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BNF 56 Installation and User Manual

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1. ce ececeeeeeeeeneeeeeeeeenneeeeeeseenaeeeeeeeeeeees 16 Securing the BNF ToOlkit ooooonooccccnnononocccccononancncncnanoncccnccnannnnonnnonnnnnnnnnnnnnnnnns 23 Checking IIS Settings 74cai eA aaa ait in a e a niin Aled tile eit 23 Setting user permissions for the BNF Toolkit cccccceccceeeeeeeeeeeeeeeeeeeeeeeesneeeeeeeeenees 23 Setting administrator permissions for the BNF Toolkit c cccssceeeeeeeeeeeseeeeeeeeeeeeeees 24 USING BNE 2 att e ad tale Ea a sedi dts a cea Ded daghont hud cis Aboutthe BNE ici a E How to cite electronic BN Fossia tana aa e ta tadial enara The BNF user interface a a e aaa E aa E a i aae eee AE a Saaai Mair GOCUMONE aE a aa aa cutis ra a aaia E AA MOD oY TE E S A E A E N AO AES BUHONS umee cores Ode deste eaa e cia a A AEN SS A E E T T en E E Contents list c eee Text search results display Interactions search results display Searching AMS text eceran air E AA Ear RENAR r EETA Searching the interactions appendix Browsing with the contents list oooooononcccnnnonnocccccccnonaannccnnnnnannnnnnnnnnnonononononos NAVIGATION e a fechas cles fetetneeited clyde ic emutee ne Seabed cake sich eunuch yavhvaabeaneints Walt Moving around a document cocccccccooocccccccononnncncnonnnnnnnno nono nnnnnnnnnnnn cnn nc nnnnnn cnn nana Using links cis otra ri lara Footnote links zni eeta a ae e ia t Moving from one document to another o oooooocccccccococccccccnnonncc
2. Note If you cannot see the whole of the entry in the side bar you can leave the mouse pointer on the entry the full text will appear or use the mouse to expand the frame or use the scroll bar at the bottom Note Some browsers are unable to expand the table of contents levels In this case click on the chapter titles and use the list of sub sections on the chapter page BNF 63 Manual Page 32 of 63 Navigation Moving around a document m Click anywhere in the document display to activate that part of the screen m Use the arrow keys or Page Up and Page Down keys on your keyboard m Use the scroll bar or wheel on your mouse if available Using links Active links sometimes referred to as hyperlinks are indicated by underlined text m position the mouse over a link the cursor will usually change to a pointing hand m Click on the link m the linked document will be displayed Footnote links Footnotes in the text are linked by superscript numbers to the footnote text listed at the page These superscript numbers act as links to the corresponding footnote To check an individual footnote click on the superscript number to scroll to the appropriate place in the list of footnotes at the end of the record Moving from one document to another To move between documents either select a different document from the list in the side bar or results display or follow a link within the document that is open
3. Administration Web Site lt 2 Defau Explore Open Browse 4 gt Stop Pause Site All Tasks gt Virtual Directory Delete Refresh Export List Properties Help BNF 63 Manual Page 17 of 63 The virtual directory wizard will now start Click Next to continue m Computer Management action view lla ml eet O As mo Virtual Directory Creation Wizard Welcome to the Virtual Directory Creation Wizard Tree Y Sy Pel Sh 3 a a sy a Thie isard val help you create a new virtual directory on Dis IF Dis E Ea Service 4 8 Tel Click Next to continue coo Enter the name of the virtual directory required alo1x action view lla olen A DIS gt mo Virtual Directory Creation Wizard Tree Virtual Directory Alias You must give the virtual directory a short name or alias for quick reference Type the alias you want to use to gain access to this Web virtual directory Use the same naming conventions that you would for naming a directory Storag Y Dis Alias IS dis brf 8 Lo Re al Ed g Tel Er By Sel ES Inc By mt i a ie lt Back Cancel BNF 63 Manual Page 18 of 63 Browse or enter the path to the directory required m Web Site Content Directory
4. BNF 63 March 2012 Installation and User Manual for BNF server and BNF Toolkit BNFO 2012 BMJ Group and Royal Pharmaceutical Society Clinical and Biomedical Computing Limited O 2012 SharpZipLib O Mike Krueger All product names other than BNF are acknowledged as trademarks of their respective companies This document is produced by Clinical and Biomedical Computing Limited 27 28 Bridge Street Cambridge CB2 1UJ Tel 44 0 1223 364444 Email info cbcl co uk Web http www cbcl co uk Information in this document is subject to change without notice Whilst the utmost care has been taken in the preparation of this document Clinical and Biomedical Computing Limited do not hold themselves responsible for any error or omission or any action resulting therefrom Contents OVOIVIE e ee 6 AboutthiS quide cortarla bles eiii a rad 6 Whois this guide Tor 7 orita titi ib 6 AS ee ete be tees in ee oe ake 6 Systemi regure menise oere e Eaa ida 7 Sewer FEQUITEMOE MTS inicie iii tenida 7 Client requiremMents ooooccccnnncnconocononcnncoconnnnnnncnninnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnncnnnnnnce 7 Installation Components isei a ea ee a a a e ee ELEn 8 I st lling BNE Servel moere ita 9 OMA E EE AEE E O red E EEE E E EE EATE ETE E A 9 Backup YOUR See ricino a de a dE o ed 10 installing BNF Sewer ii re AG AR eee eee 10 Postuinstallation TaskKs cocida Se ei doves Soe aaia aina 16 Installing to a non Default WebSite
5. BNF 63 Manual Page 33 of 63 Printing Important Under the terms of our copyright you may print one copy of any document from the BNF for personal use You may not make or distribute multiple copies without prior written permission from the publisher Print documents from the BNF using the print functions on your browser For example to print a complete document with Microsoft Internet Explorer m select the document you wish to print m click anywhere in the document display frame to activate it m onthe menu bar click File select Print from the drop down menu m in the Print Range box select All for the complete document or a page range m inthe Print Frames box select Only the selected frame m inthe Copies box specify the number of copies m click OK Note Printing a document as described above will print the complete document and not just the part visible in the document display frame Note We recommend that you print a complete document If you select part of a document by highlighting it the printout may lose its formatting and be difficult to read Note Remember to write the source on the copy using the recommend style for citing the electronic BNF BNF 63 Manual Page 34 of 63 Examples of searches Text search How do do a full text search Enter your search term or terms in the search box and click on Search e g arrhythmias beta blockers The search results appear in the side bar At the to
6. D WebApps BNF Access Permissions What access permissions do you want to set for this virtual directory Page 19 of 63 BNF 63 Manual The virtual directory wizard will now finish Click Finish mj Computer Management action view e e olen ea a OD S mol You have successfully completed the Virtual Directory Creation Wizard Click Finish to continue coca Repeat this procedure for each directories listed above To install an Application mapping with the Computer Management Console open expand the website that BNF should be installed into The virtual directory bnf should be visible i Computer Management Action yew lle alma x AO ol Yirtual Directory Creation Wizard Tree You have successfully SI completed the Virtual Directory Creation Wizard Bre E Ea Service g Tel Er e Sel Y Inc AY Int Click Finish to continue Finish Cancel BNF 63 Manual Page 20 of 63 Right click on the virtual directory in this case bnf and select Properties St en Management D Web ppsiBNF M M WMI Control Services Application name Indexing Service Configuration Scripts only Application Protection ha Unload Properties Performance Logs Shared Folders Device Manager Local Users and Gr
7. Logical Drives Removable Storage Telephony WMI Control Services Indexing Service Internet Information Services Default Web Site Stopper 13 Administration BNF 63 Manual Page 16 of 63 To configure the BNF to work on non default web sites you need to create the following virtual directories INSTALLROOT refers to the directory into which the BNF was installed e g d Inetpub wwwroot bnf m bnf pointing to INSTALLROOT an application mapping should be created with the name bnf m bnftoolkit pointing to INSTALLROOT this directory does NOT need to be set with an application mapping m life under bnftoolkit pointing to INSTALLROOT Ife an application mapping should be created with the name bnftoolkit Please Note The bnftoolkit virtual directories are not needed if the BNF Toolkit is not installed To install a virtual directory Right click on the website select New from the list then Virtual Directory ioixi action view e gt Alm xe Al R amp m u Tree Name Path H Z System Information E mM Performance Logs and Alerts ga Shared Folders 2 Device Manager E Local Users and Groups E Sy Storage Y Disk Management S Disk Defragmenter 3 Logical Drives E e Removable Storage E EJ Services and Applications g Telephony amp WMI Control By Services H E Indexing Service E B Internet Information Services E E Default Web Site Stopper
8. gt Default Web Site If you have not used the default website select the site that you have installed BNF into Please see the section Installing to a non Default Website under the Post installation tasks section Computer Management iol xj E Fie Action View Window Help lexi AMELIE Computer Management Local E uN System Tools al Event Viewer Shared Folders z Local Users and Groups c windows help ii C Program Files C Program Files Berojectcentral C ProjectCentral Device Manager Egprinters C WINDOWS we 8 Sy Storage BB mobileQuickstart C Program Files Removable Storage Berortalcsys d iPortalC5SiPor z Performance Logs and Alerts Disk Defragmenter 2 AspNetForums d i AspNetForums Disk Management Brainbdow d Rainbow fa Services and Applications Boor D bnf Services E bnftookit D bnf WMI Control M aspnet _client ES Indexing Service Beers BE B Internet Information Services E images Web Sites Bwebservicet Stopped Click on the Play Icon in the toolbar to start the Web Site after a short wait the Default web site should be running Browse to http localhost to confirm that the default web site is running and then to http localhost bnf to confirm that BNF is running computer Monnan lolx E File Action View Window Help leal e Amen ea m Computer Management Local B a System Tools fa Event Viewer 2 Shared Folders c windows
