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.

Preventive Exam: Medications

Version 14.19

About Preventive Exam: Medications

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

The Preventive Exam window charts a patient well-visit exam. The Preventive Exam window helps to code and complete a preventive encounter visit.  The preventive exam 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.

Preventive Exam: Medications Map

Number
SectionDescription

1

Medications buttonThe Medications button opens the Medications window in the patient's well visit note.
2
Well Visit Function buttonsThe function buttons delete an entire well visit note, edit a well visit note, or save an well visit note.
3
Flag as Incomplete checkboxThe Flag as Incomplete checkbox will mark an encounter as unfinished.
4
Complete List button

The Complete List button lists the templates that are created, edited, and reviewed in the Well Visit Template Editor. Templates are pre-written scenarios you can use in a well visit 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.


5
Prior Notes buttonThe Prior Notes button opens a lists the previous preventive exam notes.
6
Function buttonsThe 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
7
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.
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 supplied, end date, diagnosis, provider, purpose, pharmacist note, etc.  Clicking on the Paperclip button (Attach category) will add the selected medication to the PMFS History text box.

9
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.
Version 14.8

About Preventive Exam: Med Review Tab

Path: Smart Toolbar > Chart button > Well Visits tab > Open Note > Med Review tab
Path: Smart Toolbar > Schedule Button > Well Visit tab >  Edit button > Med Review tab

The Preventive Exam window charts a patient well-visit exam. The Preventive Exam window helps to code and complete a preventive encounter visit.  The preventive exam 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 Med Review tab displays and documents patient medications.

Preventive Exam: Med Review Tab Map

Number
SectionDescription

1

Well Visit Note Editor tab

The Well Visit Note Editor documents the patient preventive exam.  The Well Visit Note Editor contains the following tabs:


2
Phrase Construction buttonThe Phrase Construction button opens the Phrase Construction window.  Phrase Construction assists with the creation of notes and other text-based descriptions.

3

Care Plans tabThe Care Plans tab lists, prints, and manages care plans for a patient’s health maintenance schedule.
4
Visit DateThe Visit date field indicates the date that the patient preventive exam occurred.
5
Prior Well Visits tabThe Prior Well Visits tab lists the previous preventive exam notes.

6

Templates tab

The Templates tab lists the templates that are created, edited, and reviewed in the Well Visit Template Editor. Templates are pre-written scenarios you can use in a well visit 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.

7
Function buttonsThe Function buttons delete an entire well visit note, edit a well visit note, or save an well visit note.
8
Flag as Incomplete checkboxThe Flag as Incomplete checkbox will mark a well visit as unfinished.
9
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.
10
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 medicatoin 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.
  • 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.
11
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 supplied, end date, diagnosis, provider, purpose, pharmacist note, etc.  Clicking on the Paperclip button (Attach category) will add the selected medication to the PMFS History text box.