Add a Medication Allergy to a Patient Chart

Open NextGen® Enterprise EHR.

Open the Medication Allergies module for the selected patient.

If the patient has any existing allergies, select Clear.

The values in all the fields are cleared.

Note: Clearing the fields prevents you from editing an existing allergy.

To search and filter an allergy, do the following:

Select the search icon next to Allergy.
The NextGen - Allergy Selection window opens.
Select one of the following filters from the Filter list:
- Contains
  
  Searches for allergies that contain with the search criteria.
- Ends With
  
  Searches for allergies that end with the search criteria.
  
  Ingredient
  
  Searches from the list of drug ingredients, such as Iodine or Bentonite.
- Medication Name
  
  searches from the list of medication allergies, such as cefazolin with codeine.
- Allergen Group
  
  Searches from the list of allergens, such as lithium derivatives or ester type anesthetics.
In Description, enter the search criteria, such as the name or partial name of the medication allergy.
The list of allergens starts appearing as you type the criteria.
Select an allergen or perform another search.
The NextGen® Enterprise EHR database is filled with a list of allergies provided by First Data Bank, a third-party provider. You can also create a user-defined allergy. Contact your system administrator for more information on adding specific user-defined allergies.

Warning: You cannot perform a drug allergy interaction check on user-defined allergies. If you are adding a user-defined allergy to a patient chart, a warning message appears.
Select OK.
The relevant fields in the Medication Allergy module display the selected allergy information.
The Allergy and Allergy Type fields display information based on what you specified in the Nextgen - Allergy Selection window. The Location and Provider fields display names based on what you selected when you logged on to NextGen® Enterprise EHR.

Select the Intolerance check box if the patient is intolerant to the medication.

To specify that the allergy you are adding is recorded elsewhere, select the Recorded Elsewhere check box, and enter a source in the Source field.

Note: The Source field is available if you select the Recorded Elsewhere check box.

To enter the date the allergy or its symptoms began, select Onset/Sym Search to open the calendar, and select a date.

Note: You cannot select a future date.

To enter the date the allergy was resolved, select Resolved Search to open the calendar, and select a date.

Note: The Resolved Date cannot be earlier than the Onset Date. If the Onset Date or Resolved date is unknown, you can use 00/00/0000.

In the Verification Status field, select one of the following values:

Confirmed
Unconfirmed
Refuted

For a new medication allergy, the Verification Status is Unconfirmed by default.

If necessary, specify the patient's allergy reaction and severity.

Enter additional comments in the Allergy Comments field.

Select Add.

The medication allergy gets added in the Medication Allergies module and the module grid displays the new medication allergy.

Note: For a new medication allergy, the Clinical Status is Active by default.

Adding a new allergy to the patient chart automatically triggers the drug-allergy interactions check. If an interaction exists, a warning message appears. Allergy interaction is displayed based on the display levels set for the system and a specific user. A warning is also triggered for all added allergies specifying that the system does not perform a drug check if the active drug in the Medication Allergies module is a user-defined.

To add a new allergy, select Clear and follow the entire procedure for adding a new allergy.

Add a Medication Allergy to a Patient Chart

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