This lesson will demonstrate how to insert the patients current medications in the Medications field on the Summary side using the Shift + F11 searching method.
The Summary Medications field is used to record the patients active medications list.
Summary Medications Field
The Medications field in the Summary is used to record an active medication list for the patient.
Placing of the Insertion Point
Entering a Medication Using Shortcut Codes
To enter data into the Medications field, Click next to or just below the Medications field header in the Summary.
To enter a medication using a SMARText Shortcut Code, type the medication shortcut code and then press the space bar (example: type "Met2", then press the spacebar to insert Metaglip 2.5mg-250mg tablet).
Recording "Current Meds: None"
When a patient has no current medications, documentation must be entered as structured data by using the SMARText Item for "Current Meds: None".
Type "NoMeds" into the Summary Medications field and Press the space bar. This will expand into the structured data required for this field.
*Note: Users will need to re-download the "NoMeds" SMARText Item for use within SOAPware. For instructions on re-downloading this item, please see: Using No Known SMARText Item Types in the Summary.
Entering the Medication Keyword
Conducting a Shift + F11 Search to Enter a Medication
Inserting the Medication
Using other Methods to insert SMARText Medications
The above instructions demonstrated the Shift F11 search method that can be used to enter SMARText Medication. In addition to using Shift F11, the following SMARText entry methods could also be used:
- F11 search
- Custom Pick List
- Quick Access Pick List
- SMARText Items Manager
- Shortcut Codes
For more information on the above entry methods, please see: SMARText Data Entry Methods.
Changing Medication Sub-Items
To change or edit a sub-item of a medication:
- Click on top of the sub-item (ie: 20mg tablet OR 1 tabs OR once a day)
- Select the desired option from the SMARText Quick Access window