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It was both informative and enlightening to speak with David Watson on March 23 in Washington, D.C., just after he had participated in a panel on interoperability at the World Health Care Congress (held March 22-25 at the Marriott Wardman Park. As the CEO of the California Integrated Data Exchange, or Cal INDEX, Dave Watson has a very strong sense of both vision and mission, as he leads his health information exchange (HIE) forward.