The problem
She made four journeys. Two of them were to carry a piece of paper.
A patient sees her doctor, who decides she needs lab work. She is handed a printed order and sent to a laboratory somewhere else in the city. She gives her sample. She is told to come back the next day to collect the result, and she does. Then she books another appointment, because her doctor does not have that result — she is carrying it.
He reads it in front of her, from the paper in her hand. Afterwards, someone at the desk types it into a computer. The record of what happened is created last, by hand, once everybody is already finished with it.
Two of those four journeys were care. The other two existed only to move a result from one building to another. The process was never digital — a record of it was typed up at the end, once everybody had already finished.