Allergy DUR Preferences

NextGen® Enterprise EHR Help

Acknowledge Allergy - Drug Interactions

The DUR checks the selected allergy against the list of all active medications. If any interactions are found, they appear on the Interaction Check DUR window. Note: User-defined allergies and medications are not checked for interactions. The display of allergy interactions is based on the display levels set for the system and/or a specific user. If the Show DUR across enterprise option is enabled, NextGen® Enterprise EHR checks for possible interactions with the patient's medications across all practices. CAUTION: You must review and acknowledge each interaction alert. If you select the Cancel button, your action is audited, and you must enter the reason for cancellation. Take the necessary steps to avoid an adverse reaction for the patient. Repeat the following steps for each interaction alert. Select the interaction alert. A summary of the existing conflict and level of risk appears in the lower-left window. Review the prescribed medication and the summary. To acknowledge the warnin

NextGen® Enterprise EHR Help

Patient Allergy Trigger Overview

You can run the Patient Allergy trigger to add an allergy directly to the patient's allergy list instead of using the Medication Allergies module. The trigger action updates the module. The Patient Allergy trigger is set up in Template Editor. Note: If you execute this trigger to add an allergy that already exists, a message appears, asking if you want to add the allergy again. You can select Yes to add the allergy again, or select No to cancel the action. The trigger may be set up to add multiple reactions for an allergy, up to a maximum of five. You may also be able to manually enter a reaction in a data entry field. The system locates and stores any SNOMED codes associated with allergy reactions. If a Drug Utilization Review (DUR) is set up, you can check for interactions between each patient allergy that is added and all of the active medications prescribed to the patient. The DUR is based on your enterprise and user preferences. You must acknowledge the interaction alerts in the D

NextGen® Enterprise EHR Help

Clinical Problem DUR Preferences

This section outlines the preferences that are used to perform clinical problem interactions DUR: In System Administrator: Setting up the Medications Operations Right for Interaction Display Level. You can select User Group in Enterprise Practice > Rights > OPERATIONS > Medications. Setting up the applicable Medication Universal Preferences including: Related Condition Interaction Level Display Default Related Condition Interaction Level Displayed Minimum Direct Condition Interaction Level Display Default Direct Condition Interaction Level Displayed MinimumYou can select View > Universal Preferences > NextGen Preferences Tools > Medication. For more information on setting up preferences, go to NextGen Healthcare Success Community and download the latest System Administrator Guide for NextGen® Enterprise, File Maintenance Guides for NextGen® Enterprise, Layout and Preferences Guide for NextGen® Enterprise EHR. In NextGen® Enterprise EHR: Setting up the applicable DUR Preferences for dis

NextGen® Enterprise EHR Help

Set Allergy Interactions Display Level

You can set the allergy interactions display levels in the DUR Preferences as per your preference to see allergy interactions or inactive ingredient interactions in the Drug Interaction window. Open NextGen® Enterprise EHR. From the top toolbar, select Tools > Preferences. The Preferences window opens. Select the Medications tab. Select DUR. The DUR Preferences window opens. Select the Allergy Interactions Display Level tab. Select a display level. To display the inactive medication ingredient interactions along with the allergy interactions, select the Allergy Interaction checking for Inactive Medication Ingredients check box. To display the interactions based on the universal system setting, select the Use System Default check box. Note: The Use System Default option disables Allergy Interaction checking for Inactive Medication Ingredients and the display levels. Select OK. Parent topic: Drug to Allergy Interaction

NextGen® Enterprise EHR Help

DUR Preferences

The Drug Utilization Review (DUR) preferences enable you to create a predefined list of the override reasons required for acknowledging all DUR interactions. If you have the necessary user rights and permissions, you can set the following display levels: Interaction Display Level Condition Interaction Display Level Pediatric Precautions Display Level Geriatric Precautions Display Level Allergy Interactions Display Level Note: The interaction default value should be equal to or greater than the interaction minimum value for all interaction settings in Universal Preferences. For more information on the DUR, go to NextGen Healthcare Success Community, and download the Medications and Medication Allergies User Guide for NextGen® Enterprise EHR. Create a List of Drug Interaction Override Reasons Drug Interaction Display Level Condition Interaction Display Level Pediatric Precautions Display Level Geriatric Precautions Display Level Allergy Interactions Display Level Parent topic: Medication

System Administrator Help

Medication Universal Preferences

The Medication Universal Preferences control various elements in the Medications module and the Medication Allergies module in NextGen® Enterprise EHR. Preference Description Allergy Interaction Level Display Default Sets the default display levels for allergy interactions for all users in the system. Allergy Interaction Level Display Minimum Sets the minimum allowed display level that a user is able to set in the User Preferences in NextGen® Enterprise EHR. The following display levels are available: 3 - All significant and cross sensitivity allergy alerts 2 - All significant allergy interactions 1 - Most significant allergy interactions 0 - Disable allergy alerts Setting the minimum display level determines the level of allergic interactions displayed. For example, setting the preference to display Level 2 displays both Level 1 and Level 2 alerts whereas setting the value to Level 3 displays Level 1, 2, and 3 alerts. Allow Entry of User Defined Medication When set to True, the Add UD

Allergy DUR Preferences

Recommendations

Acknowledge Allergy - Drug Interactions

Patient Allergy Trigger Overview

Clinical Problem DUR Preferences

Set Allergy Interactions Display Level

DUR Preferences

Medication Universal Preferences

Acknowledge Allergy - Drug Interactions

Patient Allergy Trigger Overview

Clinical Problem DUR Preferences

Set Allergy Interactions Display Level

DUR Preferences

Medication Universal Preferences