9. CET Redirect Click Apply and then OK Browse to http localhost to confirm that the default web site is running and then to http localhost bnf to confirm that BNF is running BNF 63 Manual Page 57 of 63 NET Framework not correctly installed If you can browse to http localhost but you still get a Page Not Found it is possible that the NET Framework is not correctly registered with IIS To confirm if this is the case open the Computer Management console as above Click on the Default Web Site in the tree plain to see the bnf and bnf toolkit web applications Then Right Click on the bnf web application and select Properties from the pop up menu f Computer Management 10 x El File Action View Window Help al EJES ces Ou xen AE m El y Indexing Service E Internet Information Sers EU Web Sites E Default Web Site 1SHelp de a fo B adodb ai ProjectCentre El aia asas H A Printers 19 index html 12 Mobilequickst 9 LFUpgrade exe 1 Portalcsvs Publications aspx E AspNetForum 19 readme html E Rainbow 9 README txt bnf dl n adient alll 82 bn Explore 2 asp Open BD cer Browse 3 a New gt E e All Tasks gt a pr EA vt View gt New Window from Here Opens property sheet for tt ESP ip Refresh Export List BNF 63 Manual Page 58 of 63 On the Site Properties dial
10. Interactions m search box Buttons There are five function buttons on the top bar Contents To show the table of contents click on this button If you are already looking at a document the contents list will open at the appropriate chapter Print Click on the Print button to open the Print dialog and allow the current page to be printed on an installed printer Frames No frames By default the browser opens BNF in Frames mode with menu options or search results in the left hand frame and the publication content in the right hand frame Click the button to change to a No Frames version Help Click on the Help button for context sensitive help Search in Contents Click on the Search button to perform a text search when you have entered your search terms in the search box If you click on the Search in Contents button when the search box is empty information about how to use text search is displayed Interactions Search Click on the Interactions Search button to perform an interactions search when you have entered your search terms in the search box If you click on the Interactions button when the search box is empty information about how to use interactions search is displayed BNF 63 Manual Page 28 of 63 Search box The search box allows you to search the BNF directly Use it to find words or phrases anywhere in the text or to search for interactions between drugs Side bar R A BNF N
11. applications Then Right Click on the bnf web application and select Properties from the pop up menu lolo 1 File Action View Window Help l8l xi e om xearen ES Indexing Service E B Internet Information Sers EU Web Sites E Default Web Site 10 89 1SHelp ed Eee 3 adodb al ProjectCentre 1a Global dsa Printers a index html w MobileQuickst la LFUpgrade exe PortalCs s S Publications aspx E AspNetForum 9 readme html Rainbow 9 README txt 8 bn dl nadien ll bnf Explore asp Open 2 cer Browse C ima New i 2 we All Tasks p AZ eA vt View gt New Window from Here Opens property sheet for tt opens property sheet Tot TT ts Refresh Export List BNF 63 Manual Page 61 of 63 On the bnf Properties dialogue select the ASP NET tab select the ASP NET version drop down box select 1 1 4322 and choose the Apply button Computer Management El File Action View Window Help e img ix bBieg 2 gt mu Disk Defragmenter A Name 29 Disk Management Abi E Services and Applicatior bnf Properties Microsoft SQL Serv Services Virtual Directory Documents Directory Security WMI Control HTTP Headers Custom Errors ASP NET Indexing Service B Internet Informatio J Web Sites ASP NET version y Virtual path bnf File location CAlnetpub
12. it needs HTML tags to be included in the text that is sent to the browser Any formatting or hyperlink that you wish to appear in the resultant HTML page will need to be inserted directly as HTML tags when you type in the information A non exhaustive list of a few common tags is shown below Tags Result lt b gt bold lt b gt bold lt i gt italic lt i gt italic lt u gt under lt u gt under lt font color red gt coloured lt font gt coloured lt big gt bigger lt big gt bigger lt a href http www bnf org gt see bnf org lt a gt See bnf org note the American spelling in the Tag BNF 63 Manual Page 52 of 63 Chapter 5 Troubleshooting Installation problems can t browse to BNF just installed what s wrong If you tried to browse to http localhost bnf on the machine where BNF was installed and you failed to get a response from the server it is likely that IIS has not been started on the server Right Click on My Computer on your Desktop and select the Manage option Open Explore Search System Information Map Network Drive Disconnect Network Drive Create Shortcut Delete Rename Properties BNF 63 Manual Page 53 of 63 The Computer Management Console will appear scroll down to the bottom of the left hand tree pain and expand Services and Applications gt Internet Information Server gt Web Sites
13. 0 stopping the local formulary editor working If you suspect this might be the case please try excluding the Ife directory and subdirectories from being scanned Pop up Blocking Software It is possible that some pop up and ad blocking software may cause problems with the BNF Toolkit There has been a reported case where Norton Internet Security V7 0 6 17 has caused the navigation to function incorrectly The licence key file xxxxxx licence rdf appears to have been tampered with It is digitally signed and must not be altered and NET version 2 0 is installed Due to the way that Microsoft have modified the Digital signing libraries between versions of NET 1 1 and NET 2 0 BNF 63 must be setup to run under NET 1 1 even if NET 2 0 is installed To set this up please follow the following steps 1 Open Internet Information Services by selecting Start gt Run type inetmgr and press enter Locate the website that has the BNF 63 installed into it Expand the website to list the items bnf and bnftoolkit if the bnftoolkit is installed w 4 Right click the item bnf and select Properties 5 Once the Properties dialog has opened select the ASP NET tab 6 Change the ASP NET Version to 1 1 4322 7 Click Apply then OK If the BNFToolkit is installed this procedure should be repeated for the item pnftoolkit Close Internet Information Services Check that the BNF 63 is now visible BNF 63
14. British National Formulary Intranet Version Click Finish to exit the wizard Launch British National Formulary Intranet Version BNF 63 Manual Page 15 of 63 Post installation Tasks Installing to a non Default Website If the BNF is installed to a website other than the Default website listed in Internet Information Services Manager the correct website must be configured manually If you have already configured BNF on your website the settings from your previous install should remain and the following should be unnecessary Right Click on My Computer on your Desktop and select the Manage option Open Explore Search System Information Map Network Drive Disconnect Network Drive Create Shortcut Delete Rename Properties The Computer Management Console will appear scroll down to the bottom of the left hand tree pain and expand Services and Applications gt Internet Information Server gt Web Sites Now select the Site that you wish to install the BNF into m Computer Management la x Action vew e gt amx PA 2 m u Tree a Fe F 6 3 e a g k Bs 83 ay a E Ea Services and Applications Name path System Information Performance Logs and Alerts Shared Folders Device Manager Local Users and Groups rage Disk Management Disk Defragmenter
15. Storage t gt Disk Management Aweb ppsiBNF Eon M AQP Disk Defragmenter 33 Logical Drives Iv CC Ee BNF 63 Manual Page 21 of 63 For the bnf virtual directory ONLY click the Documents tab then click Add and enter the name Publications aspx ral Z Computer Management Computer Managemen bnf Properties 2 x Action view gt j Virtual Directory Documents Directory Security HTTP Headers Custom Errors Tree gt Iv Enable Default Document 4 Performance Logs Shared Folders Default htm Device Manager Default as Add Local Users and Gre E sy Storage Disk Management Remove g Disk Defragmenter Logical Drives T Enable Doc AOLE AT a xj e Removable Storage E Ea Services and Applicatio Default Document Name H E Telephony Publications aspx WMI Control Services Cancel ES Indexing Service a B Internet Informatic 8 Default Web Si 3 Administration 48 Non Default w E brf 0 26 Default SMTP Y E Click OK then Apply and OK If the BNF Toolkit is installed create an application mapping for the bnftoolkit lfe directory without changing the Default document When all the virtual directories and application mappings have been created the BNF should be available at http website bnf The local formular
16. look like it is in an edit box and looks just like normal text Explanation This is due to a bug in IE6 Workaround There is no workaround for this To change the title of the formulary use the Change Title button BNF 63 Manual Page 63 of 63
17. 256 MB RAM Minimum 180 MB free hard disk space Client machines require a web browser For best results select from the list below BNF Web Application Windows Operating Systems Internet Explorer 5 01 or later Mozilla 1 1 or later Mozilla Firefox 1 5 or later Opera 6 or later Netscape 6 or later Macintosh Operating Systems Internet Explorer 5 2 or later Mozilla 1 1 or later Safari Linux Operating Systems Mozilla 1 1 or later BNF Toolkit Windows Operating Systems Internet Explorer 5 5 or later Mozilla 1 6 or later Mozilla Firefox 1 5 or later BNF 63 Manual Page 7 of 63 Installation components In order to run BNF you need to have already installed the following components m On the server Microsoft Internet Information Server 5 0 IIS or later On Servers using Microsoft Windows 2003 the ASP NET Component should be installed from the operating system install media If you are intending to use BNF on a network you should assure yourself that the security settings of the IIS server are suitable for the environment please consult the Microsoft web site for more details BNF 63 Manual Page 8 of 63 Chapter 2 Installing BNF Server Overview BNF Server will enable you to publish BNF to an intranet environment The server will run as an Microsoft Internet Information Server IIS web application and requires the Microsoft NET Framework version 1 1 to be installed We recom
