How do I manage a patient who needs Fructosamine or Glucose instead of HbA1c?

Some patients have a Haemolytic Disorder, which mean labs can't process HbA1c tests for them. Patients with a Haemolytic Disorder, or with a Haemoglobin Variant which may lead to a Haemolytic Disorder, should have a Fructosamine or Fasting Glucose blood test as an alternative to an HbA1c test. If patients are coded in this way, the system will request the appropriate alternative.

How do I identify patients who need an alternative blood test?

The system will pick up many codes that indicate an alternative blood test is needed. You may some patient incidentally as labs send back HbA1c results that can't be calculated. There are also some case finding reports available to identify patients with Haemoglobin Variants that have not already been coded. 

In the folder Welby Innovate Pathology...

How do I record that a patient needs an alternative test?

The is a check-box on the Manage Recall template to record that a patient has a Haemolytic Disorder and needs an alternative test.

When this has been recorded, this will be reflected on the Recall Overview template and on the Request One-Off Tests template as below.