The drugs displayed on the Current Medication screen have a yellow background if the drug is coming over from previous encounters. Drugs with a light green background color are the drugs entered in the current encounter (from the Current Medication screen or from the Prescription screen). The Current Medication screen is divided into two sections: Current Medication and Transition of Care. The Transition of Care section consists of drugs that have been entered via the Add Drugs
icon,
the Medication History, and/or drugs imported through CCD files.
If a CCD file has been imported into a patient's encounter, then the details of these imported drugs are displayed on the Transition of Care section from the next encounter onwards.
Dropdown list values: The values displayed in this dropdown are governed by the property rx.currmed.options. The default option to be shown when clicking the Past Rx button on the Prescription screen depends on the property rx.default.pastrx.option.
- Current: This dropdown list value displays drugs from past encounters which have an Upto Date greater than the Encounter Date, have the Long Term or PRN checkbox checked, or have the property rx.keep.in.cm turned On. The list ignores all drugs marked as Over, Stopped, or Deleted in this encounter and shows drugs prescribed/added in the current medication of the current encounter.
- Stopped: This dropdown list value displays drugs which have been stopped in this or in previous encounters.
- Past Rx:
This dropdown list value displays a list of Stopped drugs, Old Med drugs, and Current drugs (including the ones added and dispensed).
On selecting this dropdown value, a No. of Days field and a Unique Drug checkbox are displayed next to the dropdown.
The No. of Days field depends on the property rx.pastrx.days, which states the number of previous days up to which the drugs will be selected in Past Rx.
The Unique Drug checkbox depends on the property rx.pastrx.uniqueDrug, which allows a drug to be prescribed in multiple encounters.
Turn On the property to display only the latest entry of a drug, or turn it Off to display all entries.
Note: For the Past Rx and Current dropdown selections, all three actions (i.e., Continue, Edit Dosage, and Stopped) are enabled.
- All: This dropdown list value displays the original entry of a drug from the Prescription/Current Medication for the patient. It includes drugs which are marked as Stopped or Over. If the details were edited, they are not displayed. It does not display drugs entered from Current Medication which do not have an assigned strength.
- On Start:
This dropdown list value displays those drugs which were in Current Medication at the start of the encounter, before the provider prescribed any drugs.
This includes drugs carried forward from earlier encounters which the patient is supposed to be taking, as well as new ones reported by the patient.
- Includes drugs added under the Current Medication screen.
- Ignores drugs marked as Over.
- Drugs marked as Stopped will be included.
- Drugs prescribed in this encounter will not be included.
- If a drug is edited (by clicking the Rx button), the old value will be displayed.
- The new/edited value will be displayed under the Current option.
Note: If the stop date added on current medication is less than the encounter start date, the record will not be seen even under the On Start dropdown option.
If the stop date is greater than the encounter date, it is not seen under Current, but is seen under On Start.
- Old Med: This dropdown list value displays a list of all drugs ever prescribed to the patient. The drugs in the Current option are ignored and the remaining are displayed here. In other words, drugs which were prescribed earlier, but were marked as Over or Stopped and not re-prescribed, are listed here.
Warning icon:
On clicking this icon, drug interaction-related warning messages (if any) are displayed.
No. of Days: This depends on the property rx.pastrx.days, which states the number of previous days up to which the drugs will be selected in Past Rx.
Unique Drug: This depends on the property rx.pastrx.uniqueDrug, which implies that a drug can be prescribed in multiple encounters. Turn On the property to display all entries, or turn it Off to display only the latest entry of a drug.
Refresh icon:
Click this icon to refresh the screen.
No Known Current Medication checkbox: This checkbox, when checked, denotes that the patient has no known current medications.
+Rx checkbox: Check this checkbox to add the drug to the prescription. This option is available in the Current and Past Rx selections to add the drug to the prescription. This checkbox is enabled only for the drugs for which Drug Details are entered. If no Pharmacy is set on the Current Medication for the added drug record, the last saved Pharmacy (if present) is seen on the Prescription screen. If Pharmacy is set on the Current Medication for the added drug record, the Pharmacy that was selected on the Current Medication for the added drug record is seen on the Prescription screen.
Del checkbox: If this checkbox is checked for a record, then on clicking the Save button, the record is deleted. This option remains enabled only for drugs added from the Current Medication screen, and is disabled for all prescribed drugs.
