Prescribing - Standard v1.0.1

Prescribing - Standard v1.0.1

ID

S14

Version

1.0.1

Type

Capability Specific Standard

Status

Retired

Effective Date

Dec 31, 2019 



Requirements

Epic Mapping

Requirement ID

Requirement Text

Level

Epic Mapping

Requirement ID

Requirement Text

Level

C14E1

GP-07.1-01

Listed prescribable items

The Solution will contain and provide access to listed prescribable items including all products licensed under the Medicines Act:

  • Prescription Only Medicines (POMs)

  • Pharmacy Medicines (P)

  • General Sales List (GSLs)

  • all Advisory Committee on Borderline Substances (ACBS) approved substance

  • all items in part IX and part X of the Drug Tariff.

MUST

C14E1

GP-07.1-011

Prescribable items information

The information about all such prescribable items listed will include:

  • pack size

  • manufacturer

  • an indication of the NHS reimbursement price

For Standard of dictionary for medicines licensed in the UK see: SCCI0052 Dictionary of medicines and devices (dm+d) 

MUST

C14E1

GP-07.21-01

Drug Tariff information

For items within the Drug Tariff, the information will also include:

  • NHS price (e.g. pack price, which would necessitate display of pack size)

  • NHS prescribing status and legal category at pack and formulation level

  • Black Triangle status

  • Indicate if the item is listed in Schedule 2 (SLS items - Part XVIIIB of Drug Tariff) and/or Schedule 1 (Blacklist items - Part XVIIIA of the Drug Tariff)

  • Appliances currently listed in Part IX of Drug Tariff and which are prescribable on the NHS

MUST

C14E1

GP-07.1-013

Prescribable item warnings

The information about all such prescribable items listed will include serious and well documented:

  • significant side-effects,

  • cautions,

  • contra-indications,

  • interactions

  • active ingredients (for duplication checks)

MUST

C14E15

GP-07.1-013A

Configurable warnings on Prescribing

A Practice Configurable warning for specific Prescribable items which can be used in conjunction with other criteria, but not limited to:

  • Gender

  • Age

For example, this can be used to display a warning when prescribing Sodium Valproate to females aged 12 or over and less than 50 years old.

may

C14E1

GP-07.1-014

Prescribable items indications/dosage

The information about all such prescribable items listed will include:

  • indications

  • dosage information

MUST

C14E1

GP-07.1-02

dm+d items

The Solution will include ALL dm+d items and not be constrained to a subset of dm+d.

For Standard of dictionary for medicines licensed in the UK see: SCCI0052 Dictionary of medicines and devices (dm+d) 

MUST

C14E1

GP-07.1-021

dm+d code

Where an item is present in dm+d it will include its dm+d code.

For Standard of dictionary for medicines licensed in the UK see: SCCI0052 Dictionary of medicines and devices (dm+d) 

MUST

C14E1

GP-07.21-02

dm+d name and description

The Solution will store, display and output the full dm+d name and description of the item.

For Standard of dictionary for medicines licensed in the UK see: SCCI0052 Dictionary of medicines and devices (dm+d) 

MUST

C14E2

GP-07.2-01

Formularies - Create and maintain

The Solution will allow Formularies to be created and maintained and will not limit the number of Formularies that can be developed.

MUST

C14E2

GP-07.2-013

Formularies - Name

The Solution will allow each Formulary to be named.

MUST

C14E2

GP-07.21-03

Formularies - Adding items

The Solution will allow any item to be added to a Formulary, including generic and proprietary items. However, the Solution will prevent Actual Medicinal Product Pack (AMPP) and Virtual Medicinal Product Pack (VMPP) items from being added to the Formulary.

For Standard of dictionary for medicines licensed in the UK see: SCCI0052 Dictionary of medicines and devices (dm+d) 

MUST

C14E2

GP-07.2-014

Formularies - Age-related default dosage/quantities

The Solution will support age-related default dosage/quantities to be defined for any item in the Formulary.

