Public Health Nursing Documentation Guidelines - Indian Health ...

Documentation and Coding Guidelines for Public Health Nurses
If a patient has “No Allergy Assessment” and has no allergies, then it is extremely
important that an entry of “No Known Allergies” is entered into the Adverse Reaction
frame.
To enter “No Known Allergies,” right click anywhere on the Adverse Reactions area
and a pop-up menu will appear. Select New Adverse Reaction and the Look up
Causative Agent window will appear. Select No Known Allergies at the bottom and
“click” OK.
Figure 4.5e. No Allergy Assessment Complete to Date
Figure 4.5f. No Known Allergies
Indian Health Service Page 4-12