Allergies

The Allergies function lists all patient allergies to drugs, environmental allergins (such as pollen) or food (such as gluten).  This information is important for drug interactions and Meaningful Use reporting.

 

 

Select a patient name from the master appointment list, appointment list or search for the desired patient on the Patient List screen.

 

Click the Chart button to open the Decision Tree.  

 

 

Click the Allergies button on the Decision Tree menu to open the Drug Allergies and Sensitivies screen.  This screen is used to view existing and previously reported allergies and to record any new allergies or allergic reactions.  New information is entered in the Allergy Record Information section.  

 

Because allergens are codified, mapped terms such as abbreviations or general groupings such as Statins are not allowed. 

 

 

 

Enter the first three characters of the allergen in the Allergen Name field.  Select the desired allergen from the dropdown list.

Enter the first three characters of the allergic reaction in the Reaction List field.  Select the appropriate reaction from the dropdown list and click the blue “plus ” button to add the reaction to the box below.  To delete an entry, click the X button. 

Select a Severity value from the dropdown list.

Select a Source from the dropdown list.

Click the Inactive checkbox if appropriate.

Enter an Internal Memo if desired.

Click the Add button.  The information will appear in the Drug Allergies and Sensitivities List.

Items listed in red are not reportable via C-CDA. 

 

Select a reason for deleting a specific allergen from the Reason for Removal dropdown list if necessary.  Click the Delete All Entries for Allergen to clear the entire list or click one entry to highlight it and click the X button to delete it.

Click the Reviewed with Patient/Exit button to populate the Allergy ‘Reviewed with Patient’ Log with the user code and date of review.