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Clinical care

Record an allergy

This flow describes how to record an allergy or intolerance for a patient during an encounter in MANSOQ. Pre-requisites - The patient has an open encounter at the facility, and you record the allergy from that encounter. - The encounter is not…

3.1 · versioned documentation · 3 min read

Overview

This flow describes how to record an allergy or intolerance for a patient during an encounter in MANSOQ.

Pre-requisites

Permissions

Permission Access
Can submit questionnaire about patient encounters Lets you submit the allergy screen of the encounter.
Can Update a Patient's data Lets you record a new allergy for the patient.
Can view clinical data about patients Lets you see the allergies of the patient.

Steps

1. Open the allergy screen

Open the encounter. Go to the Overview tab. Select the Allergy quick action.

You can also press the keyboard shortcut a on any encounter screen.

You can also find the Allergies section and select the edit (pencil) icon.

The allergy screen shows the allergies that the patient already has.

2. Search for the substance

Select Add Allergy. For each further allergy, the control reads Add another Allergy.

Type the name of the substance that the patient reacts to.

The results come from a standard SNOMED CT allergy terminology.

Note: Your administrator sets the clinical terminology for your deployment. Your administrator can also change it.

3. Select the term

Select a term. A new row appears with these default values:

Component Default
Category Medication
Criticality Low
Status Confirmed
Clinical Status Active

4. Change the values

Change the values of the row if you need to.

Component Options
Category Food, Medication, Environment, Biologic
Criticality Low, High, Unable to Assess
Status Unconfirmed, Presumed, Confirmed, Refuted
Occurrence Any date up to today

To change the clinical state, open the more-options (⋮) menu of the row. Select Mark Inactive or Mark Resolved.

Note: MANSOQ does not offer Entered in Error for a new allergy.

5. Add a note

To add a note, open the more-options (⋮) menu of the row. Select Add notes. Type the note.

Select Show notes to open the note text. Select Hide notes to close the note text.

6. Add more allergies

Repeat from step 2 for each further allergy.

7. Submit

Select Submit.

Expected Outcome

When the patient has no allergy, the encounter shows no Allergies section.

Related

Concepts:

Flows:

Source evidence

References are pinned to the private MANSOQ source repository. Repository access is required to open these links.