Pregnancy Interactions

When you add a new pregnancy to a female patient's clinical record, the patient's active medications are checked for any interactions.

Note: Interaction support is available only for clinical items with a valid ICPC-2 PLUS code. In the Clinical Terms Browser, clinical items with a valid ICPC-2 PLUS code are displayed in black text. If you select a different type of clinical item distributed by Communicare (displayed in blue text) or a local clinical item (displayed in purple text), a message similar to the following message is displayed in the clinical item when you add a condition, history or procedure item or complete a recall:
Message in image transcribed in text
No interaction decision support is available for this condition clinical item.
Tip: If you are using the CDS service and it is not available, its availability warning is displayed instead of the clinical item warning. For example:
CDS service warning stating "Condition interaction support is not available"
Similarly, a warning is displayed for conditions that do not have a full ICPC-2 PLUS code. Warnings are not displayed for procedure or history items when the CDS service is not available, unless they have a full ICPC-2 PLUS code.
A pregnancy banner is displayed in the Medication Warnings window and any active medications for which there are interactions identified in the MIMS database for pregnancy are listed in the Pregnancy interactions tab. For example:
Example pregnancy warning & decision support
Active medications are those that are not stopped, expired or deleted.
Tip: You can customise the pregnancy interactions displayed. For more information, see System Parameters - Prescription Forms.

To proceed, read the interactions and click Noted.

Remember: After you have added the clinical item, review the patient's current medications in light of the pregnancy interaction warnings. If you don't have the required viewing rights to review the medications, refer the review to a provider who does.
To check pregnancy interactions later, after you have already prescribed medications:
  1. On the Detail tab, set View Clinical Items By to Class.
  2. On the Condition tab, right-click a pregnancy clinical item, such as confirmed pregnancy, and select Check Interactions.