How do I manage patients who regularly have bloods elsewhere?

Many patients regularly have blood tests at the hospital or with other providers. These may be blood results that the practice hasn't requested and where the results are not on the SystmOne patient record. Our systems may identify blood tests that these patients require for medication monitoring or that have been requested by clinicians.

In this scenario, it's not safe to assume that the blood tests have been done, but it may be appropriate to review these patients before inviting them, to see whether the relevant blood tests have been carried out. Downloading those blood tests or coding those results will then remove the patient from monitoring invites.

1) Record when a patient regularly has bloods elsewhere

On the manage recall page of the Recall Overview template, use this drop-down to record when a patient regularly has bloods elsewhere:

It's fairly self-explanatory! The second option is simply to be able to remove a patient from the category of needing review before they're invited.

If you want to add this in bulk to multiple patients simultaneously, the codes you would use are XaBUo and XaC58 (these must be added at approximately the same time).

2) Review patients before sending monitoring invites

When these patients are then due a monitoring invite, they will appear in this report for the relevant monitoring invite section:

NB: These patients will still appear in the specific invite reports to avoid the risk that patients are neither checked nor invited.

If there are patients in these reports and all necessary bloods have been taken elsewhere, coding or downloading those results will remove the patients from the invite reports. As usual, this won't take effect until the following day, so patients need to be either manually removed from invites when sending in bulk or wait a day to then send out the invites.

If the relevant blood tests haven't been taken, they can just be invited as normal.