Handoffs are where workflows break.

A lab generates a result. The oncology team needs to review it. The trial coordinator needs to compare protocol criteria. The billing team needs to prepare a claim.

Each handoff is a surface. A boundary where data, responsibility, and rules change. That's where things break.

The lab system, clinical system of record, and trial platform may each work as designed. The failures happen between them.

A molecular result may move through HL7, a clinical report, protocol review, and billing documentation. Each destination expects a different format and review context. If provenance does not travel with the result, downstream teams must reconstruct or repeat checks.

Shared surfaces

A result can cross from one system to another and lose source context. A billing code can be reformatted without the original rule. A protocol comparison can reference stale records when systems lack a common update path.

Precision-medicine workflows often fail at the handoffs between systems.

The fix is a governed handoff that carries identity context, provenance, applied rules, and review status between configured systems.