Clinical User Guide
Paperless Electronic Prescribing

Contents:

See also:

MedicalDirector has been working alongside the Department of Health and the Australian Digital Health Agency to fast track the implementation of electronic prescribing (ePrescribing) to help protect people in our community most at-risk from exposure to COVID-19. Electronic prescribing will allow patients to receive prescriptions electronically so that their medications can also be dispensed without the need for a patient to leave the safety of their home.

Workflow Changes

o      You can indicate whether the patient wants the medication to appear on their active script list.

 

o      When an item is marked as 'Script Owing' on the Enter Dose window, only paper tokens will be permitted (no SMS or email).

o      When an item is a Schedule 8 (S8) medication, you will be prompted for an approval / authority / warrant / permit number.

o      When an item is a Schedule 4B (NSW) or Schedule 4D (TAS) medication (e.g. TESTOSTERONE CREAM), altering the number of repeats activates the 'Days between repeats' field on the 'Drug Quantity & Repeats' window. This is existing behaviour for S8 items but was expanded to include the S4B and S4D.

Drug Quantity and Repeats Days Between Repeats

 

o      The Prescription Preview window additionally provides the options to SMS or Email an electronic token or print a paper token.

•       A suggested delivery method will be preselected for you. This selection is determined by information found in the patient's record, with priority going to SMS followed by Email and then Printed media.



If the user has specified a Prescriber Type other than 'Medical Practitioner' or 'Nurse', and their state is either ACT or SA, 'Restricted Use For' information appears on prescriptions.

Setting up for Paperless Electronic Prescribing

In order to use Paperless Electronic Prescribing and generate Paperless Prescribing tokens (scanned by your chemist / pharmacist to retrieve the full prescription details), please consider the following:

    • Your site must be registered for MDExchange.

    • Your site has acquired and imported the necessary Government-issued certificates in order to retrieve IHI numbers for patients.

    • Any patient wishing to participate has an IHI number recorded.

    • Any practitioner wishing to participate has specified the following in their user record:

 

 

      • Enabled ePrescribing (ensure the check box is un-ticked)

 

Cancelling or Deleting eScripts

Open the Old Scripts tab (Alt+O) and locate the script. Right-click it, and select either

Note that you can resend or reissue as many time you like, and to multiple email addresses or mobile numbers, but the eScript itself is dispensed only once.

Reissuing eScripts

If a patient does not receive their electronic token via email or SMS, it is recommended you do  not re-prescribe the medication, as this does not cancel or invalidate previous tokens or prescriptions. The recommended path forward would be to verify the patient details (email or mobile number) are correct and reissue the token. This prevents the issue of the patient having multiple active scripts. To re-issue a token: Open the Old Scripts tab (Alt+O) and locate the script. Right-click it, and select either Cancel (keeps an entry in Old Scripts) or Delete to delete the entry within Old Scripts, and cancel the e-script (token). Reissue to reissue the same token. NOTE: This does not create a new prescription and the token that was sent initially is still valid. Re-issue effectively forwards on the original token in case the patient requires the token to be delivered to a different delivery method then what was originally chosen or there was a problem with receiving the original token. Note that you can resend or reissue as many time you like, and to multiple email addresses or mobile numbers, but the eScript itself is dispensed only once. If a script must be re-prescribed, and an electronic token has been issued, it is important that the original token is cancelled before removing the old script from the patient file by marking it as deleted.

Note that you can resend or reissue as many time you like, and to multiple email addresses or mobile numbers, but the eScript itself is dispensed only once.