In this Quick Reference Guide we will discuss the steps involved in adding, updating, removing, and resolving allergy information in a patient's chart.
Accessing Medication Allergies Module
To Access the Medication Allergies Module, click on the flower icon beneath the Patient History panel.
Adding New Allergy Information
The following steps must be followed in order to add new allergy information to a patient's chart:
- Click the search glass next to the Allergy field to search for desired allergy or intolerance.
- Ensure correct Location and Provider information is correct.
- Select the Recorded Elsewhere check box if adding information from a Summary of Care document.
- If known, click the search glass next to the Onset/Sym field to add date.
- Click the Intolerance check box if patient has an intolerance to something that is not really considered to be an allergy.
Allergy Reaction and Severity
To document the Reaction and Severity, click the Add button.
Perform the following steps to add the Reaction and Severity information:
- Select the Reaction from the list (reaction can also be free texted)
- Select the appropriate radio button to indicate the Severity of the reaction.
- Click Add
- Click OK
Repeat steps if adding more than one reaction/severity.
After adding Reactions/Severity information:
- If necessary free text any Allergy Comments
- Click Add to save new allergy to grid
Updating Allergy Information
Perform the following steps to update already added allergy information:
- Select the allergy to be updated from the Allergies grid.
- After making changes, click the Update button to save changes.
Removing Allergies
Allergy information can only be deleted if the encounter is not locked at the time the information is to be deleted. To delete the allergy:
- Select the allergy to be deleted from the Allergies grid.
- Click the Delete button.
Resolving Allergies
When appropriate, allergy information can be resolved in the Medication Allergies Module. Allergy information can also be resolved across practices. To resolve allergy information:
- Select allergy to be resolved from the Allergies grid
- Click the search glass next to the Resolved field to select the date of resolution.
- If necessary free text your reasons for resolving in the Allergy Comments field.
- Click the Update button to save the change.
Note: Resolved allergies are only visible in the Medication Allergies Module.
