Recording allergies

Overview of the clinical note Allergies

From the clinical note Allergies, you can record the patient's allergies and intolerances.

Add

Select to add an allergy.

Read about entering allergies

None

Select to record that the patient has no known allergies.

Read about entering 'no known allergies'

Select an allergy to edit it.

You can remove an allergy.

Read about removing allergies

Entering allergies

Find and select the clinical note ALLERGIES.
Select Add.

You can't set allergies if 'no known allergies' has been set. Remove 'no known allergies' to add allergies.

Read more about removing 'no known allergies'
Select the search box and enter the name of the allergy.

For example, penicillin.
To search:
- On iOS, select search.
- On Android, select .
A list of allergies appears.

If you can't find an allergy, speak to your pharmacist.

Read more about entering allergies that don't appear in SNOMED CT
Select the patient's allergy.
Optional: select COMMENTS to add supporting comments.

Selecting Cancel removes the comment, not the allergy.
Optional: complete any additional fields.

Additional fields might include the type and severity of the allergy.
Save or remove the allergy.
- To save the allergy, select Add.
- To remove the allergy, select Cancel.
To add more allergies, select Add.

Entering allergies that don't appear in SNOMED CT

Find and select the clinical note ALLERGIES.
Select Add.
Select the search box and enter the name of the allergy.
To search:
- On iOS, select search.
- On Android, select .
If you can't find the allergy in the SNOMED CT database, enter ‘Drug allergy’, ‘Drug intolerance’, or ‘food allergy’ in the search box.

When you sign a prescription, allergies entered this way appear as a ‘Possible allergy’ alert.
Select the allergy.
Select COMMENTS to enter further details about the allergy or intolerance.
Optional: complete any additional fields.

Additional fields might include the type and severity of the allergy.
To save the allergy, select Add.

Entering ‘no known allergies’

Find and select the clinical note ALLERGIES.
Select None and confirm.

You can't select None if allergies have already been set. You must manually remove any existing allergies before setting 'no known allergy'.

Verifying allergies

Find the clinical note ALLERGIES.
From ALLERGIES, select Verify to confirm the allergy information is correct.

Removing allergies

Find and select the clinical note ALLERGIES.
To remove an allergy:
- On iOS, swipe left on the allergy, then select Delete.
- On Android, select and hold on the allergy.
Depending on your organisation, enter a reason for removing the allergy.

Overview of the clinical note Allergies

From the clinical note Allergies, you can record the patient's allergies and intolerances.

Search / Add	Select to add an allergy. Read about entering allergies
Set No known allergy	Select to record that the patient has no known allergies. Read about entering 'no known allergies'
Current	Shows the patient's allergies.
	Shows the selected allergy. You can edit the allergy. Qualifiers appear in boxes. You must complete all mandatory qualifiers. Mandatory qualifiers are red.
Append comment	Select to add a comment. Comments appear after the SNOMED term in the clinical note. If you can't find a patient's allergy, you can add a generic allergy and then add a comment to describe the allergen. For example, food allergy - coffee.
	Mouseover and select an option to move the allergy up and down.
Remove	Select to remove an allergy. Read about removing allergies
Restore	Select to restore a removed allergy. Read about restoring allergies
Changes	Shows changes to the patient's allergies.
Cancel	Select to not save your changes.
Save	Select to save your changes.

Entering allergies

Find and select the clinical note Allergies.
Select Search / Add, and enter the allergy in the search box.

You can enter up to 40 characters. You can search using the first three letters of your search term.

The allergy field is a SNOMED CT Systematised Nomenclature of Medicine (Clinical Terms). Provides the clinical language that facilitates electronic communication between healthcare professionals in clear and unambiguous terms, and can be used to code, retrieve and analyse clinical data. clinical note. The search returns all allergies in the SNOMED CT database that match.

Read more about the SNOMED CT clinical note

If you can't find an allergy, speak to your pharmacist.

Read more about entering allergies that don't appear in SNOMED CT
Select the patient's allergy.
Optional: select Append comment to add supporting comments.
Optional: complete any additional fields.

Additional fields might include the type and severity of the allergy.
Select Save.

The allergy and supporting comments are shown in the EPMA banner.

Selecting allergies removes ‘no known allergy’.

Entering allergies that don't appear in SNOMED CT

If you can’t find an allergy, speak to your pharmacist.

Find and select the clinical note Allergies.
Select Search / Add, and enter the allergy in the search box.

You can enter up to 40 characters.

If you can't find the allergy in the SNOMED CT database, enter ‘Drug allergy’, ‘Drug intolerance’, or ‘food allergy’ in the search box.

When you sign a prescription, allergies entered this way appear as a ‘Possible allergy’ alert.
Select the allergy.
Select Append comment to enter further details about the allergy or intolerance.
Optional: complete any additional fields.

Additional fields might include the type and severity of the allergy.
Select Save.

Entering ‘no known allergies’

Find and select the clinical note Allergies.
If a patient has no allergies, select Set No known allergy.

Selecting ‘no known allergy’ removes any allergies previously entered.
Enter a reason for removing any allergies previously entered, then select Set No known allergy.

Verifying allergies

Sometimes you need to verify a patients allergies. For example, you need to verify an inpatient's allergies before prescribing. You don't need to verify an outpatient's allergies before you prescribe or administer.

Read about verifying allergies for inpatients

Read about verifying allergies for outpatients

To verify a patient's allergies:

Find the clinical note Allergies.
Next to the clinical note, select Verify.

Removing allergies

Find and select the clinical note Allergies.
To remove an allergy, select Remove.
Depending on your organisation, enter a reason for removing the allergy and select Remove.
To restore a removed allergy, select Restore.
To save your changes, select Save.

Recording allergies

Recording allergies on a mobile

Recording allergies on a desktop