Researched and specified · not yet built · synthetic patients only
The test came back. Did anyone act on it?
Between 7% and 62% of laboratory results and up to a third of radiology results are never followed up, and referral-tracking failures appear in over half of high-severity missed-diagnosis claims. The gap is not diagnosis. It is the loop that nobody closed.
Why this sector
Critical results get a phone call, so their loop closes. Non-critical abnormalities get a notification, and often nothing after that. A register that tracks sent, received, acknowledged and acted upon — with a target turnaround per urgency and automatic escalation — is administrative work, not clinical work, which is exactly why software can hold it.
What it would do
Mechanics, not features — each one is a number that either ties out or announces that it does not.
Closed-loop communication
Four states, not two: sent, received, acknowledged, acted upon. A result that is merely available has not closed the loop. The headline number the system reports is how many results sit un-acknowledged past their target.
Built on the token queue, not the appointment
Outpatient departments here run walk-in token queues — one token following a patient through registration, consultation, laboratory, pharmacy and billing, identified by an MR number. Modelling it as appointments produces a system nobody can use. This is why the build was specified rather than copied.
The governance layer, visible
Who can see a record, who changed it, when, and how long it is kept — configured deliberately and documented, because in this sector the permission design is the deliverable, not a setting.
What we sell here
In the order it matters. We do not lead with the word "automation" — it is the most crowded and worst-paid label on the board, and it describes the least valuable part of the job.
- Permissions & enterprise readiness — permission matrix, decision trail, retention policy, written down
- Solution architecture — the visit modelled as it actually happens locally, not as a Western appointment book
- Integration — diagnostics and referral loops hanging off the visit record
- Training & change management — for a department, one department at a time
What we are not claiming
Nothing here is built yet and no patient data will ever touch a demonstration. Airtable’s HIPAA support requires an Enterprise Scale plan and a signed business-associate agreement — so we describe this work as HIPAA-shaped governance, and we do not claim HIPAA compliance we have not bought.
The other three
Tell us what your operation actually does.
Not what you want the software to do — what your team does today, and where the numbers stop being trustworthy. That conversation is free, and it usually decides whether Airtable is the right answer at all.