Resolve Medication Contraindications or Drug Interactions

NextGen® Enterprise EHR Help

Resolve Missing or Incorrect Data

If a clinical item that you selected for import has missing or incorrect data, a search window appears and, if available, displays a list of potential matches. If the item does not appear on the list or the application cannot find any potential matches, you can perform a search. Search for Matches Perform a search: Select Clear. Enter a full or partial description. If the entry is fewer than five letters, select the Enter key. If the entry is five letters or more, the application performs the search automatically. The application displays a list of potential matches. For Medications and Meds Administered, you can select a Medication Search Type (all, brand name, or generic) to filter results. Do one of the following: To select an item and continue processing, select an item in the grid and then select OK. To select another item or perform another search, select Cancel. A message about the item lookup appears. Do one of the following: If you do not want to import the item but want to co

NextGen® Enterprise EHR Help

Reconcile a Single Item

Within each section, each item begins with an icon indicating the import status for that item. Import Status Icons Following are the icons that can appear, and the actions available for each. New New item. Select this button to open the one-click reconciliation window. Cannot Be Imported Item cannot be imported because it is missing critical data. Matched Item Item matched an item that is already in NextGen® Enterprise EHR. To make any changes to this item, you must select the Import tab and use the full Clinical Reconciliation Module. Ignored Item was previously marked as Ignored in the Clinical Reconciliation Module. To make any changes to this item, you must select the Import tab and use the full Clinical Reconciliation Module. Parent topic: One-Click Reconciliation

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

NextGen® Enterprise EHR Help

Approve an eRx Refill Request from the Workflow Module

You can approve an eRx refill request task from the Workflow module and acknowledge drug interactions. Open NextGen® Enterprise EHR and select a patient from the Patient Lookup window. Open the Workflow module. Select the Clinical Tasking tab and select a refill request from the task list. The refill request details and patient information appears. Select Approve. The fill options appear. Fill options Select the number of refills to approve. If NextGen® Enterprise EHR detects any drug interactions, the Drug Interaction window opens, where you can review the details of the drug interactions. NextGen® Enterprise EHR displays an alert for inactive ingredients with the associated allergic reactions and the percentage of available formulation that contains the inactive ingredients. Select a drug interaction and select Acknowledge. You can enter a reason for the acknowledgement if necessary. An acknowledgement check mark appears for the drug interaction. Drug Interaction acknowledgement Sele

NextGen® Enterprise EHR Help

Acknowledge Problem - Drug Interactions

The DUR runs against all active and pending medications on the patient's chart. If any interactions are found, they appear on the Drug Interaction window. Note: User-defined medications are not checked for interactions. The display of problem 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. Take the necessary steps to avoid an adverse reaction for the patient. Repeat the following steps for each interaction alert. Select the interaction alert. Review the prescribed medication and the alert message. Select Acknowledge. NextGen® Enterprise EHR accepts the acknowledgment and automatically selects the next available medication Interaction. A check mark appears next to the interaction. When you have acknowledged all alerts, the w

NextGen® Enterprise EHR Help

Approve an eRx Refill Request for a Controlled Substance from the Workflow Module

You can approve eRx refill requests for controlled substances from the Workflow module and acknowledge drug interactions. Open NextGen® Enterprise EHR and select a patient from the Patient Lookup window. Open the Workflow module. Select the Clinical Tasking tab and select a refill request for a controlled substance from the task list.The refill request details and patient information appears. Refill request information and the patient information Select Approve. Note: NextGen® Enterprise EHR automatically generates the patient’s Prescription Drug Monitoring Program (PDMP) report. You can review the report before prescribing a controlled substance. For a Level 2 substance, the refill information appears as 1 fill with no refills. For other controlled substances, the regular set of refills are available. If NextGen® Enterprise EHR detects any drug interactions, the Drug Interaction window opens, where you can review the details of the drug interactions. NextGen® Enterprise EHR displays a

Resolve Medication Contraindications or Drug Interactions

Recommendations

Resolve Missing or Incorrect Data

Reconcile a Single Item

Acknowledge Allergy - Drug Interactions

Approve an eRx Refill Request from the Workflow Module

Acknowledge Problem - Drug Interactions

Approve an eRx Refill Request for a Controlled Substance from the Workflow Module

Resolve Missing or Incorrect Data

Reconcile a Single Item

Acknowledge Allergy - Drug Interactions

Approve an eRx Refill Request from the Workflow Module

Acknowledge Problem - Drug Interactions

Approve an eRx Refill Request for a Controlled Substance from the Workflow Module