Create List of Medication Interaction Override Reasons

NextGen® Enterprise EHR Help

Drug to Allergy Interaction

A new medication prescribed to a patient can have a negative interaction with a patient's medication allergy. If such interaction occurs the Drug Interaction window opens. The Drug Interaction window lists the medication that caused the interaction, and information for each listed patient medication allergy. The Reference at the bottom of the window displays the citation for the DUR information. You must acknowledge all notices listed in the Drug Interaction window and specify the reason for overriding the warning. The medication interaction process displays drug interactions according to the display levels set for the system and a specific user. The medication interaction process does not perform checks on user-defined medications or user-define allergies. If the Enterprise option to check for interactions across practices is enabled, the medication interaction process checks for possible interactions across all practices. If you cancel out of the Drug Interaction window, your action

NextGen® Enterprise EHR Help

Change Interaction Display Level

From the Tools menu, select Preferences. The Preferences window opens. Select the Medications tab. Select DUR. The DUR Preferences window opens. DUR Preferences Select the Interaction Display Level tab. DUR Preferences Do one of the following: Set the display to a specific level. Select the Use System Default check box to display the Interactions based upon the universal system setting. Note: You cannot set the display level lower than the required system minimum. Select OK. Parent topic: Medication Interactions

NextGen® Enterprise EHR Help

Access Medication Interaction

You can access medication interaction in the following ways: Automatic Interactions/Contraindications/Duplications check for new medications or medication renewals - available based on the setup of the Universal Preferences AND NextGen® Enterprise Preferences. Manual Interaction check - you can select Interactions. Parent topic: Medication Interactions

NextGen® Enterprise EHR Help

Medication Duplication

A medication prescribed to a patient could be already prescribed to the patient. If such instance occurs the Drug Interaction window opens. The window lists the duplicate medication. You must acknowledge all drug interactions and select a reason for overriding the warning before you can add the medication. The medication interaction process displays drug interactions according to the display levels set for the system and a specific user. The medication interaction process does not perform checks on user-defined medications. If the Enterprise option to check for interactions across practices is enabled, the medication interaction process checks for possible interactions across all practices. If you cancel out of the Drug Interaction window, your action is audited and you must enter a reason. Drug Interaction Parent topic: Medication Interactions Related concepts Acknowledging Interactions

NextGen® Enterprise EHR Help

Create a List of Drug Interaction Override Reasons

You can create a list of override reasons to choose from to acknowledge drug interactions. In NextGen® Enterprise EHR, open patient chart and select Tools > Preferences > Medications tab. Select DUR . The DUR Preferences window opens, with the Override Reason tab in view. To add each override reason, enter the description in the second box, and select Add. The override reason is listed in the first box, preceded by a selected check box. Each new override reason is added to the top of the list. The list of override reasons is displayed in the order shown on this window. To change the order of override reasons, select an override reason, and then select Move Up or Move Down. To hide an override reason, clear the check box for it. To remove an override reason, select it, and then select Delete. Select OK. Parent topic: DUR Preferences

NextGen® Enterprise EHR Help

Acknowledge Allergy - Drug Interactions

The DUR checks the selected allergy against the list of all active medications. If any interactions are found, they appear on the Interaction Check DUR window. Note: User-defined allergies and medications are not checked for interactions. The display of allergy interactions is based on the display levels set for the system and/or a specific user. If the Show DUR across enterprise option is enabled, NextGen® Enterprise EHR checks for possible interactions with the patient's medications across all practices. CAUTION: You must review and acknowledge each interaction alert. If you select the Cancel button, your action is audited, and you must enter the reason for cancellation. Take the necessary steps to avoid an adverse reaction for the patient. Repeat the following steps for each interaction alert. Select the interaction alert. A summary of the existing conflict and level of risk appears in the lower-left window. Review the prescribed medication and the summary. To acknowledge the warnin

Create List of Medication Interaction Override Reasons

Recommendations

Drug to Allergy Interaction

Change Interaction Display Level

Access Medication Interaction

Medication Duplication

Create a List of Drug Interaction Override Reasons

Acknowledge Allergy - Drug Interactions

Drug to Allergy Interaction

Change Interaction Display Level

Access Medication Interaction

Medication Duplication

Create a List of Drug Interaction Override Reasons

Acknowledge Allergy - Drug Interactions