Drugs

Drugs - Surgery 004.jpg

The "Drugs" tab allows the doctor to prescribing drugs for patients and issuing the paper prescriptions. It is possible to prescribe also already prepared (normal) and made drugs - to change the type of prescribing drug, there is NORMAL / MADE switch.

 

Prescribing prepared drugs is based on the mechanism of hints. If the field with the globe icon in front of the drug name field is not checked, then trade names should be used when entering the drug name, otherwise international names should be used. If in the surgery configuration mode of displaying hints when prescribing drugs "hints displayed for the name of the drug but containing the name, form, dosage and package" is on, then to prescribe normal drug start typing the name of the drug in the "drug name" field and optionally a dose. After entering at least three letters there is displayed a list of suggestions (refunded drugs on suggestions list are marked with the character of ®). Appropriate drug should be chosen from the list of suggestions. At the moment, the "drug name", "form", "dose", "package", "quantity", "repayment" fields will be automatically filled and in case of psychotropic drugs from group P-III and P-IVand all Rpw prescription drugs for doses determined by total or fractional micrograms, milligrams, grams, microliters, milliliters, liters, grams per liter, milligrams per liter, micrograms per liter, grams per hour, milligrams per hour, micrograms per hour, grams per milliliter, milligrams per milliliter, micrograms per milliliter also "dose in words" field, and moreover before “+” / “Add” (character / text within the button dependent on surgery configuration) button will appear a magnifier icon / “SoPCh” text (icon / text within the button dependent on surgery configuration). However, if mode of displaying hints when prescribing drugs "hints displayed separately for the name, form, dosage and package" in the surgery configuration is on, then to prescribe normal drug start typing the name of the drug in the "drug name" field. After entering at least three letters there is displayed a list of suggestions (refunded drugs names on suggestions list are marked with the character of ®). Appropriate drug should be chosen from the list of suggestions. After selecting name of drug form the list of hints, the system automatically moves a cursor to the field of form of drug and displays hints containing available forms of drug having this name (refunded drugs forms on suggestions list are marked with the character of ®). After selecting form of drug from the list of hints, the system automatically moves a cursor to the field of dose of drug and displays hints containing available doses of drug having this name and form (refunded drugs doses on suggestions list are marked with the character of ®). After selecting dose of drug from the list of hints, the system automatically moves a cursor to the field of package of drug and displays hints containing available packages of drug having this name, form and dose (refunded drugs packages on suggestions list are marked with the character of ®). After selecting package of drug the system automatically fills the ”quantity” and “repayment” fields and in case of psychotropic drugs from group P-III and P-IV and all Rpw prescription drugs for doses determined by total or fractional micrograms, milligrams, grams, microliters, milliliters, liters, grams per liter, milligrams per liter, micrograms per liter, grams per hour, milligrams per hour, micrograms per hour, grams per milliliter, milligrams per milliliter, micrograms per milliliter also "dose in words" field, and moreover before “+” / “Add” (character / text within the button dependent on surgery configuration) button will appear a magnifier icon / “SoPCh” text (icon / text within the button dependent on surgery configuration). The task of the doctor is to verify (and possibly modify) the amount and payment for a drug (if for a given drug there is more than one level of price then placing the cursor in the "repayment" field and pressing the down arrow on your keyboard will develop a list of available payment to choose), determine the dosage, in case of psychotropic drugs from group P-III and P-IV enter the dose of the active substance in words (if it is not filled automatically) and in case of fixed drugs note that the drug is fixed. The magnifier icon / “SoPCh” text (icon / text within the button dependent on surgery configuration), which appears before “+” / “Add” (character / text within the button dependent on surgery configuration) button after the selection of drug enables to view the details data of selected drug (clicking on this icon opens a new window with information about the drug).

 

