Documentation Reads:
Past Medical History: History of anemia, Pulmonary emboli, prior laminectomy, sleep apnea, peripheral neuropathy, gout, spinal stenosis, cervical and lumbar disk disease, chronic back pain, knee problems.
Allergies: Demerol, penicillin, Ticlid, Plavix, Lipitor and Norvasc.
Social History: The patient is mostly in his wheelchair due to chronic back pain. He denies tobacco or alcohol use. He was previously followed by the pain center.
Family History: Mother and father both deceased, neither doe to coronary vascular disease.
My question is in regards to the Allergies portion... Would it be appropriate to use the allergies (as listed above) in the ROS for the All/immuno or would you consider this to be part of the past history? All feedback is appreciated.
Thanks,
MM![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Past Medical History: History of anemia, Pulmonary emboli, prior laminectomy, sleep apnea, peripheral neuropathy, gout, spinal stenosis, cervical and lumbar disk disease, chronic back pain, knee problems.
Allergies: Demerol, penicillin, Ticlid, Plavix, Lipitor and Norvasc.
Social History: The patient is mostly in his wheelchair due to chronic back pain. He denies tobacco or alcohol use. He was previously followed by the pain center.
Family History: Mother and father both deceased, neither doe to coronary vascular disease.
My question is in regards to the Allergies portion... Would it be appropriate to use the allergies (as listed above) in the ROS for the All/immuno or would you consider this to be part of the past history? All feedback is appreciated.
Thanks,
MM