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Page Properties

ID

C14

Version

1.0.23

Type

Capability

Category

Medicines management

Status

Effective

Effective Date

28 2022

Framework(s)

...

MUST Epics - Describes the minimum functionality required to deliver a Capability. Solutions MUST be successfully evaluated against each Epic and Acceptance Criteria via Capability Assessment in order to be associated with this Capability

E00092 - access pre-configured prescribable items and related information at the point of prescribing

As a Health or Care Professional 

I want to access pre-configured prescribable items and related information when creating a medication to prescribe to a Patient

So that pre-configured prescribable items can be selected to create the medication for Patients

Acceptance criterion 1: access prescribable items when creating Patient medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to create a medication for a Patient

Then they can select from pre-configured prescribable items

Acceptance criterion 2: view prescribable item information when creating Patient medication

Given the Health or Care Professional is permitted to manage prescribed medication

And they have selected to create a medication for a Patient

When the Health or Care Professional selects to view pre-configured information for a prescribable item

Then Significant side-effects are displayed

And Cautions are displayed

And Indications are displayed

And Contraindications are displayed

And Dosage information are displayed

And Interactions are displayed

And Active ingredients are displayed

E00092 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • Pre-configured prescribable Items will adhere to SCCI0052 Dictionary of medicines and devices (dm+d)  

  • Pre-configured prescribable items will include all products licensed under the Medicines Act:

    • Prescription Only Medicines (POMs)

    • Pharmacy Medicines (P)

    • General Sales List (GSLs)

    • Advisory Committee on Borderline Substances (ACBS) approved substances

    • Items in part IX and part X of the Drug Tariff

  • For pre-configured prescribable items within the Drug Tariff, the information available will 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


E00093 - manage Prescriber Type for Health or Care Professionals

As a Health or Care Professional

I want to manage the Prescriber Type for Health or Care Professionals

So that the type of prescriber a Health or Care Professional is can be managed

Acceptance criterion 1: record Prescriber Type for Health or Care Professionals

Given the Health or Care Professional is permitted to manage the Prescriber Type for Health or Care Professionals

When the Health or Care Professional selects to record a Health or Care Professional's Prescriber Type

Then the Health or Care Professional's Prescriber Type is recorded

Acceptance criterion 2: amend Prescriber Type for Health or Care Professionals

Given the Health or Care Professional is permitted to manage the Prescriber Type for Health or Care Professionals

When the Health or Care Professional selects to amend a Health or Care Professional's Prescriber Type

Then the Health or Care Professional's Prescriber Type is amended

Acceptance criterion 3: delete Prescriber Type for Health or Care Professionals

Given the Health or Care Professional is permitted to manage the Prescriber Type for Health or Care Professionals

When the Health or Care Professional selects to delete a Health or Care Professional's Prescriber Type

Then the Health or Care Professional's Prescriber Type is deleted

E00093 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:


E00094 - manage prescriber sub-type for Health or Care Professionals

As a Health or Care Professional

I want to manage the prescriber sub-type for relevant Health or Care Professionals

So that the prescriber sub-type for Health or Care Professionals can be managed

Acceptance criterion 1: record prescriber sub-type for Health or Care Professionals

Given the Health or Care Professional is permitted to manage the prescriber sub-type for Health or Care Professionals

When the Health or Care Professional selects to record a Health or Care Professional's prescriber sub-type

Then the Health or Care Professional's prescriber sub-type is recorded

Acceptance criterion 2: amend prescriber sub-type for Health or Care Professionals

Given the Health or Care Professional is permitted to manage the prescriber sub-type for Health or Care Professionals

When the Health or Care Professional selects to amend a Health or Care Professional's prescriber sub-type

Then the Health or Care Professional's prescriber sub-type is amended

Acceptance criterion 3: delete prescriber sub-type for Health or Care Professionals

Given the Health or Care Professional is permitted to manage the prescriber sub-type for Health or Care Professionals

When the Health or Care Professional selects to delete a Health or Care Professional's prescriber sub-type

Then the Health or Care Professional's prescriber sub-type is deleted

Info

E00094 - Supporting Information

  • Health or Care Professional's prescriber sub-types identify individuals whose prescriptions should include the name of a responsible GP (as per the prescription overprint specifications produced by NHS Prescription Services)

  • Example sub-types include, but are not limited to:


E00095 - manage Alternate Authorising Prescribers for Health or Care Professionals

As a Health or Care Professional

I want to manage Alternate Authorising Prescribers for relevant Health or Care Professionals

So that an Alternate Authorising Prescriber for a Health or Care Professional can be managed

Acceptance criterion 1: set Alternate Authorising Prescribers

Given the Health or Care Professional is permitted to set Alternate Authorising Prescribers

When the Health or Care Professional selects to set an Alternate Authorising Prescriber for a Health or Care Professional

Then the Alternate Authorising Prescriber is set

Acceptance criterion 2: print Alternate Authorising Prescribers details on prescriptions

Given the Health or Care Professional is creating a prescription for a Patient’s prescribed medication

When this Health or Care Professional has an Alternate Authorising Prescriber set

Then the Alternate Authorising Prescriber’s details are used for the prescription

Acceptance criterion 3: amend Alternate Authorising Prescribers

Given the Health or Care Professional is permitted to amend Authorising Prescribers

When the Health or Care Professional selects to amend an Alternate Authorising Prescriber for a Health or Care Professional

Then the Alternate Authorising Prescriber is amended

Acceptance criterion 4: delete Alternate Authorising Prescribers

Given the Health or Care Professional is permitted to delete Authorising Prescribers

When the Health or Care Professional selects to delete an Alternate Authorising Prescriber for a Health or Care Professional

Then the Alternate Authorising Prescriber is deleted


E00096 - manage prescribed Acute and Repeat medication for Patients

As a Health or Care Professional 

I want to manage prescribed Acute medication and Repeat medication for Patients

So that Acute and Repeat medication can be prescribed to Patients

Acceptance criterion 1: create a prescribed Acute medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to create a prescribed Acute medication for a Patient

And they are authorised to prescribe the selected item according to their prescribing rights

And they have selected a prescribable item

Then the prescribed Acute medication is created in the Electronic Patient Record (EPR)

Acceptance criterion 2: view a prescribed Acute medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to view a prescribed Acute medication

Then the prescribed Acute medication is displayed

Acceptance criterion 3: amend prescribed Acute medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to amend a prescribed Acute medication for a Patient

Then the prescribed Acute medication is amended

Acceptance criterion 4: remove prescribed Acute medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to remove a prescribed Acute medication for a Patient

Then the prescribed Acute medication is removed from the Electronic Patient Record (EPR)

Acceptance criterion 5: create prescribed Repeat medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to create a prescribed Repeat medication

And they are authorised to prescribe the selected item according to their prescribing rights

And they have selected a prescribable item

Then a finite number of Repeat medication issues can be specified

And a Repeat medication review date can be specified

And the prescribed Repeat medication is created in the Patient Record

Acceptance criterion 6: view a prescribed Repeat medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to view a prescribed Repeat medication

Then the prescribed Repeat medication is displayed

Acceptance criterion 7: create issue of prescribed Repeat medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to create an issue of a prescribed Repeat medication

Then the issue of prescribed Repeat medication is created

Acceptance criterion 8: amend prescribed Repeat medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to amend a prescribed Repeat medication

Then the prescribed Repeat medication is amended

Acceptance criterion 9: remove prescribed Repeat medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to remove a prescribed Repeat medication

Then the prescribed Repeat medication is removed from the Patient Record

E00096 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • The following information to be stored for each medication:

    • The dm+d name, or other name (if a dm+d code does not exist)

    • dm+d description or form, strength and quantity

    • Dosage instructions

    • Medication Type (Acute medication, a Repeat medication, a further issue of a Repeat medication, a Repeatable batch issue or Repeat medication, or Private medication)

    • Date of authorisation

    • Date of issuing (e.g. printing, electronic message sent)

    • Prescriber authorising the Prescription


E00097 - create Repeatable Batch Issue of Repeat medication for Patients

As a Health or Care Professional

I want to create a Repeatable Batch issue of a prescribed Repeat medication for a Patient

So that a Repeatable Batch issue of a prescribed Repeat medication can be created

Acceptance criterion 1: create Repeatable Batch Issue of Repeat medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to create a Repeatable Batch issue of a Repeat medication

Then the dispensing interval can be recorded

And the number of times the medication is to be dispensed can be recorded

And the end date for the Repeatable Batch issue can be recorded for a maximum period of 12 months