To prescribe made drug, in the "recipe" field should be entered the content of the drug’s recipe and in the "repayment" field – repayment for that drug (setting mouse in the "repayment" field and pressing down arrow on the keyboard will develop the list of repayment to choose). Morover one can specify dosage and mark such a drug as permanent. In order to add the added drug to the catalog of prescription drugs (common for all doctors), one must additionally check the "to catalog" box. After filling the data (both for normal and made drug) drug should be added to the visit card by pressing the “+” / “Add” (character / text within the button dependent on surgery configuration) button. Repeating the above steps, it is possible to enter any number of drugs. If there is need to change the amount, payment, or dosage in words at added drug (before issuing prescriptions) should be made changes in the appropriate fields at the drug and save them by clicking on the floppy disk icon at the drug (any modification of the amount, payment, or dosage in words entered at the drugs are also saved at the moment of creating recipes). If any drug is added by mistake, it is possible to remove it using the button with „×” sign visible at a particular drug. By the names of prescribed drugs there can appear the follwing caution marks: P – psychotropic drug, X – very strong drug, S – strong drug, N – intoxicating drug (full text of caution is displayed within tooltip which appears after moving mouse cursor onto the given mark). After finishing entering drugs, prescriptions can be issued. For this purpose, use the "Create prescriptions" or „Print prescriptions” button (it depends on system configuration). If prescriptions are to be non-refunded (without the number and with repayment of 100%) it is necessary to mark the field „issue nonrefunded prescriptions” visible within prescription parameters section before clicking button "Create prescriptions" or „Print prescriptions”. If prescriptions are to be transborder it is necessary to mark the field „issue transborder prescriptions” visible within prescription parameters section before clicking button "Create prescriptions" or „Print prescriptions” (this field is visible only if doctor has professional title and phone or email). If prescriptions are to have future realization date one has to enter realization since day within prescription parameters section before clicking button "Create prescriptions" or „Print prescriptions”. If for the doctor there is no free numbers of prescriptions or prescriptions pool ends in the system, then next to the "Create prescriptions" / „Print prescriptions” button appears three exclamation marks on a red background, and when you hover the mouse cursor on it, there is information in a balloon about the state of pools of prescriptions’ numbers (if in the pool there is no free prescriptions’ numbers XMZ file with the pool of prescriptions should be download from the NFZ SZOI system and use the "Prescription pools " functionality in the "Staff" menu to enter the file into the system). After pressing the "Create prescriptions" / "Print prescriptions" button, system divides prescription drugs into groups and each group a separate prescription is issued. Rules of dividing drugs into groups are as the following:

  • each psychotropic and narcotic drug from groups I-N, II-N, III-P and IV-P goes to the separate prescription (Rp, Rpz or Rpw depending on kind of recipes for which the drug is required)
  • any recapture drug goes on a separate prescription (Rp)
  • other prescription drugs and non-prescription drugs with payment different than 100% are divided into groups of up to 5 drugs (the division into groups is implemented in such a way that all the drugs in this group require the same kind of prescription: Rp, Rpz or Rpw), and for each group is issued a separate recipe (Rp, Rpz or Rpw); non-prescription drugs but with a payment other than 100% are treated as Rp prescription drugs
  • non-prescription drugs do not get prescription

When to create prescriptions is used "Create prescriptions" button above drugs will appear icons of printing prescription (printer icon) and cancelation of receipt („×” icon) allowing to download and print each prescriptions separately or cancel receipt in case of error on it. When to create prescriptions is used "Print prescriptions" button then immediately opens the file with all issued prescriptions for printing or prescriptions not already printed (in case of surgery configuration) and also above drugs will appear icons of printing prescription (printer icon) and cancelation of receipt („×” icon) allowing to download and print each prescriptions separately or cancel receipt in case of error on it. In addition, information about the date of realization appears on top of each prescription, as well as a field and icon that allows you to duplicate a given prescription with the date of realization later for the indicated number of days (eg. to issue a series of prescriptions for monthly treatments). To duplicate the prescription with the realization date later for a certain number of days, enter the desired number of days in the field visible above the prescription and then click the recipe duplication icon. Prescriptions are printed on blank paper - the system automatically creates a proper imprint.

 

The button with the database icon at the bottom of the "Drugs" tab allows to access to the history of prescribed medication and issued prescriptions for the patient and provides in an easy way to represcribing the same medication or re-issuing the same prescriptions. When you press this button there opens a new window in which at the left side are categories of drugs, and at the right side - drugs. Categories of drugs are divided by clinics where the patient is treated and on the other drugs. At first there is displayed the clinic, where the current visit takes place. Each clinic provides the following categories of drugs:

  • recent visits – patient’s normal and made drugs of the last three visits in the clinic, including ready drugs prescribed for e-prescription
  • constant - patient’s normal and made fixed drugs from all visits realized in the clinic
  • last year – patient’s normal and made drugs from the last year visits (365 or 366 days back from the current date) in the clinic, including ready drugs prescribed for e-prescription
  • all history – patient’s normal and made drugs from all his visits in the clinic, including ready drugs prescribed for e-prescription
  • made – patient’s made drugs from all his visits in the clinic

In addition, (next to the drugs listed in clinics) there are other drugs into categories:

  • Solid medicaments – all normal and made fixed drugs of the patient
  • List of preferred - a handy list of preferred (most frequently prescribed) drugs by a doctor
  • bMade drugs – patient’s made drugs from all realized visits

By clicking on the names of the categories, on the right side of the window will be displayed drugs appropriate to the category. Drugs witch have been prescribed for current visit are grayed out. At each drug there is a button with "+" sign, which pressed, adds selected drug to the list of drugs prescribed to the patient on the current visit. In addition, the "solid medicaments" and "fixed" category, at each drug there is the button with "-" sign, which pressed removes the drug from the history of prescriptions and medications, which applies in a situation where a specific drug is no longer the patient’s constant drug. In "recent visits", "last year", "all history" categories, drugs are grouped in such way in which they were placed on prescription. At each that group of drugs (except drugs prescribed for e-prescription) there is available the "Prescription" button which pressed adds a selected group of drugs to the list of drugs prescribed to the patient on the current visit and automatically creates on a current visit a prescription with these drugs. It is therefore a very fast way to repeat a prescription.

