Important Content Update Message
We are currently updating the OP Help Center content for the release of OP 20. OP 20 (official version 20.0.x) is the certified, 2015 Edition, version of the Office Practicum software. This is displayed in your software (Help tab > About) and in the Help Center tab labeled Version 20.0. We appreciate your patience as we continue to update all of our content.

Allergies and Reactions

Version 14.19

Overview

This section will introduce the users to the section of a note used to document or review allergies and reactions. The user will be guided through the fields to easily review and document additional information.

Review Allergies

  1. From an open well visit note, click Allergies.
  2. To mark the allergy list as reviewed, click the Mark Reviewed button. The allergy information is displayed in the PMFS History / Meds reviewed text box and will appear on the patient note.
If the patient does not have medication allergies, click the No Med Allergies button. The Confirm dialog box displays, click OK. This will set the indicator that the patient does not have active medication allergies.

Add a Non Medication Allergy

  1. Click the New button, the Allergy/Reaction window displays.
  2. Click the drop-down arrow in the Subsection and select NON-MEDICATION ALLERGY.
  3. Select the Status of the allergy, default selection is Active.
  4. Onset date will default to the date the allergy is entered. Click into the field and type a date or click the drop-down and select a date from the calendar.
  5. Click into the Problem field. Begin typing the name of the problem then press the Enter key or click the drop-down arrow.
If the problem is not found:
  1. Click the Full Search button.
  2. To expand the search click the Complete radio button.
  3. If the problem is not in the complete list, click the Master radio button.

  1. Once the problem is found, highlight and click the Select button.
  1. Click on the code and click Select.
  2. Click into the ICD code field. Begin typing the name or code then press the Enter key or click the drop-down arrow.
  3. Click on the code and click Select.
  4. (Optional) In the Refer/coord: field, type the name of the specialist or facility that is handling the care for the entered problem. You may also:
  • Click the Address Book button  and search and select from the address book entries
  • Or, click the Coordination of Care button  and select from the list that has been associated to the patients record.
  1. (Optional) Click the drop-down arrows to select Stage/Severity, Quality of life and Symptoms.
  2. (Optional) Add additional comments or pertinent information in the Notes field.
  3. (Optional) Click the drop-down for Visibility: if the privacy level is higher than Any staff member.

Add a Medication Allergy

  1. Click the New button, the Allergy/Reaction window displays.
  2. Click the drop-down arrow in the Subsection and select MEDICATION ALLERGY.
  3. Select the Status of the medication allergy, default selection is Active.
  4. Onset date will default to the date the medication allergy is entered. Click into the field and type a date or click the drop-down and select a date from the calendar.
  5. Click into the Medication field and type part or all of the medication and click the ellipses button to search the medication list.
  6. Highlight the medication from the Matching Favorites tab or the Master List tab.
The medication chosen will populate the Allergy/Reaction window as the medication group. You may select any drug form/strength from the Matching Favorites or Master List tabs.
  1. Click OK.
  2. Click the ellipses button to the right of the Allergy group field.
  3. The E-Prescriber Allergy Data window displays. 
  4. Enter a description in the Allergy Code/Description field and click the Search button. Click the Complete List radio button if the search does not return information.
  5. Highlight the allergy group and click the Select button.

  1. Click into the Problem field. Begin typing the name of the problem then press the Enter key or click the drop-down arrow.
If the problem is not found:
  1. Click the Full Search button.
  2. To expand the search click the Complete radio button.
  3. If the problem is not in the complete list, click the Master radio button.

  1. Once the problem is found, highlight and click the Select button.
  1. Click on the code and click Select.
  2. (Optional) In the Refer/coord: field, type the name of the specialist or facility that is handling the care for the entered problem. You may also:
  • Click the Address Book button  and search and select from the address book entries
  • Or, click the Coordination of Care button  and select from the list that has been associated to the patients record.
  1. (Optional) Click the drop-down arrows to select Stage/Severity, Quality of life and Symptoms.
  2. (Optional) Add additional comments or pertinent information in the Notes field.
  3. (Optional) Click the drop-down for Visibility: if the privacy level is higher than Any staff member.

Version 14.10

Overview

This section will introduce the users to the section of a note used to document or review allergies and reactions. The user will be guided through the fields to easily review and document additional information.

  1. Click the Allergy/Rxn tab.

  1. To mark the allergy list as reviewed, click the Review button.

     or
     Select the No Med Allergies button. The Confirm dialog box displays.

  1. Click OK to set the "No active medication allergies or reactions" indicator. 

  1. To add non-medication or medication allergies, click the Add icon  button.  

  1. Click the dropdown arrow in the subsection and select the allergy type. 
  • MEDICATION ALLERGY
  • NON-MEDICATION ALLERGY
  • VACCINE REACTIONS
  • RX ADVERSE REACTIONS
  1. Select the status and onset date in the Problem list section.
  2. If the allergy is related to a medication, enter part or all of the medication in the Medication field and click the ellipse button. The Medication Finder window displays.  

  1. Highlight the medication from the Matching Favorites tab or the Master List tab.
  2. Click OK.
  3. Click the ellipse button to the right of the Allergy group field.
  4. The ePrescriber Allergy Data window displays. 

  1. Enter a description in the Allergy Code/Description field.
      or
      Use the alphabet tabs located at the bottom of the window.
  2. Click to highlight the allergy group.
  3. Click the Select button.

Diagnosis code is already mapped to the Allergy Groups. You may add a SNOMED code through the Problem. To add a SNOMED code through Problem:

  1. Type the allergy.
  2. Press the Enter key. The Diagnosis/Problem window display will open. 
  3. Select the proper code.  

4. Click Save to save the new allergy.