Table 4.

Interoperable systems with IMPACT

System Type	When	Direction	Information Exchanged
Electronic Health Records (EHR)	Before or during visit scheduling	Import	Patient primary care provider information; patient health information for eligibility determination and safety monitoring (e.g., adverse drug reactions)
Clinical Practice Management Systems for EHR	During visit scheduling	Import	Appointment schedules with primary care providers
Clinical Trial Management System (CTMS)	During visit scheduling	Import	Protocol-specified visit windows
Clinical Trial Management System (CTMS)	After a visit	Export	Completed reimbursable research visits
Personal Calendars (e.g., Outlook)	During visit scheduling	Import; export	Availability of a CRC or a Principal Investigator