Version 2.77

Part Description

LP173731-3   Anaphylaxis action plan
The "Anaphylaxis Action Plan" is a communication tool medical providers use to inform school staff of a patient's allergy condition and instruct how to respond if the child has an anaphylaxis event while at school. School staff uses this Information to be aware of a child's allergy condition, understand how to respond to an anaphylaxis event and authorize their treatment of the child at school for anaphylaxis. The following information is included in the action plan: 1. Patient Information: MRN, name, address, age, sex, dob, weight, parent/guardian name, if asthma, PCP/clinic name, date, school, grade, medical diagnosis, 2. Emergency contact information: names & phone numbers, 3. Allergies: asthma presence, anaphylaxis triggers, anaphylaxis symptoms, 4. Past reactions (s/s of allergic reaction): ex.s: wheezing or difficulty breathing, generalized tingling or itching, 5. Action Plan: steps to follow if Severe Symptoms (described); steps to follow if Mild Symptoms (described), medication orders: epinephrine, antihistamine and/or other meds6. Emergency Action Steps: epinephrine med order, call 911, emergency contacts, 7. Monitoring: instructions to follow after administering medications, 8. Additional health problems, 9. Pertinent medications, 10. Comments, and 11. Authorization for administration of medication away from clinic, yes or no to student self-administration, provider signature and date, parent/guardian authorization: signatures and dates consenting school to give medications, parent/guardian authorization self-administration meds by student, student agreement, school nurse signature. Source: Southeast Minnesota Beacon Community

Fully-Specified Name

Anaphylaxis action plan

Additional Names

Short Name
Anaphylaxis action plan

Basic Attributes

First Released
Version 2.46
Last Updated
Version 2.54
Change Reason
Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.
Order vs. Observation

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Plan de acción contra la anafilaxia:Tipo:Punto temporal:{Configuración}:Documento:{Role}
it-IT Italian (Italy) Anafilassi, piano d'azione:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione dell''ontologia Osservazione Piano d''azione di anafilassi Punto nel tempo (episodio) Ruolo non specificato
zh-CN Chinese (China) 过敏反应行动计划:发现:时间点:{环境}:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 未加明确说明的角色 过敏反应(过敏症、过敏体质、过敏性反应、过敏性、变态反应)行动计划(行动方案);过敏症行动计划;过敏体质行动计划;过敏性反应行动计划;过敏性行动计划;过敏反应行动方案;变态反应行动计划

LOINC Terminology Service (API) using HL7® FHIR® Get Info

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