September 2025 Update to Auto Review Rule for Bone Profile Results

Following recent correspondence, I wanted to share an important update regarding our Auto Review rule for Bone Profile results.

We’ve identified and resolved an issue where some results were Auto reviewed in error — specifically, when adjusted calcium was out of range but other numerics were within normal limits. The rule has now been updated to assess each individual numeric strictly against lab-defined ranges, ensuring greater accuracy and consistency.

Previously, the rule relied on clinical reports and filed results when all numerics appeared in range. While this approach worked well when labs included comments, one report was referencing a different code for adjusted calcium, which led to some results being missed. We’ve also discovered that a few labs use slightly different ranges, which hadn’t been accounted for — this has now been addressed.

To support practices, we’ve built reports to help identify any patients who may have been affected:

While we expect the number of cases to be low, it’s important that these are reviewed. You’ll only need to check patients based on your usual lab range. If your lab uses a different range, just let us know — we’ll be happy to generate tailored reports for you. We’ve also split the data into patients who’ve had a more recent result and those who haven’t, to help prioritise.

We’ve reviewed all other rules to ensure they’re functioning as expected, and we’re actively exploring additional system checks to further strengthen our processes. We’re grateful to the practice who flagged this issue — your vigilance helps us continuously improve.

Thank you for your understanding and support. Please don’t hesitate to reach out if you have any questions or if any patients are affected.