Topics Allergies Search:  
Introduction: When a new Patient comes in to a Clinic, the Doctor or Nurse collects information on all their allergies and intolerances. This information helps to minimize chances of adverse reactions in a prescription. The Allergy screen has two parts: an Allergy section on the top followed by a Transition of Care section on the bottom.

Allergy Section

Existing and All dropdown: Select "Existing" from this dropdown to display the list of allergies that are currently existing for the Patient. Select "All" from this dropdown to display the entire list of allergies applicable for the Patient.

No Known Drug Allergies checkbox: Select this checkbox if the Patient has no known drug allergies. Once a Drug Allergy is selected, this Check Box is unchecked and not available for clicking.

Transition of Care Section

The Transition of Care section consists of allergies that have been entered via the Add Allergies button, and/or allergies imported through CCD files. If the CCD file has been imported in an encounter of the Patient then the details of these imported allergies are displayed on the from the next encounter onwards.

Add Allergies dropdown: This dropdown categorises the allergies as Environmental, Food, and All. To enter an allergy, click on the Add Allergies button to select an allergy from the Allergies search popup which has a consolidated list of all the above allergen categories. Check the allergy from the list to select it.

Add Allergies icon: Click to select the allergy from the Allergies search popup which has the consolidated list of all the above allergen categories. Check an allergy from the list to select it and click on OK. If a user tries to add duplicate allergies from the Allergies popup and clicks the save button, then a Duplicate Allergies popup is invoked which displays the details of the duplicate allergies and prompts the user to select one of the two duplicate allergies to be added to the patient’s Allergies list.

No Known Transition of Care Medication Allergies checkbox: Check this checkbox to mark the encounter as no reconciliation done for medication allergy in the encounter.

Field Description

Note: The following field descriptions are equally applicable to the Allergy and Transition of Care sections, with the exception of Reconcile dropdown which is present only in the Transition of Care section.

Del checkbox: This option when selected for a particular row would delete that particular row of details on click of save button.

Type: This displays the allergy type when an allergy is selected. Allergies are classified into six types:

Environmental User enters allergy description such as Pollen, Dust.
Food User enters allergy description, such as Chocolate.
Generic Drug Generic / Brand Name.
Dispensable Drug This is a Generic + Dosage details. A patient can be allergic to a higher dosage, but not to a lower dosage.
Allergens Drug Allergen Groups.
Cross Sensitivity To Ingredients.

Name: If the allergy is selected from the Add Allergies button then the Name field is populated with the selected allergy name. On hovering the mouse over the Allergy Name, the tooltip displays the Allergy name and the RxNorm Code associated with the Allergy.

Note: For an Allergy which belongs to Allergens drug class, the tooltip displays the Allergy name and the SNOMED Code associated with the Allergy instead of the RxNorm Code.

Reaction: Click on the Search Reaction button to open the Allergies Reaction search popup and select a reaction description. You can also edit the description if required. The Allergies Reaction search popup is enhanced with additional Allergy Reactions options which are defined and populated from the Group Type - Allergy Reaction and Snomed Code (AY) present under the Non-System category on Group Types Master screen.

Allergy/Adverse Event Type dropdown: Select an Allergy or Adverse Event Type from this dropdown. Following are the available values:
  • Allergy to substance
  • Drug allergy
  • Drug intolerance
  • Food allergy
  • Food intolerance
  • Propensity to adverse reactions
  • Propensity to adverse reactions to drug
  • Propensity to adverse reactions to food
  • Propensity to adverse reactions to substance
Severity dropdown: Select the severity of the allergy from this dropdown. Following are the available values:
  • Mild
  • Mild to moderate
  • Moderate
  • Moderate to severe
  • Severe allergy
  • Fatal
  • Intolerance
Created On: This displays the creation date for allergy details coming in from CCD-CCR.

Status: The possible status values are: Existing, Inactive and Erroneous.

Source: This displays various sources from where the drug has been added. It is a mandatory field. The following table lists out the sources and their description:

Source
Description
C-CCA The allergy imported through CCD file.
PL The allergy added through ‘+' button from ‘Transition of Care' section and selected with Value as PL (Patient List) AND marked for old Allergy added Data.
OldAllergy The allergy added through ‘+' button from ‘Transition of Care' section and selected with Value as OLDAllergy.
RD The allergy added through ‘+' button from ‘Transition of Care' section and selected with Value as RD (Referred by doc).

Last Modified: The field displays the latest modified date, time, and timezone of the Clinic location.

Reconcile dropdown: The dropdown list by default displays value Add for problems added via Ailments [+]/ICD [+] as well as for problems imported via CCD.

Note:
  • Transition of Care section consists of allergies that have been entered via the Add Allergies button, and/or allergies imported through CCD files. If the CCD file has been imported in an encounter of the Patient then the details of these imported allergies are displayed on the Transition of Care section from the next encounter onwards.
  • The Del checkbox is disabled for allergies imported through CCD.
  • To add allergy to the Patient's current allergy list from Transition of Care section, User has to select the Reconcile option as Add on the allergy. To remove allergy from Transition of Care section, User has to select the Reconciliation action as ‘Remove' – this entry is not added to the patient's allergy list.
  • Once an allergy has been reconciled, that entry is removed from Transition of Care section.
  • Duplicate Allergies are decided upon the Type and Code of Allergy.
  • The system checks for the Allergens/Cross Sensitivity/Generic Drug/Dispensable Drug conditions at the time of Prescription to ensure that Patient is not allergic to any of the prescribed drugs.
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Notes: Add notes with phrases to the Patient's allergy information. Click on the Insert Phrases search button to add phrase from the Allergy Notes Phrases search popup. Click on the Zoom Notes icon to open and view the notes in the Allergy Notes popup. The tag, ENC_FSS_ALLERGIES__NOTES displays the Allergy Notes information on the Progress Note.

Action Buttons:

save button: Click this button to save the details entered on Allergy screen.

close button: Click this button to close the Allergy screen.

history... button: Click this button to invoke the Allergy History popup which displays the trace or log history of allergies added and/or modified by User.

print button: Click this button to print the Allergy details entered on Allergy screen. Clinic details are printed as the header followed by the Patient details and then the Patient's Allergy details.