Review and Update Allergy Information

Use the following steps to review and update allergy information for a patient.

 

 

  1. Open a patient's chart note.
     

  2. In the chart note, click the ALRG button, and then select Add/Modify Allergies.




    NOTE: If you select the No Known Allergies or No Known Drug Allergies option, the system will generate a warning indicating all of the allergies will be overridden and removed if you choose to proceed.

    If you click the OK button the system will remove all allergy information and the chart note, Face Sheet, History tab, and Audit Trail will contain applicable entries for the allergies removed and the new option selected.

    If you click the Cancel button, you will return to the patient's chart.



     

  3. In the Active Allergies dialog, click the Add or Edit button button in the  Reaction SNOMED field to configure applicable SNOMED codes for any reactions that the patient has to the allergen.



     

  4. In the Select SNOMEDs dialog, check or uncheck the applicable reactions as needed. If you do not see the applicable reaction or SNOMED code, you can click the Search button and search for specific SNOMED codes as needed.

    When finished configuring the applicable SNOMED codes, click the OK button.



     

  5. If SNOMED codes were selected in the Reaction SNOMED field for the allergy, the descriptions for the selected SNOMED codes will automatically be added, or appended if there is existing information, to the corresponding Reaction field. You can enter or modify the information in this field, as needed.

     

  6. Select or modify the Severity of the allergic reaction (Fatal, Life threatening severity, Mild, Mild to moderate, Moderate, Moderate to severe, and Severe), if needed.
     

  7. Check the Note Allergy option if you want the allergy to print in the chart note.
     

  8. Check the Note Reaction option if you want the reaction to print in the chart note.
     

  9. If the allergy information has been reviewed, click the Review button, or, if you are reviewing all of the applicable allergens, click the Review All button. The date of the note will appear in the Reviewed column for reviewed allergens. Likewise, when allergies are reviewed the review date appears in the Face Sheet beside the allergy and the History tab is updated with this information.
     

  10. Check the Display results in list format box if you want the allergy information to appear as a list instead of in paragraph format.
     

  11. Add an Allergy for the patient, if needed.
     

  12. Remove an Allergy for the patient, if needed.



     

  13. When finished updating the allergy information, click the OK button. The modifications and additions will only be updated in the patient's chart after the OK button has been clicked. If you close out of the dialog, or click the Cancel button, the information will revert to the previously configured information in the Active Allergies dialog.