Rx Date: The date is editable for drugs added from the Current Medication screen in the current encounter. For all prescribed drugs, this date is always set as the encounter date.
Drug: This field displays the name of the drugs added from the Current Medication screen in this encounter. Once edited, the user cannot enter any dispensable details.
Continue checkbox: It is applicable to all rows which have dispensable drugs, regardless of whether they came from the current medication or from the prescription. It is NOT applicable to drugs prescribed in the current encounter. Here, the provider explicitly tells the patient to continue taking the drug they were taking (the provider is not re-prescribing the drug).
Edit icon:
The Edit icon is provided to edit drug details from the Drug Details Edit popup, such as Strength, Dosage and Dosage Unit, Frequency, Days, Long Term, PRN, Bulk Quantity and Bulk Quantity Unit, Direction, Pharmacy Notes, Upto Date, etc.
Typically, a PrognoCIS user selects a generic drug to be added to the current medication, and the provider clicks this icon to edit the dosage details for dispensable drugs.
Alternatively, the provider can edit the dosage for drugs carried forward from previous encounters. For example, the provider may suggest that the patient take a 20mg dosage instead of 40mg, or suggest only a change in frequency from twice a day to once a day.
Stop icon:
The Stop button is provided to stop the medication if required.
Here, the provider explicitly instructs the patient to stop taking the drug.
On clicking this icon, a Stoppage Reason popup is invoked where the provider can enter details in the Stop Date and Reason fields and click the OK button to stop the medication.
If a provider does not wish to provide a reason, they may enter "Default" or "No Specific Reason" in the Reason field.
Over checkbox: A drug in the current encounter could be coming from a past encounter, so it could be present by default when the patient walks in. On inquiry, the patient may inform the provider that they are no longer taking the drug because it is over. The provider will check this Over checkbox in this case.
Note: This checkbox remains disabled for a patient's first visit or encounter.
It is enabled from the next encounter onwards so as to allow the user to mark any medication as Over after consultation with the patient, and for the current encounter.
Upto Date: The Upto Date is an editable field for drugs added from the Current Medication screen in this encounter.
Qty & Unit: Bulk quantity and unit details for a drug entered by a provider in the Drug Details Edit popup are displayed here in a non-editable text HTML format. If required, the user can edit these details by clicking the
Edit icon.
Refill: The number of allowed refills is displayed in this column. It represents the number of times a refill for the medication can be taken from the pharmacy without seeing the provider.
Direction: Direction details for a drug are displayed here in a non-editable text HTML format. If required, the user can edit these details by clicking the
Edit icon.
Prescriber: This column displays the prescriber's name (i.e., the Attending Provider who prescribed the medication in the encounter in PrognoCIS). The prescriber's name is displayed for up to 30 characters. If the name exceeds 30 characters, then the complete name is not displayed in the column and instead, dots for continuation are displayed and the tooltip displays the full name. This column is blank for:
- Drugs entered via the Add Drugs icon with the Source dropdown value selected as Patient,
Ref Doc, or Ext RX in the Transition of Care section on the Medication List popup and on the Current Medication screen
- Drugs added from the Medication History
- Drugs imported into PrognoCIS through CCD files
Pharmacy: This column displays the name of the pharmacy selected for the drug from the Pharmacy field on the Prescription screen. The pharmacy name is displayed for up to 30 characters. If the name exceeds 30 characters, then the complete name is not displayed in the column and instead, dots for continuation are displayed. The tooltip displays the pharmacy's full name, address, telephone number, and fax number. Each drug can have a separate pharmacy name in the prescription and accordingly, separate pharmacy names are displayed in the Pharmacy column for each of those drugs.
Note:
The Prescriber and Pharmacy columns are not present in the Transition of Care section.
Long Term: Displays a Yes or No status indicating whether the drug has been marked as a long-term drug.
Source: Displays the source from which the drug has been added.
Last Modified: This field displays information such as the latest modification date, time, and time zone of the clinic location.
Edu icon:
The Patient Education icon, when clicked, invokes the Patient Education popup, which displays educational material sourced from Medline Plus.
Based on the patient's preferred language, the MedlinePlus Education material is displayed in that respective language.
The user has the option to print the material to provide a physical copy to patients, email the material to patients, or share it on portals.
The icon changes to a green checkmark once the material is sent to the patient.
Indication: The SNOMED or ICD codes indicated as the diagnosis (primary and secondary codes associated with the drug) and available in CCD-CCR are displayed here. The display of the description is optional.
