Medications: Difference between revisions
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The '''Medication List''' in VEHRDICT serves as a complete and up-to-date record of all medications prescribed to a patient. This includes current prescriptions, dosages, frequencies, durations, and over-the-counter supplements. Healthcare providers rely on this list to ensure safe prescribing practices, prevent drug interactions, and monitor patient adherence. | The '''Medication List''' in VEHRDICT serves as a complete and up-to-date record of all medications prescribed to a patient. This includes current prescriptions, dosages, frequencies, durations, and over-the-counter supplements. Healthcare providers rely on this list to ensure safe prescribing practices, prevent drug interactions, and monitor patient adherence. | ||
Medications can be entered manually during a consultation or automatically updated through integrated pharmacy systems, enhancing accuracy and efficiency in medication management. | Medications can be entered manually during a consultation or automatically updated through integrated pharmacy systems, enhancing accuracy and efficiency in medication management. | ||
[[File:medication_howto_updated.mov|800px|'''Tutorial Video''' – Managing Medications in VEHRDICT]] | |||
== Medication List vs. Prescription List == | == Medication List vs. Prescription List == | ||
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* '''Prescription List''': Contains only medications prescribed by the logged-in healthcare provider through VEHRDICT. | * '''Prescription List''': Contains only medications prescribed by the logged-in healthcare provider through VEHRDICT. | ||
[[File:medication_list_nx.jpg| | [[File:medication_list_nx.jpg|800px|'''Example – Patient Medication List''']] | ||
{{Warning|The Medication List reflects the *actual* patient use. Do not rely solely on the Prescription List when evaluating for drug interactions or contraindications.}} | {{Warning|The Medication List reflects the *actual* patient use. Do not rely solely on the Prescription List when evaluating for drug interactions or contraindications.}} | ||
== Key Features == | == Key Features == | ||
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* Changes are logged and traceable for legal and clinical auditing. | * Changes are logged and traceable for legal and clinical auditing. | ||
== Best Practices == | == Best Practices == | ||
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* '''Verification''': | * '''Verification''': | ||
* During every encounter, review the list for outdated or incorrect items. | * During every encounter, review the list for outdated or incorrect items. | ||
{{Tip|Ask patients about all medications—including herbal and OTC—at intake. Many patients forget to mention these unless prompted.}} | {{Tip|Ask patients about all medications—including herbal and OTC—at intake. Many patients forget to mention these unless prompted.}} | ||
* '''Patient Communication''': | * '''Patient Communication''': | ||
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* '''Allergy and Interaction Checks''': | * '''Allergy and Interaction Checks''': | ||
* Utilize built-in alerts in VEHRDICT to flag drug interactions or allergy conflicts. | * Utilize built-in alerts in VEHRDICT to flag drug interactions or allergy conflicts. | ||
{{Warning|Never assume the list is current—medication adherence and changes from outside providers are common. Confirm regularly.}} | {{Warning|Never assume the list is current—medication adherence and changes from outside providers are common. Confirm regularly.}} | ||
== Summary == | == Summary == | ||
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The '''Medication List''' is a core component of VEHRDICT’s clinical documentation. It ensures providers have full visibility into a patient’s pharmacological history and helps reduce risk while improving treatment effectiveness. Keeping it current, accurate, and comprehensive is critical to safe, informed patient care. | The '''Medication List''' is a core component of VEHRDICT’s clinical documentation. It ensures providers have full visibility into a patient’s pharmacological history and helps reduce risk while improving treatment effectiveness. Keeping it current, accurate, and comprehensive is critical to safe, informed patient care. | ||
== Related Pages == | == Related Pages == | ||
* [[Prescriptions]] – Learn how to issue, renew, and e-send medications | * [[Prescriptions]] – Learn how to issue, renew, and e-send medications | ||
* [[Encounters]] – See how medication updates are integrated with clinical notes | * [[Encounters]] – See how medication updates are integrated with clinical notes | ||
* [[Patient Portal]] – How patients can view and verify their medications | * [[Patient Portal]] – How patients can view and verify their medications | ||
Latest revision as of 15:35, 15 July 2025
The Medication List in VEHRDICT serves as a complete and up-to-date record of all medications prescribed to a patient. This includes current prescriptions, dosages, frequencies, durations, and over-the-counter supplements. Healthcare providers rely on this list to ensure safe prescribing practices, prevent drug interactions, and monitor patient adherence.
Medications can be entered manually during a consultation or automatically updated through integrated pharmacy systems, enhancing accuracy and efficiency in medication management.
Medication List vs. Prescription List
Understanding the difference between these two lists is critical for accurate treatment planning:
- Medication List: Includes all medications the patient is currently taking – prescriptions, OTC drugs, supplements, and those prescribed by other providers.
- Prescription List: Contains only medications prescribed by the logged-in healthcare provider through VEHRDICT.
Warning: The Medication List reflects the *actual* patient use. Do not rely solely on the Prescription List when evaluating for drug interactions or contraindications.
Key Features
1. Complete Drug Information:
* Medication name, brand, dosage, frequency, and treatment duration.
2. Editable Entries:
* Each medication has an 'Edit' option, allowing providers to update the medication or dosage as needed.
3. Audit Trail:
* Changes are logged and traceable for legal and clinical auditing.
Best Practices
- Verification:
* During every encounter, review the list for outdated or incorrect items.
Tip: Ask patients about all medications—including herbal and OTC—at intake. Many patients forget to mention these unless prompted.
- Patient Communication:
* Use the portal to allow patients to view and verify their current medications.
- Allergy and Interaction Checks:
* Utilize built-in alerts in VEHRDICT to flag drug interactions or allergy conflicts.
Warning: Never assume the list is current—medication adherence and changes from outside providers are common. Confirm regularly.
Summary
The Medication List is a core component of VEHRDICT’s clinical documentation. It ensures providers have full visibility into a patient’s pharmacological history and helps reduce risk while improving treatment effectiveness. Keeping it current, accurate, and comprehensive is critical to safe, informed patient care.
Related Pages
- Prescriptions – Learn how to issue, renew, and e-send medications
- Encounters – See how medication updates are integrated with clinical notes
- Patient Portal – How patients can view and verify their medications