Apps/Add-on
Electronic prescribing
A prescription written from the visit and sent to the pharmacy the client chose, without a pad or a fax. Writing, printing and refills work today. Sending electronically opens when our pharmacy network connection is live.
In developmentAn add-on, per prescriber, when it opens
Medication
Sertraline 50 mg tablet · Zoloft · not controlledThe patient will readTake 1 tablet by mouth once a day in the morning. With food.
Note to the pharmacy
Replaces the earlier 25 mg prescriptionPharmacy
78704- Lamar Street Pharmacy1420 S Lamar Blvd · 0.8 miChosen
- Oltorf Family Drug2100 W Oltorf St · 1.6 mi
- Riverside Apothecary512 E Riverside Dr · 2.3 mi
Already taking
- Levothyroxine 75 mcgDaily
- Sertraline 25 mgEnding
What a prescriber has today
Written once, in words the patient can read.
The prescription is part of the visit. Until it can be sent electronically it is printed or phoned in, and the record says which.
-
Writing it
From the visit, on the client's record.
- Dose, route and how often, chosen rather than typed
- The instructions written out as the patient will read them, with room to add "with food" or "for sleep"
- Quantity, days' supply, refills, and whether a generic may be substituted
- A note to the pharmacy
- Started from a medication already on the list, when it is a change of dose
-
Controlled substances
Marked, and held to the rules.
- A controlled substance carries its schedule
- A schedule II medication cannot be written with refills
-
Printed or phoned in
How it reaches the pharmacy until sending opens.
- Print it for the patient, or mark it phoned in
- The pharmacy the patient named at Pre-exam is already filled in
- Nothing is ever marked as sent that was not
-
Refill requests
Taken by staff, decided by a prescriber.
- A nurse or the front desk takes the request and lines up the refill
- It waits for a prescriber, who approves or declines it
- Recorded as an encounter of its own, without a visit
-
Warnings
Raised before the prescriber decides.
- A listed allergy, matched by family and not only by name: Augmentin is flagged for a penicillin allergy
- Families known to cross-react are flagged too, with how often
- Combinations that put people in hospital, checked against what the client already takes
The warnings come from a list Novarra keeps by hand. It is not a licensed drug database and it does not cover every interaction. It is there to prompt a second look, and the decision is the prescriber's.
On screen
A refill to decide, a controlled substance, and what became of each one.
Listed allergy: Penicillin (hives)Augmentin contains amoxicillin, a penicillin.
Care with LithiumIt raises the lithium level; check a level and watch for toxicity.
Nothing on the record against it. Last written Sep 9, 30 tablets.
Refill requests
Each request with what the record holds against it. Red for an allergy, amber for a combination to take care with.
The patient will readTake 1 tablet by mouth once a day in the morning.
A schedule II medication cannot have refills.A new prescription is written each time.
- Lamar Street PharmacyTakes controlled substances electronicallyChosen
- Oltorf Family Drug1.6 miPaper only for these
A controlled substance
The no-refills rule is in the product today. Sending one electronically, with the prescriber confirming who they are, is planned with the connection.
Concept.| Written | Medication | Status |
|---|---|---|
| Oct 9 | Sertraline 50 mg30 tablets · 2 refills | Sent |
| Sep 11 | Sertraline 25 mg30 tablets · no refills | Filled |
| Aug 4 | Hydroxyzine 25 mg20 tablets · no refills | Printed |
| Jun 19 | Levothyroxine 75 mcg90 tablets · 3 refills | Phoned in |
| Jun 19 | Trazodone 50 mgStopped before it was filled | Cancelled |
What became of each one
Printed and phoned in are recorded today. Sent and filled appear once the pharmacy can answer back.
Concept.Sample data throughout.
What opens with the connection
From the visit to the pharmacy counter.
These are being built for the pharmacy network connection. None of them is open yet.
- In development
Send to the pharmacy
One button from the prescription. The record says sent only when the network confirms it.
- In development
Find a pharmacy
Search by name, city or ZIP, and keep the client's choice for next time.
- In development
Medication search
Pick the medication, strength and form from a maintained drug list.
- Planned
Controlled substances
Sent electronically where the prescriber, the practice and the pharmacy are all set up for it.
Electronic prescribing will be a paid add-on, priced per prescriber. Until it opens, nothing about a practice's price changes. Write to us to be told when it does.
Where it sits
Part of the visit, not a separate program.
- Op
Out-Pt
Prescribing happens in the visit, beside the exam and the note, for primary care, pediatrics and psychiatry.
Out-Pt in detail - Gi
Gist
Allergies and the medication list sit beside every chart, so they are in view while the prescription is written.
Gist in detail - Rolling out
Outpatient Medical
The solution prescribers buy. Writing, printing and refill requests come with it.
See the solution
The rest of the suite
Every app works from the same record.
Never marked sent
unless it was.
Start with Outpatient Medical today. Electronic prescribing is added per prescriber when it opens.
Build your plan