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Pathology Automation for EMIS and SystmOne (TPP): Not All Normal Results Are Normal for the Patient

How GP Practices Are Reclaiming 95 Clinical Days Per Year with MyBotGP 

Every GP knows the problem. 

A pathology result arrives. 

The laboratory says it is normal. 

Yet a clinician still reviews it. 

Why? 

Because not all normal pathology results are normal for the patient. 

This is one of the largest hidden clinical workloads in primary care. 

Every day, clinicians spend valuable time reviewing pathology results that appear normal but still require patient-specific checks before they can be safely filed. 

MyBotGP has been developed specifically to address this challenge. 

Rather than simply checking laboratory ranges, MyBotGP reviews pathology results against patient context, previous results, pathology report content and practice-defined rules before deciding whether a result can be safely managed automatically. 

The result is significant clinical capacity returned to the practice while maintaining safety and oversight. 

The Hidden Workload Behind Pathology Management 

For a typical GP practice with: 

  • ➤ 8,500 patients 
  • ➤ 5 GP partners 

There are approximately: 

62,400 pathology results every year 

Around: 

80% are normal 

equating to approximately: 

49,920 normal pathology results annually 

However, many of these normal results still require additional checks before they can be safely filed. 

Approximately: 

9,984 normal results require patient contextual review 

Despite falling within laboratory reference ranges. 

This creates a continuous clinical workload throughout the year. 

Why Clinicians Continue Reviewing Normal Results 

Most pathology systems focus on laboratory ranges. 

Clinical practice focuses on patients. 

A result may sit comfortably within the laboratory range, but clinicians still need to consider: 

  • ➤ Patient age 
  • ➤ Patient gender 
  • ➤ Existing medical conditions 
  • ➤ Previous pathology trends 
  • ➤ Practice protocols 
  • ➤ Clinical comments within the report 
  • ➤ Warning indicators 

A PSA result may be normal according to the laboratory but require attention because of age or prostate cancer history. 

An HbA1c result may be technically normal but not appropriate for a patient with diabetes. 

A renal profile may be inside range but contain wording indicating AKI or CKD concerns. 

The result may be normal. 

The patient may not be. 

This is why pathology management continues to consume significant amounts of clinical time.  

Meet MyBotGP: Intelligent Pathology Automation 

MyBotGP has been designed specifically for NHS primary care. 

The platform works with both: 

EMIS Web and SystmOne (TPP) 

allowing practices to automate pathology workflows without altering clinical systems or established protocols. 

Unlike traditional pathology filing solutions, MyBotGP does not simply check laboratory ranges. 

It can: 

  • ➤ Review laboratory ranges 
  • ➤ Apply patient contextual checks. 
  • ➤ Compare previous results 
  • ➤ Read the pathology report content. 
  • ➤ Detect warnings and keywords. 
  • ➤ Apply age-specific rules 
  • ➤ Apply gender-specific rules 
  • ➤ Validate against medical conditions. 
  • ➤ Apply practice-specific protocols 

Before making a filing decision. 

Over 200 Pathology Test Types Managed 

Many pathology automation solutions focus on a small number of common blood tests. 

MyBotGP has been designed to support the realities of NHS primary care. 

The platform can manage: 

200+ Different Pathology Test Types 

representing approximately: 

95% of routine pathology workloads within general practice. 

Examples include: 

  • ➤ HbA1c 
  • ➤ PSA 
  • ➤ Full Blood Count 
  • ➤ Renal Profiles 
  • ➤ Liver Function Tests 
  • ➤ Lipid Profiles 
  • ➤ Thyroid Function Tests 
  • ➤ Ferritin 
  • ➤ Vitamin B12 
  • ➤ Vitamin D 
  • ➤ Faecal Occult Blood Tests 
  • ➤ Urine Testing 
  • ➤ And hundreds more 

Each test can be managed using combinations of laboratory ranges, patient context and pathology report content. 

