described in paragraphs (2) and (3) and how the Secretary foresees such limitations being resolved in whole, in part, or in no way through a continued deployment of the Oracle-Cerner product, a procurement of another electronic health record, other health information exchanges, networks, applications or solutions. (5) A comprehensive interoperability roadmap and strategy for the next five fiscal years, including goals, interoperability levels, partners, timelines, regulatory and legal limitations and challenges, and required resources and authorities to achieve such goals. (6) A description of the role interoperable data exchange plays in improving health care outcomes and care coordination for veterans who are eligible to receive health care through programs and services of the Department and whether interoperability alone improves health care outcomes, access, and quality or whether it must be part of a larger functioning electronic health record that can facilitate, among other actions, the delivery of physician orders, referrals, dispense prescriptions, schedule appointments, and other such foundational and routine elements of modern health care delivery. (7) Such other such matters as the Secretary considers appropriate, including recommendations for legislative action to achieve the goals set forth in the report. (c) Discussion The discussion included under subsection (b)(4) shall include the following: (1) A clear indication of what entities the Department experiences the greatest level of interoperability limitations in current state such as the Department of Defense, community care networks of the Department, academic hospitals and the Department’s solution or solutions for remedying those limitations. (2) A description of what current health care referral patterns, patient volumes, and networks it currently experiences the greatest volume of care referral, data exchange and interoperability transactions and how such patterns and volumes are projected to evolve and change over the next one, five, and