1. The document outlines the flow of laboratory data between various entities in a healthcare system. 2. Key entities include providers, health plans, public health departments, disease management vendors, employers, and research organizations. 3. Laboratory data flows from providers to entities like health information exchanges, public health surveillance systems, electronic health and medical records, and other recipients.

1. 1
1 Identifiable data
Calvin 1 5
2
1
8
TREATMENT
1 28
3 6
1
EMS EHR EHR
1
TSP 1 7
Other Hospital/ 30
10 Receiving EDIS 29
ECS Hospital 27 Facility
PHR
9
OPERATIONS / BUSINESS
12
21
4 13 9
HEALTH CARE
ASSOCIATE
20
HIO
BioSense LEMSA
Computer-Aided ID 39 24 31
Dispatch Vendor 36
17
34
11 22 25
32
OTHER
Coroner Research
Local Federal
Public Health
State Public Health Public Health
Surveillance 26
Public Health 15 14 Surveillance Public 33
Vendor
25
37 35
19 18
23
PAYMENT
9
Deidentified Deidentified
16
Data Data
38
Health Plan

3. Laboratory Data Flow by Entity Type
1
Calvin
2
3
TREATMENT
13
Provider 36
32 35
OPERATIONS / BUSINESS
15
18
HEALTH CARE
26
ASSOCIATE
4 14
27 Health Industry
Vendor
17 14.1
Deidentified
5 6 Data
Disease Mgmt
16 Vendor 7 37 28 29
Health Plan
11
19
10
20 FDA
22 Contracted
8 Local Health Research
OTHER
Employer Dept. Organization
(CRO) 34
33
Chronic Disease 21 Biobank
Registry 9 30
12
Pre-Employment Insurance Industry 31 Life Ins. – Long Clinical Trial
Deidentified
23 State Health
Data Screening Vendor Vendor Term Care Ins Sponsor
Dept.
PAYMENT
24
P4P / HEDIS®
Health Plan Vendor
25