Prescriptions can be created within a SOAP if an Rx is being prescribed during a visit or directly from the patient profile if an Rx is being prescribed outside of a visit.
Creating an Rx
Creating an Rx in a SOAP
After you’ve navigated to the Rx section of the SOAP, click the +Add New button on the right side of the screen.
Creating an Rx outside of a SOAP
From the patient profile, select the + icon under the Prescriptions section.
Once the Rx page has been opened, you’ll see fields for:
In-House/Written: determines whether the client needs to go to a pharmacy for the Rx or if you can fill it in-house
If you select written, a "Controlled" checkbox will appear under the medication name. This way you can select whether or not that medication is controlled and it will populate on your Controlled Drug Report.
Medication: the product you're prescribing
Substitution Permitted: when this new election is marked, an alternative signature line will appear on written prescriptions with the Dr signature placed accordingly. When this election is not marked, the prescribing Dr signature will be placed in alignment with the ‘Dispense as Written’ signature line.
Refills PRN: Available in both In-house and Written prescriptions. Selecting this option allows refills as needed. PRN refills are not valid past the original prescription expiration date.
Quantity Dispensed: quantity of the medication prescribed for each refill
No. of Refills: number of refills for the prescription
Expiration Date: when the prescription (not the product) expires
Calculate Quantity: generates a calculator that helps you determine quantity based on the doses you need per prescription
Directions: usually for administration, these print on the Rx label and are different than discharge instructions
Prescribing Doctor: doctor who wrote the Rx; populates in the record and can used for production tracking
Discharge Instructions: allows you to manually add or edit existing discharge instructions to the prescription
Once the appropriate fields have been filled out, select Save and Print or Save to add it to their record and invoice, and automatically populate any discharge instructions associated with the prescription.
Tip: You can use shortcuts or create Rx Label Settings under the product settings in Admin to have pre-populated directions when creating a new Rx.
Rx Labels
For more information on printing Rx labels, check out our help article on Printers and Prescription Labels.
Deleting an Rx
Deleting an Rx in a SOAP
If you created an Rx incorrectly or the client decides not to take the medication, you will open the Rx from the SOAP and select the Edit icon under Actions.
Once the Edit Prescription page is opened, you will select the delete/trash icon to remove or cancel the Rx and then enter a reason for the Rx being canceled. This will remove the Rx from the SOAP and patient history.
Deleting an Rx outside of a SOAP
If you created an Rx incorrectly or the client decides not to take the medication, you will open the Rx from the patient's history, select Cancel, enter a reason for the Rx being canceled, and then select Confirm. This will remove the Rx from the patient history.
