This document describes QuadraMed's Smart Identity Exchange (Smart I/X), an enterprise master patient index (EMPI) that can identify and link patient records across multiple patient management systems. Smart I/X uses probabilistic matching algorithms and frequency analysis to resolve duplicate patient records and improve the accuracy of patient identification. It also includes SmartMerge for viewing, analyzing, and correcting data integrity errors. Implementing Smart I/X can improve meaningful use compliance, patient safety, and physician confidence by ensuring a clean master patient index.