Use case · Task Management
Results to action, letters to file, forms to complete, calls to return. Every task created, prioritised, drafted and routed — with the ones a person must sign arriving ready to sign.
In the product
Clinical inbox — duty queue
WorkingHL7 result 11:04 · Anne-Marie K. · 77 · U&E · ordered for ACE monitoring
Potassium 6.4 mmol/L · critical high · previous 5.1 (Feb) · trend attached
Primum
Priority: critical. Duty clinician paged. Drafting patient contact and holding the ramipril prompt.
Escalation ladder armed: 5 min duty → 10 min second on call → 15 min practice manager
Primum
Patient called 11:06: advised not to take this morning's ramipril, repeat bloods arranged 13:30 today.
Acknowledged 11:08 · Dr Cassidy · task assigned, plan recorded
Task 14092
Closed 11:31 · chart updated · ramipril held pending repeat
Overview
Appointments are visible, funded and measured. The work around them is not: the result that needs an action, the discharge letter that needs coding, the insurance form that needs completing, the three patients who need ringing back. It lands in an inbox, it has no clock, and it is the first thing to slip on a busy day.
Primum treats that work as a queue with rules. Tasks are created from the events that generate them, prioritised clinically rather than by arrival order, drafted against the record, and routed to whoever can close them. What genuinely needs a clinician arrives as a decision with the evidence attached — and what does not, never reaches one.
Capabilities
Four kinds of work, each with a different reason it stalls.
Every result is read against the reason it was ordered and the patient's history. Normal and expected results are filed with the patient informed; abnormal ones are prioritised by how far out of range they are and routed with the trend attached.
Discharge summaries, clinic letters and reports parsed into coded problems, medication changes and follow-up actions — each one becoming its own task with its own owner.
Insurance forms, sick notes, disability and school letters completed from the chart and presented for signature, with every field traceable to the source it came from.
Every task has one owner, a due time and an escalation path. Nothing sits in a group inbox where responsibility is everybody's and therefore nobody's.
How it works
The queue is worked continuously rather than emptied at the end of a clinic.
01
A result, a letter, a form request, a missed call, a failed delivery. Each one becomes a task with the patient, the source and the context attached.
HL7 / inbox / telephony
02
Content interpreted against the record and the reason it exists, then banded clinically — critical, same-day, routine or administrative.
Clinical priority
03
The response, letter or chart entry prepared against the record and verified character by character before anybody is asked to look at it.
AHR verified
04
Closed outright where your protocol allows, or routed to a named owner with a due time and an escalation if it is not actioned.
Owner + SLA
01
A result, a letter, a form request, a missed call, a failed delivery. Each one becomes a task with the patient, the source and the context attached.
HL7 / inbox / telephony
02
Content interpreted against the record and the reason it exists, then banded clinically — critical, same-day, routine or administrative.
Clinical priority
03
The response, letter or chart entry prepared against the record and verified character by character before anybody is asked to look at it.
AHR verified
04
Closed outright where your protocol allows, or routed to a named owner with a due time and an escalation if it is not actioned.
Owner + SLA
Benefits
An unread abnormal result is the most common serious incident in general practice. This is aimed squarely at it.
A critical value creates an escalating task that cannot be silently deferred: it goes to the duty clinician, and if it is not acknowledged it goes further.
Letters and forms arrive drafted from the record. The clinician's job becomes review and signature rather than composition from a blank page.
Volume, age, owner and breach risk per queue, live. Managers see where work is accumulating before it becomes a complaint.
In practice
A single hour's worth of a clinician's inbox.
Flagged immediately, duty clinician paged, patient called and advised, and the task escalates automatically until acknowledged.
Expected result for a monitored patient. Filed, coded, patient texted the result and the next due date.
Two medication changes reconciled, one new problem coded, a follow-up appointment booked — each as its own owned task.
Eleven fields completed from the chart, each traceable to its source. On the GP's signature list in ninety seconds.
One clinician, one day. We will show you which items would have closed themselves, which would have arrived drafted, and how much of the day would have been left for the patients in the room.