Medication Prescription form

The Medication Prescription form includes the details of the prescription ordered for a patient.

Table 1. Medication Prescription form fields

Field	Description
Medication Prescription
Number	Auto-generated number for the prescription.
Patient	Name of the patient to whom the medication will be given.
Medication product	Medication product being prescribed for the patient.
Practitioner	Name of the practitioner who ordered the prescription for the patient.
Prior prescription	Prescription ordered earlier for the patient.
Reference Medication event	Encounter that identifies the occurrence of contact between patient and healthcare provider.
Organization	Healthcare provider that is responsible for the prescription.
Dosage specification	Dosage specification for the patient. Note: This field is set as mandatory only when a program is associated with the case. In this case, the medication prescription is entered according to the dosage specification published for the program.
Status	Status of the ordered prescription. The following statuses are available by default: Active Draft Cancelled Completed Entered in error Expired On-Hold Stopped Unknown For more information about the available statuses, see medication prescription statuses defined in the FHIR specifications.
Status reason	Explanation of the selected status.
Priority	Urgency of the prescription that is used to make informed decision if needing to be prioritized.
Date authored	Date and time when the prescription was written.
Validity start date	Earliest time of the validity period of the prescription.
Validity end date	Latest time of the validity period of the prescription.
External ID	Identifier of the record in an electronic medical record (EMR) system.
Case	Enrollment case associated with the prescription.
Diagnosis details
When a program is associated with the case, each field in this section is automatically set to its corresponding value included in the program.
Primary diagnosis	Main condition in a patient submitted by the practitioner as the reason for the healthcare service requested.
Tertiary diagnosis	Highly specialized medical care recommended for the patient by the practitioner.
Secondary diagnosis	Coexisting condition that might exist in a patient submitted by the practitioner.
Dosage characteristics
This section appears only when a dosage specification is associated with the medication prescription. The section displays dosage characteristics configured by your administrator for the selected dosage specification.
Dosage details
This section is automatically populated when a dosage specification is selected for the medication prescription. The fields within this section are read-only and populated corresponding to their dosage characteristics. When no dosage specification is selected, the section displays the value as entered by a healthcare representative.
Dosage	Recommendation of the medication dosage.
Quantity	Quantity of the specified medication in one fill.
Number of authorized refills	Number of authorized refills for the medication.
Instructions for patient	Instructions for the dosage of the medication product.