And the Repeatable Batch Issue is created in the Patient Record

Acceptance criterion 2: prevent Repeatable Batch Issue of Repeat medication in Schedule 1, 2 or 3 of the NHS regulations

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to create a Repeatable Batch issue of a Repeat medication

And the medication is in Schedule 1, 2 or 3 of the NHS regulations

Then the Repeatable Batch Issue cannot be created

Info

E00097 - Supporting Information


E00098 - manage prescribed Instalment medication for Patients

As a Health or Care Professional

I want to manage prescribed Instalment medication

So that Patient's Instalment medication is managed

Acceptance criterion 1: create Instalment medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to create an Instalment medication

And they have selected a prescribable item

And the medication selected is from Schedule 2 of the NHS regulations or is Buprenorphine, Buprenorphine/naloxone (Suboxone) or Diazepam

Then the Instalment medication is created in the Patient Record

Acceptance criterion 2: amend Instalment medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to amend an Instalment medication

Then the Instalment medication is amended

Acceptance criterion 3: remove Instalment medication

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to remove an Instalment medication

Then the Instalment medication is removed from the Patient Record

Info

E00098 - Supporting Information


E00099 - record medication personally administered or dispensed by the Healthcare Organisation

As a Health or Care Professional

I want to record medication for Patients that has been personally administered or dispensed by the Healthcare Organisation

So that medication that has been personally administered or dispensed by the Healthcare Organisation is recorded

Acceptance criterion 1: record medication personally administered or dispensed by the Healthcare Organisation

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to record medication personally administered or dispensed by the Healthcare Organisation

And they have selected a prescribable item

Then the Batch Number can be recorded

And the Expiry Date can be recorded

And the medication is recorded in the Patient Record


E00100 - warnings at the point of prescribing

As a Health or Care Professional

I want prescribing warnings to be displayed at the point of prescribing for the prescribable item selected

So that I am warned if it may be inappropriate to prescribe the medication to the Patient based on existing Patient data

Acceptance criterion 1: warnings at the point of prescribing

Given the Health or Care Professional has selected to create a prescribed medication for a Patient

When they have selected a prescribable item

Then allergies and sensitivities warnings are displayed

And Interactions with other current medication warnings are displayed

And Active ingredients duplication warnings are displayed

And inappropriate prescribing warnings are displayed

Info

E00100 - Supporting Information


E00101 - Electronic Prescription Service (EPS) - Prescribing

As a Health or Care Professional 

I want to send a Patient’s prescription using the Electronic Prescription Service (EPS)

So that the Patient can collect their prescriptions from the dispenser of their choice

Acceptance criterion 1: send prescriptions electronically to a dispenser

Given a Patient has chosen a dispenser for their prescriptions to be sent to

When the Health or Care Professional selects to send a Patient’s prescription to a dispenser of their choice

Then the prescription is sent electronically to the Patient’s dispenser of choice

E00101 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:


E00102 - record medication not issued by the Healthcare Organisation using prescribable item

As a Health or Care Professional

I want to record medication for Patients that has not been issued by the Healthcare Organisation using a pre-configured prescribable item

So that medication not issued by the Healthcare Organisation is recorded

Acceptance criterion 1: record medication not issued by the Healthcare Organisation using prescribable item

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to record medication not issued by the Healthcare Organisation

And they have selected a prescribable item

Then the medication is recorded in the Electronic Patient Record (EPR)

E00102 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • An indication as to whether the item is ‘current’ will be supported

  • This medication will be included within the concept of ‘current medication’ elsewhere in the Solution

  • This medication will be included when checking for prescribing warnings at the point of prescribing

Info

E00102 - Supporting Information

  • The information recorded for items issued by other organisations MAY include:

    • Start date

    • Duration period

    • End date

    • A review date

    • Responsible Organisation


E00103 - view all medications for a Patient

As a Health or Care Professional

I want to view all prescribed and recorded medications for a Patient

So that all prescribed and recorded medications for a Patient can be viewed

Acceptance criterion 1: view all medications for a Patient

Given the Health or Care Professional is permitted to view medications for a Patient

When the Health or Care Professional selects to view all medications for a Patient

Then the medications are displayed

And the Medication Type for each medication is visible

And an indication of where the medication was prescribed is visible

Info

E00103 - Supporting Information

  • An indication of where the medication was prescribed MAY include, but is not limited to:

