1. IT Infrastructure (Security, patient Ids, user authentication) Ordering, Scheduling, Referral Charge Posting Billing Areas of Cardiology Integration Cardiac Longitudinal Record, Dissemination & Disease Mgt EKG Lab Echo Lab Cath & EP Lab Nuc. Lab Other Cardiac Procedures

2. Echo 1.Echo WF+PIR (incl. MWL, gaps: physician scheduling mgt, not always HIS ordered, counter-indication/clinical decision, multi-stage tests) 2.Echo measurements with image links to reporting 3.Outbound Reports (states) with selected images Export (archiving images + report ?). 4.Lab Test Access

3. CathLab and EP 1.Access of Echo, Nuc, ECG, MR, CT, EP, Post- processing output (images, reports, measurements) 2.Lab Test Access 3.Cath WF-prep/collect + PIR (incl MWL, gaps: worse !, pre- cath, intra-cath, post-cath, NCDR input. 4.Cath WF-event log-tracking, time-synch 5.EP measurements, waveform 6.Cath WF-Reporting (define report content-Help from SCAI-ACC-ESC). 7.Access to previous Cath output 8.Outbound Reports (states) with selected images Export (archiving images + report ?) to Longitudinal record

4. ECG Lab 1.Access of ECG and reports enterprise wide and external to enterprise (status) 2.Time Synch 3.Scheduled and unordered, post acq ordering WF, Patient Info Reconciliation 4.Critical value notification, clinical context, audit trail. 5.Charge capture (save a buck)

5. IT Infrastructure 1.Enterprise User Authentication (single sign-on, multiple systems and enterprise access) 2.Patient ID Cross-referencing (patient ID/MRN linkage between hospitals, small practices). 3.Retrieve Info for Display(RID) - Inbound and Outbound (quick simple view, non-cardiac reports, still images, documents). 4.Retrieve motion images for Display (Inbound and outbound, non-diagnostic ?) 5.Consistent Time + special cardiac care episode events usage definition. 6.Patient Synchronised Apps (local and server) 7.Audit Trail (for Privacy, cross-domain, modality, central repository) 8.Consistency of PIR across verticals

6. Scheduling, Ordering, Referral 1.Multi-ordering patient care plan mgt, order external (rad, lab, drugs, transfer, etc.) + Discharge mgt. 2.Prerequisite checking (labs, drugs, insurance) 3.Patient location/tracking/transport 4.Inventory management (from Cath, Nuc.EP,) 5.Room/equipment availability (link to ordering) 6.Physician & staff tracking, notification. 7.Referral communication/authorization with/from referring physician

7. Longitudinal Record 1.Critical value notification, clinical context, audit trail. 2.Episode definition and linkages (integration with specific WF) 3.Cross-episode/encounter linkage and filtering query/retrieve from LR 4.Feeding in LR patient info from practices 5.Feeding/exporting with Media Interchange 6.Feeding in LR patient info from inpatient cardio 7.Quality, Guidelines Mgt - Retrieve Pocket Guidelines for Display 8.Export to national outcome registries

8. Short List 1.Echo WF+PIR (incl. MWL, gaps: physician scheduling mgt, not always HIS ordered, counter-indication/clinical decision, multi- stage tests) 2.Cath WF-prep/collect + PIR (incl MWL, gaps: worse !, pre-cath, intra-cath, post-cath, NCDR input. 3.Access of ECG and reports enterprise wide and external to enterprise (status) 4.Patient ID Cross-referencing (patient ID/MRN linkage between hospitals, small practices). 5.Retrieve Info for Display (RID) - Inbound and Outbound (quick simple view, non-cardiac reports, still images, documents). 6.Retrieve Pocket Guidelines for Display 7.Audit Trail + Consistent Time (for Privacy, cross- domain, modality, central repository)