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Age Range
Rationalisation
Dr David RP Terry
Birmingham Children’s Hospital
& Aston University UK
NPPG - Nov 2014
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
David RP Terry
The way forward
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
55
8-12 years
56
9-16 years
57
Adult
58
All ages
59
All ages (under 15 years)
60
All ages except neonates
61
All ages except premature babies
62
All children > 1 month
63
Birth-2 years
64
Child 11-18 years
65
Child 6-18 years
66
Child 8-11 years
67
Children
68
Children (all ages)
69
Children 13-16 years
70
Children over 12 years
71
Children over 2 years
72
Children over 4 weeks
73
Children over 5 years
75
Infants & Children
Age ranges
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 6th birthday
Includes 7th and 8th 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
133
Under 3 months
0 days to 13 weeks
0-91
138
Up to 12 weeks
0 days to 12 weeks
0-84
223
Up to 12 weeks (6kg)
0 days to 12 weeks
0-84
393
< 3 months
0 days to 13 weeks
0-91
196
0-3 months
0 days to 13 weeks
0-91
98
Neonates-4 months
0 days to 4 months
0-120
1
0-6 months
0 days to 6 months
0-180
77
Less than 6 MONTHS
0 days to 6 months
0-180
128
Under 1 year
0 days to 12 months
0-365
137
Up to 1 year
0 days to 12 months
0-365
161
Up to 12 months
0 days to 12 months
0-365
237
0-1 years
0 days to 12 months
0-365
389
< 1 year
0 days to 12 months
0-365
253
Neonates up to 12 months
0 days to 12 months
0-365
132
Under 2 years
0 days to 24 months
0-730
140
Up to 2 years
0 days to 24 months
0-730
63
Birth-2 years
0 days to 24 months
0-730
243
0 - 2 years
0 days to 24 months
0-730
David RP Terry
Want to know more?
http://www.aston.ac.uk/lhs/aston-pharmacy-school/academic-practice-unit/
Or contact me …
[email protected]
David RP Terry