Nervecentre V9.0 Help for Users
Creating a yellow card report for an adverse reaction
If a patient has an adverse reaction to a medication, you can create a yellow card report A report sent to the MHRA about suspected safety concerns involving healhtcare products. For example, if a patient has an adverse reaction to a medication, you can create a yellow card report.. A yellow card report includes information about the patient, the adverse reaction, and the medications the patient was taking.
Nervecentre sends yellow card reports to the MHRA Medicines and Healthcare products Regulatory Agency. Nervecentre sends yellow card reports to the MHRA.. A yellow card report is anonymous, meaning it doesn't include the patient's name, but it does include their age, sex, and medical history.
Creating a yellow card report for an adverse reaction on a mobile
You can't do this on a mobile.
Creating a yellow card report for an adverse reaction on a desktop

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From Inpatients > Patient List > double-click on a patient's name > Patient Detail, select Meds.
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Stop a prescription.
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To stop one prescription, select , then select the name of a medication.
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To stop more than one prescription, select > Current, then select one or more medications.
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Select Stop prescription.
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Select the reason Adverse reaction.
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Optional: enter any notes.
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Select Stop prescription.
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Select Create Report.
A form appears.
Your patient is automatically selected.
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From Patient History, select one or more date ranges.
Your patient's current episode is automatically selected.
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From Additional Medical History, enter any relevant medical history.
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From Serious Medical Reason, select an option.
By default, this is Yes.
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If you stopped the medication for a serious medical reason, from Seriousness, select an option.
By default, this is Medically Significant.
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From Reaction Details, enter any relevant information about the adverse reaction.
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Select Configure Reactions to add adverse reactions.
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When you have finished adding adverse reactions, select Save.
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Select Configure Medications.
A list of medications appears. This shows any repeat prescriptions the patient is currently on, and discontinued repeat prescriptions and stat medications from the previous three months.
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If no medications appear, or if a medication is missing, manually add the medication.
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For each medication you suspect caused the adverse reaction, select Suspected.
Any medications you don't suspect are adjunct medications.
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Select Save.
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From Reporter, select who reported the adverse reaction.
By default, this is set to you.
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From Role, select the role of the reporter.
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Save or submit the report.
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To save the report as a draft that you can come back to later, select Save.
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To submit the report and send it to the MHRA, select Submit.
You can edit a patient's draft yellow card reports, and view submitted yellow card reports from Patient Detail > Patient admin > Yellow Card Reports.
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From Back office > Adverse Drug Reactions, select +.
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Select Patient, and search for the patient you are creating the yellow card report for.
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From Patient History, select one or more date ranges.
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From Additional Medical History, enter any relevant medical history.
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From Serious Medical Reason, select an option.
By default, this is No.
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If you are creating the report because of a serious medical reason, from Seriousness, select an option.
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From Reaction Details, enter any relevant information about the adverse reaction.
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Select Configure Reactions to add adverse reactions.
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When you have finished adding adverse reactions, select Save.
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Select Configure Medications.
A list of medications appears. This shows any repeat prescriptions the patient is currently on, and discontinued repeat prescriptions and stat medications from the previous three months.
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If no medications appear, or if a medication is missing, manually add the medication.
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For each medication you suspect caused the adverse reaction, select Suspected.
Any medications you don't suspect are adjunct medications.
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Select Save.
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From Reporter, select who reported the adverse reaction.
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From Role, select the role of the reporter.
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Save or submit the report.
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To save the report as a draft that you can come back to later, select Save.
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To submit the report and send it to the MHRA, select Submit.
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To add a reaction, select Add.
A dialogue box appears.
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Select Clinical Term.
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Search for the type of adverse reaction in the SNOMED CT Systematised Nomenclature of Medicine (Clinical Terms). Provides the clinical language that facilitates electronic communication between healthcare professionals in clear and unambiguous terms, and can be used to code, retrieve and analyse clinical data. database.
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Select the adverse reaction, then save.
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Select the date when the adverse reaction started.
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Optional: select the date when the reaction ended.
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From Outcome, select an option.
For example, has the patient recovered from the adverse reaction.
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To delete an adverse reaction, select Delete.

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To add a medication, select Add.
A dialogue box appears.
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Enter the name of the medication.
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From Drug Characterisation, select if you suspect the medication caused the adverse reaction.
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Select when the patient started taking the medication.
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Select when the patient stopped taking the medication.
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Enter the medication's dosage.
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Enter additional information about the medication's dosage.
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Select the route for administering the medication.
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Select Indication.
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Search for the patient's indication in the SNOMED CT Systematised Nomenclature of Medicine (Clinical Terms). Provides the clinical language that facilitates electronic communication between healthcare professionals in clear and unambiguous terms, and can be used to code, retrieve and analyse clinical data. database.
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Select the indication, then save.
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From Action taken, select an action.
For example, dose reduced, or dose not changed.
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To delete a manually added medication, select Delete.
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