EHR360

Allergy List

Allergy List is the patient’s allergy and adverse-reaction record used for safety before prescribing. It usually appears only when the clinic has DoseSpot enabled and you have Allergy List permission. Active allergies also show as chips on the chart summary bar. A Flag (for example Contrast Allergy) is not a substitute for documenting the allergy here.

What Allergy List Is For

Record drug and other allergies with reaction, reaction type (Allergy vs Adverse Reaction), severity, status, and notes—or document No Known Allergies when accurate. This list drives safety checks and e-prescribing. It is not the Medications list and not Social History.

Where and When to Use It

Open chart → Allergy List (or click an allergy chip on the summary bar) at intake and before any prescribing. Update whenever new reactions are reported. Keep this current before using Medications / e-prescribe.

How It Works with DoseSpot

When DoseSpot is on for the clinic, staff often manage allergies inside the DoseSpot screen embedded on this tab. Use Sync with DoseSpot when that button is available and the patient has a DoseSpot ID. Without DoseSpot enabled for the clinic, the Allergy List tab is typically hidden even if you expect it.

List and Form Fields (When Using the Chart Form)

The list may show Allergy, Type (reaction type), Status, Reaction, Severity, and Notes. Search and filter by All Status / Active / Inactive. Add form: No Known Allergies (on add, only if no other allergies); Allergy name (search suggestions); Reaction (for example Hives, Rash, Anaphylaxis); Reaction Type Allergy or Adverse Reaction; Severity (Fatal through Mild, or unknown); Status Active/Inactive; Notes. Allergy name is often read-only when editing. You cannot add another allergy while No Known Allergies is on—remove NKA first.

How to Add an Allergy or NKA

Click Add → either check No Known Allergies and save, or search the allergen → choose Reaction and Severity → set Status (usually Active) → add Notes → Submit. Prefer searching the allergen list so names stay consistent for safety checking.

How to Change Allergies

Open edit from the list or from a summary-bar allergy chip when offered → update reaction, severity, status, or notes → save. Other Clinic rows may be view-only. Removing NKA is required before adding specific allergies. Needs View / Add / Edit / Delete Patient Allergy plus the Allergy List tab.

Common Issues

Tab missing: DoseSpot off for the clinic, or missing Allergy List permission, or patient not saved. Only set a Flag for contrast allergy: also document under Allergy List for prescribing safety. Cannot add allergy while NKA exists: remove No Known Allergies first. Confused with ROS Allergic/Immunologic checks: ROS is a visit symptom review; Allergy List is the standing safety record. Confused with Medications: meds are prescribed drugs, not allergies.