Clinical care

Record an allergy

Record a coded allergy or intolerance and review clinical status, verification and criticality before submission.

Current source · source reviewed · 3 min read

Before you begin

The patient has an open encounter at the facility, and you record the allergy from that encounter.
The encounter is not Completed, Cancelled, Discontinued, or Entered in Error. In these states, all add and edit controls are read-only.
You have the permissions listed below.

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.

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.

Expected Outcome

MANSOQ shows the confirmation "Questionnaire submitted successfully".
MANSOQ returns you to the Overview tab of the encounter.
The allergy appears in the Allergies section of the encounter Overview tab.
The allergy appears in the allergy history of the patient.

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

Version and facility configuration

This procedure is grounded in the repository’s version 3.1 user guide and the audited source revision. Available encounter types, required demographics, terminology, permissions and enabled services depend on your facility configuration. Use the labels and access controls on your own instance; the source references below identify the documented implementation.

Source evidence

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