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Quick Reference Guide

This article explains how to add, edit or cease a prescription in Bp Premier.

If you wish to create and prescribe a custom preparation, see Create a custom preparation.

The below video demonstrates the end-to-end process for adding a current Rx. The rest of this article explains each step of the process in detail.

This video includes the workflow for medicines included on the LMBC. To view the workflow for medicines not included on the LMBC, see How Active Ingredient Prescribing Works in Bp Premier.

1. From the patient record, select Current Rx from the tree on the left hand side. Click Add above the list to the right. The New Rx screen will appear.



2. Select to search by Product Name or Therapeutic class, search for Custom preparations, or search Favourites that have been recorded for this provider.
3. Enter the first few letters of the search term in the Search for field. Matching drugs or preparations will be listed below.

TIP  Depending on the type of drug searched for, a hyperlink at the bottom of the New Rx screen may appear that links to PBS guidelines for prescription of that drug.

4. Select the medication you want to prescribe from the list.
5. If the medication you are prescribing is included on the List of Medicines for Brand Consideration (LMBC), a notice will appear at the bottom of the screen indicating that you may wish to consider prescribing the medication by brand. If you wish to prescribe by brand, click Select brand. The brand names available for the medication will appear in the Available formulations: list.
6. Select the formulation to prescribe from the Available formulations list to the right. Tick Show PBS/RPBS listed only to only show listed formulations.
7. If you are likely to prescribe the same medication in the future, you can click Add to favourites to add the drug to your Favourites list.
8. If the patient requires a combination of drugs, and your practice has configured the drug combination in Bp Premier, click Drug combination to prescribe the combination.
9. The buttons at the bottom of the screen have the following actions:

Button	Action
Same drug class	Select a drug from the Available formulations and click this button to view formulations in the same therapeutic class for comparison.
Equivalent products	Select a drug from the Available formulations and click this button to view alternate similar products.
Product Information	Opens the MIMS product information viewer for providers.
CMI	Open the Consumer Medicines Information viewer for providers to show or print for patients to take home, providing information about the drug.
Allergies/Reactions	Opens the Allergies/Adverse reactions screen to view or add allergies for the patient.
NPS RADAR	Opens NPS RADAR if there are any alerts or patient information leaflets relevant to the selected formulation.

10. After you have selected the formulation you want to prescribe, click Next. The New Rx screen will continue.

1. Select the Dose, Frequency of administration, whether to take with Food, and any Other instructions. To assist in calculating the correct dose for a patient, click Dose calculator to open the dose calculator tool.
2. Tick p.r.n if the medication is to be taken 'as needed'.

NOTE  If you tick the p.r.n. checkbox , Bp Premier does not consider the medication 'regular medication' for the patient. This affects the ability to insert the prescription into template fields. See Regular medication and p.r.n for more information.

3. Change the Route of administration if necessary.
4. Enter any Complex instructions to be printed on the script, if any. Click Store to store complex instructions for later reuse.

Complex instructions can be copied from the MIMS information available at the top of the screen and pasted into the Complex instructions field if required.

5. If the patient requires compliance checking for medication, enter the Number of tabs per day to check for. Otherwise, tick No compliance checking.
6. If the selections made in this screen are likely to apply to further prescriptions of the drug, tick Save this dose as the default for this preparation.
7. Click Next. The New Rx screen continues.

Regular medication and p.r.n

If you assign patient medications to clinical functions like care plans and asthma plans, you may see that the medication does not appear as a 'regular medication', even though the medication has been added in the Current Rx section.

When prescribing medications, the checkbox p.r.n. in the dosage screen indicates that the medication is to be taken as needed.

If p.r.n. is ticked, the prescribed medication will not be printed on a care plan or any template that uses the field <Current Rx List (Regular)>.

The fields in this screen have the following actions:

Select your desired options and click Next. If you selected an Authority prescription, the New Rx authority screen will appear. If the script is not an authority, skip the New Rx authority screen section, and go straight to Add a reason for the prescription.

