{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:29:51Z","timestamp":1762432191457},"reference-count":0,"publisher":"IOS Press","license":[{"start":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T00:00:00Z","timestamp":1654473600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,6]]},"abstract":"<jats:p>Allergy information is often documented in diverse sections of the electronic health record (EHR). Systematically reconciling allergy information across the EHR is critical to improve the accuracy and completeness of patients\u2019 allergy lists and ensure patient safety. In this retrospective cohort study, we examined the prevalence of incompleteness, inaccuracy, and redundancy of allergy information for patients with a clinical encounter at any Mass General Brigham facility between January 1, 2018 and December 31, 2018. We identified 4 key places in the EHR containing reconcilable allergy information: 1) allergy modules (including free text comments and duplicate allergen entries), 2) medication laboratory tests results, 3) oral medication allergy challenge tests, and 4) medication orders that have been discontinued due to adverse drug reactions (ADRs). Within our cohort, 718,315 (45.2% of the total 1,588,979) patients had an active allergy entry; of which, 266,275 (37.1%) patient\u2019s records indicated a need for reconciliation.<\/jats:p>","DOI":"10.3233\/shti220044","type":"book-chapter","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T09:30:29Z","timestamp":1654594229000},"source":"Crossref","is-referenced-by-count":4,"title":["Identifying and Reconciling Patients\u2019 Allergy Information Within the Electronic Health Record"],"prefix":"10.3233","author":[{"given":"Sachin","family":"Vallamkonda","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine & Primary Care, Brigham & Women\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical School, Boston, MA, USA"}]},{"given":"Carlos A.","family":"Ortega","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine & Primary Care, Brigham & Women\u2019s Hospital, Boston, MA, USA"}]},{"given":"Ying Chih","family":"Lo","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine & Primary Care, Brigham & Women\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical School, Boston, MA, USA"}]},{"given":"Suzanne V.","family":"Blackley","sequence":"additional","affiliation":[{"name":"Clinical & Quality Analysis, Information Systems, Mass General Brigham, Boston, MA, USA"}]},{"given":"Liqin","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine & Primary Care, Brigham & Women\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical School, Boston, MA, USA"}]},{"given":"Diane L.","family":"Seger","sequence":"additional","affiliation":[{"name":"Clinical & Quality Analysis, Information Systems, Mass General Brigham, Boston, MA, USA"}]},{"given":"Kimberly G.","family":"Blumenthal","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, MA, USA"},{"name":"Division of Rheumatology, Allergy & Immunology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA"},{"name":"Edward P. Lawrence Center for Quality & Safety, Massachusetts General Hospital, Boston, MA, USA"},{"name":"The Mongan Institute, Massachusetts General Hospital, Boston, MA, USA"}]},{"given":"Joseph M.","family":"Plasek","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine & Primary Care, Brigham & Women\u2019s Hospital, Boston, MA, USA"}]},{"given":"Foster","family":"Goss","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Colorado Hospital, University of Colorado School of Medicine, Aurora, CO, USA"}]},{"given":"Li","family":"Zhou","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine & Primary Care, Brigham & Women\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical School, Boston, MA, USA"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","MEDINFO 2021: One World, One Health \u2013 Global Partnership for Digital Innovation"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI220044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T09:30:29Z","timestamp":1654594229000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI220044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,6]]},"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti220044","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,6]]}}}