MM

Core Requirement

Published

V3.0 - March 2023

MM-01.1 - Paper Free Prescriptions

MM-02.1 - Non-Medical Prescriptions

MM-02.2 - Closed Loop Medication Administration

MM-03.1 - Simple & Complex Medicines

MM-05.1 - Utilisation and Consumption of Medicines

MM-06.1 - Electronic Prescriptions

DCF Core Capability

As a Clinical Professional,

I want, a method of paper-free prescribing and administration of medicines in line with all legal and statutory requirements,

and, notification of the patient’s pharmacy of choice,

So that, electronic prescribing supports management, processing, administration (including the capture and maintenance of data into the patient record) and analysis

Acceptance Criteria 1:

Given I am ordering medications for a patient,

When the prescription is created,

Then the prescription is provided electronically, to the choice of pharmacy.

Application Function

Description

AF240 Create Prescription (medicine)

The ability to electronically create a new medication prescription for a patient. This should include the ability to select from a configured list of medicines per speciality or to allow the clinician to perform a free text search of all available medications.

AF242 Create Prescription (Blood transfusion)

The ability to prescribe/request blood transfusion products linked to a specimen and the ability to track the progress of the request.

AF352 Electronic Prescribing

Ability of the system to generate/record prescriptions digitally

• Adherence to legal and statutory requirements

• Support reconciliation and analysis

• Use patients preferences e.g. pharmacy of choice

• Support integration with GP solutions

AF248 Transfer Prescription

The ability of an application to be able to electronically transfer a completed prescription to the Pharmacy dispensing system or medicine cabinet for fulfilment

Standards Compliance

STD016 Clinical Risk Management: its Application in the Deployment and Use of Health IT Systems

STD017 Clinical Risk Management: its Application in the Manufacture of Health IT Systems

STD029 Dictionary of Medicines and Devices (dm+d) Standard

STD080 UK Edition SNOMED CT

STD102 Medicine and Allergy/Intolerance Data Transfer

DCF Core Capability

As a Clinical Professional,

I want, the system to support Patient group directions and non-medical prescribing

So that, I am assured that I offer an advantage for patient care, without compromising patient safety.

Acceptance Criteria 1:

Given the need to support patient group directions and non-medical prescribing

When deemed necessary by a prescribing clinician

Then patient group directions and non-medical prescriptions can be provided to the patient

Application Function

Description

AF353 Non-Medical Prescriptions

Support for Patient Group directions and non-medical prescribing including

• Cross checking of correct patient

• Closed loop medicine administration

• Decision support engaged to identify mismatches

AF243 Medication Decision Support - Allergies

The ability to check prescribed medicines against known patient allergies and alert the clinician where a conflict is identified by the system. This should also include the ability to check against cross-allergies (where a specific allergy indicates the potential for the patient to be allergic to another type of medication) and cross-reactions.

The system must allow a clinician to either stop the prescription or override the alert and audit this action.

AF244 Medication Decision Support - Intolerances

The ability to check prescribed medicines against known patient intolerances and stop the prescription and alert the clinician where a conflict is identified by the system.

The system must allow a clinician to override the alert and audit this action.

AF245 Medication Decision Support - Dosage

The ability to check dosage of prescribed medicines against expected ranges and stop the prescription and alert the clinician where a conflict is identified by the system. The dosage matching process must incorporates patient safety based on age ranges, weight ranges, therapeutic doses, maximum doses and cumulative doses.

The system must allow a clinician to override the alert and audit this action.

Standards Compliance

STD016 Clinical Risk Management: its Application in the Deployment and Use of Health IT Systems

STD017 Clinical Risk Management: its Application in the Manufacture of Health IT Systems

DCF Core Capability

As a clinical professional

I want the ability to prescribe medicines in a closed loop fashion and include the five rights of medicines administration.

