DESIGN DECISION 05 EXAM RESULTS PIPELINE We couldn't integrate every lab. So we changed where results land. Medstation works with many partner clinics, each with its own system and upload method. Integrating with all of them was not viable. But every one of them already sent results the same way: by fax, delivered to Medstation as an email. BEFORE · FOUR MANUAL STEPS PER RESULT Partner clinicsEach with its own system FaxSent to Medstation Email inboxFax arrives as email PrintedBy the front desk ScannedBack into digital AttachedManually, to the record RelayedBy phone or WhatsApp MANUALMANUAL MANUALMANUAL WHERE WE LOOKED INSTEAD Every result already passed through one inbox. We changed what happens after it, not before it. AFTER · ZERO MANUAL STEPS Partner clinicsNothing changes for them FaxSent to Medstation Email inboxSame entry point InterceptedEmail caught on arrival ParsedResult read from the file MatchedBy name and birth date In the appVisible to the patient ENGINEERING SOLUTION Parse the inbox instead of integrating every partner system. The composite key from Decision 01 is what makes the match possible. Printing and scanning disappeared. Results reach the patient's record without a person in the middle.