Knowledge Base

2. Patient Information

3. Patients – Extended Information

Field 1, Enter the patient’s UR/MRN number or do a patient search

At the options line, type 17<AdverseDR> to open the “Patient Drug Allergies/Conditions”screen.

If there are recorded ADRs, the ADRs, ‘recorded date’ and ‘recorded by whom’ will be displayed in the ADR screen (see below).

Only 3 ADRs are displayed at a time. To view further ADRs, press enter to move the cursor from field 6 (Edit) to the options line. At the options line, press the UP or DOWN arrows to view more ADRs. The Last Date the ADRs are confirmed is displayed.

If the patient has NIL KNOWN allergies, the ADR screen (see below) will display the Last Date the ADRs are confirmed. No ADRs will be listed in the table.

If no ADRs have never been recorded, no ADRs will be listed in the table and the ‘last date confirmed’ field will be blank in the ADR screen (see below).

To view detailed information or the ADR record(s), press SPACE if the cursor is sitting at field 6, or enter 6 at the options line. This will bring up the detailed “Patient Drug Allergies/Conditions” subscreen.

At the options line, there is an indicator “Item: n/n” that displays the number of ADRs

If an ADR record is deleted, there is a flag at field 14 to indicate this status.

To delete an ADR record, at the options line, type “/D”.

NOTE: ADRs are logically deleted, not physically deleted.

To reinstate an ADR record, at the options line, type “/R”. This will remove the deleted flag in field 14 and reinstate the ADR.

To add a new ADR record, In the detailed ADR screen, at the options line, type “A”.

Field 1. ADR Code: enter ? to bring up the ADR lookup.

At the ‘Search for.:’ field, enter a medication/medicinal product OR medication class OR food/environmental/other allergens to filter down the options.

e.g. type ‘penicil’ will filter for names with ‘penicil’ (see below screenshot)

Select the medication OR medication class OR food/environmental/other allergen and press ENTER.

This will return you back to the ADR subscreen.

Field 2. Last Updated: Enter `0' for today's date

Field 3. Description of Reaction: Enter the ‘description/date of reaction’ – this is a free-text field

Field 4. Comment: Enter ‘a comment’ on ADR – this is a free-text field

Field 5. Severity Rating: Enter ? to bring up the ‘severity rating’ lookup

Choose a ‘severity rating’.

In field 6. Level of Verification: Select ‘level of verification’(s) by entering ? to bring up the  ‘level of verification’lookup

More than 1 ‘level of verification’ can be entered, by entering ‘level of verification’(s) in fields 6, 7, 8, 9 and 10.

Field 11. ADR occurred at hospital: Enter ‘Y’ or ‘N’ if the ADR occurred at your hospital whilst an inpatient. The default value is ‘N’.

Field 12. Recorded by: Record the Merlin user ID

Field 13. Last Confirmed: Enter today’s date i.e. enter ‘0’

At the options line, enter ‘F’ to file the record.

This will return you to the main “Patient Drug Allergies/Conditions” subscreen.

At the options line, enter ‘F’ to file the record.

To add a ‘NKA’ ADR record, In the detailed ADR screen, at the options line, type “A”.

Skips fields 1-12

Field 13 (last confirmed), enter today’s date i.e. enter ‘0’.

At the options line, enter ‘F’ to file the record.

This will return you to the main “Patient Drug Allergies/Conditions” subscreen.

At the options line, enter ‘F’ to file the record.