The Medications/Assessments tab displays a patient’s active and historical medications and assessments. Patient medications, allergies, and pharmacy information can also be modified from this tab.
Configuration
Users and providers who need to add or update patient medications, allergies, or pharmacy information must be set up to access the medication and allergy module (Rcopia).
Providers who need to prescribe controlled substances electronically must have an EPCS Gold account.
Please submit the EPCS Enrollment form to begin enrollment for an EPCS Gold account.
Medications
The Medications section displays the Medication name, Sig, Indication, date Started, and Last Rx for all the patient’s current medications.
To access patient education for the medication, click (Infobutton) next to the Medication column or click in the Pt Ed column to launch MedlinePlus Connect website resources
Click More Info to view more details about the medication
Managing a Patient’s Pharmacy List
A patient can have up to four assigned pharmacies within the medication module.
Add a Pharmacy
Go to Chart > Medications/Assessments and click Modify to launch Rcopia
Click the pharmacy Search icon ()
Type the pharmacy information into one or more of the search fields
The State field is pre-populated based on the clinic’s location
Optional: refine the search by selecting a filter for pharmacy List, Pharmacy Type, or Pharmacy Options
Click Search
Click the pharmacy name from the results list to add the pharmacy to the patient’s list
Repeat the previous steps to add another pharmacy
Click Return to Sevocity
Delete a Pharmacy
Go to Chart > Medications/Assessments and click Modify to launch Rcopia
Select the pharmacy to be deleted from the pharmacy list
Click the Remove Patient Pharmacy icon ()
Click Confirm Delete to delete the pharmacy
Click Return to Sevocity
Add a Drug Allergy
Go to Chart > Medications/Assessments and click Modify to launch Rcopia
From the Allergies section, click the Add Allergen icon ()
Begin typing a medication allergy in the Allergen field and select the allergy from the suggested results list
or
Type a medication allergy in the Allergen field and click Search. Then click the allergy name from the results
Optional: populate additional information about the allergy
Reaction: type a reaction in the Reaction(s) field and select a reaction from the suggested results list. Repeat to add more reactions, if needed
Severity: select a severity from the list
Onset Date: type the allergy onset date
Click Save
Repeat the previous steps to add more allergies
Click Return to Sevocity
Warning
If no matches are found for the allergy name, an option displays to enter the allergy as free text. Allergies entered as free text are not detected for drug-allergy interaction alerts and could create a patient safety risk.
Add a Current Medication
Current medications are medications being taken by the patient that were previously prescribed by the clinic but not documented in Sevocity or were prescribed by another provider.
Go to Chart > Medications/Assessments and click Modify to launch Rcopia
From the Medications section, click the Add Medication button
Begin typing a medication name in the Search for a drug field and select the medication from the suggested results list
or
Type a medication name in the Search for a drug field and click the Search icon (). Then click the medication name from the results list
Click the correct dose for the medication
Optional: Populate additional information about the medication, such as dosage and start date
Click Add
Repeat the previous steps to add more medications
Click Return to Sevocity
Warning
If no matches are found for the medication name, an option displays to enter the medication as free text. Medications entered as free text are not detected for drug-allergy or drug-drug interaction alerts and could create a patient safety risk.
Prescribe a Medication
Go to Chart > Medications/Assessments and click Modify to launch Rcopia
Click the New Rx button
Begin typing a medication name in the Search for a drug field and select the medication from the suggested results list
or
Type a medication name in the Search for a drug field and click the Search icon (). Then click the medication name from the results list
Click the correct dose for the medication
Complete the remaining prescription information
Click Review to review the prescription information
Optional: click the Add to Favorites icon () and click Save to save the current prescription to the prescription Favorites list
To create another prescription, click Save and Add Rx and repeat the previous steps to create more prescriptions
The prescription will be added to the Prescription Management section as a pending prescription until it is sent
or
Type the Signature Password (if required) and click one the following options to complete the prescription:
Send: electronically transmits the prescription to the pharmacy
Send & Print: electronically transmits the prescription to the pharmacy and generates a printed copy
Print don’t Send: prints the prescription but does not transmit it electronically
Sign don’t Send: signs the prescription but does not transmit it electronically
Click Return to Sevocity
Note: Pending prescriptions entered via iPrescribe will display on the patient’s Chart Summary until they have been signed off.
Electronic Prescription of Controlled Substances (EPCS)
Providers prescribing controlled substances electronically are required to enter a Signing Passphrase and Token PIN for transmission authorization.
This information is requested after entering the Signature Password and clicking Send or Send and Print.
Note
Modifying a patient’s medications or allergies or prescribing a medication will create a record of the action as a Medication Encounter type, which can be viewed in the Past Encounters tab of the chart.
Pending Prescriptions
If a prescription is created in Rcopia but is not completed (i.e., neither sent, signed, nor printed), the prescription is considered pending. Pending prescriptions created in the chart do not display in the Medications section but are visible in the Rx Pending queue, accessible from within Rcopia and from the Prescription Status links.
Sevocity Best Practice
Review the Rx Pending queue for any pending prescriptions that may be relevant to the patient.
View Historic Medications
Click View Historic
Select a Mode: Med name or Indication
Select a Medication Status: All, Active, or Inactive/Discontinued
Select a Medication
Select a Time Frame for the history
Assessments
The Assessments section displays the Problem name, ICD-10 code, SNOMED CT code, Onset Date, and Progress for all the patient’s current assessments.
Select the Inactive/Resolved radio button to view the patient’s inactive and resolved assessments
To access patient education for the problem, click (Infobutton) next to the Problem column or click in the Pt Ed column to launch MedlinePlus Connect website resources
View Historic Assessments
Click View Historic
Select an Assessment Status: All, Active, or Inactive/Resolved