Recording Allergies

All referral forms will ask about allergies.  Some will be related to non-drug allergies, such as latex gloves, but NICE has specific guidance for drug allergies.

Here are the details

Documenting and sharing information with other healthcare professionals: Recording drug allergy status

1.2.1 Document people's drug allergy status in their medical records using 1 of the following:

        'drug allergy'

        'none known'

        'unable to ascertain' (document it as soon as the information is available).

1.2.2 If drug allergy status has been documented, record all of the following at a minimum:

        the drug name

        the signs, symptoms and severity of the reaction (see recommendation 1.1.1)

        the date when the reaction occurred.