Patient Encounter: Medications

Version 20.13

This window map article points out some of the important aspects of the window you're working with in OP but is not intended to be instructional. To learn about topics related to using this window, see the Related Articles section at the bottom of this page.

About Patient Encounter: Medications

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

The Medication window lists all of the patient's current, ongoing, and past prescriptions. Here, new prescriptions can be created and existing prescriptions can be edited, managed, refilled, and transmitted electronically to pharmacies, all while in an Encounter Note. This section of the Encounter Note is chart-driven, meaning that the information populated here is pulled from and pushed back to the same section in the Patient Chart.

Patient Encounter: Medications Map

Number
SectionDescription

1

MedicationsThe Medications button access the patient's Medication information in the patient's Encounter Note.

2

Encounter Function buttonsThe Encounter function buttons delete an entire Encounter Note, edit an Encounter Note, or save an Encounter Note.
3
Function buttons
  • New: Opens the prescription writer to create and add a new prescription to the Medication List
  • Refill: Allows you to refill the selected medication
  • Edit: Views and edits a selected medication
  • Delete: Deletes a prescription from the Medication List. This is not used to discontinue medications.
  • Send: Transmits the selected prescription to the pharmacy
  • e-Cancel: Cancels an electronic prescription. When selected, a cancel message is sent to the pharmacy. The e-Cancel button is only visible if the prescriber has the cancel permission.
  • Print: Prints the selected prescription
4
Action buttons
  • Affirm No Meds: Displays an indicator that there are no active medications for the patient
  • Mark Reviewed: Logs an entry that the Medication List was reviewed
  • Print Med List: Prints the patient’s Medication List
  • Interactions: Calculates the med/med, med/allergy, and med/disease interactions for all medications or current medications. Warning levels depend upon system preference.
  • Validate: Checks pharmacy benefits. These are displayed in the Pharmacy Benefits tab of the patient's Insurance record (Patient Chart).
  • Med History: Imports medication history from public sources
5
Flag as Incomplete checkbox
The Flag as Incomplete checkbox marks an Encounter as unfinished. The Visit date field indicates the date that the patient Encounter occurred.
6
Lexi button
The Lexi button accesses Lexicomp Online, a medical library consisting of a collection of clinical databases and decision support tools.
7
NLM button
The NLM button accesses the National Library of Medicine library of online educational material for a selected medication.
8
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 the Paperclip button adds the selected medication to the PMFS History text box.
9
PMFS History/Meds Reviewed
The PMFS History/Meds Reviewed field is a text box where you can enter or review a patient's past or current medications. You can also indicate that the patient does not take any medications in this field. Current medications can also be listed in this field.
Version 20.12

About Patient Encounter: Medications

Path: Clinical, Practice Management, or 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 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.