🎞️ View video tutorial: Creating prescriptions
You typically start a prescription from an encounter or from the Prescriptions area of a patient's chart. If you're in the process of reviewing a patient's medications and you want to create a prescription, you can create a prescription from the Medications chart area as well.
When you're writing a prescription, you can search for a mediation or treatment to prescribe or you can free-type the treatment name. You then enter prescription instructions using the discrete entry fields available (for example, for dose, frequency, and duration), or by free typing some or all of your instructions. If you enter dosage details using the discrete entry fields, the TELUS CHR calculates a quantity for you.
When you finish a prescription, you can choose to sign, print and/or fax the prescription.
1. Open the patient's chart or start an encounter for the patient.
2. If you have an encounter open, in the Prescriptions area of the encounter, click + Add Prescription.
3. If you don't have an encounter open, from the patient's chart:
a) In the Quick Menu or the Start/Open menu, choose Prescriptions.
The Prescriptions area opens with a list of the patient's active prescriptions displayed.
b) Click + New Prescription.
The Prescription Dialog window ("prescription pad") displays.
3. To prescribe a medication or treatment that's new for the patient, click + Add Medication. The prescription entry window opens. This window is split into three areas:
A prescribing area (left)
A drug interaction area (middle) (see Overview of the drug interaction checker)
A summary of the patient's allergies and current medications (right)
💡 Tip: If grey hover-over text appears beside an allergy or a current medication, this indicates that the allergy or medication is recognized by the Vigilance Santé interaction checker, and is taken into account when searching for possible medication interactions.
4. In the search field at the top, type part or all of the medication or treatment name. As you type, the TELUS CHR displays matching medications in a drop-down list. Any of your matching frequent prescriptions display at the top of the list (indicated by a star).
5. Select the medication you want. The medication's DIN number displays above the medication name. If any interactions or dose issues are identified by the Vigilance Santé interaction checker, they display in the middle of the window, under Alerts.
If the treatment you want isn't available in the list (for example, if you're prescribing a non-medication treatment such as "crutches" or "physiotherapy), type the name in the field.
📌 Note: When you type the treatment name, it can not be linked to a DIN number, and therefore cannot be included in interaction checking.
6. Manage any alerts.
7. Add or modify prescription dosage details and directions using the available entry fields. The following table describes the General entry fields.
Enter the number or range of capsules, applications, and so on, the patient should take at a time.
In the drop-down list, select the dose type, for example TAB, or mg.
Select a frequency. If none of the options are appropriate, select OTH - Other and then, in the Additional Instructions field, enter the frequency. For example, you can enter "Up to 8x/day".
Enter the duration in weeks, months, or years.
📌 Note: You must type days, months or years following the number.
Duration determines when a short term medication will fall off the active medications list.
Select this check box to indicate that a medication is to be taken on an as needed basis instead of regularly (for example, a pain medication or a rash cream).
If this prescription requires multiple dosage lines (for example, if you are tapering a medication and require a different dosage line for each step of the taper), click + Add dose to add a new line.
Enter a dispense quantity, or to calculate quantity, make sure the Dose, Frequency, and Duration fields are filled in.
Select the route in which the medication is to be taken.
If different from the Dose and Quantity type, select the form of treatment. For example, lotion, mouthwash gargle, etc.
Enter the number of refills.
To specify a Refill Quantity or
Refill Duration, click:
Enter the date the patient is to start taking the treatment.
Enter the date the patient is to stop taking the treatment.
📌 Note: The CHR automatically populates this date if the Dose, Frequency, Duration, and (optionally) Refills fields are filled in.
To indicate that the patient will be using the medication for an extended period of time (greater than 30 days), select Yes.
📌 Note: Continuous medications do not automatically drop-off the Current Medications list.
To indicate that the patient will be using the medication for a short period of time, select No.
📌 Note: Short term medications are automatically removed from the Current Medications list as soon as the prescription is calculated to be exhausted.
Substitution Not Allowed
Select if the pharmacist should not substitute with a generic version or another brand.
Select to indicate that this is a past treatment that the patient is no longer taking, but you're recording it for your records.
Save to my frequents
If you create this prescription often for other patients, select to save this prescription to your Frequents (favourites).
Enter any specific instructions for the patient when taking the prescribed medication (for example, “take with food”, or “apply sparingly”). The pharmacy may print these instructions on the label they affix to the medication.
You can also use this area to free-type some or all of your prescription directions instead of using the discrete entry fields above.
8. To add more nuanced information to the prescription, click the Extra tab, and use as many of the fields as you want to add additional information. The following table describes the fields available in the Extra tab.
If you selected a medication with a DIN number, the medication's Anatomical Therapeutic Chemical (ATC) Classification name displays here automatically.
If you selected a medication with a DIN number, the medication's Anatomical Therapeutic Chemical (ATC) number displays here automatically.
If the medication should be dispensed on a specific date, select the dispense date.
📌 Note: The Dispense on date appears on the printed prescription.
If you're recording a treatment that was originally prescribed by another provider, type the provider's name.
Original prescriber identifier
If you're recording a treatment that was originally prescribed by another provider, type the provider's identifier (for example, the provider's BA number).
If you selected a medication with a DIN number, the pill size or dose strength displays here automatically. However, you can modify or add a strength if needed.
To indicate that the patient is compliant to this treatment, select Yes.
To indicate that the patient is uncompliant, select No.
To link the prescription to the condition(s) it's treating, add the diagnosis code(s):
a) Click + Add Diagnosis.
b) Search for the diagnosis using the it's code or description.
💡 Tip: When you review a patient's medication and treatments, the condition(s) linked to each treatment displays below the treatment name.
9. Click Save. The prescription displays in the Prescription Dialog window with any other medications prescribed from this window.
10. To prescribe or renew additional treatments to be printed or sent together with the previous treatment(s), repeat Step 3 to Step 8.
11. Perform one of the following actions:
To save the prescription without signing, click Save.
💡 Tip: When you save a prescription without signing, you can go back and edit the prescription if needed. You can also delete the prescription.
To sign the prescription without printing or faxing (for example, if your front-end staff is faxing the prescription for you), click Sign Prescription.
To sign and print the prescription, click Sign and Print Prescription.
To sign and download a PDF copy of the prescription to your computer, click Sign and Download prescription.
To sign and preview a PDF copy of the signed prescription, click Sign and Open PDF.
💡 Tip: When you view a prescription as a PDF, you can choose to Fax the prescription from the PDF view.
To sign and send the prescription through eFax, click Sign and Fax.
To exit without saving or signing the the prescription (i.e. to cancel your work), close the Prescription Dialog window.
If you have an encounter open, the prescription displays in the Prescriptions area of the encounter. It's also displays in the Prescriptions area of the patient's chart.
Beside the listed prescription, you can choose to view, print, download or fax the prescription.
📌 Note: Once you sign a prescription, it can no longer be edited or deleted from the patient's chart. You can only Cancel or Stop the prescription. If you need to edita signed prescription, cancel the prescription, create a new prescription, and then write an addendum in your encounter explaining why the prescription was cancelled.
Updated July 2021