystem: Provider (Hospital or Clinic) EHR vendor [Optional] HISP or System Integrator EHR or PHR vendors and Provider or Patient or Caregiver etc. 10/11/20112

3. Minimum Configuration Pilot system configurations to meet minimum requirements, Requestor system, an EHR or HIE. Responder system(s), EHR(s) or HIE(s). A transport system being used in Production environments. A security system being used in Production environments. A access consent/control system used in Production environments. A means to capture and log Generated/Received messages Generated/Received acknowledgements Each pilot participant can include system configurations in addition to the requirements listed above. 10/11/20113

4. Sample Pilot 410/11/2011 Here include diagram(s) depicting the structure and/or operation of the pilot system(s).

5. Pilot Project Roles 10/11/20115 EHR Vendor (as sender)HISP or System IntegratorEHR or PHR Vendor (as receiver) Configure EHR Create approach to capturing transmitted and received messages Configure EHR or PHR Integrate with ToC RI APIFacilitate Communication/ Collaboration between sender and receiver vendors Integrate with ToC RI API Integrate appropriate adapterIntegrationIntegrate appropriate adapter Create MessagesCreate Transport MechanismReceive Messages Publish MessageCreate Security MechanismParse, store message contents Alter as necessary to describe your pilot project.

6. Questions What distributed queries will be used? What test datasets will be used? What are the Transport/Security options? What are the access consent/control options? How will the pilot system be evaluated for success? 10/11/20116