Stopping Medications

NextGen® Enterprise EHR Help

Delete a Medication

You can delete any medication that was prescribed to a patient. Depending on your system settings, you may be required to select a reason that explains why you are deleting a previously prescribed medication. When applicable, the system sends a CancelRx notification to the pharmacy to ensure the prescription is not unintentionally dispensed to the patient. In the medications list, highlight the medication that you want to delete. Select Delete. A message informs you that a CancelRx message may be sent to the pharmacy and a deletion reason may be required. Select Yes to confirm deleting the selected medication. If deletion reasons are required for previously prescribed medications, the Deletion Reason Selection window opens. Deletion Reason Selection Select a reason for the deletion, and then select OK. If the medication was previously sent to a pharmacy and the prescriber is enrolled in the Cancel Rx service level, the Cancel Medication window displays a message to inform you a CancelR

NextGen® Enterprise EHR Help

Viewing Dispense History

The Medications Module displays the last recorded case of a medication being dispensed (Print/Fax/eRx) in the Last Audit column of the Medication List. The Medications Dispense History enables you to view all information applicable to recorded cases of the selected medication being dispensed (Print/Fax/eRx). For eRx on the Dispense Audit Information window, the following statuses are supported: Synchronous when the pharmacy is directly associated with Surescripts Pending Error Sent - Verified Asynchronous when the pharmacy is associated with Surescripts through an aggregator that collects and processes the prescriptions Sent - Pending Verification Sent - Verify time out Verified Sent Error Note: Not all pharmacies support the Verify status. If an Error status is received, the error is displayed at the bottom of the window. Parent topic: Electronic Prescriptions

NextGen® Enterprise EHR Help

No Active Medications Indicator

The No Active Medications check box is selected when the patient in context has no active medications in their chart. When a new medication is prescribed, the check box is automatically cleared. When an active medication is deactivated (either manually or by surpassing the stop date), stopped, or deleted and there are no active medications listed for the patient, the No Active Medications check box is selected again. Parent topic: Medications Module

NextGen® Enterprise EHR Help

Setting Up Medication Deletion Reasons

To allow users to apply a reason when they delete previously prescribed medications, you must activate the Prompt for Prescribed Medication Deletion Reason and add custom reasons that users can select. The system includes a history of the deleted medication for traceability and may send a CancelRx request to the pharmacy to ensure the prescription is not dispensed to the patient. Activate the Prompt for Prescribed Medication Deletion Reason Add Prescribed Medication Custom Deletion Reasons Parent topic: Medications Module

NextGen® Enterprise EHR Help

Cancel an Electronic Prescription

Before you begin You must enable Yes for eRx Permissions Practice Rights access in System Administrator. You must be enrolled for Cancel Rx service level in File Maintenance. Only pharmacies with the Cancel Rx service level can receive cancellation messages Pharmacy must participate in receiving Cancel Rx requests. You can send a Cancel Rx request to a pharmacy. If a medication was prescribed over two years ago, you can only stop or mark a medication as ineffective and cannot send a Cancel Rx request. Open NextGen® Enterprise EHR. Open Medications module. Select an active medication prescribed less than two years ago. The Last Audit column must have the eRx value. Select Cancel Rx. A message appears indicating that the medication has been cancelled and a cancellation message will be sent to the pharmacy. Select OK. The medication becomes inactive and a cancellation message is sent to the participating pharmacy. The Stop Date is updated in the Inactive grid and the Cancel Rx option beco

NextGen® Enterprise EHR Help

Stop a Medication

You can stop a medication or mark the medication as ineffective in the Medications module when one of the following conditions are met: You are not enrolled to Cancel Rx. You are enrolled to Cancel Rx and the medication was prescribed more than two years ago. Open NextGen® Enterprise EHR. Open Medications module. Select an active medication. To stop multiple medications, either select and hold the Shift key and select the desired medications or select and hold the Ctrl key and select multiple medications. The Last Audit column must be same when selecting multiple medications to Stop or Mark Ineffective. Select the arrow on the Stop button, and then select either Stop or Mark Ineffective. If you mark an active medication as ineffective, a stop type Rx Note is automatically added to the medication. The note includes text indicating it was stopped due to ineffectiveness. If you try to prescribe the ineffective medication, an Ineffective Warning is displayed on the Drug Interactions window

Stopping Medications

Recommendations

Delete a Medication

Viewing Dispense History

No Active Medications Indicator

Setting Up Medication Deletion Reasons

Cancel an Electronic Prescription

Stop a Medication

Delete a Medication

Viewing Dispense History

No Active Medications Indicator

Setting Up Medication Deletion Reasons

Cancel an Electronic Prescription

Stop a Medication