Romel,

Thanks for the ideas! I've been doing a LOT with the medications form, and I'm going to present the patchs to Jon with the hope that he'll accept them upstream.

One of the features is context sensitive pull-downs, which change based on the medication. There is a decision tree to determine the medication's use, and load the pull downs. Tablets say Tablets, Capsules says Capsules - with all the usual instructions. If a topical it'll say to apply to affected area daily, QAM, QPM, BID, etc. Eye and ear meds have appropriate entries. Injectables force to an empty pull-down to prevent dangerous mistakes - although this may change. I'm kinda proud of this and hope Jon incorporates it.

Current e-prescribing interface is pretty bad, in my not-so-humble opinion. I'd need to look at the programming interface for eRxnow to see how big a headache integrating would be. One of the many things I dislike about the current e-prescribing provider is that it's an embedded web page interface, is slow and klunky, and a busy doctor doesn't have time to waste with it.

The number of days and have it expire idea is great! I've toyed with this myself, and have some ideas, but handling the expiration I'm still not sure about. One possibility is to have a flag for episodic medications, and separate how they're listed on the chart note, so on the NEXT note if they're missing (because they expired) people won't wonder where they went. THIS one is on my PERSONAL "to-do" list, so if Jon doesn't take it over, I'll write it for him and then pitch the patch to him.

If you really have a 3 page list, PM it to me when you can. Our meeting with Jon is MONDAY.

Warmest Regards,

V.


Vincent Meyer, MD
Meyer, Malin and Associates, PLLC