Adding Clinical Information

If your pharmacy does not have Provincial Prescription Management (PPM) enabled, refer to the Other Provinces tab on this page.

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:

Medical Allergy
Allergy Groups
Non-Medical Allergy
Conditions
Reactions
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:

Clinical Condition – these are Conditions or Allergies that had no drug associated to them.
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 British Columbia PPM User Guide.

If your pharmacy does not have Real-Time Integration (RTI) enabled, refer to the Other Provinces tab on this page.

Allergies and Intolerances can be added from the Patient Folder Clinical tab and transmitted to the EHR so other healthcare professionals can access this information. If an Allergy or Intolerance is not supported by the EHR, it can still be saved locally. Medical Conditions can only be saved locally.

For an Allergy or Intolerance to be transmitted to the EHR, the Type and Sub-Type must be supported by the EHR. The Type is chosen in the Medical Condition Search window. EHR Types include:

Allergy Group
Medical Allergy
Non-Medical Allergy

The Sub-Type is chosen in the Details window after a Type is selected. Transmissible Sub-Types are listed with an EHR label and include:

Drug Allergy
Drug Non-Allergy Intolerance
Environment Allergy
Food Allergy
Environmental Non-Allergy Intolerance
Food Non-Allergy Intolerance

For Drug Allergy and Drug Non-Allergy Intolerance Sub-Types, the Allergen must be associated with a valid backend FDB Allergen code. If such a code does not exist for the Type (e.g., custom entry in List Maintenance), a validation error will appear upon selecting OK in the Details window. To proceed with adding the Allergy/Intolerance, a different Sub-Type must be chosen.

For more information, see the Clinical Information section of the Alberta RTI 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.

To add clinical information:

Search for and select the patient.
Select the Clinical tab.
In the Clinical Information section, select Add. The Medical Condition Search window appears.
In the Description field, enter the allergy, intolerance, or medical condition.
Select Search. Matching results display in the bottom portion of the window.
Highlight the appropriate allergy, intolerance, or medical condition.
Select OK. The Medical Condition Search window closes and the Details window appears.
Enter or select the following information:
- Type
- Severity
- Reaction
- Reported By
- 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.
- Confirmed Status - indicate if an intolerance is suspected or confirmed.
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.
Optional: Under the Notes section, add any drug details and notes, if applicable.
Optional: Select the Reactions button. The Reported Reaction Details window opens.
- Select Add to add additional reactions. If multiple reactions are added, the Reaction field in the Details window displays "SEE REACTIONS."
- Highlight a reaction and select Remove to delete it.
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.
Repeat steps 3-12 until all of the patient's allergies or medical conditions have been added.
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.

The purpose of Clinical Information is to ensure that related allergies, intolerances, and medical conditions are kept on file for the patient. This clinical information is shared with the DIS and all healthcare professionals that will be viewing the patient's EHR. Therefore, it is imperative that you keep this clinical information as up to date as possible.

It is necessary to update the DIS with local information, as each pharmacy in Newfoundland and Labrador is considered to be the source system to the Client Registry.

The following Medical Condition types can be uploaded to or downloaded from the EHR:

Allergy Groups
Medical Allergies
Conditions
Non-Medical Allergies
Reactions

For more information, see the Clinical Information section of the Newfoundland and Labrador DIS User Guide.

Any information entered in the Patient Folder Clinical tab is not transmitted to the patient's EHR Profile, but it is imperative that you keep this information up-to-date locally. For steps on how to enter this information, refer to the Other Provinces tab on this page.

Clinical information such as allergies, intolerances, reactions, and medical conditions can be maintained in the Patient Folder Clinical tab and transmitted to the DIS. It is imperative that you keep this clinical information as up-to-date as possible on the patient's EHR.

In Propel Rx, the following Medical Condition Types can be transmitted to the DIS:

Allergy Group
Medical Allergy
Condition ICD-10

All other types will have the EHR checkbox OFF and disabled.

For more information, see the Clinical Information on the EHR section of the Nova Scotia DIS User Guide.

Watch a quick overview of adding allergies and medical conditions below.

To add clinical information:

Search for and select the patient.
Select the Clinical tab.
In the Clinical Information section, select Add. The Medical Condition Search window appears.
In the Description field, enter the allergy, intolerance, or medical condition.
Select Search. Matching results display in the bottom portion of the window.
Highlight the appropriate allergy, intolerance, or condition.
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.
Enter the following information:
- Type
- Severity
- Reaction
- Reported By
Optional - In the Drug section, link a drug to the medical allergy or condition by searching for the DIN, generic or trade name.
Under the Notes section, add any drug details and notes, if applicable.
Select OK. The window closes and the allergy or medical condition is added to the Clinical tab.
Repeat steps 3-11 until all of the patient's allergies or medical conditions have been added.
Select Save.