Quick Reference — To record the reason that the medications list was not reviewed
To support clinical quality reporting requirements, you can indicate that a patient's medication list was not reviewed along with the reason why. This feature is available in the Medications section of the patient chart, as well as in the Intake checklist.
- Display the patient chart and click the Medications tab.
Note: If you are performing Intake for a patient encounter, click the Medications option in the Intake checklist. - At the bottom of the medications list, click Reviewed.
The field now reads Not Reviewed and the Reason for not reviewing menu appears.
Note: If you do not select a reason from the Reason for not reviewing menu, an orange bar appears next to the Medications tab. - Select a reason from the menu.
- Not indicated — Select this option when, for example, a patient returns for a follow‑up visit shortly after a previous visit.
- Not tolerated — Select this option when, for example, a patient does not know which medications he takes or when a patient comes in for a quick nurse visit and becomes angry or agitated when asked about medications or other matters.
- Patient refused — Select this option when, for example, a patient comes in for a quick nurse visit and declines to review the Medications list because she's in a hurry or refuses to confirm which medications are active or inactive.
- To change the Not Reviewed status to Reviewed, click Not Reviewed.
Note: The Not indicated and Not tolerated reasons are considered medical reasons for not reviewing the medications list and, therefore, satisfy data reporting requirements. The Patient refused reason is not considered a medical reason and does not satisfy reporting requirements.