Adding Clinical Information
Select the applicable tab to learn about adding clinical information in your province.
Allergies and Conditions can be added from the Patient Folder Clinical tab and transmitted to the EHR so other healthcare professionals can access this information. In Propel Rx, there are different Types of Clinical Information records, but not all can be transmitted to the EHR; unsupported Types are saved locally only.
In Propel Rx, the following Types of records can be transmitted to the EHR:
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Medical Allergy
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Allergy Groups
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Non-Medical Allergy
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Conditions
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Reactions
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Custom types entered in More (…) > List Maint > Conditions
In Propel Rx, the Type is chosen from the Medical Condition Search window when an Allergy or Condition is added from the Patient Folder Clinical tab.
On the EHR, the above records are categorized as either:
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Clinical Condition – these are Conditions or Allergies that had no drug associated to them.
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Adverse Drug Reaction (ADR) – these are Allergies that had a drug associated to them.
For more information, see the Submitting Allergies and Conditions to the EHR section of the BC PPM User Guide.
In Saskatchewan, Allergies and Intolerances can be added locally in Propel Rx or transmitted to the EHR as well. Select the dropdown below for a list of transmissible types. All other clinical information cannot be transmitted to the EHR but can be added locally.
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Allergy Group
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Drug Allergy
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Drug Non-Allergy Intolerance
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Non-Medical Allergy Group
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Food Allergy
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Environmental Allergy
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Food Non-Allergy Intolerance
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Environmental Non-Allergy Intolerance
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To add clinical information:
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Search for and select the patient.
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Select the Clinical tab.
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In the Clinical Information section, select Add. The Medical Condition Search window appears.
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In the Description field, enter the allergy, intolerance, or medical condition.
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Select Search. Matching results display in the bottom portion of the window.
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Highlight the appropriate allergy, intolerance, or medical condition.
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Select OK. The Medical Condition Search window closes and the Details window appears.
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Enter or select the following information:
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Type
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Severity
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Reaction
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Reported By
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EHR - deselect this checkbox if you only want to save the information locally. This checkbox is only enabled for Allergy Groups and Non-Medical Allergies. All other Medical Types cannot be transmitted to the EHR.
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Confirmed Status - indicate if an intolerance is suspected or confirmed.
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Optional: In the Drug section, link a drug to the record by searching for the DIN, generic name, or trade name. The drug is not required for transmission to the EHR.
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Optional: Under the Notes section, add any drug details and notes, if applicable.
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Optional: Select the Reactions button. The Reported Reaction Details window opens.
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Select Add to add additional reactions. If multiple reactions are added, the Reaction field in the Details window displays "SEE REACTIONS."
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Highlight a reaction and select Remove to delete it.
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Select OK. If the EHR checkbox was selected, a prompt appears for you to choose the type of record being transmitted. Make the appropriate choice and select OK.
The window closes.
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Repeat steps 3-12 until all of the patient's allergies or medical conditions have been added.
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Select Save. The record is added to the Clinical tab and transmitted to the EHR, if applicable. A checkmark indicates if a note has been added.
If any Detected Issues were found by the EHR, the Detected Issues Maintenance window appears.
Watch a quick overview of adding allergies and medical conditions below.
To add clinical information:
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Search for and select the patient.
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Select the Clinical tab.
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In the Clinical Information section, select Add. The Medical Condition Search window appears.
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In the Description field, enter the allergy, intolerance, or medical condition.
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Select Search. Matching results display in the bottom portion of the window.
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Highlight the appropriate allergy, intolerance, or condition.
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Select OK. The Medical Condition Search window closes and the Details window appears.
For more information about this window, see the Details: Medical Allergy and Details: Medical Condition Window Overview below.
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Enter the following information:
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Type
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Severity
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Reaction
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Reported By
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Optional - In the Drug section, link a drug to the medical allergy or condition by searching for the DIN, generic or trade name.
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Under the Notes section, add any drug details and notes, if applicable.
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Select OK. The window closes and the allergy or medical condition is added to the Clinical tab.
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Repeat steps 3-11 until all of the patient's allergies or medical conditions have been added.
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Select Save.
To learn more about the Details: Medical Allergy or Details: Medical Condition window, select the expander icons
in the image below.
The name of the window changes depending on if you're adding a medical allergy or a medical condition.