Patient Allergy Trigger Overview

NextGen® Enterprise EHR Help

Patient Problem Trigger Overview

You can run a Patient Problem trigger to add, update, delete, or track a patient's clinical problem instead of using the Problems module. The trigger action updates the patient's clinical problem list in the Problems module. Clinical problems are codified and represented by SNOMED-CT clinical concepts and descriptive terms or synonyms. The Patient Problem trigger is set up in Template Editor. When you run the Patient Problem trigger to add a selected SNOMED-CT problem, a Drug Utilization Review (DUR) may be performed based on your enterprise and user preferences. You must acknowledge the interaction alerts in the DUR. Clinical Problem DUR Preferences Acknowledge Problem - Drug Interactions Parent topic: Using Templates

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

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

Allergy DUR Preferences

This section outlines the preferences that can be used to perform an allergy interaction DUR: 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: Allergy Interaction Level Display Default Allergy 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, and Layouts and Preferences Guide for NextGen® Enterprise EHR. In NextGen® Enterprise EHR: Setting up the applicable DUR Preferences for override reasons and allergy interaction display level: You can select Tools > Preferences > Medications > View/DUR > DUR Preferences/Allergy Interacti

NextGen® Enterprise EHR Help

Allergy DUR Preferences

This section outlines the preferences that can be used to perform an allergy interaction DUR: 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: Allergy Interaction Level Display Default Allergy 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, and Layouts and Preferences Guide for NextGen® Enterprise EHR. In NextGen® Enterprise EHR: Setting up the applicable DUR Preferences for override reasons and allergy interaction display level: You can select Tools > Preferences > Medications > View/DUR > DUR Preferences/Allergy Interacti

NextGen® Enterprise EHR Help

Drug to Allergy Interaction

A new medication prescribed to a patient can have a negative interaction with a patient's medication allergy. If such interaction occurs the Drug Interaction window opens. The Drug Interaction window lists the medication that caused the interaction, and information for each listed patient medication allergy. The Reference at the bottom of the window displays the citation for the DUR information. You must acknowledge all notices listed in the Drug Interaction window and specify the reason for overriding the warning. The medication interaction process displays drug interactions according to the display levels set for the system and a specific user. The medication interaction process does not perform checks on user-defined medications or user-define allergies. If the Enterprise option to check for interactions across practices is enabled, the medication interaction process checks for possible interactions across all practices. If you cancel out of the Drug Interaction window, your action

Patient Allergy Trigger Overview

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Patient Problem Trigger Overview

Patient Allergy Trigger Overview

Acknowledge Allergy - Drug Interactions

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Drug to Allergy Interaction

Patient Allergy Trigger Overview

Patient Problem Trigger Overview

Patient Allergy Trigger Overview

Acknowledge Allergy - Drug Interactions

Allergy DUR Preferences

Allergy DUR Preferences

Drug to Allergy Interaction