Users assigned with the HT Submit role are able to create Medication History forms.

  1. Click on the New link in the Medication History section under the Health tab of the Dashboard.



    Screenshot of the New link beside the Medication History option from the Health tab of the Dashboard


  2. Select the individual for whom you want to create a Medication History. This will take you to the Medication History form.









Please refer to the following to create a new Medication History form:


Section 1 – General Information


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  1. On the Medication History form, select the Program Name from the drop down lists. You may click on the Medications link in Look Up to view all the medications that were assigned to the individual. You may also click on the Allergies link to view the Allergy Profile of the individual.

    Screenshot of the Allergies/Medications link beside the Look Up option and this option appears after the Individual name is entered in the Individual Name field



Section 2 – Pharmacy/Prescriber Information


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  1. To add a precriber for the medication, click on the Look Up button beside the Prescriber field in order to select a prescriber from the Shared Contact list.





Section 3 – Medication History Information


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Drug Lookup

The Drug Lookup section will be available with the purchase of the MAR module.
  1. Once the first few letters of the Drug Name is entered an autocomplete list will appear. You will need to select the appropriate drug from the autocomplete list and click on the Search button.


Drugs can be looked up from First Databank drug database with either Drug Name or Drug Code but cannot be searched with both simultaneously.


  1. Click on the Add button to add the medication. The medication will be added and you will see the following message under the Drug Lookup section.




  2. You may also enter the Drug Code and click on the Search button to find the medication.




  3. You may click on the Drug Name to view the Drug Description, Side Effects and other information.





General Drug Information

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  1. In the General Drug Information section, you will be able to enter the general information about the medication. You will need to enter the Medication Name here as this is a required field.




  2. The Drug Coding System, Strength Unit, Dose form, and Medication Type can be selected in this section from the drop-down lists available next to these fields.
The Drug-Allergy Interaction and Allergy-Allergy Interaction will only be carried out for Looked Up data. This means that the system will notify for allergy interactions or drug interactions only for those medications that have been looked up using the Drug Name or Drug Code.

Compound Drug Component

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  1. In the Compound Drug Components section, users will be able to enter data about the components of a particular Medication. Multiple components can also be added and/or removed as necessary. Users will also be able to add more Medication Component Information using the Add Component button which will open the Create/Update component pop up window.





  2. For an added component, users can click on the Open link and edit various parameters including the Name, Code, Coding System, Strength, Strength Unit, Give Amount/Quantity, Measurement Unit, and Type.





Administration Details

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  1. In the Administration Details section, users can create and add multiple schedules for the medication. To add a new schedule, users can click on the Add Timing & Schedule button. Changes to an existing schedule can also be made by clicking on the Open link beside the particular schedule.





The information in the Instruction column under Administration Details will not populate on the MAR form.


  1. The Add Timing & Schedule button and the Open link will open the Medication Schedule Form whether the schedule for the medication can be entered or edited.


Medication Schedule Form

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  1. You will need to enter the Begin Date and fill out necessary information in the form. Each schedule that is added can have its own Frequency, Begin Date and End Date.




  2. In the Frequency field, users will be able to assign frequency for the medication to be administered. The Frequency field can hold text, such as instructions of daily or weekly. while typing in the frequency, such as weekly or daily, a drop-down list will show you options that are already present in the system.
  3. In the Daily tab of the Schedule Interval section users will be able to schedule medication for Everyday, Every Other Day or days with custom intervals by selecting the 3rd option.
  4. If the Begin Date and the Schedule Time of a Scheduled medication is entered, the corresponding cells in the MAR will be automatically colored green.
  5. In the Schedule Interval section users can add multiple schedules for the same medication.
  6. From the Schedule Time(s) section users can select the schedule time for the medication. Click on the Add New button to add more schedule options to the form.
  7. To schedule medications in an odd pattern, you may only select the Schedule Time from the Medication Schedule Form. You may then schedule medications randomly or in an odd pattern from the MAR Configuration page.
  8. If users do not enter an interval and click on the Add button at the bottom of the Medication Schedule Form, a warning message will be displayed to the user stating that an Interval Type was not selected.




  9. Apart from Daily schedules, users will also be able to add schedules that are Weekly, Monthly, Hourly and for PRN/Other as shown in the screenshots below:
  • Weekly Interval




  • Monthly Interval




  • Hourly Interval




Hourly schedules will not appear on the MAR
  • PRN/Other






  1. Users will be able to enter Route information, Administrative Method, Administration Device and Route Instruction under the Administration Details section. The Route can be selected from the drop-down list of the field.