18. 40 Below the Main Tabl aiie naa aee ee oraa A a EE A AA E NEET EEEN 41 New Formulary riaria cit ataia iaa nicol 41 Viewas Administratori ogion A eee eee 41 OID E E A adas 41 The Local Formulary Editor aneron eoi R i aT E E 42 WME cL OP Bar aie ea a aa a a ee an aa a aaa aa o ee J O 42 Note If you cannot see the whole of the entry in the side bar you can 44 TETE A NN 44 BROEN ENET EAE A A EAEE nr rr EE NE 45 The Top Barrena a a a onsale a athe a a tena sates ts 45 Add Subsections e e a a ea a a ated ta events 45 Delete lem ities nce cna ieee nance reece 45 PINE SOCUOR eo tire eee an tee ae eta Sed ee er 45 Ghiange Title oil lidia 46 Preview WindO Wii A ii 46 Tabbed cl ii d 46 Local Formulary Check DOX coooooccocccconcccoocccconcccnoncconanonononcnonnc cono nn cana n cnn nacen na nannn narra nannnnns 46 Restricted TaD ste aw tie daa it 46 Extratlnio DAD ia a asics nite ae ae at teeter 47 O a 47 A a nte Ree ee 47 Save Changes tices A Ghee ee i 47 Finding Information eoio eit ninae EEEa ei E ENEEK diets 47 searching the teu rta blo rele AAA EADE EELER 47 Browsing with the contents liSt oooooconnincccnnnninocccccnnnacaaccncnonnnrnannnn cnn nn nannnnnnnno 49 Navigatio ersa eaa a AA dl 50 Moving around a document ssessssssririssrrrrissirrrrnnrenratanrirrnnadnriatanndrnnnaeeennni 50 USING LINKS aroda tas a taea deNA rE A AEEA AARET 50 Moving from one document to another ooooonoocccccnccccccccccnnno
19. Manual Page 60 of 63 Intranet rdf Error If you can browse to http localhost but you get a Server Error it is possible that a later version of the NET Framework has been registered with IIS The licence key file C Inetpub wwwroot bnf bin intranet rdf appears to have been tampered with 1 DOS File Edit View History Bookmarks Tools Help y e tt D http localhost bnF bnF currentjindex htm a gt Getting Started E Latest Headlines Server Error in bnf Application The licence key file C Inetpublwwwroot bnfl binlintranet rdf appears to have been tampered with It is digitally signed and must not be altered Description An unhandled exception occurred during the execution of the current web request Please review the stack trace for more information about the error and where it originated in the code Exception Details CBCL Publication Licensing LicenceException The licence key file C netpub wewwrootlbnfibiniintranet rdf appears to have been tampered with It is digitally signed and must not be altered Source Error in unhandled exception was generated during the execution of the current web request Information regarding the origin and location of the exception can be identified using the exception stack trace below lt Done To confirm if this is the case open the Computer Management console as above Click on the Default Web Site in the tree plain to see the bnf and bnf toolkit web
20. Selected to remove formulary information marked by tick boxes or press Close to exit Search The search facility is in two sections m Search box m Search button Search box The search box allows you to search the BNF directly Use it to find words or phrases anywhere in the text Search button Click on the Search button to perform a text search when you have entered your search terms in the search box If you click on the Search button when the search box is empty information about how to use text search is displayed Contents The contents link allows you to see the BNF contents page in the side bar Help Click on the help link to take you to the help pages The Side Bar The side bar can contain m the Contents List m Search results from a text search To move up or down the side bar m use the scroll bar on the right of the side bar m use the Page Up or Page Down keys m use the arrow keys To see text to the right hand side of the side bar m use the scroll bar at the bottom m leave the mouse pointer on the entry the full text will appear BNF 63 Manual Page 43 of 63 Contents The contents list shows the hierarchical arrangement of documents in the BNF and local formulary You can use the contents list to view the contents of any chapter and select documents to view To view the contents list click on the contents button on the top bar The BNF is organised into 4 preliminary chapters 15 chapters and a number
21. The BNF manual provides detailed instructions for installing and using BNF Who is this guide for This guide is written for anyone installing using or managing BNF The guide assumes that you are familiar with web browsers and if you are installing have experience of installing server based software on Microsoft platforms Conventions This guide uses the following conventions Convention Action setup exe Type the text as shown lt variable gt In command syntax text in italics in angled brackets is variable Select Point to the item and click the left mouse button Choose Point to the specified Windows button and click the left mouse button Double click Click the left mouse button twice rapidly without moving the mouse Right click Click the right mouse button Drag Hold the left mouse button down while you move an object across the screen BNF 56 Intranet Server and Toolkit installation BNF Manual System requirements This section specifies the minimum requirements for running BNF Server requirements To take advantage of BNF capabilities the following specification is recommended for the server on which you intend to run BNF Intranet and BNF Toolkit Client requirements Networked Server Windows 2000 Professional Server or Advanced Server or Windows XP Professional Windows 2003 Server N B Not compatible with Server 2008 Minimum 400MHz Pentium processor Minimum
22. ame or use the scroll bar at the bottom Note Some browsers are unable to expand the table of contents levels In this case click on the chapter titles and use the list of sub sections on the chapter page Text search results display When you perform a text search the results display in the side bar tells you how your search has been handled The display includes m An explanation of what has been searched m the number of matching documents m the list of documents retrieved The list of documents in the side bar includes the titles of the documents and their locations This will help you select the most relevant records to view Interactions search results display This is the list of documents that results when you perform an interactions search Suppose the terms Warfarin and alcohol are entered into the search box and the Interactions button has been pressed At the top of the results page is a description of the query Find interactions between Warfarin and alcohol If the terms have been found in the drug thesaurus additional information is provided about the interactants Warfarin Used for Broader terms alcohol BNF 63 Manual Page 30 of 63 By expanding the broader terms of Warfarin by clicking on the Warfarin is shown to be a member of the Coumarins drug group The number of interactions found is then given followed by the interactions information The results give the interactants Coumarins and al
23. an existing installation of BNF we strongly recommend that you back up your server especially the Local Formularies that are stored on the server The upgrade process does not change the existing copy of the local formularies and this is an advisable precautionary measure To backup the Local Formularies of your existing BNF installation the directory and all sub directories of lt INSTALLDIR gt Ife data must be replicated where lt INSTALLDIR gt is the installation directory for the existing BNF install by default c InetPub wwwroot bnf directory Installing BNF Server BNF Server is distributed in CD format 1 Log on to the server as a user with administrative permissions preferably the Administrator user 2 Insert the BNF Server CD into the server s CD ROM drive The CD should automatically run and the welcome screen will appear Click the Next i British National Formulary Intranet Version InstallShield Wizard Welcome to the InstallShield Wizard for British National Formulary Intranet Version The InstallShield R Wizard will install British National Formulary Intranet Yersion on your computer To continue click Next WARNING This program is protected by copyright law and international treaties 3 When the license is presented read the license and click the I accept radio button to accept the license You will not be able to install BNF without accepting the license BNF 63 Manual Pag
24. ck anywhere in the document display frame to activate it m onthe menu bar click File m select Print from the drop down menu m inthe Copies box specify the number of copies m click OK Note Printing a document as described above will print the complete document and not just the part visible in the document display frame We recommend that you print a complete document If you select part of a document by highlighting it the printout may lose its formatting and be difficult to read If you wish to print a section of the local formulary use the Print Section link List Remove Old Items The WeBNF is released twice yearly and numerous changes are made between issues An item containing formulary information that has been removed from the latest issue of the WeBNF will no longer be visible in the Local Formulary Editor Similarly user created items under the removed node will also not be visible Items that have not been marked as formulary or contain no formulary information will not appear in this list All changes to the WeBNF content from the previous issue can be viewed in Changes for this edition BNF 63 Manual Page 42 of 63 m Click on the List Remove Old Items link This will open a window showing any items that will no longer appear in the latest issue of the WeBNF m Select the items to be removed by clicking in the tick box to the left of the item or select all items clicking Select All m Press Remove