MUST

C14E2

GP-07.2-015

Formularies - Age-related information

If the drug system contains age-related default dosage/quantities information it will be made available when creating Formulary items (see Copy of Prescribing - Standard#GP-07.2-014)

MUST

C14E2

GP-07.2-02

Formularies - Restrictions

The Solution will enable the use of a Formulary to be restricted to individual Prescribers, groups of Prescribers or types of Prescriber

may

C14E4

GP-07.2-03

Formularies - Default

It will be possible to set a default Formulary for each Prescriber.

MUST

C14E4

GP-07.2-031

Formularies - Preferential use

The Solution will allow the preferential use of prescribable items from a Prescriber's default Formulary.

MUST

C14E4

GP-07.2-04

Formularies - Items outside Formulary

When a Formulary is being used as the default, it will be possible, subject to any restrictions applied (see Copy of Prescribing - Standard#GP-07.2-02), for the Practice User to select items from outside of that Formulary, either from another selected Formulary or from the entirety of the underlying drug database.

MUST

C14E3

GP-07.2-06

Formularies - Sharing

The Solution will support the sharing of a Formulary to/from other organisations using the same Solution.

MUST

C14E5, C14E6

GP-07.3-01

General prescribing requirements - Create and issue

Solution will provide the ability to create and issue Prescriptions for:

  • Acute Prescribing

  • Delayed Prescribing

  • Repeat Prescribing:

    • repeat authorisation

    • repeat issue

  • Repeat Dispensing:

    • repeatable authorisation

    • repeatable batch issue

  • Instalment prescribing

MUST

C14E12

GP-07.19-01

General prescribing requirements - Prescriber type

The Solution will support the different Prescriber types as defined by the Pharmaceutical Services Negotiating Committee

MUST

C14E5

GP-07.19-02

General prescribing requirements - Prescribable products

A Prescriber can prescribe any product in accordance with the applicable prescribing rights as defined by the Pharmaceutical Services Negotiating Committee

MUST

C14E2, C14E5

GP-07.3-011

General prescribing requirements - Separate values

The Solution will allow the entry of separate values for:

  • Quantity

  • Unit of measure

    • ability to prescribe using any available units of measure for an item

    • will be inherited from the dm+d data when a dm+d item is used

  • Duration of supply (e.g. in days)

For Standard of dictionary for medicines licensed in the UK see: SCCI0052 Dictionary of medicines and devices (dm+d) 

MUST

C14E5, C14E12

GP-07.3-02

General prescribing requirements - Access controls

Access controls will be present in order to differentiate between Practice Users who are:

  • authorised to set up and issue new Prescriptions (whether acute, repeat or repeatable)

  • unable to authorise and set up Prescriptions, but allowed to issue repeat Prescriptions already authorised or batch issues connected to repeatable Prescriptions

See RBAC documentation

MUST

C14E5

GP-07.3-021

General prescribing requirements - Request Prescription item

The Solution will allow Practice Users who are not legally allowed to prescribe items to setup such items at the request of an authoriser and will prompt the Practice User to record who has authorised such action.

In such cases the Solution will not enter a default authorising person, and the Practice User will enter the authoriser.

MUST

C14E12

GP-07.3-041

General prescribing requirements - Prescriber sub-types

The Solution will support sub-types of Prescriber, for example:

  • Non-medical Prescribers (For examples, see NICE)

  • Locum

  • Salaried

  • Trainee

  • GP principal

See Copy of Prescribing - Standard#GP-07.22-03 use of sub-types

MUST

C14E12

GP-07.22-02

General prescribing requirements - Authorise Prescriptions by specified Prescriber

Provide the ability to specify an alternative authorising Prescriber for a Staff Member, to be used when authorising Prescriptions.

See Prescribing - Copy of Prescribing - Standard#GP-07.22-03 for related printing requirements

MUST

C14E5

GP-07.21-04

General prescribing requirements - View prescribed medicines

The Solution will provide the ability to configure the display of all medicines prescribed (issued) to the Patient including those prescribed by external persons/organisations or bought over the counter drugs (where these are recorded in the Solution), including:

  • In chronological order,

  • In alphabetical order

  • By drug group.

