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Overview

What is the medication history?

The medication history contains a list of all medications ever prescribed or documented for a patient. Medications are organized in alphabetical order by medication name and divided into the following statuses:
  • Permanent Rx
  • Permanent OTC
  • Temporary
  • Discontinued
  • Script(s) Canceled

Anatomy of the Medication History list

Medication History panel for Minnie Jones showing labeled anatomy: (A) search bar, (B) action shortcuts (Reconcile, Check PMP, Print, Bulk Refill), (C) Permanent Rx section heading, (D) medication order number, (E) medication thread link showing most recent name/dosage/sig, (F) month/year of first prescription, (G) last modified date and time, (H) merged medication reference ("Also includes: Nisoldipine ER")

Anatomy of a medication thread

Medication History panel showing a hydroCHLOROthiazide thread with labels: A) search bar, B) View All Meds link, C) Permanent Rx Meds heading, D) start date 03/2021, E) medication title, F) prescription history entries, G) Tx Start Date 03/01/2021.

Workflows

Viewing active, permanent medications in the Clinical Profile

A quick view of a patient’s permanent, active medications can be found in the Clinical Profile (left column of the patient chart), grouped into two separate drug classifications:
  • Permanent Rx Meds
  • Permanent OTC Meds
Each list is sorted chronologically, with the most recent medication at the top. The date at the beginning of each medication entry is when the medication was first prescribed or recorded in the patient’s chart.

Viewing the full medication history

There are two ways to pull up the full medication history which includes permanent, temporary and discontinued medications:
  1. Go to any of the permanent, active medication list headers in the Clinical Profile and click Actions -> View All Meds.
  2. Click Meds Hx -> Medication History at the top of the patient’s chart.

Adding medications to the medication history

Medications are automatically added to the Medication List when the medication is prescribed or documented in the patient’s chart. Reference the workflows below for more details.

Prescribing medications

Click here for instructions on how to prescribe medications.

Documenting medications a patient is already taking

New patients joining your practice may already be taking medications prescribed by other providers. To document a medication that a patient is actively taking (not prescribe new medications):

Managing the Permanent vs. Temporary classification of medications

When you prescribe or document medications, they’re automatically classified as ‘Permanent’ unless you change the classification to ‘Temporary’ in the form. For downloaded medications, Elation automatically classifies each medication as ‘Permanent’ or ‘Temporary’ based on whether the medication is typically used to treat chronic or acute conditions. You can change a medication’s classification by clicking Actions next to the medication in the medication list and selecting Set as Temporary Med or Set as Permanent Med from the dropdown.

Merging and un-merging medication threads

Merging medication threads

To consolidate multiple medication threads for the same medication:
Do not click the Actions button next to a specific prescription because you can only merge medications from the medication thread.When you merge two medication threads, the new thread will be named after the most recent prescription’s or record’s name, dosage, and Sig.

Unmerging medication threads

To unmerge medication threads: Reconciling medications Use the Medication Reconciliation feature to review and update a patient’s active medication list. When you complete medication reconciliation, all changes—including sig edits, additions, and discontinuations—are saved immediately. Discontinued medications move to the Discontinued section of the Medication History with the reason you selected, and the Last Reconciled date updates at the top of the Medication History section. Click here for step by step instructions on how to use the Medication Reconciliation feature.

Discontinuing medications

Click here for step by step instructions on how to discontinue medications.

Deleting a medication

Best practice is to only delete medications if they were inaccurately documented. To discontinue a medication the patient is no longer taking, follow the discontinue medication instructions instead. To delete a medication:
The Audit Log feature can be used to track actions taken on a medication, such as deletion. Click here for more information about Audit Logs .
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