Acute and Repeat Prescribing from a Consultation

Article author
Greg Pietras
  • Updated

What is the context?


Meddbase has a built-in integration with First Data Bank who offer a centralised drugs database of over 70,000 drug products and packs. First Data Bank central drug database is updated monthly ensuring that the information in Meddbase is completely up to date.

Acute and repeat prescriptions can be written in the system using the First Data Bank database. Clinical decision support is included with every prescription providing drug to drug interaction, contraindication and allergy warnings amongst others.

 

What is the purpose of the article?


This article will walk you through prescribing Acute and Repeat prescriptions from within a Consultation.

Both Acute and Repeat Prescriptions can be prescribed from Prescription Tasks.

Click here for a detailed article on 'Working with Prescription Tasks'

Click here for a detailed article on 'Working with Repeat Prescription Tasks'

 

Before you get started


There are some pre-requisites required to enable prescribing in Consultation:

  • To create a prescription or ePrescription based on a Prescription Task, the Drug database needs to be activated (via Admin > Configuration > Chargeable features)
  • A Clinical Form used for the respective Consultation must include the 'Prescribe' and 'Repeat' action buttons.

Please contact the client Account Management Team on accountmanagement@meddbase.com for more details or to request changes to your Clinical Forms

 

New Prescription in Consultation


To create an Acute Prescription when in Consultation:

  1. Navigate to the Actions section on the Clinical Form (typically found at the bottom of the form)
  2. Click the Prescribe button.

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In the Create a prescription dialog that appears

1. Type characters for drugs to prescribe (typing in at least 3 letters triggers the drug database search and returns all matching drug derivatives)

2. Select the drug to prescribe from the menu

3. Review any Preparation Warnings that appear. These include sensitivity alerts, drug to drug interaction warnings, as well as other warnings and disclaimers.

The Medical User must click Accept Warnings in order to continue and cannot simply close this window.

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Other fields and options in this dialog window allow you to provide important details about the Prescription:

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1. The Details tab shows you the recommended dosages and manufacturer’s packs and clicking any of these options automatically populates the corresponding field on the left-hand side. You can also type in your own values in these fields if needed.

2. The Method field allows you to specify how the drug should be taken.

3. The Type for the prescription can be selected as Acute (one-offs) or Repeat (multiple courses will be required). 

If the Type is Repeat, the review date is mandatory

4. The Duration field allows stating the length of time this drug will be taken over

5. The Review field allows stating when this drug will be due for a review. Furthermore, providing a review date on an Acute prescription will cause this drug to appear on the list of drugs available to Repeat.

Stating a Review date will cause the drug to become available to repeat. For Repeat prescriptions, stating the Review date is mandatory. For both Acute and Repeat prescriptions, the drug will be added to the Expired prescriptions list past the review date and still be available to repeat.

Both Duration and Review should be expressed in the format of a number followed by either d, w, or m., e.g., 1d = 1 Day, 2m = 2 Months, 6w = 6 Weeks. Alternatively, you can state the exact date as DD/MM/YYY

6. The Comments (internal) field allows adding a note or comment visible on the prescription entry in the patient's medical history

7. The Comments (Pharmacist) field allows adding a note or comment visible on the prescription printout 

8. A range of actions offered at the bottom of the dialog as buttons. These are explained in the table below:

Button Outline explanation
Save Creates a prescription record for the patient.
When created, the prescription is logged in the Medical History of the patient.
Save and E-Prescribe
By selecting this option, a Send electronic prescription dialog is presented.
This enables the production of an ePrescription using the Medication Delivery feature.
When created, the prescription is logged in the Medical History of the patient.
Save and Send
Creates a prescription record for the patient and enables a printout of the prescription to be produced.
When created, the prescription is logged in the Medical History of the patient.
Cancel
Closes the Create a Prescription dialog and returns to Prescription Task Dialog.
Delete
At this point, if the Delete button is selected an advisory message appears saying that a prescription has not been created to delete.
Once a prescription is created and edited, this button enables you to mark the prescription as deleted (although it is visible in the ‘Deleted’ section of the Medical History).

 

Repeat an existing Prescription in Consultation


To Repeat a drug when in Consultation:

The below applies to Acute prescriptions within a stated Review date, as well as Repeat prescriptions (where stating a Review date is mandatory)

    1. Navigate to the Actions section on the Clinical Form (typically found at the bottom of the form)
    2. Click the Repeat button and you are presented with the Select prescriptions to repeat dialog window

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  • The Select the drugs to repeat list shows Acute and Repeat prescriptions within their respective Review dates
  • The Expired prescriptions list shows Repeat prescriptions past their Review dates

 

3.Select the drug you wish to repeat

4. Click Ok and Review and Accept the preparation warnings on the pop-up window

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The Repeat Prescriptions dialog window allows providing/amending details about the prescription:

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    1. The Review in field allows stating the next review date for the drug. Again, this should be expressed in the format of a number followed by either d, w, or m., e.g., 1d = 1 Day, 2m = 2 Months, 6w = 6 Weeks. Alternatively, you can state the exact date as DD/MM/YYY
    2. Drug Details section providing a summary of the preparation.
    3. The Change button allows amending the repeat prescription. Clicking it opens a Change repeat prescription dialog window allowing changing:
      • Dosage
      • Quantity
      • Method
      • Duration
      • Comments (both internal and Pharmacist)

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4. A range of actions offered at the bottom of the dialog as buttons (as described here)

 

 

Review date


This article was last updated on 1st of Sept 2022 in the context of Meddbase version 1.254.0.40590