Drug Definitions

Key Info  
Purpose:

Configure the drug list for your institution.
Related Module(s):

EHR, eRx
Accessed From:

Maintenance > EHR > Drug Definitions
Window(s):

Drug Definitions List

Drug Definition

Drug Doses

Drug Dose Frequencies

RxNorm List

Drug Access

Drug Interactions

Dependencies: Drug Frequencies

 

Drug Definition List Window

[Accessed from Maintenance > EHR > Drug Definitions]

The Drug Definition List window allows you to search for and manage the list of prescription medications that may be prescribed at your institution.

Field Description
Only show drugs on formulary

A checkbox that, when selected, filters search results to display only drugs that can be prescribed.
Criteria

A text field that is used to enter your search criteria.

Tip: You can enter the first few characters of the word, or enter an underscore (_) to return all results.

Search On

A drop-down list that indicates the field to search on:

  • Code
  • Description
Task Procedure
Search for Drugs
  1. Use the Criteria field and the Search On drop-down list to set the search parameters.
  2. (Optional) Select the Only show drugs on formulary checkbox.
  3. Click the Search For Data () icon and review the results.

    4. Note: If your search has more than 100 results, a prompt displays. Click Yes to continue your search or click No to stop and change your criteria to narrow the results list.

Add Drugs
  1. Click the Create a new Record () icon to display the Drug Definition window.
  2. Complete the fields as necessary and click OK.
Edit Drugs
  1. Search for and select a listed entry.
  2. Click the Edit Record () icon to display the Drug Definition window.
  3. Make any necessary changes and click OK.

    4. Tip: You can also double-click a listed entry to display the window.

Manage Drug Interactions
  1. Click the Drug Interactions () icon to display the Drug Interactions window.
  2. Manage interactions as necessary and close the window.
Configure Drug Access
  1. Select a listed entry and click the Level Access() icon to display the Drug Access window.
  2. Make any necessary changes and close the window.
Delete Drugs
  1. Select a listed entry and click the Delete Record () icon.
  2. When prompted, click Yes to confirm the deletion.
Preview/Print Report
  1. (Optional) To preview the Drug Definitions report, click the Preview Report () icon.
  2. To print the Drug Definitions report, click the Print Report () icon.

    3. Note: The Drug Definitions report uses the drug.rpt file.

Look Up Additional Information
  1. Select a listed entry and click the Info Button: Additional Information () icon to launch the Medline Plus site in a browser and display more information about the selected drug.
  2. Review information as necessary and close the window.

    3. Tip: You can modify which web page displays by default from Station Options > General > Info Buttons > InfoButtonUrl.

Drug Definition Window

[Accessed from Maintenance > EHR > Drug Definition List > Add a new Record () icon or Edit Record () icon]

The Drug Definition window allows you to specify a drug and the relevant information about it.

It displays when you open the Drug Definition List window and click the Add a new Record () icon or select a listed drug and click the Edit Record () icon.

Field Description
Code

A text field that indicates the code that identifies the drug.
Inactive

A checkbox that, when selected, indicates the drug is inactive and not in use.
Description

A text field that describes the drug.

Controlled Substance

A checkbox that, when selected, indicates that this drug is a controlled substance and enables the drop-down list to define the schedule it belongs to.

Note: When synchronizing with eRx, axiUm updates the schedule to match the schedule listed in eRx.

Narcotic

A checkbox that, when selected, indicates that the drug is a narcotic.
On Formulary A checkbox that, when selected, indicates that this drug can be prescribed at your institution.
Dosage is required

A checkbox that, when selected, indicates that users must enter a dosage when prescribing this drug.

Note: This field is selected by default.

Block printing prescription A checkbox that, when selected, indicates that this prescription cannot be printed. The prescription is added to the patients record, but must be handwritten.
Total must be a numeric value

A checkbox that, when selected, indicates that the value entered in the total field must be a numeric value. axiUm will convert this number into the standard text-plus-number format on the prescription print out.

Example: Twenty (20)
Total must be between __ and __

Note: These fields are only enabled if Total must be a numeric value is selected.

Text fields that indicate the minimum and maximum values allowed.
Allow Refills A checkbox that, when selected, indicates that the providers may enter refills for this drug.
Refills must be between __ and __

Note: These fields are only enabled if Allow Refills is selected.

Text fields that indicate the minimum and maximum number of refills allowed.
Side Effects A text field that indicates all possible side effects.
Prescription

A text field that indicates the custom prescription report used when prescribing this drug.

The ellipsis is used to navigate to and select a Crystal Report.
Task Procedure
Add Drug Definitions
  1. Complete the fields as necessary and click OK.

Edit Drug Definitions

  1. Make any necessary changes and click OK.

Drug Doses Window

[Accessed from Maintenance > EHR > Drug Definition List > Drug Doses () icon]

The Drug Doses window allows you to create and manage the types of doses available for the selected drug. It displays when you open the Drug Definition List window, select a listed drug and click the Drug Doses () icon.

Field Description
Drug

A read-only field that indicates the selected drug.
Dose

A text field that indicates the dosage for the selected drug.
RxNorm

A text field that indicates the standard RxNorm code that is mapped to the selected drug dose.

The ellipsis is used to display the RxNorm List window and select a standard RxNorm code.
Note

A text field that indicates the predefined note that will be placed on every prescription for this drug / dosage.

