An interrogation data management system operates to manage implantable cardiac device interrogation data and reports. In one example the system generates a report including a reading physician note, a summary report, and an implantable cardiac device manufacturer's report. Some embodiments include smart routing, to automatically route interrogation data reports to medical professionals based on predetermined rules. The interrogation data management system interacts with the reading physician to formally review the interrogation data reports and to generate a reading physician note. The reading physician note includes the reading physician's findings/interpretations and conclusions. Other aspects are also described in this disclosure.