--- title: Excluding Patients Monitored in Secondary Care from High Risk Drug Recalls description: High Risk Drug Monitoring – Secondary Care Register identifies patients monitored under secondary care, so they can be excluded from your high risk drug monitoring recalls, keeping recall lists accurate and reducing unnecessary patient invitations. --- [Skip to content](https://help.abtrace.co/excluding-patients-monitored-in-secondary-care-from-high-risk-drug-recalls#main-content) [![abtrace-logo-colour@2x-3.png\]](https://help.abtrace.co/hs-fs/hubfs/abtrace-logo-colour@2x-3.png?width=124&height=60&name=abtrace-logo-colour@2x-3.png)](https://help.abtrace.co/?hsLang=en) Open main navigation Close main navigation - [Go to abtrace.com](https://www.abtrace.com/) [Go to abtrace.com](https://www.abtrace.com/) Hello. How can we help you? - There are no suggestions because the search field is empty. 1. [Abtrace Support Portal](https://help.abtrace.co/?hsLang=en) 2. [Automated Recalls](https://help.abtrace.co/automated-recalls?hsLang=en) 3. [FAQs](https://help.abtrace.co/automated-recalls?hsLang=en#faqs) # Excluding Patients Monitored in Secondary Care from High Risk Drug Recalls ### What is this register and how can I use it? Some patients on high risk drugs have their monitoring managed in secondary care rather than by the practice.Β The **High Risk Drug Monitoring in Secondary Care Register** gives you a clean, code-driven way to identify these patients so they can be **excluded from your high risk drug monitoring recalls**. This register is: - 🎯 **Code-driven**  – patients are added automatically based on their clinical coding - πŸ”„ **Self-maintaining** – patients drop off automatically when a primary care monitoring or shared care code is added - βœ… **Recall-ready** – designed to be used as an exclusion register so recalls target only the patients your practice is responsible for monitoring **Benefits:** - Fewer unnecessary invitations for patients monitored elsewhere πŸ“© - Cleaner, more accurate recall lists πŸ“‹ - Reduced admin and patient confusion πŸ™Œ ### Which patients are included? Patients are **added** to the register when they have any of the following codes: - High risk drug monitoring – secondary care (205811000000106) - Disease modifying antirheumatic drug monitored in secondary care (494341000000104) - Anticoagulation monitoring in secondary care (199761000000102) Patients are **removed** from the register when they have any of the following codes: - High risk drug monitoring – primary care (205791000000105) - Disease modifying antirheumatic drug monitored in primary care (494311000000100) - Anticoagulation monitoring in primary care (279231000000108) - High risk drug monitoring – shared care (205801000000109) In short, a **secondary care** code adds a patient to the register, and a later **primary care** or **shared care** code takes them off,Β so the register stays current as monitoring responsibility changes. ### How do I use it as an exclusion register? When setting up or editing a high risk drug monitoring recall, add the **High Risk Drug Monitoring in Secondary Care Register** as an **exclusion**. Patients on this register will then be automatically removed from the recall population, so invitations only go to patients your practice is responsible for monitoring. ![](https://help.abtrace.co/hs-fs/hubfs/image-png-Aug-28-2026-01-38-01-5703-PM.png?width=433&height=366&name=image-png-Aug-28-2026-01-38-01-5703-PM.png) πŸ’‘ Because the register updates automatically as coding changes, you don't need to maintain it manually, just apply it once as an exclusion and it stays current. ### How do I switch it on? You will find this register in the [User Management Portal,](https://proactive-monitoring.abtrace-cloud.com/)under: **Rules Management β†’** Β **Register β†’ Recall and Monitoring status** It's typically enabled by default, but you can confirm it's toggled **On**, then apply it as an exclusion within your relevant recalls.![](https://help.abtrace.co/hs-fs/hubfs/image-png-Aug-28-2026-11-20-27-9924-AM.png?width=1507&height=349&name=image-png-Aug-28-2026-11-20-27-9924-AM.png)  ⏱️ **Please note:** Any updates to a patient's codes will take around 24–48 hours to be reflected in the Proactive monitoring tool. Changes are picked up after data processing, which usually happens overnight. 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