The Department of Veterans Affairs seeks to standardize Bedside Patient Monitoring Systems (BPMS) by consolidating existing solutions into a unified integration point for data capture, exchange, and consumption. This effort aims to enhance patient safety, improve clinical workflow efficiency, and enable facility-specific point-of-care solutions while maintaining standard integration. Four interface workflows are involved: discrete vitals, patient demographics, telemetry waveform strip reporting, and bedside 12-lead ECG studies. While integration solutions exist for three of these workflows, there is a specific need for middleware that can ingest 12-lead ECG data from BPMS, format it, and deliver it to the appropriate endpoint. No timelines, budget amounts, or performance locations are specified.