So that I can be assured the correct medicines are administered and patient safety is maintained

Acceptance Criteria 1:

Given the need to prescribe medication to a patient

When medication or treatment is required

Then it is possible to record the administration of medication including the five rights of medicines administration (right patient, right medication, right dose, via the right route and the right time)

Acceptance Criteria 2:

Given the need to ensure correct medicines are ordered

When presenting medicine types

Then the configured list should be compliant with the DM+D standard and any coding used should be based on SNOMED

Acceptance Criteria 3:

Given the risk of adverse reactions when medicines are administered

When an adverse reaction is observed

Then it should be recorded using the Electronic Yellow Card Reporting

Application Function

Description

AF251 Record Medication Administration

The ability of an application to electronically record when medication has been administered (medication, dose, route and exact time) or where medication was unable to be administered (with a list of valid reasons why the medication could not be administered). This should include recording medication that is has been self-administered.

Standards Compliance

STD016 Clinical Risk Management: its Application in the Deployment and Use of Health IT Systems

STD017 Clinical Risk Management: its Application in the Manufacture of Health IT Systems

STD029 Dictionary of Medicines and Devices (dm+d) Standard

STD034 Electronic Yellow Card Reporting, Version 3.0

STD080 UK Edition SNOMED CT

STD102 Medicine and Allergy/Intolerance Data Transfer

DCF Core Capability

As a Clinical Professional,

I want, to be able to create prescriptions with configured lists of medication types,

So that, I can offer the patient a complete prescribing service within all aspects of best practice.

Acceptance Criteria 1:

Given I am administering medication to a patent,

When I am ordering the medication,

Then I should see a configured list of medication by type,

Acceptance Criteria 2:

Given the need to ensure correct medicines are ordered

When presenting medicine types

Then the configured list should be compliant with the DM+D standard and any coding used should be based on SNOMED

Application Function

Description

AF240 Create Prescription (medicine)

The ability to electronically create a new medication prescription for a patient. This should include the ability to select from a configured list of medicines per speciality or to allow the clinician to perform a free text search of all available medications.

AF242 Amend Prescription

This is the ability to change the current medications within a patient record whilst maintaining a history of changes

AF243 Medication Decision Support - Allergies

The ability to check prescribed medicines against known patient allergies and alert the clinician where a conflict is identified by the system. This should also include the ability to check against cross-allergies (where a specific allergy indicates the potential for the patient to be allergic to another type of medication) and cross-reactions.

The system must allow a clinician to either stop the prescription or override the alert and audit this action.

AF244 Medication Decision Support - Intolerances

The ability to check prescribed medicines against known patient intolerances and stop the prescription and alert the clinician where a conflict is identified by the system.

The system must allow a clinician to override the alert and audit this action.

AF245 Medication Decision Support - Dosage

The ability to check dosage of prescribed medicines against expected ranges and stop the prescription and alert the clinician where a conflict is identified by the system. The dosage matching process must incorporates patient safety based on age ranges, weight ranges, therapeutic doses, maximum doses and cumulative doses.

The system must allow a clinician to override the alert and audit this action.

AF248 Transfer Prescription

The ability of an application to be able to electronically transfer a completed prescription to the Pharmacy dispensing system or medicine cabinet for fulfilment

Standards Compliance

STD016 Clinical Risk Management: its Application in the Deployment and Use of Health IT Systems

STD017 Clinical Risk Management: its Application in the Manufacture of Health IT Systems

STD029 Dictionary of Medicines and Devices (dm+d) Standard

STD080 UK Edition SNOMED CT

DCF Core Capability

As a Clinical Professional,

I want to see all core information without truncation or wrapping,

So that I have a complete picture of the medication which reduces the risk of incorrect prescribing.

Acceptance Criteria 1:

Given I am viewing information on medication,

When the information of the medicine is displayed,

Then the information is displayed without any information being hidden from view behind truncation or wrapping.

Acceptance Criteria 2:

Given the need to ensure correct medicines are ordered

When presenting medicine types

Then the configured list should be compliant with the DM+D standard and any coding used should be based on SNOMED

Application Function

Description

AF234 Configure Medications Data

The ability of an application to manage medication reference data in accordance with the dm+d standard and SnoMed CT coding for non-dm+d terms (e.g. route, formulation, Unit of Measure):

• Add new medications that can be prescribed to the system

• Manage list of medications per clinical speciality

• Manage medication administration routes

• Manage medication dosage values

• Manage medication cross-allergy lists

AF252 View Medications Administered

The ability of an application to provide a view of all medications that have been administered to a patient.