Example: To be taken with food.
Default A checkbox that, when selected, indicates that this is the default dosage for this drug.
Task Procedure
Add Drug Doses
  1. Click the Clear Data () icon.
  2. Complete the fields as necessary and click the Add a new Record () icon.
Edit Drug Doses
  1. Select a listed entry.
  2. Make any necessary changes and click the Modify Record () icon.
Delete Drug Doses
  1. Select a listed entry and click the Delete Record () icon.
  2. When prompted, click Yes to confirm the deletion.
Reorder Drug Doses
  1. Select a listed entry.
  2. Click the Up and Down buttons to move the selected entry within the list.
Configure Drug Dose Frequencies

  1. Select a listed entry and click the Drug Frequencies () icon to display the Drug Dose Frequencies window.

  2. Configure as necessary and click close the window.

Drug Dose Frequencies Window

[Accessed from Maintenance > EHR > Drug Definition List > Drug Doses >Drug Frequencies () icon]

The Drug Dose Frequencies window allows you to manage access to the sub-tab. It displays when you open the Drug Doses window, select a listed dose and click the Drug Frequencies () icon.

Field Description
Drug

A read-only field that indicates the selected drug.
Dose

A read-only field that indicates the selected dose.
Freq.

A read-only field that indicates the acceptable frequency of the dosage.

The ellipsis is used to display the Drug Frequencies window and select a frequency.
Default A checkbox that, when selected, indicates that this frequency is the default when prescribing this combination of drug and dosage.
Task Procedure
Add Dose Frequencies
  1. Click the Clear Data () icon.
  2. Complete the fields as necessary and click the Add a new Record () icon.
Edit Drug Doses
  1. Select a listed entry.
  2. Make any necessary changes and click the Modify Record () icon.
Delete Drug Doses
  1. Select a listed entry and click the Delete Record () icon.
  2. When prompted, click Yes to confirm the deletion.

RxNorm List Window

[Accessed from Maintenance > EHR > Drug Definition List > Drug Doses > RxNorm ellipsis]

The RxNorm List window allows you to search for and map a standard RxNorm code to the selected drug dose. It displays when you open the Drug Doses window and click the RxNorm ellipsis.

Field Description
Criteria

A text field that is used to enter your search criteria.

Tip: You can enter the first few characters of the word, or enter an underscore (_) to return all results.

Search On

A drop-down list that indicates the field to search on:

  • RxNorm
  • Description
Task Procedure
Search for RxNorm Codes
  1. Use the Criteria field and the Search On drop-down list to set the search parameters.
  2. Click the Search For Data () icon and review the results.

    3. Note: If your search has more than 100 results, a prompt displays. Click Yes to continue your search or click No to stop and change your criteria to narrow the results list.

  3. Double-click a listed result to select.

Drug Access Window

[Accessed from Maintenance > EHR > Drug Definition List > Level Access () icon]

The Drug Access window allows you to manage access to the drug. It displays when you open the Drug Definition List window, select a listed drug and click the Level Access () icon.

Field Description
Drug

A read-only field that indicates the selected drug.
Level

A read-only field that indicates the selected user level(s).

Tip: You can select multiple levels to save time. If multiple are selected, a comma and ellipsis (, ...) display after the first level.

Can Prescribe

A drop-down list that indicates access for the selected user level(s):

  • No
  • Yes
  • Yes with Approval
Can Approve A checkbox that, when selected, indicates that users in the selected level can approve prescriptions for this drug.
Task Procedure
Configure Drug Access

  1. Select one or more user levels that should have the same access.

  2. Set the access fields as necessary and click the Modify Record () icon.

  3. Repeat the steps for all necessary user levels.

Drug Interactions Window

[Accessed from Maintenance > EHR > Drug Definition List > Drug Interactions () icon]

The Drug Interactions window allows you to manage the list of possible drug interactions (drug-to-drug reactions) for the specified drug. It displays when you open the Drug Definition List window, select a listed drug and click the Drug Interactions () icon.

Field Description
Code

A read-only field that indicates the short code that identifies the drug.
Description

A read-only field that indicates the full name of the drug.

Note: The field may use a maximum of 100 characters.

Type

A drop-down list that indicates the type of interaction:

  • Other Drug: The drug interacts with another drug.

  • Medical Alert: The drug may cause an allergic reaction.
Drug

Note: This field only displays if the Type field is set to Other Drug.

A text field that indicates which drug this drug has a reaction with.

The ellipsis is used to display the Drug Definition List window.

Note: The interaction is also automatically added to the second drug and will display in the Drug Interactions window for the second drug.
Alert Type

A drop-down list that indicates the type of alert:

  • Alert: The drug interacts with a general alert.

  • Allergy: The drug interacts with a specific allergy.

  • Medical Problem: The drug interacts with a specific medical problem.
Alert

Note: This field only displays if the Type field is set to Medical Alert.

A text field that indicates which alert this drug interacts with.

The ellipsis is used to display the Medical Alert Codes window, the Search Allergies window, or the Search Medical Problems window and select an entry.

Note: The window that displays depends on which entry is selected in the Alert Type field.
Severity

A drop-down list that indicates the severity of the interaction:

  • Low
  • Medium
  • High
  • Very High
Interaction Description A text field that indicates the symptoms of the drug interaction.
Task Procedure
Add Drug Interactions
  1. Click the Clear Data () icon.
  2. Complete the fields as necessary and click the Add a new Record () icon.
Add Medical Alerts
  1. Click the Clear Data () icon.
  2. Complete the fields as necessary and click the Add a new Record () icon.

Edit Interactions

  1. Select a listed entry.
  2. Make any necessary changes and click the Modify Record () icon.
Delete Interactions
  1. Select a listed entry and click the Delete Record () icon.
  2. When prompted, click Yes to confirm the deletion.
Preview/Print Report
  1. (Optional) To preview the Drug Interactions report, click the Preview Report () icon.
  2. To print the Drug Interactions report, click the Print Report () icon.

    3. Note: The Drug Interactions report uses the drugReac.rpt file.