Where can I find it?
Clinical: Chart > Medication History
What do I need to know?
The system has been updated with a Medication History dialog that allows you to import Medication History for a patient from the SureScripts Network into the patient’s chart, and then reconcile that information with any medications currently in the patient’s chart. The Medication History dialog is accessed through the Chart menu when in a patient’s chart (Chart > Medication History). The medication history information is also available through the Medication History button in the Prescribe Medication dialog, however, you are not able to import and reconcile medications when accessing via the Prescribe Medication dialog, it is view only from this area.
Do note, to access Medication History for a patient, the patient must have given medication history consent and it must be configured in the Consent dialog for that patient (i.e., in ID Tab > Consent or Medication History Consent button in Prescribe Medication dialog).
When accessing the Medication History dialog, you may first receive a series of dialogs indicating that the system is gathering the information, or that the Medication History is pending for the patient. Likewise, you may also receive dialogs that indicate that there is no history information available for the patient, or that history information could not be retrieved. See below for examples of these types of messages.
In the Medication History dialog, the patient basic demographic information will be listed, along with medication history for that patient. Beside the Medication History title, at the top of the dialog, the number of medication occurrences will appear in parentheses.
At the bottom of the dialog there is a Filter By section that allows you filter the medication history by Medication, Prescriber, and Last Fill Date. After the filter items are configured as desired, simply click the Filter button. You can then view the medication by scrolling through the Medication section, Reconcile the medications, or Print the medication history. When reconciling and printing, only those medications that are included in the filter criteria will be included.
After the Reconcile button has been clicked, a Clinical Information Reconciliation (CIR) dialog will appear that allows you to view and reconcile the various medications, broken into the patient’s Current Chart Medications, Available Medications from Surescripts Medication History, and a Final Merged List. Each list will show the available medication (name, start and last modified dates, last fill date, and sig information) detail.
Medications in the Available Medications from Surescripts Medication History list are color-coded to denote the level of medication information available and the ability of importation. You can click the Legend option for a complete listing. Medications can be moved individually by clicking the Add button, or in bulk using the Add All button. Each medication also includes a Skip checkbox that can be manually selected, but will be turned on if the medication already exists, has an end date that has passed, or if there isn't enough information to import the medication. Medications that have been added will show in the Final Merged List and labels will be updated to show their status as added.
New medications added to the Final Merged List can be edited by using the Change button (except for controlled substances which cannot be changed during the import process). This will open the Prescribe Medication dialog with as much of the available information found in the Surescripts Medication History pre-filled. The Prescribe Medication dialog will also show the original name, dates, and text from the import at the bottom of the dialog for reference.
An added medication can be removed from the list and existing medications can be discontinued on either the final or current list. If a medication is discontinued, the End Medication dialog will appear and then the medication will be marked as ended.
After all the applicable medications have been reconciled, you can Confirm the import. The system will then import the medications in the Final Merged List, and after confirmation messages have been satisfied, you will return to the Clinical Information Reconciliation (CIR) dialog with the medication information updated. An Auto-generated drug log will be created listing the drug details for each medication imported. Likewise, the patient’s facesheet will be updated with the medications imported, and the medications will appear in the patient’s History tab.
How do I use it?
Upon upgrade, the Medication History functionality will be activated. When in a patient's chart click Chart > Medication History to view, import, and reconcile medication information from the SureScripts Network for that patient. (Do note, the patient must have given medication history consent and it must be configured in the Consent dialog to access the medication history.) The work-flow will be similar to that described above.