We are currently updating the OP Help Center content for the release of OP 14.19 or "OP 19". OP 19 is a member of the certified OP 14 family of products (official version is 14.19.1), which you may see in your software (such as in Help > About) and in the Help Center tabs labeled 14.19. You may also notice that the version number in content and videos may not match the version of your software, and some procedural content may not match the workflow in your software. We appreciate your patience and understanding as we make these enhancements.

Patient Encounter: Medication List

Version 14.19

About Patient Encounter: Medications Review 

Path: Clinical tab > Patient Chart button > Encounter > New or Open Note button > Medications
Path: Practice Management tab > Patient Chart button > Encounter > New or Open Note button > Medications
Path: Billing tab > Patient Chart button > Encounter > New or Open Note button > Medications

The Patient Encounter helps to code and complete an encounter visit. The encounter note encompasses both narrative and comprehensive formats. It also allows you to customize the layout of the note. The note is added to the patient chart.

The Medications window displays and documents patient medications.

Patient Encounter: Medications Review Map

Number
SectionDescription

1

Medications buttonThe Medications button opens the Medications window in the patient's chart.

2

Encounter Function buttonsThe Function buttons delete an entire encounter note, edit an encounter note, or save an encounter note.
3
Function buttons
The Medication List function buttons:
  • Add: Opens the Prescription Writer window to add an prescription to the medication list.
  • Edit:  The Edit button opens the Prescription Writer window to alter the selected prescription in the medication list.
  • Delete: The Delete button deletes a prescription from the medication list for the patient.
  • Refill: The Refill button refills selected medications.
  • Send: The Send button transmits the selected prescription to the pharmacy.
  • Print: The Print button prints the selected prescription
4
Medication List buttons
  • Mark Reviewed:  The Mark Reviewed button marks a medication list as reviewed.  The reviewed indication is time stamped.
  • Print Med List: The Print Med List button prints the patient medication List.
  • Interactions:  The Interactions button calculates med/allergy, med/med, and med/disease interactions for all medications listed in the medication list. Warning levels depend on system preferences.
  • Validate: The Validate button checks the pharmacy benefits for the patient.
  • Med History: The Med History button imports medication history for the patient from public sources.
5
Medication list
The Medication list is a list of all the patient's medications (past and present).  The list indicates the medication, start date, chronic indication, status, refills, days supply, end date, diagnosis, provider, purpose, pharmacist note, etc.  Clicking on the Paperclip button will add the selected medication to the PMFS History text box.
6
PMFS History/Meds Reviewed
The PMFS History/Meds Reviewed field is a text box where you can enter or review a patients past or current medications.  You can also indicate the the patient does not take any medications in this field.  Current medications can also be listed in this field.
7
Flag as Incomplete checkbox
The Flag as Incomplete checkbox will mark an encounter as unfinished.The Visit date field indicates the date that the patient encounter occurred.
Version 14.10

About Patient Encounter: Med Review Tab

Path: Smart Toolbar > Chart button > Encounters tab > Open Note > Med Review tab
Path: Smart Toolbar > Schedule Button > Encounters tab >  Edit button > Med Review tab

The Patient Encounter helps to code and complete an encounter visit. The encounter note encompasses both narrative and comprehensive formats. It also allows you to customize the layout of the note. The note is added to the patient chart.

The Medications tab displays and documents patient medications.

Patient Encounter: Med Review Tab Map

Number
SectionDescription

1

Encounter Note Editor tabs

The Patient Encounter Note Editor contains the following tabs:

2

Care Plans tabThe Care Plans tab lists, prints, and manages care plans for a patient’s health maintenance schedule.
3
Visit DateThe Visit date field indicates the date that the patient encounter occured.
4
Prior Notes tabThe Prior Notes tab lists the previous encounter notes and messages.

5

Templates tab

The Templates tab lists the templates that are created, edited, and reviewed in the Encounter Templates Editor. Templates are pre-written scenarios you can use in an encounter to document common pediatric diagnoses. Templates include detailed descriptions for the usual pertinent positive and negative findings of a wide variety of illnesses, with a standard assessment, plan and ICD-10 coding. Included with your installation of Office Practicum are Pediatric specific templates.

6
Function buttonsThe Function buttons delete an entire encounter note, edit an encounter note, or save an encounter note.
7
Flag as Incomplete checkboxThe Flag as Incomplete checkbox will mark an encounter as unfinished.
8
PMFS History/Meds ReviewedThe PMFS History/Meds Reviewed field is a text box where you can enter or review a patients past or current medications.  You can also indicate the the patient does not take any medications in this field.  Current medications can also be listed in this field.
9
Medication List Function buttonsThe Medication List function buttons:
  • Print (printer icon): The Print (printer icon) button prints the selected prescription
  • Print (page icon): The Print (page icon) button prints the patient medication List.
  • Send: The Send button transmits the selected prescription to the pharmacy.
  • Add: Opens the Prescription Writer window to add an prescription to the medication list.
  • Edit:  The Edit button opens the Prescription Writer window to alter the selected prescription in the medication list.
  • Delete: The Delete button deletes a prescription from the medication list for the patient.
  • Refresh:  The Refresh button refreshed the medication list.
  • Reviewed:  The Reviewed button marks a medication list as reviewed.  The reviewed indication is time stamped.
  • Interactions:  The Interactions button calculates med/allergy, med/med, and med/disease interactions for all medications listed in the medication list. Warning levels depend on system preferences.
  • Rx Validate: The Rx Validate button checks the pharmacy benefits for the patient.
  • Med Hx: The Med Hx button imports medication history for the patient from public sources.
10
Medication list

The Medication list is a list of all the patient's medications (past and present).  The list indicates the medication, start date, chronic indication, status, refills, days supply, end date, diagnosis, provider, purpose, pharmacist note, etc.  Clicking on the Paperclip button will add the selected medication to the PMFS History text box.