Consent to upload to Active Script List

This checkbox records the patient’s consent to upload the new or repeat Rx to the patient’s Active Script List. It is ticked by default.

Active Script List (ASL) is a form of electronic prescribing that is identity-based, rather than token-based. If the script is uploaded to the active script list (stored securely online), a patient can present his or her identity to an authorised dispenser, and the dispenser can look up the patient’s active script list using the pharmacy’s Prescription Dispense System, and dispense the medication.

ASL is not yet available but the Department of Health, Australian Digital Health Agency and software vendors are working toward making ASL available as a complementary model to the current token-based electronic prescribing model.

Best Practice Software recommend that the patient understand if he or she provides consent to upload, when ASL becomes available at a future date, any new prescriptions will automatically be uploaded to a secure location online (their ASL), where they can only be accessed by an authorised dispenser.

The checkbox can be disabled on a per medication basis should the patient not consent, and those medications will not be uploaded to the patient’s ASL. This checkbox currently will not appear if your practice uses MediSecure for its Prescription Exchange Service. ASL upload for MediSecure will be available in a future version of Bp Premier.

NOTE  Authority details are printed on the script. For more information on authority prescriptions, refer to the Pharmaceutical Benefits Scheme website.

1. Select the condition treated by the medication from the patient's existing conditions, or select New condition to enter a new condition.

Depending on whether a new condition has been selected, and the type of condition, some or all of the fields on the right hand side will be enabled. The fields in this screen are the same as when entering a condition from the Diagnosis screen from Today's notes.

2. Click Finish to return to the Current Rx list, or Another to add another Rx.

Print the prescription

To print a prescription, tick the checkbox for the medication in the Current Rx list you want to print, and click Print.

Send the prescription

To send the prescription as an electronic prescription, tick the checkbox for the medication in the Current Rx list you want to send, select a method for sending the electronic prescription from the Token: drop-down menu, and click eScript. See Electronic prescribing for more information.

NOTE  If your qualifications listed under Setup > Users > Edit > Qualifications exceed 50 characters in length, you will receive an error message. See Electronic prescribing qualifications error message for more information.

Store the prescription

If you are not ready to print or send the scripts, when you close the patient record, Bp Premier will ask what to do with unprinted Rx. Select Store them for printing later and click Ok. You can print stored Rx later from the patient record or the Stored Prescriptions screen.

Real Time Prescription Monitoring

If Real Time Prescription Monitoring is enabled, when the prescription is printed or sent as an electronic prescription, Bp Premier will automatically connect to the Real Time Prescription Monitoring database (The National Data Exchange, or NDE), perform checks, and indicate the results. See Real Time Prescription Monitoring for more information.

Find a current Rx

Once a prescription has been printed or sent, you can view it under Past prescriptions in the patient record left-hand menu. See Past Rx and Ceased Rx for more information.

Otherwise If you know the script ID for a printed or sent script, you can look it up.

1. From the main screen, select Utilities > Prescription Lookup. The Prescription Lookup screen will appear.
2. Enter the Script No. and click Lookup. The screen will show an image of the printed script.

Edit a current Rx

1. Open the patient record you want to cease medication for.
2. Select Current Rx from the tree on the left hand side.
3. Right-click the Rx you want to edit. A number of editing options are listed in the right-click menu. Select the item you want to change for the Rx.
4. Some editing options, such as No substitution, update the Rx record in the list. Other options will open the Edit Rx screen so the record can be updated.
5. Make the changes in the screen and click Save.

Cease a current Rx

1. Open the patient record you want to cease medication for.
2. Select Current Rx from the tree on the left hand side.
3. Right-click the Rx you want to cease and select Cease Rx. The Cease Rx screen will appear.
4. Change the Date ceased from the current day if necessary.
5. Enter or select a Reason for cessation. Reasons entered as free text will be available for selection the next time the screen appears.
6. Tick Add to allergies/adverse reactions to add the medication to the patient's Allergies list.
7. Click Delete.

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