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Four ways into the work

Edge Cases

Start with the moments a system didn’t expect, and the people affected when a workflow breaks.

Implementation

What really happens when systems meet the floor, from rollout and downtime to everyday workarounds.

Standards

FHIR, coding and interoperability explained in plain language and through real patient journeys.

Field Notes

Longer reflections on what working between clinical teams and technology has taught us.

Where processes designed in meetings meet real patients and staff.

Missing IDs, duplicate records, and keeping one patient’s story together.

Pre-authorisations, tariffs, rejected claims and the cashier queue.

How records move between systems, and where they get lost.

What clinicians mean, what codes say, and why dashboards mislead.

Go-lives, training, downtime, and why people work around systems.

Consent, data protection, and who should see what.

New technology, tested against what really happens in facilities.

The people between clinicians and engineers, and what they learn.