Start with what changed
Before the visit, identify what has changed since the last appointment: new symptoms, worsening or improving problems, emergency or community-care visits, medication changes, new laboratory or imaging results, and recommendations from outside specialists.
Build a focused appointment brief
A useful brief should be short enough to review during the visit while remaining connected to the underlying records. It may include:
- The purpose of the appointment and the Veteran’s top three concerns
- A current medication list, recent changes, and reported reactions
- Important tests or diagnoses since the last visit
- Outside-care records that may not yet appear in the VA chart
- Open referrals, recommended follow-ups, and missing results
- Questions organized by urgency and topic
Ask questions that create a plan
Questions can be more useful when they are specific: What does this result mean in the context of my history? Has the outside specialist’s note reached my VA record? Which symptoms should prompt urgent care? What should be monitored before the next visit? Who is responsible for the next step?
How PBRx.Vet is designed to help
PBRx.Vet is designed to compare the Veteran’s authorized records over time, identify relevant dates and sources, surface unresolved items, and generate a concise report for the Veteran to review. The Veteran decides what to share with a clinician.
PBRx supports preparation and understanding. It does not diagnose, determine urgency, prescribe treatment, or replace a healthcare professional. Call 911 for an emergency. Veterans in crisis may call 988 and press 1.