MyBotGP Can Read the Pathology Report Itself 

One of the biggest limitations of many pathology automation systems is that they only work with numerical values. 

However, many pathology reports contain: 

  • ➤ Clinical comments 
  • ➤ Narrative conclusions 
  • ➤ Warning messages 
  • ➤ Positive or negative findings 
  • ➤ Free-text observations 
  • ➤ Recommendations from the laboratory 

Some pathology results do not even contain numerical ranges. 

MyBotGP can read pathology report content directly and apply practice-defined rules based on report wording and clinical keywords. 

This allows practices to automate results that would otherwise require manual review. 

Detect Warning Phrases 

MyBotGP can identify warning terms and prevent inappropriate filing. 

Examples include: 

  • ➤ AKI 
  • ➤ CKD 
  • ➤ Urgent review required 
  • ➤ Further investigation recommended 
  • ➤ Abnormal finding 
  • ➤ Practice-specific warning phrases 

Manage Results Without Numerical Ranges 

Some pathology reports are determined by: 

  • ➤ Positive 
  • ➤ Negative 
  • ➤ Reactive 
  • ➤ Non-reactive 
  • ➤ Normal 
  • ➤ Abnormal 

rather than numerical thresholds. 

MyBotGP can use report wording and keywords to determine the appropriate workflow. 

Built Around Clinical Context 

The real value of pathology automation is not in filing results. 

It is automating clinical decision rules. 

MyBotGP can combine: 

Condition Checks 

Validate pathology results against conditions such as: 

  • ➤ Diabetes 
  • ➤ Hyperglycaemia 
  • ➤ CKD 
  • ➤ Prostate Cancer 
  • ➤ Other long-term conditions 

Smart Comparison 

Compare new results against previous pathology tests and identify significant percentage changes. 

Age-Based Validation 

Apply different thresholds according to patient age. 

Gender-Based Validation 

Apply separate ranges and protocols for male and female patients. 

Range Control 

Use laboratory ranges. 

Or supersede them according to local practice protocols. 

Patient Exclusions 

Exclude specific patients from automation where additional oversight is required. 

How MyBotGP Works 

Step 1 – Ingest 

Pathology results arrive at the practice. 

Step 2 – Validate 

MyBotGP reviews pathology results against over 200 test-specific rule sets. 

Step 3 – Safeguard 

Abnormal results and results requiring review are automatically identified. 

Step 4 – Decide 

Results are either filed automatically or presented for clinician review. 

Step 5 – Output 

Results are filed directly into the patient record with full auditability and optional patient SMS communication. 

The Results 

For a typical practice with 8,500 patients and five partners, MyBotGP can deliver: 

30 Minutes Returned To Every Clinician Every Day 

1.5 Days Of Clinical Capacity Returned Every Week 

95 Clinical Days Returned Every Year 

£50,000+ Clinical Cost Allocation Released Annually 

while maintaining patient safety through rule-based validation and clinical safeguards.  

Designed Specifically for NHS Primary Care 

MyBotGP is: 

  • ➤ A Medical Device 
  • ➤ DCB0129 Certified 
  • ➤ DTAC Compliant 
  • ➤ DPIA Assured 
  • ➤ NHS Cloud Hosted 
  • ➤ Compatible with EMIS Web 
  • ➤ Compatible with SystmOne (TPP) 

and has been developed specifically for NHS primary care pathology management. 

The Real Question 

Most pathology results are normal. 

Yet clinicians continue spending valuable time reviewing them because normal does not always mean safe to file. 

The question is no longer: 

“Can pathology results be filed automatically?” 

The question is: 

“How much clinical capacity could be released if pathology results were automatically reviewed against patient context, previous results, pathology report content and practice-defined rules?” 

For a typical 8,500-patient practice, the answer is: 

95 clinical days every year. 

Because not all normal pathology results are normal for the patient.