Not the same
I've seen working groups of clinicians across specialties fight over the "right way" to deal with patient referals. Even to try and pin it down to 5/6 common methods. Then along comes oncology, rolls up it's sleeves and laughs as they explain their 500 ways to refer a patient - and they don't often don't discharge because they head to end of life care. Then you ask two orthopaedics consultants at hospitals 50 miles away what their hip replacement pathway looks like and they argue for about 3 hours and you end up with nothing.
I think it's complex because the domain isn't standardised. It is from your point of view but how often do you truly sit in a room and talk process with lots of other specialties?
Biting the hand that feeds IT
