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#56828
09/18/2013 12:16 PM
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My NP just asked me a question I could not answer.
We have patients that are G6PD deficiency. Should it be put as an allergy?
My response was to list Septra and free text G6PD, but after that 2 things happened.
1) The listing for No Known Drug Allergies did NOT disappear
2)free text for G6PD did not appear in the allergy line.
Tried searching allergies for G6PD but to no avail.
Recommendations?????
Wendell
Pediatrician in Chicago
The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
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282.2 if there is anemia, but I am not a coder yet.
Bert
Pediatrics
Brewer, Maine
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The problem is how to set an alert so we are aware when Rxing. The best solution would be in the allergy section but....
The patient we were discussing WAS anemic, but not now. We could use one of the flags, but they are easier to miss.
Wendell
Pediatrician in Chicago
The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
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Hi Wendell,
When we free text allergies, the "NKDA" may or may not disappear, sometimes it must be manually removed.
You should be able to save a free text allergy. It will appear italicized, and will not participate in interaction/allergy checking.
This is for AC 6.1.2.
Gene
Gene Nallin MD solo family practice with one PA Cumberland, Md
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Guess the answer is don't treat your patients with iron. 
Bert
Pediatrics
Brewer, Maine
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Gene, I agree with everything you stated.
I didn't think about JUST free texting it, but that is probably the best solution. We had put the free text under Septra and while Septra showed up the free text of G6PD did not.
Wendell
Pediatrician in Chicago
The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
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Was this during a hyperbilirubinemia workup?
Bert
Pediatrics
Brewer, Maine
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No actually anemia workup, my NP is somewhat type A 
Wendell
Pediatrician in Chicago
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I guess. I don't think I have looked for G6PD outside of an unexplained hyperbilirubinemia.
Bert
Pediatrics
Brewer, Maine
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