Status: Displays the status of the drug.
SS (Surescripts) Status icon:
Click this icon for Change Rx and Rx Fill to invoke the respective Change Request Status and Rx Fill Status popups.
The tooltip of this icon indicates the drug change and Rx Fill details for the patient.
This section is displayed when the Current option is selected from the dropdown on the Current Medication screen. Some of the above-mentioned field descriptions of the Current Medication section are equally applicable to the Transition of Care section.
Add Drug icon:
The Add Drug icon invokes a Drug Names popup, which displays generic drugs (without strength), except compound drugs and supplies.
Inactive drugs are also displayed here.
If a user tries to add duplicate drugs from the Drug Names popup and clicks the Save button,
then a Duplicate Drugs popup is invoked, which displays the details of the duplicate drugs and prompts the user to select one of the two duplicate drugs to be added to the patient's Current Medication.
Med Hist... button:
With proper consent obtained (either from the patient, parent, guardian, or physician), the up-to-date, patient-specific medication history and pharmacy benefit information are routed electronically (RxHub) and displayed here.
On clicking this button, the medical history details of the patient are displayed in a Medication History popup.
On this popup, checkboxes are provided for each drug row so that the user can select the drug and add it to Current Medication.
The checkboxes are enabled for open encounters if the NDC code is present for that drug.
If patient consent is not available, there is an option to send the consent, after which the medication history will be available for the patient.
If the medication history has been discussed in another format with the patient, then a Have you reconciled Medication list provided by patient in other format? checkbox is present at the bottom of the popup.
If this checkbox is checked, it is grayed out, and a check mark is displayed on the 
Med Hist... button.
This indicates that the medication reconciliation is complete.
The check mark on this button is also displayed when Medication History is present.
No Known Transition of Care Medication checkbox: This checkbox is checked if the patient has transitioned without medication.
Note: Selecting this checkbox indicates that although there are no medications to reconcile, the reconciliation action has been performed and will be considered in the MU calculations.
Drug: Can be edited for drugs added from the Current Medication screen in this encounter. Once edited, the user cannot enter the dispensable details. If they were already entered, they will now be initialized.
Qty & Unit: The Qty & Unit column in the Transition of Care section is displayed when the Current option is selected from the dropdown on the Medication List popup and on the Current Medication screen. Here, if the user clicks the Add Drug
icon and edits the standard drug name in the Drug column, that drug becomes a custom drug for which the Edit icon is disabled.
With this change, the Qty & Unit column goes blank.
Source: This dropdown list displays various sources from which the drug has been added. It is a mandatory field. The following table lists these sources and their descriptions:
| Source | Description |
| MedHistory | The drug has been added from the Medication History popup. |
| C-CCA | The drug has been imported into the system through a CCD file. |
| Rx | The drug has been added from the Prescription screen. |
| Patient | The drugs added through the Add Drug icon from the Transition of Care section, selected with the value PL (Patient List), and marked for old Current Medication added data. |
| ExtRx | The earlier source of OldRx has been replaced with ExtRx. By default, the source is ExtRx if data has been imported from an external source, or if a drug is prescribed outside of PrognoCIS and then added to PrognoCIS. |
| Ref Doc | The drugs added manually through the Add Drug icon from the Transition of Care section and selected with the value as Ref Doc (Referred by doc). |
Reconcile: This dropdown list by default displays the value Add for drugs added via the Add Drug
icon and Medication History, as well as for drugs imported via CCD.
To remove drugs from the Transition of Care section, the user has to select the reconciliation action as Remove.
This entry is not added to the current medication.
Once a drug has been reconciled, that entry is removed from the Transition of Care section.
Notes: Add notes with phrases to the Current Medication information. You can do this by using an acronym. Favorite acronyms are shown in the autocomplete search. Select any acronym or type the acronym and press the Tab key to populate the Current Medication Notes. You may also click the Insert Phrases
search button to add a phrase from the Fast Phrases search popup.
Click the Zoom Notes 
icon to open and view the notes in the Current Medication Notes popup.
Save button:
Click to save the details or changes made on the screen.
Close button:
Click to close the Current Medication screen.
History... button:
Click to invoke the Current Medication History popup to view the current medication history.
All user-performed actions on the Current Medication screen are tracked and logged in this popup.
Print button:
Click to print the current medication details. The printout displays clinic details as a header, followed by the patient details and the patient's current medication history details.