The expanded data model has now been used to support the ILI standardization effort through comparison of newly contributed 'ILI-S' syndrome data. Distribute was also used to develop a site to allow Washington State DoH to share specific syndromic data with British Columbia during the 2010 Olympics. An instance of Gossamer demonstrated sharing laboratory results for 14 viral isolates between two states. In addition to community-driven comparisons of ILI and GI syndromes, the data model has been applied at the design level to two additional syndrome types for ad hoc data sharing: alcohol intoxicationrelated visits and heat exposure-related ED visits.