DUR Preferences

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

Allergy DUR Preferences

This section outlines the preferences that can be used to perform an allergy interaction DUR: Setting up the Medications Operations Right for Interaction Display Level. You can select User Group in Enterprise Practice > Rights > OPERATIONS > Medications. Setting up the applicable Medication Universal Preferences including: Allergy Interaction Level Display Default Allergy Interaction Level Displayed MinimumYou can select View > Universal Preferences > NextGen Preferences Tools > Medication. For more information on setting up preferences, go to NextGen Healthcare Success Community and download the latest System Administrator Guide for NextGen® Enterprise, File Maintenance Guides for NextGen® Enterprise, and Layouts and Preferences Guide for NextGen® Enterprise EHR. In NextGen® Enterprise EHR: Setting up the applicable DUR Preferences for override reasons and allergy interaction display level: You can select Tools > Preferences > Medications > View/DUR > DUR Preferences/Allergy Interacti

NextGen® Enterprise EHR Help

Geriatric Precautions

Geriatrics Precautions contain information about the use of medications by patients who are over the threshold set for geriatric age. The NextGen® Enterprise default for geriatric age is 65 years of age; however, you can modify the age threshold by changing the value of the Geriatric Age Universal Preference. When a contraindication exists, the DUR displays the following information: Severity level of the precaution Indicators for select organ systems associated with the precaution Precaution narrative 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 interactio

NextGen® Enterprise EHR Help

Clinical Problem DUR Preferences

This section outlines the preferences that are used to perform clinical problem interactions DUR: In System Administrator: Setting up the Medications Operations Right for Interaction Display Level. You can select User Group in Enterprise Practice > Rights > OPERATIONS > Medications. Setting up the applicable Medication Universal Preferences including: Related Condition Interaction Level Display Default Related Condition Interaction Level Displayed Minimum Direct Condition Interaction Level Display Default Direct Condition Interaction Level Displayed MinimumYou can select View > Universal Preferences > NextGen Preferences Tools > Medication. For more information on setting up preferences, go to NextGen Healthcare Success Community and download the latest System Administrator Guide for NextGen® Enterprise, File Maintenance Guides for NextGen® Enterprise, Layout and Preferences Guide for NextGen® Enterprise EHR. In NextGen® Enterprise EHR: Setting up the applicable DUR Preferences for dis

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

Set Allergy Interactions Display Level

You can set the allergy interactions display levels in the DUR Preferences as per your preference to see allergy interactions or inactive ingredient interactions in the Drug Interaction window. Open NextGen® Enterprise EHR. From the top toolbar, select Tools > Preferences. The Preferences window opens. Select the Medications tab. Select DUR. The DUR Preferences window opens. Select the Allergy Interactions Display Level tab. Select a display level. To display the inactive medication ingredient interactions along with the allergy interactions, select the Allergy Interaction checking for Inactive Medication Ingredients check box. To display the interactions based on the universal system setting, select the Use System Default check box. Note: The Use System Default option disables Allergy Interaction checking for Inactive Medication Ingredients and the display levels. Select OK. Parent topic: Drug to Allergy Interaction

DUR Preferences

Recommendations

Create a List of Drug Interaction Override Reasons

Allergy DUR Preferences

Geriatric Precautions

Clinical Problem DUR Preferences

Drug to Allergy Interaction

Set Allergy Interactions Display Level

DUR Preferences

Create a List of Drug Interaction Override Reasons

Allergy DUR Preferences

Geriatric Precautions

Clinical Problem DUR Preferences

Drug to Allergy Interaction

Set Allergy Interactions Display Level