Allergies

You can record patient allergies and review the patient's allergy history from the facesheet. Allergy functionality is always available on the patient's information tab, but can also be included in evaluations. 

No Known Allergies

To ensure patient safety, the Kipu EMR will not assume the patient has no known allergies if you do not add allergies. You must actively select No Known Allergies/NKA or Add Allergy before the facesheet can be validated. The Allergies field will display as blank until a selection is made.

Entering Drug, Environmental, or Other Allergies 

1. Open the patient chart and click Edit Patient. 
2. Scroll to the Allergies and Food Restrictions section and click Add Allergy.
3. Complete the Allergy entry:
   • Allergy type: Select one from the drop-down: Drug, Environmental, or Other. This is a required field.
   • Allergen: Type in the name of the allergen. If you are entering a drug, begin typing in the name and then select it from the drop-down list. This is a required field.
   • Reaction: Type in the patient's reaction to the allergen.
   • Reaction type: Select Allergy or Adverse Reaction from the drop-down.
   • Severity: You can choose the severity of the reaction from one of the options on the drop-down.
   • Onset: Select a date from the calendar, if known.
   • Treatment: Type in treatment for the reaction to the allergen
   • Status type: Select Active or Inactive from the drop-down.
   • Source: Select one of the available options Self-Reported, Documentation provided, or Verified/Tested.
4. Use the Add Allergy link to add additional allergies as needed.

Entering Food Allergies

Limited Release: The Food Allergies standardization feature is currently in limited release to a select group of clients and will be rolling out to everyone in the coming weeks. Until that time, you can continue to manually type in food allergies. 

Food allergies are standardized within the EMR and are added to the patient facesheet and visible on the Information tab and within evaluations. Super Admins can add custom food allergens by following these instructions.

Note: Any food allergies added prior to this update will no longer be editable. To make updates, please delete the previous entry and create a new entry using the standardized Allergen drop-down.

1. Open the patient chart and click Edit Patient. 
2. Scroll to the Allergies and Food Restrictions section and click Add Allergy.
3. Select Food from the Allergy type drop-down.
4. Begin typing in the Allergen and choose a single option from the drop-down.
5. Complete the Allergy entry:

• Reaction: Type in the patient's reaction to the allergen.
• Reaction type: Select Allergy or Adverse Reaction from the drop-down.
• Onset: Select a date from the calendar, if known.
• Treatment: type in treatment for the reaction to the allergen
• Status type: Select Active or Inactive from the drop-down.
• Source: Select one of the available options Self-Reported, Documentation provided, or Verified/Tested.
• Use the Add Allergy link to add additional allergies as needed.

Disabled Food Allergens

If an allergen previously added to the patient chart is disabled by a Super Admin, the Allergy field for that particular item will be locked and no longer editable. This preserves the data and history in the patient record. If a change is needed, it should be deleted, and a new entry added. 

Viewing Allergies in the Information tab (Facesheet)

You will be able to view all the information entered for allergies or adverse reactions. You can also print a Food Memo if your organization serves food to patients. 

Click on the Hx button to review all allergies and adverse reactions added to the patient's chart.

Allergy Alerts

Kipu will display an alert for patient allergy or adverse reaction with a circled "A" with the following color-coding:

• Drug Allergy
• Food Allergy
• Environmental Allergy
• Other Allergy

These allergy or adverse reaction alerts will display on the Patients page, Dashboard, Occupancy List, and Bed Board.