Adherence to NEDSS architectural standards was an early design objective that we have met. RODS 1.5 closely follows NEDSS architectural, software, messaging, and data specifications. Our success is a strong validation of those standards. We will gain further understanding of the standards as we attempt to use RODS components including HL7 listeners, natural language parsers, message parsers, databases, user interfaces, notification subsystems, and detection algorithms with other NEDSS compliant systems. An ongoing project will use RODS to collect chief complaints and integrate them into the Utah Department of Health's planned NEDSS system.