Implantable cardiac device patient management

A medical device system to improve resource utilization in ambulatory patient monitoring, comprising:

• an ambulatory medical device configured to perform long-term ambulatory monitoring of physiologic information of a patient, the ambulatory medical device comprising:
• a communication circuit configured to communicate with a remote device, including to receive a request to record a patient-triggered episode;
• and
• a control circuit configured to control operation of the ambulatory medical device, including, in response to receiving the request to record the patient-triggered episode, to transition the ambulatory medical device from a long-term ambulatory monitoring state to a patient-triggered episode state,
• wherein the control circuit, in the patient-triggered episode state, is configured to:
• control recording and storage of a set of physiologic information of the patient for the patient-triggered episode;
• and
• control, at a first time, communication of a first subset of physiologic information to the remote device and storage of a second subset of physiologic information at the ambulatory medical device for selectable separate and subsequent communication to the remote device to improve resource utilization of the ambulatory patient monitoring.