25. cohol Potentially hazardous interaction are noted as such e g There is 1 document listing interactions between pairs of interactants searched Coumarins Alcohol potentially serious Following the link Coumarins Alcohol goes to the interactions appendix page where details of the interaction can be found Finding information There are three ways of finding information in the BNF m searching the text m searching the interactions appendix m browsing with the contents list Searching the text Use the Search function to find words or phrases anywhere in the text Enter the term you wish to search for in the search box as m a single word e g aspirin m a phrase or multi word term enclosed in double quotes e g renal failure m several terms separated by spaces e g Warfarin aspirin Click on the Search button or press the Enter key Note Search is not case sensitive so it does not matter whether you enter your search in capitals or lower case letter Note For most searches there is no need to use a special search operator See Advanced Searching for information on the use of operators Note You can search using drug names or free text terms Some common synonyms are recognised e g epinephrine and adrenaline produce the same search results BNF 63 Manual Page 31 of 63 Searching the interactions appendix Use the Interactions function to find search the interactions appendix m Enter the ter
26. e 10 of 63 4 5 ie British National Formulary Intranet Version InstallShield Wizard License Agreement Please read the Following license agreement carefully British Medical Association BMA and Royal Pharmaceutical Society RPS SOFTWARE LICENCE Intranet version of the British National Formulary BNF Terms governing the use of BNF iF The Licensed Material Thaan taunan anime tha fallainn matavial arras tha Li d historial 5 1 accept the terms in the license agreement O 1 do not accept the terms in the license agreement v InstallShield If you are already running multiple web servers on your machine you may select which website to install the BNF using the drop down box Click on the down arrow highlight the web server required and click Next i British National Formulary Intranet Version InstallShield Wizard Web Site Select the web site to install to Default Web Site If you selected a custom web site then click Change to install at a new location Otherwise click Next and go to step 7 BNF 63 Manual Page 11 of 63 i British National Formulary Intranet Version InstallShield Wizard E Destination Folder Click Next to install to this Folder or click Change to install to a different folder InstallShield Change Current Destination Folder Browse to the destination Folder InstallShiel 7 Click Custom to change the BNF server a
27. e Save Changes button to save the changes and view the changes in the preview window Link Tab The Local Formulary Editor gives you the possibility to include a link on your WeBNF page that when clicked will pop up a window to another data resource In its simplest form this may be an URL to a web page held either locally or at an external site If the end user s browser is set up appropriately the link can also be to MS Word or PDF files 1 Click on the Link tab and check the Has URL Link check box 2 Type the URL in the URL box and a caption in the caption box 3 You can check that the URL is correct but clicking the Check URL button A new browser will open with the requested page in it 4 Click the Save Changes button to save the changes and view the changes in the preview window Edit Tab The Edit tab allows you to edit the information in a user created item You can enter any text plain or HTML as the main text Each user created item will be printed in the style determined my the Printing Style in the drop down box 1 Click on the Edit tab this will bring the sheet forward 2 You can change the title of the new item by changing the text in the Title box 3 Inthe Text box you can insert text with or without HTML tags 4 You can change the printing style using the Printing Style drop down box 5 Click the Save Changes button to save the changes and view the changes in the preview window Save Changes The Sa
28. esics m enter you group term in the search box and click Interactions m if your term can be mapped to a group term in the thesaurus the appropriate entry will be displayed m the group term and all its broader and narrower terms will be included in the interactions search e g ace inhibitors finds interactions of ace inhibitors including Captopril Cilazapril Enalapril etc Note Enter multi word terms in double quotes e g beta blockers You can combine a group term with other terms in a search e g Salicylates Warfarin BNF 63 Manual Page 37 of 63 Chapter 4 Using The BNF Toolkit About the LFE The Local Formulary Editor LFE is a tool for creating and maintaining formularies through customisations of the standard web enabled British National Formulary WeBNF A formulary is compiled by marking the information relevant to the specific local formulary used in an institution as well as adding further information such as restrictions or links The LFE incorporates the Local Formulary Manager which is used to create multiple formularies The Local Formulary Manager The Local Formulary Manager is a tool that allows you to create and maintain multiple formularies The Manager provides the ability to create an unlimited number of local formularies which can be edited using the Local Formulary Editor The Local Formulary Manager is the default page you come to when you enter the LFE allowing you to choose w
29. f the document you have selected The top line gives the position of the document in the hierarchy and links to the previous and next documents Towards the bottom of the page is a list of sub sections for the current chapter or section OBNF Previous Next Sub sections Home gt Contents gt 1 Gastro intestinal system gt 1 1 Dyspepsia and gastro oesophageal reflux disease 1 1 1 Antacids and dimeticone INGE Antacids Antacids usually containing aluminiurn or magnesium compounds can often relieve symptoms in ulcer dyspepsia and in non erosive gastro oesophageal reflux see also section 1 1 they are also sometimes used in non ulcer dyspepsia but the evidence of benefit is uncertain Antacids are best given when symptoms occur or are expected usually between meals and at bedtime 4 or more times daily additional doses may be required up to once an hour Conventional doses e g 10 mL 3 or 4 times daily of liquid magnesium aluminium antacids promote ulcer healing but less well than antisecretory drugs section 1 3 proof of a relationship between healing and neutralising capacity is lacking Liquid preparations are more effective than solids INTERACTIONS Antacids should preferably not be taken at the same time as other drugs since they may impair absorption Antacids may also damage enteric coatings designed to prevent dissolution in the stomach See also Appendix 1 antacids Low Nat The words low Na added af
30. hich formulary to edit The screen is divided into 2 main parts m The main table m Below the main table The Main Table No Name Not a Iformi Rename NHS Trust Change Title published Edit Publish Enable Copy Delete Judie s Ji Rename copied Change Title Browse Edit Publish Disable Copy Delete formulary Micah s M1 Rename new Change Title published Edit Publish Disable Copy Delete formulary Delete test z A formulary Rename NZ trust Change Title Browse Edit Publish Disable Copy Administrator view of main table BNF 63 Manual Page 38 of 63 Iformi No Name NHS Trust Not published m y Ji Judie s copied formulary Browse Edit Mi Micah s new formulary Not published Edit test formulary NZ trust Browse Edit Editor view of main table This table allows the manager to work with the whole formulary The manager can delete create edit publish and disable a whole formulary This page is also a starting point to enter the formulary either to look at the published formulary or to edit individual pages of the formulary Name of the formulary The name of the formulary is the name that will be the identifying part of the URL that is used to browse to the formulary Administrators are able to change the name of the formulary by clicking on the Rename button The name can only contain letters numbers or underscores no spaces or punctuati
31. ies and click OK once more to return to Windows Explorer Close Windows Explorer Setting administrator permissions for the BNF Toolkit 1 9 10 Open Windows Explorer and navigate to the bnf bin directory If the BNF has been installed in the default directory the path will be CMnetpublwwwrootibnfibin Right click on the bin directory and then click on Properties Click on the Security tab This is where you add or remove users and groups to be administrators BNF Toolkit administrators need to have Read amp Execute List Folder Read Modify and Write permissions Click on the Advanced tab below the check boxes Select the user or group added in stage 3 Click on View Edit and check the box for Delete Sub folders and Files in the Allow column Click OK to save the changes You may notice that where it used to say modify in the advanced settings box it now says special Click OK to get back to data properties and click OK once more to return to Windows Explorer Right click on the manager aspx file and click on Properties Click on the Security tab This is where you add or remove users and groups to be administrators BNF Toolkit administrators need to have Read amp Execute and Read permissions Click OK to return to Windows Explorer Close Windows Explorer Hint It is usually best to create groups of users for the BNF Toolkit Administrators can be a subgroup of normal users so that any permissions given to normal use
32. in the local formulary or not Restricted Tab Some items in the local formulary may have restrictions placed on their usage Setting an item as restricted by checking box will enable changes colour from grey to white the text entry box in the Editing panel to allow you to enter any conditions on the restriction Any text entered here will appear near the top of the WeBNF page highlighted on a light red background as seen in the Preview window The style of this text can be modified by using HTML Tags Make sure that the item is marked as local formulary i e that the Local Formulary Check box is checked 1 Ensure that the Local Formulary check box is checked 2 Clicking in the Restricted check box of the local formulary item will flag the item as restricted 3 If appropriate enter any information about the restriction in the text box 4 Click the Save Changes button to save the changes and view the changes in the preview window BNF 63 Manual Page 46 of 63 Extra Info Tab Your pharmacy may wish to add information about an item that is not normally included in the BNF entry You can enter any text plain or with HTML tags and it will appear near the top of the WeBNF page highlighted on a light blue background in the Preview window 1 Clicking on the Extra Info tab will bring this sheet to the foreground 2 Check the Extra Info check box by clicking it This will allow you to enter text in the text box 3 Click th
