How do I add allergies?

A user with a Nurse edit level or higher may enter or edit allergies in a patient's chart. Allergy information is entered independently of patient visit chart notes and may be entered/edited at any time. Allergies are divided into three categories:
  • Drug
  • Environmental
  • Food
You can record a new allergy or edit an existing allergy from two locations in a patient's chart:
  • On the Summary tab
  • Within an encounter
Adding and Editing Allergies
1. At the top of the Summary tab or unsigned encounter, locate the Allergies header or select the Go to.. drop-down menu and choose Allergies.



2. Select the edit tool to the right of the Allergies header to add a new allergy. If you are charting in an encounter, select Record next to the Allergy header.


3. A pane will open to on the right hand side, allowing you to search for the allergen. Enter the severity, reaction, time of onset, comment (optional), and mark the allergy active/inactive. If you are unable to locate a particular food or environmental allergy, you may enter a custom allergy.



4. Click Save or Add another to continue entering allergies.

5. To edit an existing allergy, click the blue linked allergy listed under the Allergies section. You can edit the details of the allergy or mark it inactive.


Free-Text Allergies (PMH)
If you have documented allergies in the free-text PMH section of the Summary, this text will now appear towards the top of your structured Allergies section. This information will no longer be listed within the patient’s past medical history and can no longer be edited in free-text formatting. All allergies should recorded as structured data within the Allergy section going forward.

We recommend recording your previously entered free-text allergies in the structured Allergies section in order to receive interaction alerts while prescribing.

1. Click Record to quickly enter the free-text allergy in a structured format.

  

2. A pane will open to on the right hand side, where you may quickly document the allergy in a structured format.

  

3. Once you have completed the allergy details, you may choose to delete the free-text note. Note: When a free-text note has been deleted, this action will be reflected in the patient’s ‘Recent activity.’

  

FAQs

Why am I unable to add free-text allergies in the PMH section?
To ensure you receive important alerts as you’re updating your patient’s allergy section, we’ve improved how and where you enter allergies. Free text entered allergies have been relocated from the patient’s past medical history and added to your patient’s structured allergy field on their Summary tab. Entering allergies in the structured Allergies field will allow you to receive drug allergy alerts while prescribing.

Where can I review allergies that were previously entered in the PMH section?
This free-text data will now be listed under the Allergies header on the patient Summary and within an encounter.  

Charting

  1. How do I search for patients in the EHR?
  2. How do I customize my patient chart view?
  3. How do I complete a chart note?
  4. How do I use rich text editing when charting my encounters?
  5. How do I add diagnoses to a patient chart?
  6. How do I add a medication?
  7. How do I use flowsheets?
  8. How can I preview previous encounters and results while completing an encounter?
  9. How do I print a patient's chart or certain sections of the patient's chart?
  10. How do I print a chart note?
  11. How do I add past medical history (PMH), allergies, medications and diagnoses to an encounter?
  12. How to record and print patient demographics and profile
  13. What information is available in a patient's Timeline?
  14. How do I use the growth charts?
  15. How do I merge duplicate charts?
  16. How do I print the care plan?
  17. How do I open an existing patient chart?
  18. Can vitals be added in Metric Units or US Customary Units?
  19. How do I add advanced directives?
  20. How do I add allergies?
  21. How can I edit my signed chart note?
  22. How do I add Family Health History?
  23. What is the difference between a SOAP and Simple note?
  24. What are the Character Limits when Charting?
  25. What are the limits of simultaneous editing?
  26. What are Screenings/Interventions/Assessments?
  27. Where can I learn more about the different components of an encounter?
  28. How do I delete or deactivate a patient?
  29. How do I edit information on the Patient Summary?
  30. How can I view Diagnosis comments?
  31. How do I search for inactive patients?
  32. What are Clinical Decision Support (CDS) advisories?
  33. How do I change the date in an encounter?
  34. How do I populate the list of Frequently prescribed medications?
  35. How do I view more information for medications?
  36. Why am I receiving the error "Unable to sign" when trying to sign a chart note?
  37. How do I delete an unsigned encounter?
  38. Who can sign a chart note?
  39. How do you change the 'Seen by' provider in the new encounter?
  40. How do I add a patient?
  41. What information is required to save a patient's chart?
  42. How do I create a patient record number?
  43. How do I edit an existing SOAP or Simple Note?
  44. How do I record "Unknown Family History?"
  45. How do I pull history from one patient visit to the next?
  46. How do I refresh a patient's chart?
  47. How do I start a new note/encounter in Practice Fusion?
  48. How do I create and export a Continuity of Care (CCD) clinical document?
  49. What is the file size of a patient image?
  50. Can I move a Patient Record Number from one chart to another?
  51. How do I view or update a patient's appointment within their chart?
  52. How do I add a custom medication?
  53. How many charts can be open and how do I close them simultaneously?
  54. How do I assign a Care Team?
  55. How do I add vitals to flowsheets?
  56. How do I customize my template line settings?
  57. How do I set my patient list and Timeline default?
  58. How do I attach a document to an encounter?
  59. How do I create and update "My Dx List"?
  60. How do I add custom allergies?
  61. How do I participate in the Prolia® Safety Program?
  62. How do I document patient risk score?
  63. How do I document an implantable device?
  64. How do I document social history?
  65. How do I add Goals and Health Concerns to the patient Summary?
  66. Why am I seeing CCDA display errors?
  67. How do I manage display settings for inbound CCDAs?
  68. How do I add new Encounter Types?

Feedback and Knowledge Base