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States/Provinces using SIS in North America:

Alberta
British Columbia
Colorado
District of Columbia                         Key:
Georgia                                          In Use State Wide
Iowa                                               In Use at the County or Provider Level
Kentucky                                        Under Consideration for  State Wide Use 
Louisiana
Maine
Maryland
Missouri
Nevada
New Hampshire
New Mexico
North Carolina
North Dakota
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Rhode Island
Tennessee
Utah
Virginia
Washington