Time, held against the record rather than beside it.

Gate carries appointments and visits, from arrival through to discharge. Quest carries everything that is due at a time: dose schedules, due-cards and patient reminders. Cadence carries a hospital’s own operational processes, each one modelled as a governed workflow.

Because all three write to one record, what was scheduled and what actually happened are the same object. Utilisation and turnaround can be read off the work itself, with no separate register for anyone to keep up by hand.