Managing Patient Medications

Nextvisit AI automatically captures and maintains a current medication list for each patient. The list updates between sessions based on new information from your encounters.

What you can do

After completing at least one session with a patient, you can:

• Add new medications
• Edit existing medications (dosage, frequency, status)
• Delete medications that are no longer relevant
• Print the complete medication list for patient records or referrals

Where to find patient medications

1. During an encounter or progress note: Look for the “Medications” section in the right sidebar when medications were discussed in the session.
2. In the patient chart: Navigate to the patient’s chart and click the “Medications” tab for a full view.

Editing medication details

Click any medication to open a detailed view that includes:

• Medication name and generic equivalent
• Dosage (e.g., 10mg)
• Formation (tablet, capsule, liquid, etc.)
• Frequency (once daily, twice daily, as needed)
• Start date and stop date (if applicable)
• Status options including Current, Discontinued, Titration, Tapering, or Unknown
• Prescriber information
• Comments section for additional notes like “Take for sleep before bedtime”
• Drug interactions and warnings when applicable

Medication status options

• Current: Patient is actively taking the medication
• Discontinued: Medication has been stopped
• Titration: Dosage is being gradually increased
• Tapering: Dosage is being gradually decreased
• Unknown: Status needs clarification

AI confidence indicators

Nextvisit AI shows confidence levels for automatically captured medications. Look for confidence percentages and controlled substance indicators where applicable.

Notes

• At least one completed session is required before you can manage a patient’s medications
• Review and confirm medication details before finalizing documentation
• Use “Mark Incorrect & Remove” if the AI captured incorrect information