Re: [Oscarmcmaster-bc-users] allergy shot documentation
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Re: [Oscarmcmaster-bc-users] allergy shot documentation
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From: Dr. Q. S. <dr...@sh...> - 2008-01-18 06:40:48
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There are significant numbers of allergy shots. Initially it can be every 3 days-seven days. Ultimately it ends up being once per month. So it needs to be really unlimited. The problem with putting them in prevention module is that when it comes time to print one does not get enough information. Also, I would like to see it entered into the encounter section too: Again, one entry, two places. David has the right idea, because the flow is really essential. Q. _____ From: osc...@li... [mailto:osc...@li...] On Behalf Of Dr. David H Chan Sent: Thursday, January 17, 2008 6:56 PM To: The OSCAR BC UserGroup list Subject: Re: [Oscarmcmaster-bc-users] allergy shot documentation I think you can easily design a Measurement Group to do that: Add Group: Allergy Injection Add Measurement Type: I added 3 - Allergy Dose, Location of injection, Last Reaction Now it would be nice to add a quick report to show the flow of a Measurement Group for easy viewing and reporting of the measurement variables, e.g. Allergy Injection (Group Name) Date Dose Location Reaction 2008/01/01 0.05 R Arm No 2008/01/08 0.10 L Arm Yes (2cm reaction) 2008/01/08 0.05 R Arm No This reporting tool can be applied to all Measurement Groups. David On Jan 17, 2008 7:54 PM, Jason Gallagher <ja...@os... <mailto:ja...@os...> > wrote: How many Allergy shots are there ? Could we add them to the Prevention Module? Jay On Jan 17, 2008 1:58 PM, Dr. Quentin Smith < dr...@sh...> wrote: Wondering what everybody is doing about recording allergy shots. This is a thread on our internal message board. It occurred to me since then however, that given the move of INR to measurement section, which gives one the ability to printout the entire thread of history of INR's, along with the changes in dosage of warfarin under the comments section, the best place for these allergy shots would be under measurements. The neat thing about it is that just as blood pressures are sent to the encounter section, the clinical decision-making process with regard to INR is also recorded in the encounter section. The same would apply of course now for allergy shots. Thus you have it recorded twice, with one entry point: Correlated nicely under measurements, and incorporated chronologically in the encounter section. Jel and Jay, would you like us to test/pilot this? Q Quentin we will need a way to deal with allergy flow sheets in the EMR. There are many different flow sheets. > >Not sure I follow. >There are essentially different ways to do it. >1. Enter the injections into the toilet roll. ALWAYS prefix it by A I for "allergy injection" or whatever prefix we decide. That way we can search using control F function for all the times that an injection has been given. >2. Ask Shelter to design a new E form: problem with this is that you have to delete an entire e form each time an addition is made to the previous one. > >In order to be guided with regard to dosages and dosage instructions, the original instructions from the immunologist can be scanned in under documents. > >thoughts? > I think we need to use option 1; in this case we will need to have the staff scan in the allergy instructions when they come in or start this ourselves; then we will need to record the dose, arm and any other info in the encounter toilet roll including which vial etc. This will be slower than simply putting the info on the sheet; in the absence of a clear plan today I started a new pt's serum record on the sheet that came with the serum; we can convert future allergy shots to this format. The only problem comes when sending the info onward, ie back to the allergist or if they take their serum elsewhere such as on holiday. We will not simply be able to copy the current form. ------------------------------------------------------------------------- This SF.net email is sponsored by: Microsoft Defy all challenges. Microsoft(R) Visual Studio 2008. http://clk.atdmt.com/MRT/go/vse0120000070mrt/direct/01/ _______________________________________________ Oscarmcmaster-bc-users mailing list Osc...@li... https://lists.sourceforge.net/lists/listinfo/oscarmcmaster-bc-users ------------------------------------------------------------------------- This SF.net email is sponsored by: Microsoft Defy all challenges. Microsoft(R) Visual Studio 2008. http://clk.atdmt.com/MRT/go/vse0120000070mrt/direct/01/ _______________________________________________ Oscarmcmaster-bc-users mailing list Osc...@li... https://lists.sourceforge.net/lists/listinfo/oscarmcmaster-bc-users -- David H Chan, MD, CCFP, MSc, FCFP Associate Professor Department of Family Medicine McMaster University http://oscarmcmaster.org |