Case workflow. All cases submitted for hematopathology work-up at Butaro District Hospital were reviewed by the local pathologist (D.R.) and then triaged for additional review (51%). The majority (73%) of triaged cases were first reviewed by telepathology: ∼50% were finalized without further work-up, and the other half were shipped to BWH for additional IHC. The remaining triaged cases (27%) were sent directly to BWH when the local pathologist deemed additional molecular or IHC testing would be required for diagnosis.