Insights

Notes from the field.

Notes from the field on how diagnostic connectivity actually works at country scale: what we've learned, what we've changed our minds about, and what we think the category gets wrong.

01

Why software-only middleware breaks at country scale

Pure-SaaS middleware works in a hospital network. It doesn't survive contact with national POC programs — and the reason is structural, not implementation. An argument about where integration actually happens.
02

Diagnostic connectivity is a fleet problem, not a routing problem

Programs running real distributed fleets don't ask “did the result get there.” They ask which devices are alive, which firmware is current, which sites are about to run out of cartridges. A category reframe.
03

What 7 countries and 2,000 devices taught us about the last mile

Five lessons from running a multi-country POC connectivity program — store-and-forward, segregated national instances, remote firmware, consumables visibility, and the whole-stack reality.

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