EHR Preconfigured Section - Medications

By Dylan Nigh
3 min

The Medications section is used to enter Medications for the patient. An entry added here will then show in the Rx ability and the Medications widget in Clinical. Info already in the Rx ability will pull into the form automatically. This section is designed to show past and active medications the patient is, or was, taking.

This section can be used on patient-facing Clipboard forms.
The following fields will be hidden on Clipboard:

  • “Currently Taking” checkbox

  • “PRN” checkbox

  • “Dispense” field will show as “Quantity”

  • Non-Printed Notes

  • “First Record of Order” checkbox

  • Delete button

This section CANNOT be used on Patient Portal forms.

This section is not where medications would be prescribed (see the Prescriptions sections article here). If a patient enters meds into this section on Clipboard, they are not prescribing their own medications.

The contents of this section are as follows:

  1. Active/All: Active option shows only medications marked as "Currently Taking" / All shows entire history of medications. Meds marked as "Currently Taking" show in the Active Med List folder and all other meds show in the Inactive Meds folder in the Rx ability sidebar.

  2. Medications Verified: Select if there have been no changes in medications from the last record

  3. No Active Medications: Select if the patient is currently taking any medications

  4. "Medications" link: In the resulting popover, search to add any medications pertaining to the patient

  5. "Reconcile" popup: Confirms any existing or newly added medications being added to the patient record

    Add New List for Reconciliation: To add a medication list for reconciliation, click the Add Medication List for Reconciliation button. In the resulting popover, the Currently Taking checkbox is selected by default and adds a current medication. Select the Dosage Is Known checkbox to add the Take, Form, Route, Frequency, Duration, Dispense, and Refills to the medication. Within the Notes box, add any notes about the medication. Click the Done button to add the Medication for reconciliation.

  6. Specific Medication link popover:

    • "Currently Taking" checkbox: check if patient is currently taking this med

    • "PRN" checkbox: Take when necessary

    • Take: Per-use dosage amount

    • Form: Drug form-factor

    • Route: How to take (pulls from Medication Route in References. Custom options cannot be added to this list)

    • Frequency: How often to take

    • Duration: How long to take

    • Dispense: How many dosages to give

    • Refills: How many additional bottles/containers to give

    • Additional SIG: Instructions/Information for the patient that will show on the Rx label

    • Non-Printed Notes: Notes that don't show on the Printed Rx

    • Ordered: Date Rx was ordered

    • Prescribed: Date Rx was prescribed

    • Dispensed: Date Med was given to the patient

    • Started: Date patient started taking the med

    • "First Record of Order" checkbox: First time this particular med was given to the patient

    • "May Substitute" checkbox: Possible to substitute for a similar med

    • "Delete" button: Deletes selected medication from patient record (Form and Rx ability)

Options Pull from one of two Coding Preferences:

Custom options can only be added to Medications (Custom) in References

Form View

Narrative View

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