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app/posts/cohort-manager/2025/06/2025-05-03-start-with-what-we-know.md

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## Output
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We produced a high-level artefact of the DES as-is and desired to-be end-to-end screening journey
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We produced a high-level artefact of the DES as-is and desired to-be end-to-end screening journey.
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We started with bringing together various teams and professions to engage with the artefact so all teams could have a shared understanding of DES and our to-be desired state. Moreover, getting more teams and professions involved meant more perspectives and ideas to examine a possible vision for DES
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![The high level end-to-end desired journey for diabetic eye screening](end-to-end-journey.png)
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We started with bringing together various teams and professions to engage with the artefact so all teams could have a shared understanding of DES and our to-be desired state. Moreover, getting more teams and professions involved meant more perspectives and ideas to examine a possible vision for DES.
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The artefact has become a starting point for various outcome teams who can start visualising the end-to-end user journeys, systems and processes and then zoom into their specific service offerings and products.
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