33. k within the document that is open Printing Print the local formulary using the print functions on your browser For example to print a complete document with Microsoft Internet Explorer m select the document you wish to print m click anywhere in the document display frame to activate it m onthe menu bar click File select Print from the drop down menu m inthe Copies box specify the number of copies m click OK Note Printing a document as described above will print the complete document and not just the part visible in the document display frame We recommend that you print a complete document If you select part of a document by highlighting it the printout may lose its formatting and be difficult to read If you wish to print the whole formulary use the Print Formulary link If you wish to print a section of the local formulary use the Print Section link BNF 63 Manual Page 50 of 63 Searches Search Examples How do do a full Text Search Enter your search term or terms in the search box and click on Search e g arrhythmias beta blockers The search results appear in the Side Bar At the top of the results is an explanation of the query e g Find documents matching either arrhythmias or beta blockers The number of results from the full text search is listed immediately above the results list and looks like this e g Text search there are matches in 150 documents When a search returns a large number of res
34. link which allows you to change from one interface to the other e g You are using a framed version of this site Use a no framed version Click the link to change from one mode to the other This manual describes only the frames interface For information on the no frames interface use the online help facility by pressing the Help button British National Formulary Search interactions a BNF BNF No 63 March 2012 Nota Home El Preface General information and changes for this British National Formulary 63 Guidance on prescribing Emergency treatment of poisoning Notes on drugs and preparations m 1 Gastro intestinal system 2 Cardiovascular system 3 Respiratory system 4 Central nervous system 5 Infections 6 Endocrine system 7 Obstetrics gynaecology and urinary Top Next BNF No 63 March 2012 8 Malignant disease and immunosuppre You are using a framed version of this site Use a no framed version 9 Nutrition and blood Copyright BMJ Group and the Royal Pharmaceutical Society of Great Britain 2011 All rights reserved 10 Musculoskeletal and joint diseases Accessibilty 11 Eye 12 Ear nose and oropharynx 13 Skin 14 Immunological products and vaccine 15 Anaesthesia Appendixes and indexes E Appendix 1 Interactions al i g BNF 63 Manual Page 26 of 63 Main document frame The main document frame is used to display the complete text o
35. m you wish to search for in the search box as a single word e g aspirin a phrase or multi word term enclosed in double quotes e g ace inhibitors several terms separated by spaces e g Warfarin alcohol m Click on the Interactions button Note Search is not case sensitive so it does not matter whether you enter your search in capitals or lower case letter Note For most searches there is no need to use special search operators See Advanced Searching for information on the use of operators Note Some common synonyms are recognised e g epinephrine and adrenaline produce the same search results Browsing with the contents list The contents list shows the hierarchical arrangement of documents in the BNF You can use the contents list to view the contents of any chapter and select documents to view To view the contents list click on the Contents button on the top bar The BNF is organised into 4 preliminary chapters 15 chapters and a number of appendixes and indexes To locate sections within the chapters m expand the contents list by clicking on any symbol m continue to expand the list in the same way until you find a document you wish to view lick on the title to display the document or click on the chapter title to display a detailed chapter contents list m follow links under the Sub sections heading to display documents within the chapter Click on a symbol to collapse the table to that level
36. mend that you use a Windows 2000 Server or later and IIS5 or later for your installation Before you begin to install BNF server you should ensure that IIS 5 or later is installed and operating correctly If the Microsoft NET Framework version 1 1 is not already installed on the server the installer will install a suitable version During the installation process you will be given the options to install the BNF Toolkit This component will allow you to create Local Formularies of the BNF using a web interface This application replaces previous versions of the Local Formulary Editor If you choose to install this component you should review the security placed on the BNF Toolkit to ensure that only suitably authenticated users may edit Local Formularies If the Installer detects any existing BNF Local Formularies it will upgrade those formularies to be compatible with the current BNF For large formularies this process may take some time to complete you should not attempt to exit the installer process once the update of local formularies has begun Note Windows 2000 Professional Windows XP Professional BNF Server may be run under these operating systems however the reader should be aware that the licenses for IIS on these platforms limit the number of simultaneous connections allowed For more information please consult the relevant license agreements BNF 63 Manual Page 9 of 63 Backup your Server If you are upgrading
37. n the chapters m expand the contents list by clicking on any symbol m continue to expand the list in the same way until you find a document you wish to view click on the title to display the document or m click on the chapter title to display a detailed chapter contents list m follow links under the Sub sections heading to display documents within the chapter Click on a symbol to collapse the table to that level If you cannot see the whole of the entry in the side bar you can m leave the mouse pointer on the entry the full text will appear m use the scroll bar at the bottom Some browsers are unable to expand the table of contents levels In this case click on the chapter titles and use the list of sub sections on the chapter page BNF 63 Manual Page 49 of 63 Navigation Moving around a document m Click anywhere in the document display to activate that part of the screen m Use the arrow keys or Page Up and Page Down keys on your keyboard m Use the scroll bar or wheel on your mouse if available Using Links Active links sometimes referred to as hyperlinks are indicated by underlined text position the mouse over a link the cursor will usually change to a pointing hand m Click on the link m the linked document will be displayed Moving from one document to another To move between documents either select a different document from the list in the Side Bar or results display or follow a lin
38. nd BNF Toolkit install options Otherwise click Complete click Next and go to step 10 BNF 63 Manual Page 12 of 63 i British National Formulary Intranet Version InstallShield Wizard Setup Type Choose the setup type that best suits your needs Please select a setup type Complete 3 All program features will be installed Requires the most disk space Custom Choose which program features you want installed and where they will be installed Recommended for advanced users Installshield 8 You may elect to install the BNF server and optionally the BNF Toolkit The BNF Server is a mandatory item of the installation process Click Change to select a different destination folder When you have made you selections please click Next and go to step 9 i British National Formulary Intranet Version InstallShield Wizard x Custom Setup 4 Select the program Features you want installed A Click on an icon in the list below to change how a feature is installed Feature Description Web based tools For extension andannotation of RMF dara with This Feature will be installed on local hard drive British National Formulary British National Formulary Toolkit This feature and all subfeatures will be installed on local hard drive X This feature will not be available Install to C Inetpub wwwroot bnF InstallShield 9 You can browser to a diffe
39. nnccncnonnnnncnnnnnnnnnnnnno 50 PUIG aer eE recite do di 50 Searches eztort henson tener ces eesti eens ie e apra an dat 51 Search EXAMPLES cisco satu ecduseeccadtnantessaddegeeysetatertansxeetead 51 BNF 63 Manual Page 4 of 63 How dol do a full Text Search Zion iii ida ais 51 A Search has returned a result but nothing is highlighted when view it Why 51 HTML Tags e cle med host a Liter slated SGA eM ae 52 a A A E 53 Installation Problems ccceccccceeeeeeeeeeeeeeeeeeeececeeacneeeeeeeeeeeeeeeeeeeeeeeeesaaaaeeeeeeeeeeaaees 53 can t browse to BNF just installed what s WrOng cccecceeeceeeeteeeeeeeeees 53 NET Framework not correctly installed oooonnonccnnnnnnnnccinnnnnccccnnnaninnnnnnnnnnnno 58 Can t browse to a BNF from a remote machine eeeeeeeeeeeeeeeeeeeeees 61 Tree does not display in local formulary editor 61 Anti Virus SO WO iii da 61 Pop up Blocking Software ooooooiccccononccccccccccnnnnccccncnnnannnnnnonnnnncnnnnnnnnnnnnncnnnccnnnns 61 The licence key file xxxxxx licence rdf appears to have been tampered with It is digitally signed and must not be altered and NET version 2 0 is installed 61 Intranet Error 2k Bod da hea eee A 62 Reporting EMOS oee a aAa anne ease a aaa 63 IOWA ISSUCS Lt E tai ened dar el kaa oe des 64 BNF 63 Manual Page 5 of 63 Chapter 1 Overview Welcome to the BNF manual About this guide
