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EMR & EDR Element - Medications

Medications within the Medication Element can be sorted with the Active or All toggle. Select Active to display only those medications with the Currently Taking checkbox enabled. Select All to display all medication records in the box, regardless of whether the Currently Taking checkbox is enabled or disabled.
 
If the patient is not taking medications, select the No Medications checkbox. If there are no changes to the patient's medications, select the No Changes checkbox to add the information as it appears to the patient narrative.
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Within the Patient Form, click the small plus button to add new medication information for the patient. In the resulting popover, search for and select the medication.
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If the patient is currently taking the medication, enable the Currently Taking checkbox. Next, add the Medication attributes, such as the form, route, frequency, duration, dispense count, and refill count of the medication. An Additional Sig can also be added. The Non-Printed Notes box captures your own clinical notes about the medication, which will not be attached to the patient's prescription. Add the Ordered, Prescribed, Dispensed, and Started Dates. If this is the first record of the medication, enable the First Record of Order checkbox.
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Medication Reconciliation
The Medications Element can be used to perform a Medication Reconciliation. Click the Reconcile menu and select the Add New List for Reconciliation menu item.
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In the resulting window, select the radio button to add a new list of medications from the Patient or Referral. Where Referral is selected, set the Referral Source menu to None, an Existing Referral, or select to Add New Referral Record.
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If Add New Referral is selected, select the Referrer from the list within References > Referrer, or click the plus button to add a new Referrer.
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With the list source selected, click the plus button to search for and select the medication and complete the medication attributes as usual (See RX Element for instructions.) Once finished, click the Next button.
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The resulting window displays the entire medication list for the patient. The icons denote which medications were already on file for the patient and which medications were added during the current reconciliation. Disable the checkbox for any medication to set it as Inactive. Enable only the medications to keep on the patient's record, then click the Next button.
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As a final review, confirm the medication reconciliation list in the resulting window. Click the Next button to dismiss the Medication Reconciliation window.
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