Healthcare providers can upload a copy of prescribed or dispensed medicines to a patient's My Health Record.
What is an ePrescription?
Healthcare providers who use conformant clinical software to prescribe and dispense medicines can also upload a copy of this information directly to a patient's My Health Record.
These medication records can be viewed in the My Health Record system as clinical documents, and are also displayed in the National Prescription and Dispense View (NPDV) of the system, which allows individuals and their healthcare providers to easily view details of their prescribed and dispensed medicines that have been uploaded to the patient's My Health Record.
The NPDV can display the name and date a medicine has been prescribed and dispensed (both the brand name as well as the active ingredient/s), the strength of the medicine (e.g. 2mg, 20mg, etc.), the direction for consumption (e.g. take one capsule daily) and the form of the medicine prescribed (e.g. capsule, tablet, inhaler, etc.).
Who can upload an ePrescription?
Healthcare providers who use clinical software to prescribe medicines can upload a copy of this information to a patient's My Health Record. You can check if your software can produce and send prescription records to the My Health Record system.
How do I upload an ePrescription?
The sharing of prescription information to a patient's My Health Record is intended to form part of your normal electronic prescribing workflow.
By default, if a patient has a My Health Record the prescription record will be uploaded. If the patient has requested that the record not be uploaded to their My Health Record, you should uncheck the 'consent to send to My Health Record' flag (which can be done per line item of the prescription).
Note: Even if the patient has requested the prescription record not be shared, it will still go to the Prescription Exchange Service (PES) for download by the dispenser, as per your existing workflow.
Check the software demonstrations showing how prescription records get uploaded to the My Health Record system using your clinical software, and also how they appear in the NPDV. If there isn't a demonstration for your clinical software, check your software vendor's website.
Do I need my patient's consent to upload an ePrescription?
The My Health Records Legislative framework authorises all registered Healthcare Provider Organisations, involved in a patients care, to access and upload information to their My Health Record.
There is no requirement to obtain consent on each occasion prior to uploading clinical information.
The Australian Medical Association (AMA) states that it is good medical practice to advise a patient that you will be uploading information to their My Health Record (Guide to using the My Health Record, section 4.5). If the prescription record is potentially sensitive and you consider that the patient may have reservations about it being uploaded to their record, you should discuss it with the patient.
Can I edit or delete an ePrescription once it has been uploaded?
The author of a prescription record can delete it from a patient's My Health Record if it has been uploaded in error or contains a mistake.
A prescription record cannot be edited once it is in a My Health Record, however they can be 'superseded' which means replacing the original with a new version. A prescription record is treated exactly the same as all other clinical documents in regard to deleting or superseding.
Note that when using ePrescribing and uploading prescriptions to the My Health Record system, the paper prescription remains the legal document. If you made an error on the prescription and manually edit the paper script after it has been printed, this change will not appear on the electronic version uploaded to the My Health Record or sent via the Prescription Exchange Service to the dispenser. In this scenario, you should ensure that the correct version of the electronic prescription is shared to the patient's My Health Record.