Medical Surveillance

The Medical Surveillance register tracks occupational health examinations — baseline (on starting a role with a health risk exposure), periodic (repeated at an interval), and exit (on leaving that role) — and the fitness-for-work outcome each one produced.

Note: the product's navigation and this documentation call this module "Medical Surveillance"; the underlying data model uses the term "medical examination" for each individual record — the two names refer to the same thing.

Occupational health surveillance exists to catch work-related health effects early enough to act on them, and to establish a documented fitness status before, during and after an exposure period. A register that tracks exam type and next-due date the same way as any other statutory deadline means surveillance intervals don't rely on someone's memory of when the last exam happened.

Each examination record captures who was examined, what type of exam it was, when it happened, when the next one is due, and the resulting fitness status — fit, fit-restricted, or unfit. Every exam is its own record; the register doesn't automatically chain a periodic exam's next-due date into a new scheduled record.

The list page shows every examination with a due-soon/overdue badge computed from its next-due date, filterable and sortable by person, next-due date, or when the record was created/updated.

• Person — required. Who was examined.
• Exam type — required. Baseline, Periodic, or Exit.
• Exam date — required. When the examination took place.
• Next due — required. When the next examination is due.
• Fitness status — required. fit, fit-restricted, or unfit.

Saving validates that all five fields are present and that exam type/fitness status are one of the allowed values.

A fit-restricted or unfit outcome doesn't automatically change anything elsewhere in the product in the current version — for example, it doesn't restrict what the same person can be assigned to in PPE Register or any other module. It's a record for whoever is managing occupational health to act on directly.

Why does the database call this "medical examination" instead of "medical surveillance"? Medical surveillance is the overall programme; each visit to the doctor is one examination. The record type name follows the latter since that's what each row in the register actually is.