• Ready: This is the default step if the demographic details have matched those on NHS Mini Spine, and no other answers to questions on the eConsent have triggered further checks, the patient is ready to be immunised:
  
  
  Image: The ‘Ready’ step example
  
  
  
• Demographic check required: if the consent is received and queued for a demographic check, this means that the demographic details entered by the parent do not match the demographic details on NHS Mini Spine. Clinicians should check the details provided and amend them as required.
  
  
  Image: ‘Demographic check required’ step example
  
  

Triage steps:

• Clinical triage history: if any of the patient history questions are set to “Yes” on the eConsent form.
  
  
  Image: ‘Clinical triage history’ step
  
  
  
• Clinical triage - in progress: This means that this referral has been manually moved to this step by a clinician to alert their colleagues that triage is in progress.
  
  Image: ‘Clinical triage - in progress’ example
  
  
  
• DOB triage: if the patient's DoB falls outside the range of the expected school year group to be immunised. The clinician needs to triage.
  
  
  Image: ‘Clinical triage DOB check’ example
  
  
  
• Clinical Triage Relationship Check: Some customers ask us to allocate referrals on this step if the referrer selects certain options in the relationship to the child's section; for example, if they have selected 'Legal Guardian', 'Foster Carer', 'Other', etc.
  
  
  
  

Other Steps:

• Duplicate & Conflicting Consents: If a child has two consents submitted, the referrals go into the duplicate consent queue. If the consents are different, the referrals are flagged as conflicting:
  
  Image: Duplicate - ’Conflicting consent’ example
  
  
  
  
• MMR dose required: for limited customers ONLY. This step is for children for whom, on the consent form, the parents or adult who filled the form specify that the child in question hasn’t received any MMR vaccination, and there are no “Yes” answers to the clinical history of the child. Requires triaging by the clinician:
  
  Image: ‘MMR Dose required’ example
  
  

How the triage Steps would look in the app:

If the child is on any of the triage steps, clinicians will see the triage symbol on the mobile clinic. This will alert them that the triage process has not been completed, so they will need to check the health questions, relationship check and DoB to see the reason for the triage alert.

Image: Example of the ‘Triage’ symbol in the RIVIAM mobile app