MUST

C14E5

GP-07.3-051

General prescribing requirements - View prescribed medicines information

There will be indication where each item is:

  • An Acute Issue

  • A Repeat Issue

  • A Repeatable Batch Issue

And whether it was prescribed by:

  • This organisation

  • An external organisation

  • An OTC item bought by the Patient

MUST

C14E7

GP-07.3-06

General prescribing requirements - Patient's preferred pharmacy

The Solution will provide a facility to record a Patient’s preferred pharmacy. 

This is a separate data item to EPS nominated pharmacy and will not be used by or shared with the EPS Prescribing elements of the Solution.

MUST

C14E7

GP-07.3-061

General prescribing requirements - Patient's preferred pharmacy information

The Solution will allow the following information to be recorded about the preferred pharmacy:

  • Name

  • Address & post code

  • Telephone number

  • At least one other contact type (e.g. email, fax)

Information to be automatically populated from reference data where possible (e.g. sourced from ODS).

MUST

C14E6

GP-07.3-062

General prescribing requirements - pharmacy printing

The Solution will support the printing of pharmacy details on the right-hand side (RHS) of a Prescription form.

MUST

C14E1, C14E5

GP-07.4-01

Point of prescribing - Information from drug system

It will be possible from the prescribing screen to display any information contained in the system about a selected item.

MUST

C14E5

GP-07.4-02

Point of prescribing - Cross check Prescriptions

At the point of prescribing, the Solution will cross check Prescriptions in the Patient Record for known sensitivities, interactions, active ingredient duplication and inappropriate prescribing and, when relevant to the currently selected Patient, will provide an appropriate warning to the Prescriber.

See Copy of Prescribing - Standard#GP-07.1-013 for warnings and GP-05.3-02 for recording allergies and sensitivities.

MUST

C14E5

GP-07.22-01

Point of prescribing - Early issue of Prescription

When a Prescription is re-issued and the date is earlier than a configurable time period before the expected end date of the previous issue, the Prescriber will be prompted of this and to ask the Patient whether they have any unused batch issues remaining in their possession from the previous batch

MUST

C14E1, C14E2, C14E5

GP-07.4-04

Point of prescribing - Original pack

The Solution will prevent the use of the terms ‘Original Pack’ and ‘OP’ wherever possible. The Solution will not allow prescribing by OP as a standard option i.e. to be avoided wherever possible.

may

C14E1, C14E2, C14E5

GP-07.4-05

Point of prescribing - Standard pack quantities

The Solution will encourage recording of quantities that would match the quantity in a standard pack (e.g. if Simvastatin tablets were produced in packs of 28, the user can be encouraged to record a quantity which allows full packs to be dispensed).

may

C14E1, C14E2, C14E5

GP-07.4-07

Point of prescribing - Not allow AMPP or VMPP

The Solution will not allow selection of AMPP or VMPP items for prescribing

For Standard of dictionary for medicines licensed in the UK see: SCCI0052 Dictionary of medicines and devices (dm+d) 

MUST

C14E1, C14E2, C14E5

GP-07.4-09

Point of prescribing - Age related dosage/quantity information

The Solution will make use of any age-related dosage/quantity information available within the Solution or formulary and either:

  • Present age-related default dosage/quantities

  • Provide suitable warnings/notifications to the Practice User together with the age-related information

See Copy of Prescribing - Standard#GP-07.2-015 and Copy of Prescribing - Standard#GP-07.2-014 for formulary data

See Copy of Prescribing - Standard#GP-07.1-014 for Solution dosage information

MUST

C14E1

GP-07.5-01

Generic prescribing - Link between generic and proprietary equivalents

The Solution will provide links between generic and proprietary equivalents in all cases except:

  • Where the British National Formulary (BNF) has advised that generic prescribing is not normally appropriate because of bioavailability of the drug e.g. Lithium, antiepileptics. These drugs should always be easily available for selection in case of non availability of proprietary products

  • Where there is no Approved Non-Proprietary Name (ANPN), i.e. one developed and approved by the British Pharmacopoeia (BP), European Pharmacopoeia, BNF or Drug Tariff

  • For multi-ingredient preparations with no ANPN for the whole preparation