Allergies

Discussion in 'Feature: Requests and Planning' started by Graham, Apr 15, 2009.

  1. Graham

    Graham Developer Staff Member

    Ok, the new progress notes editor demands some attention to allergies.

    Currently we have 3 types of drugs, C for current, O for old, and T for temp.

    I am going to split O to D for discontinued, and A for allergy.

    This is going to take a lot of work ... and when you review an existing patient, I will have to ask you to categorize the O drugs.

    The other problem is when you add an allergy as a class ... eg. beta-blockers. There's no easy way to trap that unless you name all the beta-blockers. So, I am considering two options. Either bring up a list of all allergies at the time of starting a new drug, or, printing all drug allergies on each prescription so at least the pharmacist will notice!

  2. Jason

    Jason Developer / Handyman Staff Member

    Above: previous Musings on this topic.


    Probably 2 sections is enough. I would like to be able to display a short "Details" for the Allergy section. I will put stuff like
    I would like these Allergy "Details" to be quite easily outputted to referral letters, etc. Ideally visible in the Synapse GUI.
  3. Jason

    Jason Developer / Handyman Staff Member

    Can you make a mockup of what the Allergy section might look like ?

    I made an attempt at a few designs here

  4. Graham

    Graham Developer Staff Member

    Most of the allergies I see are really side effects. So, I'm not going to create sub classes of this ... just make them all "allergies".
  5. Graham

    Graham Developer Staff Member

    It's work for the detailed progress note .. not the add medication applet.
  6. Jason

    Jason Developer / Handyman Staff Member

    Could both be done? The Medication Popup is very valuable.
  7. Graham

    Graham Developer Staff Member

    It would be nice if I can minimize the amout of work I have to do for sure ...
  8. Jason

    Jason Developer / Handyman Staff Member

    Don't you use the Popup to prescribe Meds as well ?
  9. Graham

    Graham Developer Staff Member

  10. Jason

    Jason Developer / Handyman Staff Member

    Don't you want to see a nice delineation of

    Current Drugs

    Episodic Drugs


    Allergies


    Discontinued Drugs ?
  11. Jason

    Jason Developer / Handyman Staff Member

    Where would something like this go ?


    avoid drugs which Increase AV block
  12. Graham

    Graham Developer Staff Member

    In your list of current diagnoses.

  13. Graham

    Graham Developer Staff Member

    Anyone played yet with the allergies editor for build 33?

    Now, in the prescribing applet, I can now filter on the old meds to now show temp, discontinued, and allergies. Need a way still to move old drugs which are allergies to the allergy class.

    Since you can now show temp, you can also dispense from temp, and should be able to add to temp.

  14. Graham

    Graham Developer Staff Member

    Moving an existing discontinued drug to allergies

    http://screencast.com/t/QBUqiy2107Y
  15. Jason

    Jason Developer / Handyman Staff Member

    I see it, but only in the detailed SOAP note section.

    I think adding allergies via the popup is more intuitive. Most allergies I record are not associated with a visit.

    Most are New Patients recording historical allergies. Many others are patients in hospital and go back to the office to record it.

    Others are After Hours Rashes and I pull the Reaction from the Walk in Clinic visit.

    Are you planning on making Current Medications a prescribing Applet to correspond with the Add Allergies Applet?

    Attached Files:

  16. Graham

    Graham Developer Staff Member



    I don''t understand the question. But I will probably create a popup from this.
  17. Jason

    Jason Developer / Handyman Staff Member

    Hey eMDs has a Mickey Mouse too !

    Attached Files:

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