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Story Map — Telehealth Urgent Care Triage

Remote-first urgent care where the first band is clinician-led and complete across all four activities — a real walking skeleton — while model-suggested triage, red-flag escalation and connected devices arrive later, two of them still unestimated.

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Telehealth triage — remote-first urgent carePersona: Parent at eleven at night with a feverish child and no car · Goal: Reach the right level of care in one session without a wasted tripR1 — Clinician-led video55 pts · 6 cardscovers 4/4 · cum 55R2 — Assisted triage81 pts · 6 cardscovers 3/4 · cum 136R3 — Continuity42 pts · 5 cardscovers 3/4 · cum 178Later0 pts · 1 cardcovers 1/4 · cum 178BACKBONEactivities, left to rightTASKSthe walking stepsDescribe the problem34 pts · 4 cards · 2 tasksTriage63 pts · 5 cards · 2 tasksConsult39 pts · 5 cards · 2 tasksFollow through42 pts · 4 cards · 2 tasksStart a sessionConfirm identityAssess urgencyRoute to careHold the consultationExamine remotelyIssue outcomesClose the loopSymptom description with photoupload8Match to the patient record ondate of birth5Clinician reviews and sets atriage category8Book a video slot or adviseself-care8Video call with in-callclinical notes13Electronic prescription to achosen pharmacy13Structured symptomquestionnaire that branches13Proxy access for a child ordependent adult8Model-suggested category withthe clinician deciding21Red-flag detection thatescalates to emergency advice13Transcript attached to therecord automatically13Guided photo capture for skinand throat13Direct booking into a localpharmacy or clinic13Connected thermometer andoximeter readings?Fit note and referral lettergeneration8Safety-netting reminder at 24and 72 hours8Outcome written back to the GPrecord13Live interpretation during theconsultation?R1 — Clinician-led video touches every activity on the backbone — a genuine walking skeletonStory cards18Estimate178 ptsBackbone4 activitiesReleases4First release spans4/4 · 100%Walking skeletonspans backboneFirst release load55 ptsHeaviest releaseR2 — Assisted triageUnestimated2 cards

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title "Telehealth triage — remote-first urgent care"
persona "Parent at eleven at night with a feverish child and no car"
goal "Reach the right level of care in one session without a wasted trip"

release "R1 — Clinician-led video"
release "R2 — Assisted triage"
release "R3 — Continuity"

activity "Describe the problem"
  task "Start a session"
    R1: "Symptom description with photo upload" (8)
    R2: "Structured symptom questionnaire that branches" (13)
  task "Confirm identity"
    R1: "Match to the patient record on date of birth" (5)
    R2: "Proxy access for a child or dependent adult" (8)
activity "Triage"
  task "Assess urgency"
    R1: "Clinician reviews and sets a triage category" (8)
    R2: "Model-suggested category with the clinician deciding" (21)
    R2: "Red-flag detection that escalates to emergency advice" (13)
  task "Route to care"
    R1: "Book a video slot or advise self-care" (8)
    R3: "Direct booking into a local pharmacy or clinic" (13)
activity "Consult"
  task "Hold the consultation"
    R1: "Video call with in-call clinical notes" (13)
    R2: "Transcript attached to the record automatically" (13)
    later: "Live interpretation during the consultation" (?)
  task "Examine remotely"
    R2: "Guided photo capture for skin and throat" (13)
    R3: "Connected thermometer and oximeter readings" (?)
activity "Follow through"
  task "Issue outcomes"
    R1: "Electronic prescription to a chosen pharmacy" (13)
    R3: "Fit note and referral letter generation" (8)
  task "Close the loop"
    R3: "Safety-netting reminder at 24 and 72 hours" (8)
    R3: "Outcome written back to the GP record" (13)