Allergic Immunologic

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Trace DC101-12

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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Smart phrases

EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.

.IMM_SUPPRESS

Immunosuppression ({agent}): protective precautions in place; afebrile/{temp}; infection signs {none/subtle}; counts/levels {monitored}. Blunted-response surveillance required. Skilled infection surveillance/precautions. Supports Section O/N; goal {###}.

.IMM_IVIG

IVIG per titration protocol: premedication {given}; baseline/interval vitals {values}; reaction ({headache/flushing/chills/dyspnea}) {none}; rate advanced per order. Covered skilled procedure + reaction monitoring. Supports Section O; goal {###}.

.IMM_ANAPHYLAXIS

Anaphylaxis: {hives/swelling/throat tightness/wheeze} after {exposure}. Epinephrine per protocol {time}; exposure stopped; airway supported/positioned; EMS/transfer activated; provider + representative notified; {2nd dose per protocol}; response {##}. Emergency. Supports Section O/I.

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