Documenting a food reaction
For patients who report a reaction at home, use the structured-data path so it's usable for clinical decisions and audit trails.
Patient logs it first (preferred)
- Heartful Sprout — Health tab → Reactions → log severity, symptoms, suspect foods, notes.
- Heartful Baby — Foods tab → food detail → log reaction on a meal.
The entry surfaces on your Infant Tracking tab automatically.
You log it in a session
If they call before the next visit and don't log it themselves, capture in the session:
- Capture — note timing, symptoms, suspect foods.
- Notes — make sure the reaction is explicit in the assessment.
- Goals — adjust introduction goals if needed (e.g., pause specific allergens).
- Billing — appropriate ICD-10 for the reaction (food allergy, dermatitis, etc.).
After
- Patient sees your note in their app.
- If severe: prompt the family to follow up with their pediatrician and/or allergist.
- Track future intros on the Food intro page.
Sample documentation language coming soon.