Allergies
Allergies and adverse reactions do not translate well in record transfers and so appear as degraded entries. Drug allergies are allocated the Read code 9bJ4. Transfer-degraded drug allergy, and non-drug allergies 9bJ5. Transfer-degraded non-drug allergy.
Important - Until a clinician has reviewed and edited the patient's allergies/adverse reactions (according to clinical judgement), you are unable to prescribe new, edit exisiting, reauthorise or reactivate therapy for the selected patient. If you try and prescribe, the following message displays, 'This patient has allergy records that have been degraded. You must correct these records before prescribing.'.
- From Consultation Manager
, start an Administration type Consultation so as not to record a face-to-face consultation. - Double click on Degraded GP2GP Records under the navigation pane.
- Double click on the Allergy line.Note - The Read code on the degraded allergy screen is 9bJ4 H/O: drug allergy, the 9bJ shows that this is a degraded record.
- If Notes
is ticked, select it to view the text from the original record. - Select Edit to update the allergy record.Note - The Clinician field is blank, and there is no tick in In Practice.
- From Read Term for Allergy select the correct clinical term. You may need to check the type and extent of the reaction with the patient.
- Enter the abbreviated drug name and search the drug dictionary for the correct drug.
- Select the Reaction Type, for example, Allergy, and if known, the Severity and Certainty.
- If you know the type of reaction, find a suitable clinical term in Read Term for Reaction, for example, keyword in "drug rash" and press Enter.
- Select OK.
- Repeat the above steps until there are no more degraded allergies, once there are no degraded allergies or adverse reactions, you can prescribe.
You can also view the allergies in the previous practice by going to the Import Summary tab in Mail Manager which shows all errors that occurred as a result of the GP2GP transfer.
