While everyone agrees on the necessity of e-health initiatives for streamlining processes and improving the patient experience, from government officials to hospital administrative assistants, people don't agree on definitions. Yet they often don't know it. While vendors may be clear on what they mean, agencies, hospitals, and clinics often use definitions that have evolved internally over many years. The same words can mean very different things, with definitions overlapping those of other organizations and IT vendors. The presentation offers a key, top-level suggestion: create a common vocabulary to effectively move forward.