There's little chance the Centers for Medicare & Medicare Services and the Office of the National Coordinator for Health Information Technology can inject significant principles from the President's Council of Advisors on Science and Technology report into Stage 2 of its Meaningful Use incentive program. The reason it's a long shot is the industry lacks a standardized universal exchange language message wrapper, according to Stan Huff and Dixie Baker, both members of the PCAST Workgroup, a subgroup of ONC's HIT Policy Committee. Workgroup Chair Paul Egerman, a retired software entrepreneur, set the tone for the meeting by noting that the group's mandate was to discuss the PCAST report's "implications and feasibility" on Meaningful Use not to "not to criticize the report, if it's good or bad or right or wrong."