  2. Users can specify home medications by selecting either Yes or No from the Home Medication option. Users can select Medication Category and Medication Subcategory and are able to to record Indication/Purpose, Side Effect, Instruction/Comments about the medication in this section.





Linked Diagnosis

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  1. The Active Diagnoses of an individual will appear on the Medication History form. Clicking on the check-box(es) will link the particular diagnoses to the Medication History form of the individual. Available diagnosis codes, e.g. ICD9/DSM-4/Other will show in the table for a particular diagnosis that has been linked. The system will display a message asking users to add all the linked diagnoses before submitting the Medication History form because once the form is submitted, the linked diagnoses section cannot be edited.




If the Medication History form has been approved but data has not been recorded for that medication on an MAR form, then the status of the linked diagnoses will appear on the Medication History form. However, if the medication has been scheduled or administered on an MAR form then the status of the linked diagnoses will not appear on the approved Medication History form.



  1. Once Diagnoses have been linked to a Medication History form, the change in the status of diagnoses e.g. Active, Resolved or Deleted will be reflected in the Medication History form as long as the medication has not been scheduled from the MAR form or recorded in an MAR form. If a diagnosis has not been linked to a Medication History form and then if it is resolved or deleted, the diagnosis will not appear on the Medication History form. Only Diagnoses which are active will appear with status showing as Active on the Medication History form.





Attachments

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  1. Attachments can be added or scanned to the Medication History form by clicking on the Add File or Scan File buttons



Saving or Submitting Medication History form

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  1. Click on the Save button to save the form in your Worklist or click on the Submit button to save and submit the Medication History form.




After submitting the Medication History form, users will be able to edit the Medication History form if the particular medication has not been scheduled or administered in an MAR form. Changes can no longer be made to a Medication History Form other than the End Date or adding attachments if the medication has been scheduled or administered in an MAR form.

  1. Clicking on the Submit button, system will display a confirmation message listing all the fields of the Medication History form where values have not been entered while submitting the Medication History form for the first time. You will also be informed that once a Medication History form is submitted, you will not be able to make any changes to the form except for the End Date. Clicking on the Yes button will allow you to continue with the submission process.




  2. The system will check the interaction of the new Medication with existing active Medications and Allergies of the Individual. In case a negative interaction is found a warning message will be displayed. Click on the No button to get back to the Medication History page. Clicking on the Yes button will save the new Medication despite the allergy and/or drug interaction.




Any drug/allergy interaction with a saved or submitted medication will be displayed as a warning in the Medication History form, and the Allergy Identification Date will appear next to the Allergy name. Please note that, drug/allergy interaction will only take place for Looked Up medications.
  1. A success message will be displayed once the Medication History form has been submitted. You may click on the Copy Current Form links to copy the contents of the form for creating another Medication History form.










  1. Users with MAR Configuration Approve role will be able to access Individual’s current MAR form in Configuration mode using the link Current MAR Form after successfully saving/submitting the Medication History form, provided that the MAR form is already configured for the current month.






  2. A Delete and Copy button will appear to an already submitted Medication History form in Approved status if the medication has not been scheduled or administered in an MAR form. Users with HT Submit and HT Delete role will be able to view this button. Users can delete the Medication History form and use the details in the newly copied form at the same time by clicking on this button.




The Program Name and Individual Name will be populated in the Medication History form while copying the form using the Copy current Form link or Delete and Copy button as long as the individual is enrolled in the particular program. The linked diagnoses of an individual will be copied while copying the form for the same individual. The rest of the information will be copied irrespective of the individual.


  1. Once data is recorded for a particular medication in an MAR form, a message will appear at the bottom of that particular Medication History form.






  2. Medication History forms with scheduled time slot(s) can be edited as long as the MAR form remains locked. On approving and unlocking an MAR form, the individual’s Medication History forms cannot be edited.



    Screenshot showing the MAR in Locked status


  3. If a medication has been scheduled, administered or any data has been recorded on the MAR form, then only the ‘End Date’ and attachments sections of the form can be edited further. The Medication History form will then be available in read only format.



    Screenshot showing the Read Only format of the Medication History form

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Last Updated: Mar 1, 2017