Comprehensive and Detailed Explanation From Exact Extract:

Pega’s work delegation capabilities, as outlined in Pega Academy’sLead System Architect Missionand thePega Certified Lead System Architect Study Guide, provide built-in routing utilities to assign tasks based on operator attributes like skills and availability. The Work-.ToSkilledGroup utility is designed for intelligent assignment in scenarios like medical appointments.

Option A (Incorrect): Developing a custom routing utility is unnecessary and increases development effort. Pega’s built-in routing options, like ToSkilledGroup, are optimized for this purpose, per theWork Delegationmodule.

Option B (Incorrect): The Work-.ToLeveledGroup routing utility assigns work based on work group levels, not specific skills or availability, making it unsuitable for matching medical issues to specialists, as noted in theRouting Utilitiesguidelines.

Option C (Incorrect): Decision table-based routing is feasible but less dynamic than skill-based routing. It requires manual maintenance of the table and does not natively consider availability, per theDecision Table Routingmodule.

Option D (Correct): Defining medical professionals as operators with department, skillset, and availability, and using Work-.ToSkilledGroup routing, ensures intelligent assignment based on medical issue and availability. This is Pega’s recommended approach for skill-based routing, as documented in theRouting Configurationsection of Pega Community.