Your pharmacist will go through your answers with you.
Please hand the device back to your pharmacist.
Ctrl+Enter draft · Ctrl+Shift+C copy · Alt+1–5 switch encounter · Ctrl+K clinical tools
Kept on this device only and printed on letters and PDFs. Leave blank to omit.
The Verify buttons under each drug open these in a new tab and copy the drug name, ready to paste into search. If a link supports searching, put {q} where the drug name goes. No content is copied from these services into FoxRx.
Paste from Netcare (lab flowsheet, prescription list) or your pharmacy system. Nothing you paste is saved or sent anywhere.
Medication checks are screening prompts. Verify doses in RxTx/CPS and interactions in Lexicomp or Vigilance.
Choose the type, then complete the essentials.
Chronic condition: document under Prescribing (renewal, adaptation or APA) or a Care plan rather than a minor ailment.
The ABC PIN FAQ (BE008-19) lists the range 290–319 (not 303, 304 or 305.1); A claim carries one ICD-9 code (FAQ 8), so enter the specific 3-digit code within that range.
ABC pays up to 4 follow-ups per patient in the 365 days counted from the initial CACP or SMMA (Tobacco: 4 in the 365 days after the initial). Enter the initial date to see the window.
Choose a medication and an indication to build the plan.
CPhA smoking cessation initial assessment (2024). Conditions, medications, allergies and vitals stay in their usual fields below; the assessment and plan are under Assessment by condition.
Lab and fill dates are kept here so trends make sense. Name, PHN, DOB, address and phone are still removed.
FoxRx checks the conditions, medications, labs and vitals above for drug therapy problems and offers options from its signed-off table. Each option shows why it fits this patient and its source. Nothing goes into the note until you choose it.
Add conditions above (or import from Netcare) and each one gets its own assessment, goals, recommendations and monitoring. Suggestions come from the medication list, labs and vitals; change anything before drafting.
Tap the answers, or hand the device to the patient to answer. Answers go into the note's Data section.
Tick any that apply. FoxRx shows the suggested action from the cited source; you make the decision.
Urgency levels are clinical judgment applied to the source criteria. Verify against RxTx Minor Ailments or your practice protocol.
Dictate with Win+H on Windows or Fn twice on Mac. Dictation may use an online speech service: say "Pt" and relationships ("husband"), never names, birth dates or health numbers.
The full marketed list is built in. To update it (Health Canada refreshes monthly), download a newer allfiles.zip from Health Canada's Drug Product Database extract page (Open Government Licence, updated monthly), then choose it here. It's read in your browser and remembered on this device only. It contains no patient data.
Review and edit, then copy into your PMS.
Calculators, risk scores and patient questionnaires, grouped by clinical area. Every result can go into the note with one click.
Cockcroft-Gault (SI): (140 − age) × weight × 1.23 (male) or 1.04 (female) ÷ SCr. eGFR: CKD-EPI 2021 race-free equation. IBW: Devine. Adjusted BW = IBW + 0.4 × (actual − IBW). Drug labelling in Canadian monographs usually uses CrCl; check the RxTx/CPS monograph.
Framingham general CVD 10-year risk (D'Agostino 2008), doubled for premature family history (modified FRS, CCS 2021). CCS categories: low under 10%, intermediate 10–19.9%, high 20% or more. Valid for ages 30–74. Not used when a statin-indicated condition is present: clinical ASCVD, abdominal aortic aneurysm, most diabetes (age 40 or more, or 15 years' duration and age 30 or more, or microvascular disease), CKD (age 50 or more with eGFR under 60 or ACR over 3), or LDL-C 5.0 mmol/L or more.
Quantity = amount per dose × doses per day × days. Drops are estimated at 20 per mL (varies by bottle: check the product). Insulin pens: units per pen as labelled (e.g. 300 units in 3 mL).
Approximate equivalent anti-inflammatory (glucocorticoid) doses: cortisone 25, hydrocortisone 20, prednisone 5, prednisolone 5, methylprednisolone 4, triamcinolone 4, dexamethasone 0.75 mg (Liu D et al. Allergy Asthma Clin Immunol 2013;9:30). Mineralocorticoid effect and duration differ (hydrocortisone and cortisone have the most; dexamethasone is long-acting with none). For switching oral systemic therapy, not inhaled or topical products.
Daily morphine milligram equivalents (MME) = daily dose × conversion factor: codeine 0.15, hydrocodone 1, hydromorphone 5, morphine 1, oxycodone 1.5, oxymorphone 3, tapentadol 0.4, tramadol 0.2, fentanyl patch 2.4 per mcg/h (CDC Clinical Practice Guideline 2022, Table). 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain: keep under 50 MME/day when starting; avoid going above 90 MME/day. Use MME to compare total exposure, not to convert one opioid to another (incomplete cross-tolerance: reduce the dose when switching). Methadone and buprenorphine are not included.
1% w/v = 10 mg/mL. Ratio 1 : x (g in mL) = 1000 ÷ x mg/mL (1 : 1000 = 1 mg/mL). Volume = dose ÷ (mg per 5 mL) × 5.
Works without a medication or prescription. Results can be copied, printed or added to the note. Opened from a prescription's directions, the same tool fills in that prescription instead.
Osteoporosis Canada recommends a 10-year major osteoporotic fracture risk with CAROC or FRAX (Canadian version). Both tools are published by their owners, so FoxRx links to them and does not copy them.
Osteoporosis Canada 2023 (postmenopausal females and males 50+): treatment recommended after a hip or vertebral fracture or 2 or more osteoporotic fractures, with 10-year major osteoporotic fracture risk 20% or more, or age 70+ with a T-score of −2.5 or lower; treatment suggested with risk 15–19.9%, or under 70 with a T-score of −2.5 or lower. FRAX (Canada) with BMD preferred; CAROC is an alternative.
CHADS-65 is the CCS algorithm used in Canada; CHA₂DS₂-VASc is shown for reference. HAS-BLED ≥ 3 flags modifiable bleeding risks; it is not by itself a reason to withhold anticoagulation. Verify against the current CCS AF guideline.
Modified Centor (McIsaac 1998). Test before treating with antibiotics; see Bugs & Drugs for Alberta empiric choices.
Short, evidence-informed exercises to teach at the counter or send home. Copy one into your counselling notes or a patient handout.
Please hand the device back to your pharmacist. They will go through your answers with you.