40. nnnonannncncnnnanannnnno 33 EOUN A OET E N Sie E A E E SA EA E S 34 Examples Of Searches siciliana iaaa 35 Texts aii E a a AE bid n 35 How do I do a full text Search ooooocoonccconncocincccconcccnonccconncnnonncnnnncn nono cananc nan rca nara cnn 35 A search has returned a result but nothing is highlighted when view it Why 35 Interactions SEarCh siiciccoicants atascada ds r a a a aaae 36 How can find all the interactions listed for a specific ArUQ c cceceeeeeeeeeeeeettteeeeeee 36 Can search for interactions between drugs and herbals or foods too What happens if search more than two CruQS ccceecceeeeceeeeeeeeeeeeeeseeeeseeessaeeeees 37 What happens if mix drug terms and other terMsSP oococicccinccccnccccconcccnoncnconnnrn nn nccnnncnns 37 BNF 63 Manual Page 3 of 63 How do search on a group Of drUYSP ooococonoccccoccccnococononononnnconnanononcnannn nono conc nnnnanannn cnn 37 Using The BNF TOOIKIL il bicati 38 About the PRE cool da 38 The Local Formulary ManaQeT oococcccnccccccccconononcccnonnnonnnnnnonnnnnnnnn conan nnnannncnnnnnnnnnnnnnnnnnnnno 38 The Main Table ccccccccnooccconnnncnnnnnnnnnnnnnnnnononononnnnnnnnnnnnnnnnnnnnnnononnnononannnonanos 38 Name of the formulary 39 Title ofthe formulary oil are i Gin ae ele 39 A A OOO eect oan cs aerate et 39 O O 39 RUBIS D croata alado date atra sie 39 Enable Disable cir 40 COPY A E O O O 40 Di a dicas
41. o 63 March 2012 The side bar can contain Preface General information and changes for this edition Guidance on prescribing Emergency treatment of poisoning Notes on drugs and preparations m the contents list 1 Gastro intestinal system m search results from a text search 42 Cardiovascular System 3 Respiratory system m interactions search results E 4 Central nervous system 5 Infections The heading at the top of the side bar indicates s endocrine system which type of display is active E 7 Obstetrics gynaecology and urinary tract dis 8 Malignant disease and immunosuppression To move up or down the side bar E 9 Nutrition and blood 10 Musculoskeletal and joint diseases m use the scroll bar on the right of the 11 eye side bar 12 Ear nose and oropharynx 13 Skin use the Page Up or Page Down 14 Immunological products and vaccines keys 15 Anaesthesia Appendixes and indexes m use the arrow keys El Appendix 1 Interactions El Appendix 2 Borderline substances To see text to the right hand side of the side bar Appendix 3 Cautionary and advisory labels for c E Appendix 4 Intravenous additives m use the scroll bar at the bottom E Appendix 5 Wound management products and E use the mouse to expand the bar El Dental Practitioners Formulary Nurse Prescribers Formulary move the mouse cursor over the Non medical prescribing frame of the side bar until it turns 109 of manufact
42. of appendixes and indexes To locate sections within the chapters m expand the contents list by clicking on any symbol m continue to expand the list in the same way until you find a document you wish to view m click on the title to display the document or m click on the chapter title to display a detailed chapter contents list m follow links under the Sub sections heading to display documents within the chapter Click on a symbol to collapse the table to that level Note If you cannot see the whole of the entry in the side bar you can m leave the mouse pointer on the entry the full text will appear m use the scroll bar at the bottom Some browsers are unable to expand the table of contents levels In this case click on the chapter titles and use the list of sub sections on the chapter page Search When you perform a text search the results display in the side bar tells you how your search has been handled The display includes m An explanation of what has been searched m the number of matching documents m the list of documents retrieved The list of documents in the side bar includes the titles of the documents and their locations This will help you select the most relevant records to view BNF 63 Manual Page 44 of 63 The Viewer The Top Bar Add Subsection This version of the LFE allows you to add extra text plain or HTML to your WeBNF via user created items This is very useful to make large parts of ext
43. ogue select the Virtual Directory tab and click on the Configuration button Ll Properties zx Fie Actior e li 11 489 Inde B AY Inter EE Y Virtual Directory Documents Directory Security HTTP Headers Custom Errors When connecting to this resource the content should come from A directory located on this computer CA share located on another computer A redirection to a URL Local Path D bnt Browse I Script source access I Log visits IV Read IV Index this resource I Write J Directory browsing Application Settings Application name tsi Remove lt Default Web Site gt bnf Configuration Execute Permissions Scripts and Executables y Application Protection Medium Pooled w Unipad Starting point Cancel Apply Help On the Application Configuration Dialog that appears select the Mappings tab and scroll down to check that the aspx extensions is registered for the executable C WINDOWS Microsoft NET Framework v1 0 3705 aspnet_isapi dll for verbs including GET HEAD and POST If there are other verbs listed these should be left as they are S Computer Mpnt properties El Fie Actior Application Configuration f Mx Mappings Options Debugging Z Cache ISAP applications m Application Mappings asa COWINDOWS AS ystem32Minetsrvtasp GET HEA asax C WINDOWS Microsof
44. on are allowed The name must also be unique Rename 1 Click on the rename button 2 In the pop up window enter the new name 3 Press the Ok button to save the new name or Cancel to exit Title of the formulary The LFE allows you to change and personalise the WeBNF and it is helpful to mark the formulary by giving it an appropriate title such as the name of your institution or pharmacy Thus the user will be able to see whether they are using a customised or the standard version of the WeBNF Administrators are able to change the title of the formulary by clicking on the Change Title button The title can contain any letters or characters Change Title 1 Click on the Change Title button 2 In the pop up window enter the new title 3 Press the Ok button Browse This link opens a new browser with the WeBNF and the local formulary in it Edit This link takes you to the Local Formulary Editor pages Publish Pressing this button means that all the changes that have been made by editors since the last time the formulary was published will be made visible in the browser BNF 63 Manual Page 39 of 63 Enable Disable The Disable button allows the administrator to stop people being able to view the local formulary When the disable button has been clicked the formulary row in the Local Formulary Manager goes grey and the Browse button is replaced by text to say that the formulary is not published If a user browses to
45. on box should be ticked 7 The Integrated Windows Authentication box should also be ticked so that users who have already logged on to windows can be automatically authenticated 8 Click OK to return to the Ife properties page then click OK to return to Internet Services Manager 9 Close Internet Services Manager ON Setting user permissions for the BNF Toolkit 1 Open Windows Explorer and navigate to the LFE If the BNF has been installed in the default directory the path will be C Inetpub wwwroot bnfilfe 2 Right click on Ife directory and then click on Properties 3 Click on the Security tab This is where you add or remove users and groups BNF Toolkit users need to have Read amp Execute List Folder and Read permissions 4 Click OK to save the changes and get back to the explorer window 5 Open the Ife folder and right click on the data directory Open the Properties section and click on the Security tab 6 The users that you added in stage 3 need to be given extra permissions Click on the boxes for Write and Modify 7 Click on the Advanced tab below the check boxes Select the user or group added in stage 3 Click on View Edit and check the box for Delete Sub folders and Files in the Allow column 8 Click OK to save the changes You may notice that where it used to say modify in the advanced settings box it now says special BNF 63 Manual Page 23 of 63 9 10 Click OK to get back to data propert
46. p of the results is an explanation of the query e g Find documents matching either arrhythmias or beta blockers The number of results from the full text search is listed immediately above the results list and looks like this e g Text search there are matches in 150 documents When a search returns a large number of results only the first 50 are displayed initially e g Results 1 50 sorted with best match first If you wish to view all the results follow the link show all 150 results Beneath this the list of documents is displayed together with their positions in the table of contents which may help you locate results within chapters Clicking on the document title of the result will display the document in the main frame with matching search terms highlighted If there was more than one search term hits from each search term will be highlighted in different colours A search has returned a result but nothing is highlighted when view it Why Text search will retrieve any documents that contain the terms in your search However some documents contain hidden index terms For example the search e g child resistant containers will return a top match which will does not contain the exact term child resistance containers However the editors have indexed this document with the phrase child resistant containers because the document is relevant to this term In fact the document contains preparations must be di
47. ra information available such as products and other items not included in the BNF By adding this information through extra items in the navigation tree all drug information available in your customised WeBNF can be well organised You can even create whole sub trees by adding new items to added items For these added items you still have all other features such as marking them as restricted adding extra information and entering links m Select the parent item under which you would like to add your extra item m Click on Add Subsection link The new item is added into the navigation tree and the preview window shows a preview of the new item m Click on the edit tab to edit the text of the new item Delete Item Any user created item can be deleted by clicking the Delete Item link Deleting an item will delete all the information connected to it and all subsections of that item It is not possible to remove BNF items from the hierarchy m Select the item that you wish to delete m Click on the delete item link m Click on the OK button to permanently delete the item and Cancel to exit Print Section Click on the print section link to take you to a printable version of the section of the local formulary Print the section using the print functions on your browser For example to print a complete document with Microsoft Internet Explorer m select the document you wish to print m click anywhere in the document display frame to acti
