Example systems, methods and storage media to provide a cross-enterprise workflow among clinical systems are disclosed. An example cross-enterprise enabled clinical information system includes a workflow manager to coordinate user workflows with respect to the system and associated content. The system includes an image services manager configured to manage images and associated services for the system and associated content. The workflow manager and image services manager are configured for cross-enterprise content sharing such that the system is to locally authenticate a user at the system and the system is to locally authorize a remote request for access to content at the system from a remote user that has been authenticated remotely. The system is arranged to provide content in response to the remote request after the remote authentication has been received and the system has verified the remote user's authorization for access.