What we (medical docs) need is a medical relay (fork of Nostr relay) that is run by or for an EMR vendor and hooks into the EMR to be able to make referrals to specialist and to receive reports back from specialists. The patient would also have access to the referral process and will be able to see if a referral has been made, has it been accepted by the specialist, appointment date, specialist report. Medical relays from different EMR vendors need to talk to each other so that Dr X can refer to Dr Y that is on a different EMR.