Summary of notes from http://notes.openmrs.org/Design-Forum-2013-05-29
...
Jonathan: you can define a short list of ~50 items that encompass 98% of what you'll see. (The following is from BWH.)
- Drugs
- ACE inhibitors
- Angiotensin receptor blockers
- Aspirin (clinical note 2)
- Cephalosporins (for now, all generations. There is some controversy about whether third- and fourth-generation cephalosporins have any cross-reaction with penicillins)
- Erythromycins
- Fluoroquinolones
- G6PD-sensitive drugs (clinical note 3)
- Heparins
- Iodinated contrast media
- Opiates (clinical note 4)
- NSAIDs
- Penicillins
- Statins
- Sulfonamides (sulfa drugs)
- Foods
- Beef
- Caffeine
- Chocolate
- Dairy products
- Eggs
- Fish
- Milk Protein
- Peanuts
- Shellfish
- Soy
- Strawberries
- Wheat/gluten
- Environmentals
- Tape
- Bee stings
- Dust
- Latex
- Mold
- Pollen
- Ragweed
...
We should build a widget something like a searchable tree giving the "98% list" and also with a "choose from complete list" option. If you choose from the pick list, we can automatically infer the AllergyType (DRUG, FOOD, etc), otherwise the user has to choose it.
Jonathan's clinical notes:
1. Regardless of whether these are true biochemical allergies, almost all clinicians lump together all drugs that are hazardous to an individual patient, and they are commonly if incorrectly known as "allergies" because that's the word the patients know and hear. So we are including major intolerance groups in this list.
2. Products specifically containing aspirin
3. Drugs to be flagged and avoided in patients with G6PD deficiency, such as aspirin, dapsone, etc. Note that aspirin itself actually is a member of three of the groups listed here.
4. There are technically three different groups of opiates for allergy purposes, but most of the ones used fall into the phenanthrene group (codeine, oxycodone, morphine, hydromorphone, etc.). The outliers are fentanyl, meperidine, methadone and propoxyphene -- but there's still some cross-reactivity.
Possible values for Reactions
...