Indiana Health Information Exchange supports a federated clinical data repository that provides a single point of collection for all clinical data provided by the participating providers. A resident of a long-term care or palliative facility may be transferred to a hospital for treatment or an outpatient procedure. Hospital staff admitting and caring for the patient can view information contributed by the long-term care or palliative facility. Contributed data includes advanced directives, allergies, medication lists, problem lists, and SBAR’s (Situation Background Assessment Recommendation). In these cases, hospital staff can access recent information regarding the patient’s medications, mobility, diet allowing them to better anticipate the patient’s needs. Similarly, the long-term care or palliative facility staff can follow the patient’s care while at the hospital so they can better anticipate the patient’s care while at the hospital so they can better anticipate his or her care needs when the patient is transferred back.