Notice: This guidance is under active development by NHS England and content may be added or updated on a regular basis.

Use Cases - Urgent and Emergency Care

Search DoS with Clinical Triage System

User Story Summary (Clinical Overview)	As a user of a clinical triage system (e.g. 111, 111 Online), I want to be able to search for appropriate services that are able to meet the patient’s needs within a specified time frame, So that patients can be directed or referred to a service that is able to assess and/or treat them
Actors (Role)	111 Healthcare Advisors, 111 Clinicians, 111 Online Users, Streaming and Redirection users
Frequency of Use	24/7 - Approx. 2 million searches per month
Triggers	Pathways triage completed
Pre Conditions	Search system has approval to use DoS and an active DoS account
Post Conditions	A curated list of appropriate services is returned
Main Course	Pathways triage is completed with an outcome that the patient needs to be signposted or referred to a service Case management system makes API call to DoS, including all required information DoS search is completed, matching services according to clinical need and location DoS returns an ordered list of appropriate services, taking into account search, referral and commissioning rules Search results are displayed to the case management system
Alternate Course	n/a
Exception	Invalid information is passed to DoS via the API, returning an error message to the requesting service

Wokflow Diagrams-Search DoS with Clinical Triage System

User Story Summary (Clinical Overview)	As a clinician who uses a system approved to search the DoS, I want to be able to search for appropriate services that are able to meet the patient’s needs within a specified time frame, So that patients can be directed or referred to a service that is able to assess and/or treat them
Actors (Role)	Service Finder Users, Clinicians who use 3rd Party apps approved to use DoS APIs
Frequency of Use	24/7 - Approx. 2 million searches per month
Triggers	Clinician uses a search tool to find an appropriate service for the patient
Pre Conditions	Search system has approval to use DoS and an active DoS account
Post Conditions	A list of services matching the search criteria is returned
Main Course	Clinician enters search criteria into 3rd party tool Request is received and validated by DoS DoS search is completed, matching services according to clinical need and location DoS returns matching services according to search criteria Results are displayed by 3rd party system
Alternate Course	n/a
Exception	Invalid information is passed to DoS via the API, returning an error message to the requesting service

Wokflow Diagrams-Search DoS without Clinical Triage System

User Story Summary (Clinical Overview)	As a DoS Lead or service owner responsible for the accuracy and completeness of the data in DoS, I want to be able to search, view and update that data, So that I can profile services so that those searching the DoS receive correct and accurate information
Actors (Role)	DoS Leads, Service Owners
Frequency of Use	Multiple times per day
Triggers	Service data has changed or new services are commissioned
Pre Conditions	User has an active DoS account with appropriate update permissions
Post Conditions	Service profiling is correct
Main Course	User logs into DoS User navigates to the function required within the DoS User makes profiling updates as required User logs out
Alternate Course	n/a
Exception	n/a

Wokflow Diagrams-Maintain Data via the DoS UI

User Story Summary (Clinical Overview)	As a Capacity Management User, I want to be able to update services with the required information about their bed capacity, So that this can be monitored and appropriate decisions made
Actors (Role)	Hospital Capacity Managers, Ward staff, Administrators
Frequency of Use	Daily, generally twice per day for each user
Triggers	Daily sitution report needs to be completed
Pre Conditions	User has an active DoS account with appropriate permissions
Post Conditions	Hospital situation report has been updated Users are able to view and compare capacity data for their hospital and those of other areas Service profiling is correct
Main Course	User logs in User navigates to the correct service profile User saves changes User completes a search based on geography and service type User views summary data for services returned in the search User navigates to reporting page User selects region, grid and timeframes and exports required data
Alternate Course	n/a
Exception	n/a