For a single walk-in patient, I routinely work across four to six systems: the clinic EMR, CareConnect, PharmaNet, a separate imaging portal, and often hospital or specialist records that may still arrive by fax. In my FNHA virtual substance use work, the patient’s community record may sit in another EMR again, with no connection between these systems. The recurring problem is that the patient’s history often exists — it’s just scattered. I’ve spent visits reconstructing medication histories screen by screen, searching for investigations or consultation reports, and trying to determine what has already been done before making the next clinical decision. I have even developed my own workflow tools to reduce some of this manual searching because the systems themselves do not communicate well. Conservatively, disconnected systems add approximately 45–60 minutes to a typical clinic day. That is time that could otherwise go toward direct patient care, follow-up, or seeing additional patients.