Some workflow choices are now available in SOAPware that do not exist in some previous versions.

Changes to prescriptions within Rx Manager are now automatically reflected in the current active SOAP note as long as an encounter note is displayed and unlocked (i.e. not signed off or in use elsewhere). For example, removing a prescription within the Rx Pad in Rx Manager, removes it from the SOAP note Medications field.

Rx Manager now allows new prescriptions to be created from within the manager itself. In other words, any/all prescriptions can be created within Rx Manager, which subsequently updates the encounter note.

The Rx Pad tab within Rx Manager has many areas within it:

1. Patient Information
2. Prescriber Information
3. Allergies
4. Formulary Eligibility
5. Add Rx
6. Pharmacy Selection
7. Prescription Information
8. Formulary Information
9. Select All Rx's/Deselect All Rx's
10. View Drug Interactions
11. View Errors
12. Update Summary
13. Submit Rx

Patient demographics are displayed in the top left corner of the Rx Pad so users can easily confirm which patient the current prescription is for.

Provider data is displayed to the right of the patient information.  This data is pulled from Provider Manager for the current Active Provider.

Both the prescriber and the patient information can be collapsed or expanded by clicking the arrows in the top right corner.

The Allergies field in Rx Pad displays a copy of the contents from the Summary Allergies field.

If the patient has no allergies, the SMARText Item Drug Allergies: No Known (Shortcut: nkda) must be entered into the Summary Allergies field to meet Meaningful Use criteria.

If the Auto Rx Formulary and Eligibility Retrieval setting is turned on, retrieving insurance eligibility will be done automatically whenever the Rx Manager is opened.  For instructions on setting up auto Rx formulary and eligibility checking, please see: Checking Patient Rx Eligibility.

After checking for eligibility (either beforehand or when opening Rx Manager), several new tabs will appear within the Notes section of the Rx Manager. Each tab represents different coverage plans for this patient. Depending on the particular pharmacy benefit manager, the exact data and format returned for any given coverage will vary. At a minimum, the type of benefits will be displayed, e.g. retail, PBM (i.e. mail order or both).

To add a medication, click to place cursor in the search field labeled Add Rx.  Begin typing the name of a medication and a list of SMARText Rx options will expand based on what is typed.  In the screenshot above, the options are limited to items that have already been used on the database.  

To view all available SMARText Rx options, check the box next to Include Cloud Library.  Simply click on the preferred option to add the medication to the Rx Pad.  It will also be added to the Medications field of the active SOAP note.

To select a pharmacy within Rx Pad, click the drop down menu (i.e. at the right in the Pharmacy field), and select a pharmacy from the list.

The list of medications on the Rx Pad displays all the individual prescriptions to be sent electronically, faxed, printed, or given as samples. The following sub-items for each medication can be directly edited from the Rx Pad by choosing another option from the drop down menu in the fields to be edited:

• Drug Name - E.g. Coumadin.
• Strength - Amount per unit.
• Sig - Dose, frequency, and route.  
• Dispense - The quantity and form (e.g.#30) tablets.
• Days Supply - Number of days prescription should last.
• Substitution - Whether or not to allow generics.
• Refills -  How many refills are allowed.
• Written Date - Indicates the day when the medication was inserted on the note/Rx Pad.
• Notes to Pharmacy - Location for typing in free-text message for the pharmacy.

Clicking the downward facing arrows in each field displays the same pick list selections as when working with prescriptions in the Medications field in SOAP encounter notes.

Formulary Information will be populated to the right of each medication based on available insurance policy data.   If no data is found, these fields will not be populated and Formulary Information will be grayed out.  The field Formulary Details may contain alternatives, restrictions, or coverage.  To view additional formulary informatioin, including alternative medication information, click the ? icon. To prescribe an alternative medication, you will need to remove the current medication and add the alternative medication, following the instructions above to Add Rx.

The Select All check box will select all Rx's listed in the Rx Pad or deselect all (if unchecked) Rx's listed.

The View Interactions button is grayed-out unless interactions are found. Clicking on it displays a list of drug/drug and drug/allergy interactions based on SMARText allergies and medications in the Summary and in the SOAP note.

Clicking the Combined tab will display more detailed information that can be printed for the patient.

The View Errors button will be grayed-out if patient data is complete and all prescriptions are valid for prescribing.  If you are able to click on this button, it will display a list of items that need to be completed prior to prescribing.

The Update Summary button will allow you to merge any newly prescribed medications with the medications that are currently listed in your patient's Summary Medications field.

The Submit button will send the prescriptions that are selected. It will send the prescriptions via the default method set under Tools > Options. For more information on these settings, see: Tools - Options.