A dvanced web-based clinical care applications as part of an electronic health record can assist clinicians to meet Government targets for the management of cardiovascular disease. A clinical module of the Tayside electronic health record collects electronic data automatically from a variety of sources and holds this data in a central regional repository. It identifies those patients with existing cardiovascular disease and also those high priority patients at risk of developing clinical atherosclerosis. It allows the clinician to effectively manage these patients in line with national evidence-based guidelines. Real time audit of patient management is instantly available at the point of direct patient contact, as well as benchmarking to agreed performance criteria. Demonstrating improvement in clinical outcomes remains the eventual goal.