Ok, that seems doable if working perfect, but what is the tool output "i can see the patient list with search functionality and 30 patients" thing in the demo ? Is this not vision detected ? Or are you digging into windows api (making non standard windows components/widgets non working)?
ah for the fake EMR demo I was a bit less strict with claude, it was vision detected likely - our MCP has tools for taking screenshots of the screen and inspecting the windows accessibility tree etc