Documenting a food reaction
For patients who report a reaction at home, use the structured path so it's usable for clinical decisions.
Patient logs it first (preferred)
- Heartful Sprout: Health → Reaction Notes — date, symptoms (from a picker), and a free-text note.
- Heartful Baby: meal logs capture liked/neutral/disliked only; for an actual adverse reaction, have the family log it in Heartful Sprout or tell you directly.
Logged reactions surface in your record under Trends → Nutrition, on the Food Reaction Notes card.
You log it in a session
If they call before the next visit and don't log it themselves, capture it in the session:
- Session Capture: note timing, symptoms, suspect foods.
- Session Notes: make the reaction explicit in the assessment.
- Goal Setting: adjust introduction goals if needed (e.g., pause specific allergens).
- Billing Codes: appropriate ICD-10 for the reaction (food allergy, dermatitis, etc.).
After
- The family sees your patient note in their app once the session is signed.
- If severe: prompt the family to follow up with their pediatrician and/or allergist.
- Track future intros via Food intro.
Sample documentation language coming soon.