Allergies Section

athenaClinicals

athenaOne for Hospitals & Health Systems

This section allows the provider to record and update the list of patient allergies and adverse reactions.

 

In the patient chart, click the Allergies chart tab at the left side of the page.

 

 

 

  1. In the patient chart, click the Allergies chart tab at the left side of the page.
  2. Click an allergy in the list to view the details.
  3. To view historical allergies, click HISTORICAL at the top of the section.

    You can toggle between HISTORICAL and ACTIVE.

 

  1. In the patient chart, click the Allergies chart tab at the left side of the page.
  2. Click the plus icon . The search tool appears.
  3. Search for and select the medication or allergen to add.
    Input fields appear.

  4. Record details about the patient's allergy:

    1. Criticality — Select the worst result the patient could have in a future exposure in your clinical judgment. You can select:
      • Low
      • High
      • Unable to assess
    2. Reaction — Select a reaction.
    3. Severity — Select the severity of the reaction. You can select:
      • Mild
      • Moderate
      • Severe
    4. Onset date — Enter the date of onset.
    5. Reaction — Click to add additional reactions, if needed.
    6. — Click to add any additional details as a free-text note.
  5. Click Add.

 

  1. In the patient chart, click the Allergies chart tab at the left side of the page. Active allergies are listed by default.
    To view historical allergies, click HISTORICAL at the top of the section.
  2. Click an allergy in the list to view the details.
  3. Edit fields as needed.
  4. Click the Allergies tab at the left to save and close the Allergies section.

 

  1. In the patient chart, click the Allergies chart tab at the left side of the page. Active allergies are listed by default.
    To view historical allergies, click HISTORICAL at the top of the section.
  2. Click the X icon to the right of the allergen.
  3. Check the Delete checkbox.
  4. Click .

 

  1. In the patient chart, click the Allergies chart tab at the left side of the page. Active allergies are listed by default.
    To view historical allergies, click HISTORICAL at the top of the section.
  2. If no allergies are listed, confirm that the patient does not have any allergies, or enter any new allergies.
  3. If the patient has no known allergies, select the NKDA (no known drug allergies) option.
  4. Click the Allergies tab at the left to save and close the Allergies section.

 

 

 

If the patient has no known drug allergies, select the NKDA option. (NKDA = no known drug allergies.)

 

If you add a drug allergy after the NKDA option was selected, athenaOne deselects the NKDA option automatically.

 

If you add a non-drug allergy after the NKDA option was selected, the NKDA option remains selected.

 

 

Drug-allergy warnings are divided into three message types: confirmed conflict, potential conflict, and insufficient data. These categories are based on researched medication ingredient information from First Databank (FDB).

 

Warning Type Warning Message Description

Confirmed conflict

Conflict with patient allergy: ALLERGEN

This message appears when FDB has researched all the products for a medication group and has found an inactive ingredient in all the products that conflicts with a patient allergen.

Potential conflict

Potential conflict with patient allergy: ALLERGEN

 This message appears when FDB has researched some or all of the products for a medication group, and some of the researched products contain an inactive ingredient that conflicts with a patient allergen. Based on the data from FDB, we are unable to determine whether the medication prescribed contains an inactive ingredient that conflicts with a patient allergen.

Insufficient data

Insufficient data to confirm allergy conflict with ALLERGEN in this medication

 This message appears when FDB has researched some or none of the products for a medication group and, so far, none of the researched products contain an inactive ingredient that conflicts with a patient allergen. For the remaining products that have not been researched, we are unable to determine whether an inactive ingredient exists that conflicts with a patient allergen.

 

 

Cross-class allergy alerts between sulfonamide antibiotics and non-antibiotic sulfonamide drugs do not appear when you order related prescriptions in athenaOne, in accordance with recent FDB guidelines.

 

The broad classification of "sulfonamide" allergy does not exist in the FDB content because the FDB generates alerts that are not supported by evidence in medical literature. Primary literature evidence does not support cross-sensitivity alerts between zonisamide and sulfonamide antibacterials, or other sulfonamide non-antibacterials (for example, furosemide).

 

When a patient is allergic to non-antibiotic sulfonamide drugs, athenaOne provides the corresponding ingredient concepts and groups to profile, such as thiazides, carbonic anhydrase inhibitors, triptans, etc.

 

An alert appears for these groups if they interact with other ingredients in their allergy group. For example, if a provider diagnosis and records an allergy to sulfonylurea, an alert occurs only with other sulfonylureas, such as glipizide.

 

 

 

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