DiabetesYear

Who uses it

Built for: Endocrinology & Diabetes · General Practice

Reads

Lab results, observations, weights on the chart

Writes

Programme states, recalls, prediabetes plans and coaching contacts, cohort sessions and attendance, HbA1c change from baseline

Never

It does not mark the annual complete with any element missing, suggest a medicine or a change to one — medicine decisions stay with the treating doctor, and only that they reviewed them is recorded — or call anyone in remission unless the practice has entered its own definition and a clinician confirms it.

Access

Only people whose role includes it — the clinic owner decides who

Your data

Full PHI. Hosted in Boston, United States. On uninstall: All clinical data stays in the record; operational history stays queryable.

In the product

1. 1Enrol and the year lands datedEnrolling creates the care-plan enrolment and materialises its milestones in one transaction — four HbA1c points, the fundus examination, the foot examination and the nephropathy screen, each on its own due date.
2. 2Set the target, record each HbA1cThe HbA1c target is this patient’s, not the clinic’s, and must sit between 5% and 12%, changed only on an active enrolment; a value outside 3–20% is refused as a typo rather than a result.
3. 3Read who is slippingThe registry shows the last HbA1c, whether it is at that patient’s own target and how many care-plan milestones are past due, all computed in the select, and it sorts the overdue to the top.
4. 4Stop with a reasonOnly an active enrolment can be stopped, and the reason stays on the record; program status lives on the care-plan enrolment, so there is no second status to drift.
5. 5Coach prediabetes and run cohortsOn the Programmes tab a prediabetes patient is enrolled on the result that flagged them, picked from LabBridge, with the clinician’s own targets, review interval and refer value; coaching contacts and the doctor’s decision are kept as recorded. A cohort runs the practice’s named protocol with consented patients, sessions and attendance, and shows each patient’s change from their own baseline — remission only on the practice’s definition, confirmed per patient.