3.19 Recording Adverse Drug Reaction and Allergy Information in PharmaNet

General Policy Description

Whenever a pharmacist is made aware that a patient has had an adverse drug reaction that will affect their future medical care (including allergies to prescription drugs, non-prescription medications, or natural health products), the pharmacist must update the patient’s medication profile on both the local system and PharmaNet.

Policy Details

The pharmacist must update the patient’s medication profile on both the local system and PharmaNet.

  • Pharmacy software may not automatically update a patient’s profile on PharmaNet
  • Pharmacists can contact their software vendor to determine if their software requires them to manually trigger the upload to PharmaNet

Procedure

 

  1. Use the Patient Profile Information Update—TPI function.
  2. Enter the required information in the Add Adverse Drug Reaction screen, as described below:
Field Name Mandatory? Information details

DIN

Yes

Drug DIN, PIN, or NPN (Natural Health Product Number)—see information below to determine the correct information to enter

Drug name

Maybe

Drug's generic name. Some software requires you to enter the drug's generic name, while other software auto-completes the drug name when you enter the DIN

Reported by

Yes

Person who reported the reaction to you: patient (or a family member), pharmacist, physician, Drug and Poison Information Centre

Date reported

Yes

Date on which the adverse reaction was reported to you

Comments

No

Details about the adverse reaction or allergy (maximum length that can be uploaded to PharmaNet is 80 characters)

Practitioner ID reference code

Yes, if comments are included

Your information as the health care provider entering the information

Practitioner ID

Yes, if comments are included

Your information as the health care provider entering the information

Date entered

Yes, if comments are included

Date on which the adverse reaction was entered into PharmaNet. Your software may not display this field if it automatically fills in the date.

For non-prescription or natural health products

Certain non-prescription or natural health products do not have a DIN; PharmaCare assigns a PIN to such products.

To decide which identifier to use:

  • If a DIN exists for a product, enter the DIN

  • If there is no DIN, enter the product's unique PIN

  • If there no unique PIN for a product, enter the appropriate Miscellaneous PIN and provide product details in the Comments field

For compounded products

When a patient has an adverse reaction to a product compounded with multiple ingredients that have DINs, create an adverse reaction record for each DIN in the product, unless the patient knows the particular ingredient to which they are allergic.

       3. After recording the reaction in your local system, follow your software's procedures for uploading the entry to PharmaNet.

When someone reports an allergy that is not specific to a particular product, enter the information in the Clinical Conditions screen of the Patient Profile Information Update—TPI function.

If you (or a patient) identify inappropriate or incorrect information in the adverse drug reaction field, submit a Request to Inactivate Adverse Reaction/Clinical Condition on PharmaNet Profile (HLTH 5550) (PDF, 930KB).