Recording non-drug allergies and intolerances (new prescriber)

Note: This information applies to the new prescriber (see New prescriber).

If a patient experiences a reaction to a non-drug allergen such as dander or nuts, you record the reaction as a non-drug allergy or intolerance.

Steps

1. Open the Medications and Allergies window: On any window related to the patient (including a SOAP note or the medical summary), right-click and choose View Medication List. The Medications and Allergies window opens, with the Add Non Drug Allergy area displayed.
2. If you already have the patient’s Medications and Allergies window open (for example, if you have just prescribed a medication), at the top of the window, click Add Non Drug Allergy . The Add Non Drug Allergy area displays.

3. Using the following table, enter the reaction details.
Field Description

Agent

Enter the allergen. For example, hay or dander.

Intolerance

If the reaction is due to an intolerance, select this option.

Allergy

If the reaction is due to an allergy, select this option.

Note: Allergic reactions display in red in the patient’s list of Active Allergies.

Reaction Type

Select the type of reaction the patient experienced.

If none of the options are appropriate, select Other and then, in the Comments field, enter the reaction type.

Reaction date

Enter the date the reaction occurred.

Note: You do not have to use a specific date format. For example, you can enter “1st week of February”.

Status

Select one of the following options:

Unknown: To indicate that the existence of the allergy is unknown.

Suspected: To indicate that an allergy/intolerance is suspected but not confirmed.

Confirmed: To indicate that an allergy/intolerance is confirmed.

Reported Date

The Reported Date defaults to today.

If the patient reported the reaction prior to today, enter the reported date. Use the format DD-MM-YYYY or click the down arrow and select a date from the calendar.

Severity

Select the level of severity the reaction was.

Comments

Enter any additional notes about the reaction.

If in the Reaction Type list, you selected Other, enter the reaction type here.
4. Click Save.

 

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