48. rent folder or enter a new folder name BNF 63 Manual Page 13 of 63 i British National Formulary Intranet Version Change Current Destination Folder Browse to the destination Folder Look in bnf Cbin Aire Folder name E Inetpublwwwwrootibnf IShie 10 You may click Cancel if you wish to abort the installation but you will have to commence the installation process from the start if you wish to complete the installation process again Click Install and wait while the installation completes i British National Formulary Intranet Version InstallShield Wizard Ready to Install the Program The wizard is ready to begin installation Click Install to begin the installation Tf you want to review or change any of your installation settings click Back Click Cancel to exit the wizard 11 When the installation has completed you will have the option to Launch BNF When you click Finish BNF will be launched in your default web browser Please note if you are installing to a non default website you will BNF 63 Manual Page 14 of 63 not be able to view the BNF until the correct website has been manually configured refer to the section Installing to a non Default Website under the Post installation tasks section ie British National Formulary Intranet Version InstallShield Wizard E InstallShield Wizard Completed The InstallShield Wizard has successfully installed
49. rs will automatically be given to administrators BNF 63 Manual Page 24 of 63 Chapter 3 Using BNF About the BNF The BNF is a joint publication of the British Medical Association and the Royal Pharmaceutical Society It is published under the authority of a Joint Formulary Committee which comprises representatives of the two professional bodies and of the UK Health Department The BNF aims to provide doctors pharmacists and other healthcare professionals with sound up to date information about the use of medicines For more information about the BNF visit our website at http www pharmpress com bnf How to cite electronic BNF When you cite BNF we recommend the following style Joint Formulary Committee British National Formulary edition number ed London British Medical Association and Royal Pharmaceutical Society year of publication This citation should always be added to copies of documents printed from the BNF BNF 63 Manual Page 25 of 63 The BNF user interface There are two user interfaces available for the BNF called the frames interface and the no frames interface You can use either interface for searching and viewing the BNF In frames mode the screen is divided into 3 main parts m the main frame m the top bar m the side bar The no frames mode has a simplified display which is more suitable to devices with small screens such as PDAs At the bottom of each page is a
50. s 1 Click on the New Formulary button 2 Type in the name of the new formulary The name can only contain letters numbers or underscores no spaces or punctuation are allowed The name must also be unique A formulary cannot be created if another with the same name exists 3 Click the Ok button to create a formulary or Cancel to exit The new formulary will have a default title of No Name NHS Trust as the formulary To change the title click on the Change Title button View as Administrator Click on this link to move from the editor Local Formulary Manager screen to the administrator screen with the extra functionality If the user is not logged in as an administrator the link may pop up a login box so that the user can login as an administrator Help Click on the help link to take you to the help pages BNF 63 Manual Page 41 of 63 The Local Formulary Editor The Top Bar The Local Formulary Editor is the main editing page for the local formulary The screen is divided into 3 main parts m The top bar m The side bar m The viewer Manage Click on the manage link to takes you back to the Local Formulary Manager Print Formulary Click on the print formulary link to take you to a printable version of the local formulary Print the local formulary using the print functions on your browser For example to print a complete document with Microsoft Internet Explorer m select the document you wish to print m cli
51. spensed in a re closable child resistant container BNF 63 Manual Page 35 of 63 Interactions search How can I find all the interactions listed for a specific drug There are two ways to find all the interactions listed for a specific drug m use search m use the interactions appendix To use search m enter the drug name in the search box m click the interactions button m the system will check to see whether your term is listed as an interactant e ifitis the list of interactions is displayed if your term is not recognised as an interactant you will see a message to that effect Check the spelling of your search term correct it if necessary then click Interactions To use the interactions appendix m Locate Appendix 1 Interactions in the table of contents m Display the document by clicking the title chapter m Follow the link List of drug interactions The drugs are organised as a hierarchy of drug groups For example ACE inhibitors such as Captopril are listed under ACE inhibitors How do find specific interactions between two drugs Enter your drug terms in the search box and click on the Interactions button e g Warfarin alcohol The system will firstly check your search terms to see whether they can be matched to listed interactants A list of interactions between the two drugs will be returned listed in alphabetical order Can search for interactions between drugs and herbals or foods
52. t NET Frame GET HEA aSCH C AWINDOWS Microsoft NET Frame GET HEA ashx CAWINDOWS Microsoft NET Frame GET HEA C WINDOWS Microsoft NET Frame GET HEA System32 inetsrv asp GET HEA aspx fh Y icrosoft NET Frame axd C WINDOWS Microsoft NE T Frame GET HEA cdx CAWINDOWS System32 inetsrvSasp GET HEA cer COWINDOWS AS ystem32Minetsrvtasp GET HEA config C AWINDOW S Microsoft NET Frame ne PAWINN NWS Sinrnenft NETA Frame GET HEA GF nagi 15h If you find that the aspx extension is not registered you may use the following command to register the NET Framework with IIS Windows Microsoft Net Framework v1 0 3705 aspnet_regiis exe i BNF 63 Manual Page 59 of 63 Can t browse to a BNF from a remote machine BNF server is normally accessible using the http protocol on port 80 You should check that any security precautions such as firewalls are letting you access web sites in general and the BNF server in particular Tree does not display in local formulary editor Look in INSTALLDIR bnf lfe Web config at lt add key master url value http localhost bnf gt Is the BNF visible at the given URL If not edit the value to be a URL through which the BNF is accessible Anti virus software It is possible some anti virus software can interfere with the local formulary editor We have had a reported case of CA eTrust InnoculatelT V6
53. ter some preparations indicate a sodium content of less than 1 mmol per tablet or 10 mL dose Sub sections Aluminium and magnesium containing antacids Aluminium magnesium complexes Antacid preparations containing dimeticone Dimeticone alone You are using a framed version of this site Use a no framed version BNF British Medical Association and Royal Pharmaceutical Society of Great Britain If the document has been displayed in response to a search the search terms hits are highlighted If two or more search terms have been entered a different colour is used to highlight different hits If the search included synonyms e g adrenaline epinephrine those terms will be highlighted in the same colour Activate the frame by clicking anywhere inside it before trying to move about the document To move up or down m use the scroll bar on the right of the frame use the Page Up or Page Down keys use the arrow keys To enlarge the display m use the mouse to expand the frame move the mouse cursor over the left side of the frame until it turns to a double arrow hold down the left mouse button use the mouse to drag the frame to the size you want release the mouse button BNF 63 Manual Page 27 of 63 Top bar British National Formulary search nts Ey Print No frames 2 Help The top bar is used to display m buttons Contents e Print Frames No frames e Help Search
54. the formulary they can see the WeBNF but not any of the additions made to the local formulary So none of the new additions to the formulary will be visible and none of the extra information added to BNF items will be visible To make the formulary visible again click the Enable button Copy The Local Formulary Manager allows you to create a new formulary copying local formulary data from an existing formulary 1 Click on the Copy button 2 Type in the name of the new formulary The name can only contain letters numbers or underscores no spaces or punctuation are allowed The name must also be unique A formulary cannot be created if another with the same name exists 3 Click the Ok button to create the copied formulary or Cancel to exit The new formulary will have the same title as the formulary that it is copied from To change the title click on the Change Title button Delete A local formulary can be deleted which will permanently delete all the formulary information Be sure to have a backup of a local formulary in case you wish to keep the information for use at a later stage 1 Click on the Delete button 2 The local formulary manager will ask you to confirm that you want to delete the formulary 3 Click the Ok button to permanently delete the formulary BNF 63 Manual Page 40 of 63 Below the Main Table New Formulary The Local Formulary Manager allows you to create an unlimited number of formularie
55. thelp ii C Program Files C Program Files El Local Users and Groups e E Aa Ait E ProjectCentral C ProjectCentral erformance Log erts GgPrinters C WINDOWS we Device Manager y Storage Bimobilequickstart C Program Filesif Removable Storage 2 PortalCs S d PortalCs S Por Disk Defragmenter amp AspNetForums d AspNetForums Disk Management 2 Rainbow d Rainbow Ea Services and Applications 2 D bnf Services D bnf gt WMI Control aspnet_client a Indexing Service Beers E B Internet Information Services images Web Sites Bwebservicet E private _vti_enf a _vti_log BNF 63 Manual Page 54 of 63 If you are still having trouble accessing http localhost bnf Right click on the website BNF is installed under Normally the Default Website and select Properties Now select the ISAPI Filters tab from the top of the list you should see a filter named redirect listed with a green arrow pointing up next to it Disable BNF 63 Manual Page 55 of 63 If the Redirect Filter is not listed Click on the Add button and enter the name Redirect and Browse to the installation path of the BNF where you should see a file named redirect dll Filter Properties E c Inetpub wwwroot bnif Redirect dll A o ca BNF 63 Manual Page 56 of 63 Click OK You will now see the filter priority status listed as Unknown
