At many (otherwise) world-leading facilities even just reviewing the patient history is a slog. There is rarelly any ability to keyword search the records or even filter the records by location, title and occupation of the healthcare professional making it, etc. Especially very ill people will have hundreds and hundreds of recent entries.

And stepping through those entries isn’t like browsing a modern local-first app [1], where you will just scroll through dozens of entries in milliseconds. It’s not like the slightly older and slightly slower Gmail interface. You’re clicking on each record and waiting 400ms-3s for it to load, as if instead of a 25Gb fiber connection you’re on dialup requesting the record from Epic’s headquarters in the US and proxying them via Australia.

[1] https://bugs.rocicorp.dev/p/roci