Document a Patient Reported Medication

Follow these steps to document a patient reported medication:

  1. Access the Prescriptions/Medications Chart Tab.
  2. Type in the Drug Name you wish to document.

  3. Select the most specific Drug Strength the patient can give you.

  4. Click on the Prescribe field to toggle from a prescription to a reported medication.

  5. Click on a Prescription Field to edit the medication information.
  6. Optional: edit the reported medication as appropriate and press the Done button.
  7. To document the prescriber or change the start date, click on the More+ button.

  8. Modify the Start Date and/or Prescriber Name if known.

  9. Press the Done button.

  10. Press the Save button.