56. too You can include herbal drug names in your search in the same way as other search terms tell me how Some foodstuffs and beverages e g grapefruit juice are searchable individually e g grapefruit juice Felodipine Search alcoholic beverages by entering alcohol as a search term BNF 63 Manual Page 36 of 63 What happens if search more than two drugs If you enter three or more terms the interactions search will look for interactions between all possible pairs of terms from the search e g alcohol Warfarin Digoxin searches for interactions between m alcohol and Warfarin m alcohol and Digoxin m Warfarin and Digoxin You can use special search operators to refine your search What happens if mix drug terms and other terms You do not need to separate drug terms from other terms when searching Simply enter all your search terms separated by spaces The system will test all the terms entered to see if they are interactants and perform an interactions search on any it finds e g Warfarin banana will display a warning to indicate that banana is not recognised as an interactant and will thus return interactions of Warfarin only How do search on a group of drugs Drug names are classified in the thesaurus by broad group terms which may include therapeutic pharmacological and chemical groups and metabolic pathways It is often easy to guess a group term and find the thesaurus entry e g analg
57. ults only the first 50 are displayed initially e g Results 1 50 sorted with best match first If you wish to view all the results follow the link show all 150 results Beneath this the list of documents is displayed together with their positions in the table of contents which may help you locate results within chapters Clicking on the document title of the result will display the document in the preview window with matching search terms highlighted If there was more than one search term hits from each search term will be highlighted in different colours A Search has returned a result but nothing is highlighted when I view it Why Text search will retrieve any documents that contain the terms in your search However some documents contain hidden index terms For example the search e g child resistant containers will return a top match which will does not contain the exact term child resistance containers However the editors have indexed this document with the phrase child resistant containers because the document is relevant to this term In fact the document contains preparations must be dispensed in a re closable child resistant container BNF 63 Manual Page 51 of 63 HTML Tags You may wish to add emphasis or colour to text that you type into the Restricted or Extra Info text boxes or you may wish to add hyperlinks to web pages For this text formatting or a hyperlink to appear in a web browser
58. urers to a double arrow Special order Manufacturers Cardiovascular Risk Prediction Charts Medical emergencies in the community hold down the left mouse button Approximate conversions and units General reference use the mouse to drag the frame f z Frequently asked questions clinical to the Size you want El Yellow Card Scheme release the mouse button The Supplementary Information side bar is used to display E BNF Extra Contents list The contents list shows the hierarchical arrangement of documents in the BNF You can use the contents list to view the contents of any chapter and select documents to view To view the contents list click on the Contents button on the top bar The BNF is organised into 4 preliminary chapters 15 chapters and a number of appendixes and indexes BNF 63 Manual Page 29 of 63 To locate sections within the chapters m expand the contents list by clicking on any symbol m continue to expand the list in the same way until you find a document you wish to view m click on the title to display the document or m click on the chapter title to display a detailed chapter contents list m follow links under the Sub sections heading to display documents within the chapter Click on a symbol to collapse the table to that level Note If you cannot see the whole of the entry in the side bar you can leave the mouse pointer on the entry the full text will appear or use the mouse to expand the fr
59. vate it m onthe menu bar click File select Print from the drop down menu m inthe Copies box specify the number of copies m click OK BNF 63 Manual Page 45 of 63 Notes Printing a document as described above will print the complete document and not just the part visible in the document display frame We recommend that you print a complete document If you select part of a document by highlighting it the printout may lose its formatting and be difficult to read If you wish to print the whole local formulary use the print formulary link Change Title The LFE allows you to change and personalise the WeBNF and it is helpful to mark the formulary by giving it an appropriate title such as the name of your institution or pharmacy Thus the user will be able to see whether they are using a customised or the standard version of the WeBNF Administrators are able to change the title of the formulary by clicking on the Change Title button The title can contain any letters or characters Change Title 1 Click on the Change Title button 2 In the pop up window enter the new title 3 Press the OK button or Cancel to Exit The change will only be made to the live formulary once an administrator has published the formulary Preview Window The Preview Window will display a preview of what the users will see in the WeBNF when the LF is applied Tabbed section Local Formulary check box This check box marks the item as being
60. ve Changes button saves all the changes that have been made to the individual formulary page The formulary page is then refreshed in the preview window with all the new changes Finding Information Searching the text Use the Search function to find words or phrases anywhere in the text m Enter the term you wish to search for in the Search Box as a single word e g aspirin BNF 63 Manual Page 47 of 63 a phrase or multi word term enclosed in double quotes e g renal failure several terms separated by spaces e g Warfarin aspirin m Click on the Search Button or hit Enter Notes Search is not case sensitive so it does not matter whether you enter your search in capitals or lower case letter For most searches there is no need to use a special search operator See Advanced Searching for information on the use of operators You can search using drug names or free text terms Some common synonyms are recognised e g epinephrine and adrenaline produce the same search results BNF 63 Manual Page 48 of 63 Browsing with the contents list The contents list shows the hierarchical arrangement of documents in the BNF You can use the contents list to view the contents of any chapter and select documents to view To view the contents list click on the Contents Button on the top bar The BNF is organised into 4 preliminary chapters 15 chapters and a number of appendixes and indexes To locate sections withi
61. wwwrootibniweb config File creation date 1470272006 15 2344 File last modified 14 02 2006 15 23 44 eset ov He Repeat this selection for bnftoolkit web application Reporting Errors If this manual has not helped you solve your problem please look at http www cbcl co uk support for any recent updates or e mail support cbcl co uk with details of the problem and your setup Useful error information is stored in the Windows application log on the BNF server The local formulary editor logs errors to INSTALLDIR bnfilfe bin logs log txt local formulary editor As of BNF 48 this can be viewed with at http server port bnftoolkit logs log txt from client machines BNF 63 Manual Page 62 of 63 Chapter 6 Known Issues Issue Tree navigation images fail to load with particular versions of IE6 on Windows XP on first use of BNF Explanation Under certain circumstances with a particular combination of cumulative security patches applied to IE6 on Windows XP Pro you will not see the and symbols on the contents tree This is due to a bug in IE6 Workaround Either update IE6 from the Microsoft web site or browse to http lt hostname gt bnf lform1 current doc contents htm and then return to the main BNF page the images should now display Issue With IE6 on Windows XP in the LFE the name of the formulary appears in an edit box but the box is not editable In most other browsers the title does not
62. y editor should be at http website bnftoolkit Ife BNF 63 Manual Page 22 of 63 Securing IIS We would advise that the server on which IIS is run and the installation of IIS is secured as recommenced by the Microsoft Security Web Site This will ensure that the server is not vulnerable to the IIS specific Internet worms that exist Securing the BNF Toolkit We would recommend that the BNF Toolkit which enables local formulary editors to edit local formularies and administrators to publish local formularies be secured with Windows based authentication in the BNF Toolkit application When you install the BNF for the first time the correct IIS settings will be set up for you Due to the differences in particular server installations the IIS settings should be checked as detailed below If you are not using IE5 or above for a browser you will need to change one of the settings in IIS Checking IIS Settings 1 Open the IIS Console This can be done by opening the Control Panel clicking Administrative Tools and clicking on Internet Services Manager Expand the tree for bnftoolkit to show Ife Right click on Ife and click on properties Click on the Directory Security tab and then the Edit button in the Anonymous access and authentication control section 5 The Anonymous access tick box should be left blank so that only known users can get access to the BNF Toolkit 6 If you are not using IE5 or above the Basic Authenticati

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