Adding a Prescription Note

Select the applicable tab for your province to learn more about adding prescription notes.

Notes can be added to the prescription authorization (Create) or its dispense on the EHR.

  • Create notes are entered by the prescriber or pharmacy on behalf of the prescriber. They can only be entered at the time of creating a prescription. A maximum of one Create note up to 1000 characters can be entered.

  • Dispense notes are entered by the pharmacy that performed the Dispense. They can be entered at any time by the pharmacy who submitted the Dispense. A maximum of one Dispense note up to 80 characters can be entered.

By default, all Historical notes entered in the Rx Detail Notes tab prior to the PPM upgrade will have the EHR checkbox and Dispense option selected for the note.

Submitting Notes Before Filling a Prescription

To submit a prescription note prior to filling a prescription:

  1. Process the new or reauthorized prescription until it reaches Rx Detail.

    You cannot enter a Create note for a refill prescription, unless it was a refill of a historical prescription that was entered prior to the PPM upgrade.

  2. Select the Notes tab.

  3. Select Add to enter a new row and enter the note text.

  4. Select the EHR checkbox for the note.

  5. The dropdown becomes enabled. Select Create or Dispense.

    • If the prescription is a refill, the Create option is not available.

    • If an Indication of "Other" is selected in the EHR tab, you will be prompted to enter a Create note upon Fill or Hold if one is not entered.

  6. Select any other note flags if desired. For more information, see Note Flags below.

  7. Select Fill or Hold.

Submitting Notes After Filling a Prescription

To submit a prescription note after filling a prescription:

  1. Detail the prescription from the Patient Profile or Workbench.

  2. Select the Notes tab.

  3. If the note already exists, skip to step 4. To add a note, select Add and enter the note text.

  4. Select the EHR checkbox for the applicable note.

    • If this is a new or reauthorized prescription placed on Hold, the EHR checkbox is disabled as the prescription has already been created and there is no Dispense yet to attach the note to.

  5. The dropdown becomes enabled. Only the Dispense option is available as a Create note can only be transmitted at the time of creating a prescription. Select Dispense from the dropdown.

    Only one Dispense note is supported by the EHR. You can add more than one Dispense note in Propel Rx but only the most recent note will be displayed on the Rx Authorizations Profile.

  6. Select any other note flags if desired. For more information, see Note Flags below.

  7. Select Save.

Viewing Create Notes on the EHR

To view notes attached to a Prescription record (Create) on the Rx Authorizations Profile:

  1. Open the Rx Authorizations Profile Summary view. For more information on this profile, refer to the Rx Authorizations Profile section of the BC PPM User Guide.

  2. From the Rx Authorizations section, select the applicable prescription.

  3. Select Detail Rx. The Detailed Prescription view opens.

  4. Select the Prescriber Notes folder button . The EHR Record Annotation window opens.

  5. Select OK once you have finished reviewing the note.

Viewing Dispense Notes on the EHR

To view notes attached to a Dispense on the Rx Authorizations Profile:

  1. Open the Rx Authorizations Profile Summary view. For more information on this profile, refer to the Rx Authorizations Profile section of the BC PPM User Guide.

  2. From the Rx Authorizations section, select the applicable prescription.

  3. Select Detail Rx. The Detailed Prescription view opens.

  4. The Dispense note can be viewed from two locations:

    1. In the Comment field of the Dispense History section.

    2. By detailing the Dispense and selecting the Record Note(s) button .

  5. Select OK once you have finished reviewing the note.

A note can be added before or after filling a prescription.

To add a note before filling a prescription:

  1. Select the Notes tab in Rx Detail.

  2. Select Add. A new row appears.

  3. Enter the note in the text box.

  4. Select the appropriate flags, if applicable. For more information, see Note Flags below.

  5. Fill the prescription.

To add a note after filling a prescription:

  1. Detail the prescription.

  2. Select Add. A new row appears.

  3. Enter the note in the text box.

  4. Select the appropriate flags, if applicable. For more information, see Note Flags below.

  5. Select OK.

  6. Select Save.

There are two flags that can be selected for a note.

  • Alert flag - displays a note in the Alerts section of Rx Detail.

  • Print flag - Prints the note on the Hard Copy. If Digital Workflow is activated, this flag carries the note over to Clinical Review under the Notes tab. Notes are displayed in the following order in Clinical Review:

    1. Prescription notes

    2. Patient notes

    3. Drug notes

    4. Prescriber notes