Standards Compliance

STD016 Clinical Risk Management: its Application in the Deployment and Use of Health IT Systems

STD017 Clinical Risk Management: its Application in the Manufacture of Health IT Systems

STD029 Dictionary of Medicines and Devices (dm+d) Standard

STD080 UK Edition SNOMED CT

STD102 Medicine and Allergy/Intolerance Data Transfer

DCF Transformation & Innovation Capability

As a Clinical Professional,

I want the system to support the reporting of utilisation and consumption of medicines

So that, re-stocking processes are timely and more efficient

Acceptance Criteria 1:

Given I am creating a prescription for a patient

When medication or treatment is required

Then it is possible track utilisation and consumption of medicines

Application Function

Description

AF255 Medication re-ordering

The ability of an application to calculate when the medication being adminsistered to a patient is due to run out and to provide a notification to the clinician to prompt them to place a new order.

AF238 Medication Stock Check

The ability of an application to make an external system check that the medication being selected by a prescribing solution features in the formulary and is in stock.

Standards Compliance

STD016 Clinical Risk Management: its Application in the Deployment and Use of Health IT Systems

STD017 Clinical Risk Management: its Application in the Manufacture of Health IT Systems

STD029 Dictionary of Medicines and Devices (dm+d) Standard

STD080 UK Edition SNOMED C

DCF Transformation & Innovation Capability

As a Clinical Professional,

I want the system to include electronic prescribing (EPMA)

So that, I can exclude paper prescriptions

and use prescribing data for analysis, planning and research

Acceptance Criteria 1:

Given I am creating a prescription for a patient

When medication or treatment is required

Then it is possible to create a electronic (paper-free) prescription

Acceptance Criteria 2:

Given the need to ensure correct medicines are ordered

When presenting medicine types

Then the configured list should be compliant with the DM+D standard and any coding used should be based on SNOMED

Application Function

Description

AF240 Create Prescription (medicine)

The ability to electronically create a new medication prescription for a patient. This should include the ability to select from a configured list of medicines per speciality or to allow the clinician to perform a free text search of all available medications.

AF241 Create Prescription (Blood transfusion)

The ability to prescribe/request blood transfusion products linked to a specimen and the ability to track the progress of the request.

AF352 Electronic Prescribing

Ability of the system to generate/record prescriptions digitally

• Adherence to legal and statutory requirements

• Support reconciliation and analysis

• Use patients preferences e.g. pharmacy of choice

  • Support integration with GP solutions

AF248 Transfer Prescription

The ability of an application to be able to electronically transfer a completed prescription to the Pharmacy dispensing system or medicine cabinet for fulfilment

Standards Compliance

STD016 Clinical Risk Management: its Application in the Deployment and Use of Health IT Systems

STD017 Clinical Risk Management: its Application in the Manufacture of Health IT Systems

STD029 Dictionary of Medicines and Devices (dm+d) Standard

STD080 UK Edition SNOMED CT

STD102 Medicine and Allergy/Intolerance Data Transfe

DCF Transformation & Innovation Capability

As a Clinical Professional,

I want the use of diagnostic and prescribing functions available on mobile devices,

So that access these functions remotely using a phone or tablet.

Acceptance Criteria 1:

Given I am creating a prescription for a patient

When medication or treatment is required

Then it is possible to carry out this task on a mobile device e.g. smartphone or tablet

Acceptance Criteria 2:

Given the need to ensure correct medicines are ordered

When presenting medicine types

Then the configured list should be compliant with the DM+D standard and any coding used should be based on SNOMED

Application Function

Description

AF326 Maintain Patient Record via Mobile Device

The ability for a user to view/update a Patient medical record via a Mobile Device

AF327 View/Maintain Tasks via Mobile App

The ability for a user to view/update tasks which have been allocated to them via a Mobile Device

Standards Compliance

STD016 Clinical Risk Management: its Application in the Deployment and Use of Health IT Systems

STD017 Clinical Risk Management: its Application in the Manufacture of Health IT Systems

STD029 Dictionary of Medicines and Devices (dm+d) Standard

STD080 UK Edition SNOMED CT

The full list of standards applicable to the secondary care setting are contained at the link below

• Secondary Care Standards

The following standards apply more specifically to the requirements on this page

STD029 Dictionary of Medicines and Devices (dm+d) Standard

STD080 UK Edition SNOMED CT

Diagnostics