The Prescription section is an important part of the EMR if you are doing any sort of prescribing in your practice. Being able to easily find your way around is therefore crucial. This guide will introduce you to the Prescription section and help you get familiar with the tools at your disposal.
To access the prescription window when using the Juno interface, click on the ‘Add +’ button on the medications header in the Summary page, on the ‘Rx’ tab at the top of the patient’s record, or on the ‘Rx’ link on an appointment for that patient. To access the prescription window when using the Classic interface, click on the '+' sign on the medication header or on the 'Medications' header itself. Alternatively click on the 'Rx' link on an appointment or in the search window when looking for the chart.
The medications window looks like this:
- Preferred Pharmacy – At the top of the screen, you will find the patient’s preferred pharmacy. Consult our guide to preferred pharmacies in Juno EMR for more information on this feature.
- Patient Information – Towards the top left of the page, you will find active allergies and the patient’s medical history.
- Current Prescription – Drugs added to the current prescription will display in this section.
- Favorites – As a user, you can create favorites to help save time when prescribing. This is where they will be located.
- Quick Actions – The following quick actions are available:
- Print – Generates a printable version of the patient drug profile.
- Reprint – Allows you to re-print previously created prescriptions. This is not a represcribing function.
- Represcribe All Long Term Meds – Clicking on this link will automatically add all longer term medications to the current prescriptions (c).
- Timeline Drug Profile – Generates a graph of medications taken by the patient over time.
- Filters – Use the various filters to determine which list of medications you are looking at:
- Current – All medications that have not been marked as discontinues or deleted. This is the default view.
- All – Shows all medications prescribed for this patient, including discontinued and deleted drugs.
- Active – Displays only drugs that are currently active, meaning that count down of days to expiry has not yet reached zero (0).
- Expired – Displays expired medications.
- Longterm/Acute – Displays medications in two categories: long term and acute prescriptions.
- Longterm/Acute/Inactive/External – Displays active long term and acute medications, drugs identified as having been prescribed by an external provider, then inactive drugs.
- Medication List – Drugs matching the selected filter display in this section. The most recent prescriptions are always at the top.
Prescriptions will be displayed in fonts of different colors:
- Orange means the prescription is active but has less than 30 days left.
- Blue means the prescription is active with more than 30 days left.
- Grey means the prescription has expired.
- Purple means the prescription was recorded as coming from an external provider.
Long term medications are displayed with an italicized font and an asterisk under the ‘LT Med’ column. Re-prescribed, discontinued or deleted drugs are displayed as
The medication list is displayed in a table whose columns correspond to…
- Entered Date – Date the prescription was saved in Juno EMR.
- Start Date – Start date associated with this prescription, typically the same as the entered date unless a separate start date was entered when writing the prescription.
- Days to Exp – Number of days left before the prescription expires, based on the data entered in the prescription at the time of creation.
- Medication – Name of the medication with details on the instructions given on the prescription.
- Represcribe – Link to re-prescribe the associated medication.
- Delete – Delete the associated medication.
- Discontinue – Discontinue a medication and record the reason such as dose change or adverse reaction.
- Reason – Allows you to associate a medical condition to the prescription using ICD9 codes.
- Past Med – Identifies medications recorded as past medications at the time the prescription was created.
- Annotation – Allows you to add additional notes for yourself about this medication.
- Location Prescribed – Identifies prescription written by clinic staff versus prescriptions identified as having been written by an outside provider.
- Hide from CPP – Allows you to hide a specific medication on the Summary tab for this patient record.
Under the medication list, you will also find a section with the ‘Other Medications’ entries. The ‘Other Meds’ section of the chart works like CPP notes; saving new entries follows the same workflow. It is a good place to record information about natural remedies, vitamins or over the counter medications the patient is taking. It is also often used to track prescriptions written by other physicians.