The process of building meaningful use and HIE capacity in a state can best be described as an ongoing process of planning, implementation and evaluation that results in building and expanding capacity across five essential domains, or aspects, of HIE. These domains include governance, business and technical operations, legal/policy, technical architecture and finance. The state cooperative agreements are designed to be flexible enough to support states and providers at multiple levels of HIE adoption providing support across the ongoing spectrum of planning, implementation and evaluation.