    • This Healthcare Organisation

    • An external organisation

    • An Over the Counter (OTC) item bought by the Patient


E00104 - manage NHS prescriptions

As a Health or Care Professional

I want to manage NHS prescriptions for Patients

So that NHS prescriptions for Patients are managed

Acceptance criterion 1: create NHS prescription

Given the Health or Care Professional is permitted to manage prescriptions

When the Health or Care Professional selects to create a NHS prescription for prescribed medication

Then the NHS prescription is created

Acceptance criterion 2: print NHS prescription

Given the Health or Care Professional is permitted to manage prescriptions

When the Health or Care Professional selects to print a NHS prescription

Then the NHS prescription is printed

Acceptance criterion 3: view NHS prescription

Given the Health or Care Professional is permitted to manage prescriptions

When the Health or Care Professional selects to view a NHS prescription

Then the NHS prescription is displayed

Acceptance criterion 4: cancel NHS prescription

Given the Health or Care Professional is permitted to manage prescriptions

When the Health or Care Professional selects to cancel a NHS prescription

Then the NHS prescription is recorded as cancelled

E00104 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • Support the NHS prescription types and required format of NHS prescriptions as defined at NHS Prescription Services (overprint specifications)


E00105 - create Delayed prescriptions

As a Health or Care Professional

I want to create Delayed prescriptions for Patients

So that prescriptions for Patients can be future dated

Acceptance criterion 1: create Acute medication with future start date

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to create an Acute medication

Then the start date for the medication can be set in the future

And the medication is created

Acceptance criterion 2: create prescription with future start date for Acute medication

Given the Health or Care Professional is permitted to manage prescriptions

When the Health or Care Professional selects to create a prescription for an Acute medication with a future start date

Then the prescription is created with a future start date

Acceptance criterion 3: print prescription with future start date for Acute medication

Given the Health or Care Professional is permitted to manage prescriptions

When the Health or Care Professional selects to print a prescription for an Acute medication with a future start date

Then the prescription is printed with a future start date


E00106 - early re-issue of medication warning at the point of prescribing

As a Health or Care Professional

I want a warning when a medication is re-issued within a configurable period before the end date of the existing medication

So that I am warned when potentially re-issuing medication too early for a Patient and to check whether they have any unused medication remaining in their possession

Acceptance criterion 1: configure time period for warning

Given the Health or Care Professional is permitted to manage prescribing warnings

When the Health or Care Professional selects to configure the early re-issue warning time period

Then the early re-issue warning time period is configured

Acceptance criterion 2: warning is displayed

Given the Health or Care Professional is permitted to manage prescribed medication

When the Health or Care Professional selects to create a medication for a Patient

And the selected medication already exists for the Patient

And the end date for that existing medication has not been reached

And the start date of the new medication is within the configured time period from the end date of the existing medication

Then the early re-issue warning is displayed


E00107 - manage Patient medication regimen reviews

As a Health or Care Professional

I want to manage Patient medication regimen reviews

So that Patient medication regimen reviews are managed

Acceptance criterion 1: record medication regimen review date

Given the Health or Care Professional is permitted to manage Patient medication reviews

When the Health or Care Professional selects to record a medication regimen review date for a Patient

Then the review date is recorded

Acceptance criterion 2: record medication regimen review performed

Given the Health or Care Professional is permitted to manage Patient medication reviews

When the Health or Care Professional selects to record a medication regimen review has been performed for a Patient

Then the review is recorded


E00108 - manage Repeat medication requests

As a Health or Care Professional

I want to manage Repeat medication requests

So that I can manage requests from Patients for Repeat medication

Acceptance criterion 1: create Repeat medication requests

Given the Health or Care Professional is permitted to create Repeat medication requests

When the Health or Care Professional selects to create a Repeat medication request for a Patient

Then the Repeat medication request is created

Acceptance criterion 2: update Repeat medication requests

Given the Health or Care Professional is permitted to update Repeat medication requests

When the Health or Care Professional selects to update a Repeat medication request for a Patient

Then the Repeat medication request is updated

Acceptance criterion 3: cancel Repeat medication requests

Given the Health or Care Professional is permitted to cancel Repeat medication requests

When the Health or Care Professional selects to cancel a Repeat medication request for a Patient

Then the Repeat medication request is recorded as cancelled

Info

E00108 - Supporting Information

...