History and Control | Recording Asthma Exacerbations
โ ๏ธ Recording Asthma Exacerbations
Asthma exacerbations can signal poor control and impact QOF achievement, patient safety, and treatment planning. This shared template component is used in multiple PCIT templates and adapts based on patient data.
๐งญ When Will I See This?
This component appears:
If an exacerbation is being recorded in a review
In the OneTemplate Acute for all asthma-related episodes
As part of the History & Control section in other templates
๐ What To Record
|
|
|---|
Field | Purpose |
| Date of Exacerbation | When did it occur? Supports timeline and audit accuracy |
| Symptoms | E.g. wheezing, breathlessness, cough |
| Trigger | Cold air, infection, allergens, exercise, unknown |
| Duration | Helps differentiate between mild/moderate/severe flare-ups |
| Medication Used | SABA, steroids, antibiotics |
| Escalation Needed | A&E visit, hospital admission, 111/999 contact |
| Outcome | Resolved at home, hospitalised, ongoing symptoms |
๐ง If multiple exacerbations occurred in the past year, summarise each or use the most significant event for clinical planning.
โ
QOF & Contractual Relevance
Used to assess control stability and inform AST007 planning
Exacerbation frequency contributes to decisions on:
Step-up therapy
Review frequency
Patient education needs
Required for many LES templates to confirm payment eligibility
๐ฌ Suggested Questions to Ask Patients
โHave you had any asthma flare-ups in the past year?โ
โDid you need to take steroids or go to hospital?โ
โWhat usually sets it off?โ
โDo you have a plan for what to do when symptoms worsen?โ
๐ Where Else Is This Used?
By capturing this data consistently, you improve clinical safety, meet QOF/LES requirements, and enable better long-term asthma control.
Related Articles
History and Control | Hospital Admissions for Asthma
? Hospital Admissions for Asthma This component captures information about asthma-related emergency attendances or hospital admissions since the last clinical review. It supports risk stratification, care planning, and identification of poorly ...
History and Control | Asthma Control Assessment (ACT & GINA)
? Asthma Control Assessment (ACT & GINA) This shared component helps clinicians assess current asthma control using validated tools, including the Asthma Control Test (ACT) and GINA-based symptom criteria. ? When Will I See This? This component ...
History and Control | Step-Up / Step-Down Therapy Logic
? Step-Up / Step-Down Therapy Logic This shared component helps clinicians adjust asthma maintenance therapy based on symptom control. It supports proactive treatment changes and ensures decisions are well-documented, safe, and QOF-aligned. ? When ...
History and Control | Paediatric Asthma Considerations
? Paediatric Asthma Considerations This shared component is designed to capture age-specific factors that impact asthma management in children. It dynamically appears in asthma templates when the patient is under 18 years of age. ? When Will I See ...
OneLTC Asthma Template Guide
? OneLTC Asthma Template Guide ? Overview The OneLTC Asthma Template is a structured, dynamic tool that guides clinicians through a full asthma review. It supports high-quality documentation, guideline adherence, and achievement of QOF, LES, and ...