EHRp13Allergies/ADR

MU Perspective

Related MU Requirements

• Clinical Decision Support – drug-allergy order checks

• PHR, Clinical Summary, Transition of Care – Allergy lists

• Clinical Quality Measures – often needed for exclusions or exceptions

MU2 Data captured by Allergies/ADRFeature User input required for

performance measure?Meets MU requirement

Causative agent: RxNorm/UNII for ingredients

No MU2 Rule, CCDA

Signs/symptoms: SNOMED CT® for signs/symptoms

No CCDA

Causative agent/Signs/symptoms:SNOMED CT® for drug/reaction combinations

No CQM data capture

ADVERSE REACTION TRACKING

Adverse Reaction Component

• Captures information relating to adverse reactions, or documents that the patient has no known reactions

• Feeds into “Order Checks”, a type of Clinical Decision Support

• May be documented by several different user roles

Adverse Reaction FieldsSection Notes

Reaction Reactant, event code will be encoded on the back end. All fields in this section required.

Observed Implies direct observation as it happened by local staff members. Not required.

Signs/Symptoms Will be encoded on the back end. Searchable by synonyms. At least one required. NOTE: source in this section is NOT required.

Comments Not required. Used to clarify or add information.

No Known Reactions

Document Adverse Reaction

Choose Reactant

Choose Reactant

Reactant not found

Complete Reaction Documentation

Completed Reaction

Other Actions

• Users may also perform other actions such as:– Editing a reaction– Inactivating a reaction– Marking a reaction as “entered in error”– Documenting the inability to confirm the patient’s

reactions– Review details of a reaction– Toggle view between active reactions and all

reactions

Other Preparation for MU• Review Policies & Procedures• Review Package settings– Divisions– Auto-verify settings– “top 10” sign/symptom list

• Review reactions on problem lists– Reports available for this– Ensure these are also in the Adverse Reaction

package• Review Adverse Reaction “clean up” lists

RESOURCES/QUESTIONS

Resources

• In depth training materials for the Adverse Reaction Tracking package are available here:– ftp://ftp.ihs.gov/pubs/EHR/Training/Manuals/EHR

%20Adverse%20Reaction%20Tracking/• Package manuals are available here:– http://

www.ihs.gov/RPMS/index.cfm?module=Applications&option=View&AC_ID=0

Feedback

• Feedback may be offered here:– http://

www.ihs.gov/RPMS/index.cfm?module=Feedback– For general package feedback, choose the

Application “Adverse Reaction Tracking (GMRA)” from the drop down.

– For additions or changes to reactants or signs/symptoms, choose “Pharmacy – New Reactant/Symptom Request (PRSR)”

Questions?