Medication Add and Review

Version 20.10
Path: Clinical, Billing, or Practice Management tab > Patient Chart button > Encounters tab or Well Visits tab > Open Note > Medications

Overview

This section will introduce users to adding or reviewing medications in an Encounter or Well Visit note. The user will be guided through the fields to easily review and document additional information.

Review Medications

  1. From an open note, click Medications. The patient's medication history appears.

Note: To view medications that are current, select the Current meds only checkbox. These are medications with a Y under the Chronic column and medications that have not reached the prescription end date.

  1. Review the medication list.
  • Click the Affirm No Meds button when the patient is not taking medications. The Affirm "No Meds" button is active when there are no chronic medications and the Current meds only checkbox is selected.
  • Mark a medication as reviewed, click the paper clip  located in the column to the left of the medication.

NoteClick the Mark Reviewed button to add a general statement that medications were reviewed for the patient.


Add a Reference Medication

  1. Click the New button´╗┐ to open the Prescription window.
  2. Click the Purpose drop-down and select Med - reference only.
  3. In the Drug field, begin typing the medication name and click the ellipsis button or press the Enter key.

  1. From the Medication Finder window, select the medication by double-clicking or clicking OK.

Note: If the medication did not appear on the list, select the Master List tab to choose from the SureScripts master list.

  1. Confirm or enter the dosage information into the SIG fields.
  2. Click into the Rx start date field, the date will default to the current date. Enter the date the medication was last prescribed, if unknown, delete the date.
  3. Click the Include in chronic medication list checkbox if the medication is ongoing.
  4. Click the Save button.

Version 20.8
Path: Clinical, Billing, or Practice Management tab > Patient Chart button > Encounters tab or Well Visits tab > Open Note > Medications

Overview

This section will introduce the users to adding or reviewing medications in an Encounter or Well Visit note. The user will be guided through the fields to easily review and document additional information.

Review Medications

  1. From an open well visit note, click Medications. The patient's medication history appears.

Note: To view medications that are current, select the Current meds only checkbox. These are medications with a Y under the Chronic column and medications that have not reached the prescription end date.

  1. Review the medication list.
  • Click the Affirm No Meds button when the patient is not taking medications.The Affirm "No Meds" button is active when there are no chronic medications and the Current meds only checkbox is selected.
  • Mark a medication as reviewed, click the paper clip  located in the column to the left of the medication.

NoteClick the Mark Reviewed button to add a general statement that medications were reviewed for the patient.


Add a Reference Medication

Note: If the patient is currently taking or has taken medication that is not on the list, add it as a reference medication.

  1. Click the New button´╗┐ to open the Prescription window.
  2. Click the Purpose drop-down and select Med - reference only.

  1. In the Drug field, begin typing the medication name and click the ellipsis button or press the Enter key. 
  2. From the Medication Finder window, select the medication by double-clicking or clicking OK.

Note: If the medication did not appear on the list, select the Master List tab to choose from the SureScripts master list.

  1. Confirm or enter the dosage information into the SIG fields.
  2. Click into the Rx start date field, the date will default to the current date. Enter the date the medication was last prescribe, if unknown, delete the date.
  3. Click the Include in chronic medication list checkbox if the medication is ongoing.
  4. Click the Save button.