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Annual Clinical Reviews for Warfarin Patients

National experts recommend an annual clinical review for long term warfarin patients.
During the review the clinician will consider the current statistical values relating to the patient's treatment and record any relevant comments.

Statistical information shown on the review screen includes:

  •  TTR (Time in Therapeutic Range) for the last 12 months
  •  Number of treatments since the last review
  •  Average review period since the last review
  •  All previous adverse events

The clinician will also be able to add :

  •  Free text notes about the review
  •  A compliance (with taking anticoagulation doses) indicator
  •  Risk assessment values (CHA2DS2-VASc, HAS-BLED)
  •  Date of next review

Once a Review has been saved, only the notes and the next review date can be amended.

For each Treatment Plan, a list of Reviews will be shown and the user may select one to see further details.

When a new Treatment Plan is created, provided the duration associated with the diagnosis of that plan is 'Indefinite', a suggested Review date will also be added to the plan.

To help you calculate these scores as part of a patient’s review, we provide a link to an external tool.

CHAD2-VASc Calculator Explained

The calculator provided is the Stroke Prevention in Atrial Fibrillation Risk Tool. The tool estimates the risk of stroke as well as assessing the benefits and risks of antithrombotic therapy in patients with chronic atrial fibrillation.

To calculate a patient’s CHADS2-VASc score, you will need to check the boxes against which stroke or bleeding risk factors are present:




To calculate a patient’s HAS-BLED score you will need to check the boxes against which stroke or bleeding risk factors are present:





Add a New Review

In the patient's record click on the ‘Treatments Plans’ tab and then the ‘Reviews’ tab to get to the annual reviews page.
In the ‘Reviews’ tab click the ‘New Review’ button


Please read the explanations of the different sections of this page below so you can enter in information to section with confidence


INR Control - is automatically populated with the TTR, number of reviews and average review period over the twelve months prior to the review date.
Compliance - record the compliance of your patient taking their tablets.
Adverse Events – will automatically be populated from previous entries.
Risk assessment –patients should have CHADS2-VASc and HAS-BLED assessment scoring recorded.
Clinical Review Notes – Record any additional notes relevant to annual review.
Next Review – This automatically populates to one year in advance.


To complete review click the 'Save' button.

This data will now be kept on the 'Reviews' tab which can be viewed at any time.

Select a next review date

In the patient's record click on the ‘Treatments Plans’ tab and then the ‘Reviews’ tab to get to the annual reviews page.
(If no review date has been set you will see an error icon on and in the ‘Reviews’ tab)


Click on the calendar icon to select a ‘Next Review Date’

To make an appointment for these reviews, please click HERE.

Category: Treating Warfarin Patients