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

2. David RP Terry Birmingham Children’s Hospital Peaky Blinders

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

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

5. The way forward

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

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

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

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

13. David RP Terry Age ranges Over 400 in use!

14. David RP Terry Age ranges 558-12 years 569-16 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 11-18 years 65Child 6-18 years 66Child 8-11 years 67Children 68Children (all ages) 69Children 13-16 years 70Children over 12 years 71Children over 2 years 72Children over 4 weeks 73Children over 5 years 75Infants & Children

15. 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

16. 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

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

18. 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.

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

20. David RP Terry 133Under 3 months0 days to 13 weeks0-91 138Up to 12 weeks0 days to 12 weeks0-84 223Up to 12 weeks (6kg)0 days to 12 weeks0-84 393< 3 months0 days to 13 weeks0-91 1960-3 months0 days to 13 weeks0-91 98Neonates-4 months0 days to 4 months0-120 10-6 months0 days to 6 months0-180 77Less than 6 MONTHS0 days to 6 months0-180 128Under 1 year0 days to 12 months0-365 137Up to 1 year0 days to 12 months0-365 161Up to 12 months0 days to 12 months0-365 2370-1 years0 days to 12 months0-365 389< 1 year0 days to 12 months0-365 253Neonates up to 12 months0 days to 12 months0-365 132Under 2 years0 days to 24 months0-730 140Up to 2 years0 days to 24 months0-730 63Birth-2 years0 days to 24 months0-730 2430 - 2 years0 days to 24 months0-730

21. David RP Terry Want to know more? http://www.aston.ac.uk/lhs/aston-pharmacy-school/academic-practice-unit/ Or contact me … David.terry@bch.nhs.uk