 

 

Button with the „×” sign in the window of history of prescriptions and drugs closes this window and returns to the "drugs" tab in the visit window.

Button with an first aid kit icon visible in the lower part of the tab "Drugs" opens the same window as the database icon button, except that in the open window appear immediately drugs from the "preferred list" category.

Button with the "☑" icon visible in the lower part of the tab "Drugs" opens the same window as the database icon button, except that in the open window appear immediately drugs from the "permanent drugs" category.

The button with an icon of open file displayed in the lower part of the "Drugs" tab allows to access to the full catalog of drugs and provides an easy way to prescribe drugs from the catalog. When you press this button there is opened a window of drugs’ catalogue, which shows all the available drugs. At each drug are presented the following information:

  • name
  • form
  • package
  • producer
  • repayment
  • is this drug authorized for marketing
  • is this contraceptive drug
  • group of precursors
  • category of availability
  • international name
  • characteristic - if the drug has a characteristic then in the field of characteristic is displayed a button with the down arrow „↓” to download the PDF file with the characteristic of the drug
  • replacements - at every drug there is the "Display" button, which allows to display replacements for a particular drug

Before each of the drugs there is visible "Add" button, which adds the drug to the list of drugs prescribed to the patient on the current visit. In turn, pressing the button of displaying replacements at any drug switches the view from the list of drugs to the list of replacements for this drug. In the upper part of the window there is displayed additional information about which drug’s replacements are currently displayed ant at this information is „×” sign. Clicking on the „×” ends displaying of replacements and restores the previous view of drugs.

The list of drugs displayed in the window of catalogue of drugs can be narrowed by entering a part of the name, form, package, producer, international name in the fields visible at the bottom of the column and / or selecting the appropriate values from the drop-down lists also visible at the bottom of the column. When entering a part of the name, form, package, producer, international name and / or selecting values from drop-down lists, the system automatically displays only these medicines that meet the search criteria. By clicking in turn on the headers of columns under the list of drugs it is possible to sort them alphabetically by the column (subsequent clicks are changing the sort order from ascending to descending and vice versa). At the top of the left column there is also displayed a navigation pane uses to change the amount of drug visible on one screen as well as switching between successive screens if the drugs do not fit on one.

 

Button with the „×” sign in the catalogue of drugs window can close this window and return to the "drugs" tab in the visit window.

Button with gears visible in the lower part of the tab "Drugs" allows to preview list of interactions between prescribed drugs, interactions between prescribed drugs and agents patient is allergic to, nteractions between prescribed drugs and agents patient is addicted to, and interactions between prescribed drugs and other agents defined within the dictionary of interaction agents. Depending on system configuration, this button can be always blue (higher system performance) or it can automatically change color into red in case when any interaction is detected (lower system performance). After clicking this button there opens new window with the list of detected interactions. System indicates the following interactions:

  • drug-drug interaction defined by the user within interactions database (drug in sense of trade name or international name)
  • drug-agent interaction defined by the user within interactions database (drug in sense of trade name or international name)
  • prescribing of the same drug more than once
  • prescribing at least two drugs containing the same component (component in sense of trade name or international name)
  • interaction between drug and agent patient is allergic to
  • interaction between drug and agent patient is addicted to

 

Button with mark „×” within drug interactions window allows to close this window and return to “Drugs” tab within visit window.

The button with the flask icon visible at the bottom of the "Drugs" tab allows access to the prescription drug catalog. After clicking it, a new prescription drug catalog is displayed in the new window and with each drug a button with the "©" sign, clicking which closes the catalog window and copies the recipe to the prescription drug prescription form at the bottom of the "Drugs" tab, which allows faster prescription of the given drug to the patient.

 

Button with icon of empty sheet of paper at the bottom of the "Drugs" tab allows to print empty prescription print.

The button with the icon of a filled sheet of paper at the bottom of the "Drugs" tab allows to print a prescription print with the number, company details, doctor's and patient's details.

The "Back" and "Next" buttons visible at the bottom of the tab allow you to switch accordingly to previous and next tabs in the visit card.