Allergy And Intolerance Status

modeled after a trial form at a local hospital:

Reaction description:

• Document signs and symptoms, also time of onset <24h, 24-72h, or >72h relative to drug administration

• Localized: rash or localized hives following direct contact with latex
• Systemic: throat constriction, bronchospasm, low blood pressure, asthma, generalized swelling, prominent rhinoconjunctivitis

initial state = unasked

• allergic_state.state = NULL
• Cave: "unasked"

Doctor: Do you have any allergies ?

Patient:

no, not that I know

• allergic_state.state = 0
• allergic_state.comment = NULL
• clin.allergy empty
• Cave: shows Phi

no, but I suspect nuts

• allergic_state.state = 0 or 1 (this depends on what the clinician prefers)
• allergic_state.comment = "nuts suspected"
• clin.allergy empty or row for "nuts suspected"
• Cave: shows phi (0) or "?nuts" (1)

no (but clinician thinks that is not true)

• allergic_state.state = 0 or 1 (depending on clinician)
• allergic_state.comment = "patient says no but I do not trust her"
• clin.allergy empty
• Cave: shows phi "!?"

yes, but I have no idea which

• allergic_state.state = 1
• allergic_state.comment = "unknown triggers" or similar
• clin.allergy empty
• Cave: shows "!?"

yes, Penicillin and something else (which I do not know or will not tell)

• allergic_state.state = 1
• allergic_state.comment = "unknown additional triggers" or similar
• clin.allergy row for penicillin
• Cave: shows "Penicillin, ?"

yes, Penicillin and that is it

• allergic_state.state = 1
• allergic_state.comment = NULL
• clin.allergy row for penicillin
• Cave: shows "Penicillin"

The Cave: tooltip always shows sufficiently complete information.

Database changes needed:

• allergic_state.comment
• allergic_state.last_confirmed

Useful buttons in manager (common clinical situations):

• no known allergies
  • will delete existing entries if any exist only after reconfirmation
• yes, but unknown
• reconfirm current state
  • time of last reconfirmation shown in Cave: field tooltip

• Phi
• Diameter