Age Range Rationalisation Dr David RP Terry Birmingham Children’s Hospital & Aston University UK NPPG - Nov 2014

David RP Terry Birmingham Children’s Hospital Peaky Blinders

David RP Terry Birmingham Children’s Hospital 354 beds 250 consultants 30 pharmacists 50 techs or assistants Secondary & Tertiary Care

David RP Terry Birmingham Children’s Hospital 18,000 Tx per month Paper system

The way forward

David RP Terry Birmingham Children’s Hospital Developing eRx’ing EPMA – 4yrs + PICs … paediatric decision support

David RP Terry Birmingham Children’s Hospital DIRADs Drug Indication Route Age Dose

David RP Terry Birmingham Children’s Hospital DIRADs L1 – input L2 – pharm check L3 – Specialist Pharm L4 – Prescribing Dr L5 – Cons / Team

David RP Terry Birmingham Children’s Hospital DIRADs Drug Indication Route Age Dose

David RP Terry Age ranges Over 400 in use!

David RP Terry Age ranges years years 57Adult 58All ages 59All ages (under 15 years) 60All ages except neonates 61All ages except premature babies 62All children > 1 month 63Birth-2 years 64Child years 65Child 6-18 years 66Child 8-11 years 67Children 68Children (all ages) 69Children years 70Children over 12 years 71Children over 2 years 72Children over 4 weeks 73Children over 5 years 75Infants & Children

David RP Terry Age ranges Principles: -Coterminous & Mutually exclusive -Beginning and an end -Time units for both upper & lower limits -Be consistent with units -Transition day is within the upper limit -Birth date is day 0

David RP Terry Age ranges Conventions: -Eg 6 to 8 years … means? Excludes their 6 th birthday Includes 7 th and 8 th birthday All age ranges can be defined in days

David RP Terry Age ranges Conventions: Neonates … … days nn to nn inclusive … always in days, always inclusive … days 0 to 28 inclusive

David RP Terry Age ranges Conventions: Neonates – in days Up to 3 months – in weeks 3 months to 5 yrs – in months Over 5 yrs – in years A year is 365 days.

David RP Terry Age ranges Database of age ranges Rationalisation of original age range – to approved age range. Suitable for computer use …

David RP Terry 133Under 3 months0 days to 13 weeks Up to 12 weeks0 days to 12 weeks Up to 12 weeks (6kg)0 days to 12 weeks < 3 months0 days to 13 weeks months0 days to 13 weeks Neonates-4 months0 days to 4 months months0 days to 6 months Less than 6 MONTHS0 days to 6 months Under 1 year0 days to 12 months Up to 1 year0 days to 12 months Up to 12 months0 days to 12 months years0 days to 12 months < 1 year0 days to 12 months Neonates up to 12 months0 days to 12 months Under 2 years0 days to 24 months Up to 2 years0 days to 24 months Birth-2 years0 days to 24 months years0 days to 24 months0-730

David RP Terry Want to know more? Or contact me …