An allergy and immunology practice runs work a general EMR rarely models well: structured food, drug, venom and environmental histories; skin prick, intradermal and patch testing with controls and millimeter readings; immunotherapy visits; and follow-ups that depend on what was found last time. Documentation load is high everywhere: in a time-and-motion study of 57 US physicians, nearly 2 hours of EHR and desk work accompanied every hour of direct clinical face time.[1]
What allergy practices need from software
Visit notes in allergy language
Histories with the trigger, the reaction, timing, severity and current tolerance, plus pertinent negatives, and visit types for new patients, follow-ups, skin testing, immunotherapy, asthma, and drug and food challenges.
Testing records that meet the practice parameter
The 2008 AAAAI/ACAAI parameter lists what a skin-test record contains: who tested and when, method, each allergen and concentration, controls with results in mm, and wheal and erythema in mm rather than 0–4+ grades.[2] Patch testing adds a 48-hour reading, a delayed reading between days 3 and 7 and ICDRG grades.[3] See our guides to SPT, intradermal and patch test documentation.
Continuity across visits
The follow-up is where context gets lost: what was tested, what reacted, what was decided. The software should bring the prior visit and the allergen history forward instead of making staff re-enter it.
Billing-ready testing counts
CMS billing guidance reports skin tests by the number of tests performed, one unit per test, for codes such as 95004 (percutaneous), 95024 (intracutaneous) and 95044 (patch or application tests).[4] A structured testing record makes those counts traceable.
The front desk
Allergy practices take a steady volume of shot-schedule, refill and booking calls; after-hours requests that go to voicemail are easy to lose.
EMR, generic scribe or allergy copilot?
| General EMR | General-purpose ambient scribe | Allergy-only copilot (Medora) | |
|---|---|---|---|
| System of record | Yes | No | No: works alongside supported EMRs |
| Allergy-structured visit note | Templates you build | Usually general prose | Built for allergy visits |
| SPT, intradermal and patch workflow | Varies | No | Yes, in the same patient record as the note |
| Note checked against its source | No | Varies | Evidence Mapping links note lines to the visit conversation |
Medora is not an EMR. It pulls the schedule from, and integrates with the chart of, supported EMRs, so the practice keeps its system of record.
A buyer's checklist for allergy practice software
- Run a real new-patient allergy visit with food, drug and environmental history. Are the pertinent negatives there?
- Run a skin-test day. Are controls first, wheal and erythema in mm, and who tested and when recorded?
- Run a patch test end to end: application, the 48-hour reading, the delayed reading, ICDRG grades.
- Open a follow-up. Does the prior visit come forward without re-typing?
- Can the clinician check each drafted statement against its source before signing?
- Does it work with your EMR? Ask for a demonstration on yours.
- Security: will the vendor sign a BAA, and where and how is data stored and encrypted?
- Who signs? The clinician should review and sign every note and every result.
How Medora fits an allergy practice
- Medora Copilot listens to the allergy visit and drafts an allergy-structured SOAP note (HPI, ROS, assessment and plan, workup) with pertinent negatives, from visit templates built for allergy. It suggests ICD-10 codes for the clinician to review.
- Evidence Mapping links lines of the note, including review of systems and past, family and social history, back to where they were said in the visit, so the clinician checks the source before signing.
- Skin testing: prick, intradermal and patch testing in one workflow, from the order to controls first, photos stored with the chart, staff entering or confirming every value, and the allergist's signature.
- Patient Intelligence shows a snapshot of the prior visit at follow-up and keeps a longitudinal allergen profile; everything it shows is advisory.
- Medora Front Desk answers the practice phone around the clock and puts booking, refill and cancellation requests in one queue that staff approve.
- The clinician reviews, edits and signs every note. Medora signs a BAA (through AdvanceAI LLC) and runs on HIPAA-eligible AWS in us-east-1, with AES-256 encryption at rest and TLS 1.2+ in transit.
Medora Scribe (Copilot) is $99 per provider per month after a 14-day free trial, and no card is needed to start. Skin testing and Front Desk are priced per practice; talk to us. See skin testing in Medora.
Frequently asked questions
Is Medora an allergy EMR?
No. Medora is the AI copilot built only for allergy practices. It works alongside supported EMRs: it pulls the schedule from, and integrates with the chart of, supported EMRs.
What does allergy practice software need that a general EMR lacks?
Allergy-structured histories and visit notes, skin prick, intradermal and patch testing records with controls and millimeter readings, ICDRG patch grades across readings, and continuity from one visit to the next.
How much does Medora cost?
Medora Scribe (Copilot) is $99 per provider per month after a 14-day free trial, and no card is needed to start. Skin testing and Front Desk are priced per practice; talk to us.
Is Medora HIPAA compliant?
Medora signs a BAA (through AdvanceAI LLC) and runs on HIPAA-eligible AWS in us-east-1, with AES-256 encryption at rest and TLS 1.2+ in transit. SOC 2 is in progress.
Related guides
Sources
Last reviewed October 21, 2026. Summaries paraphrase the cited documents; read the originals before making clinical decisions. This page is for clinicians and practice teams, not patient instruction.
- Sinsky C, Colligan L, Li L, et al. Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties. Ann Intern Med. 2016;165(11):753–760. doi.org
- Bernstein IL, Li JT, Bernstein DI, et al. Allergy diagnostic testing: an updated practice parameter. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1–S148. www.aaaai.org
- Fonacier L, Bernstein DI, Pacheco K, et al. Contact dermatitis: a practice parameter—update 2015. J Allergy Clin Immunol Pract. 2015;3(3 Suppl):S1–S39. doi.org
- CMS Medicare Coverage Database. Billing and Coding: Allergy Testing (A57473). www.cms.gov