Medications view added to PCEHR as NPDR goes live

Fred IT and Genie Solutions have this week uploaded the first records to the National Prescription and Dispense Repository (NPDR), with a new view of the repository added to both of the clinical software packages and to all consumer PCEHRs.

On Tuesday, a Genie user created a script which was dispensed through Fred, with the information sent to the NPDR and subsequently viewed in the patient's PCEHR, Fred IT's general manager for enterprise solutions, David Freemantle, said.

“We have undertaken BVT – business verification testing - where a doctor using Genie created a script which was then dispensed in a Fred Dispense pharmacy," he said. "These transactions were then viewed in the patient’s PCEHR and via the rendered view in Fred Dispense.

“We are in the process now of working through some final issues. But the NPDR is in production and we will soon commence deployment.”

A new Prescription and Dispense View has also been added to everyone’s personally controlled eHealth record, a spokeswoman for the Department of Health and Ageing confirmed. In addition to this new function, a child development section has also been added for parents to enter child growth details.

“The new view will show in greater detail the medications that are prescribed and dispensed to a person, including the brand and generic name, the dose of the medication and directions for consumption,” the DOHA spokeswoman said.

“The new prescribe and dispense information provided with the recent system upgrade is in addition to the pharmaceutical benefits scheme (PBS) medication information that may already be available in a patient’s eHealth record.

“For consumers as well as healthcare providers, this new feature will provide a better view of the medications that are prescribed and dispensed over time, and will support better clinical decision making.”

The spokeswoman said that while the new functions have been enabled with release 3 of the PCEHR, which went live on Sunday, “the benefits will be realised over time”.

Fred IT, Simple Aquarius and their partners in the MedView project are gradually rolling out the functionality to pharmacies and general practices involved in the trial. As most pharmacies have yet to register for the PCEHR system, it is expected to be some time before use becomes widespread.

Genie Solutions software developer Matthieu Kluj said users will see the new functionality in the PCEHR tab of the software, under the document list.

“You can choose 'prescription and dispense view' and you can enter a date or order the results by PBS item or drug name – there are different filtering options,” Mr Kluj said.

Only users of Genie's Windows version can use the functionality at the moment, as the NPDR currently accepts only eRx as the electronic transfer of prescriptions (ETP) service, and eRx is only available on the Windows platform.

Mr Freemantle said his team was currently in the process of building a Mac client for eRx.

Phillip Shepherd, CEO of the other player in the ETP market, MediSecure, said he had been in negotiations with NEHTA and DoHA about connecting MedSecure to the NPDR.

Mr Shepherd said he believed MediSecure could be contributing to the NPDR within eight weeks, but that was reliant on the negotiations.

Communicare users can also access the NPDR if they are using version 13.1 or higher.

Users can access the NPDR information through the View Medications button in the PCEHR window or from the Medication Summary tab in the clinical record.

According to Communicare's release notes, the Prescription and Dispense View window will be displayed and allows users to filter by a specified date range all prescription and dispense records that have been written to the patient’s PCEHR.

Users can choose to group medications by prescription, brand name, generic name or PBS item number by selecting an option from the drop-down menu. Users can also print out a prescription record if required.

Posted in Australian eHealth

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