Peggy,
I am so confused. Please help me understand what you are saying.
First how would updating the current med list (which change anythng about what you write in the plan showing up in the current med list?
The only thing that will do is to cause the medication (let's say amoxicillin from 100 days ago) to still show up in the medication list and in your actual note.
If during that same visit (where you didn't delete the amoxicillin), you write for Concerta in the plan, the current med list will not contain amoxicillin and Concerta. The Concerta SHOULD now be in the current medication list as it is now a current med. When you reopen a chart even one minute after the visit, it is helpful, but in many, many ways is not a true representation of the documentation of where the patient is when they leave. For instance, you may add a PMH or delete asthma, you may add thet a family member now has diabetes. But, if you go to the past visit section and open the note, it will represent the true documentation of that patient when they came in and when they left, e.g. no longer on amoxicillin, now on Concerta, has out grown asthma, etc.
I do make it a habbit to check and update the current meds when a patient comes in on every patient as the first thing I do. It helps to keep the chart up to date and to recall the patient AND to know that they stopped taking their Abilify and Prevacid without informing me.
But, it still seems as though what you are doing is exactly what Amazing Charts should be doing and the only thing that will be documented in correctly will be anything you forgot to update on the left side of the chart -- mainly the medications. All you can do is when you see them again and delete the medication and change the date in the upper right side of the script writer to reflect more of when they stopped it.
