Proceed to formal review.

The incident is formally reviewed with the supervising doctor and telemedicine service team.

The review identifies two potential concerns: the use of a personal communication channel for identifiable patient information and the possibility that incomplete digital information influenced a time-sensitive clinical decision.

The team examines what information was shared, who had access to it, how the consultation and referral decision were documented, and whether appropriate escalation procedures were followed.

The purpose of the review is to identify both individual and system-level improvements in privacy protection, telemedicine communication, documentation, and safe escalation of urgent clinical conditions.