Frequently asked questions about electronic prescribing

Prescribing using electronic prescriptions in Bp Premier is very similar to creating a paper-based prescription. Once you have selected the medication to prescribe, tick the check box next to the medication, select a method for sending the electronic prescription from the Token: drop down, then click eScript.

Yes, you can provide your patient with a paper version of the token, or a normal paper script.

You can only successfully send one electronic prescription token per prescription per patient in one day. You can reattempt to send a failed or timed-out attempt any number of times.

The doctor can resend an electronic prescription token, using the same or a different method or phone number if necessary, or choose to cancel and reissue the token.

Are electronic prescription records sent to My Health Record?

As with a printed script, when adding an Rx you can select to send the record of the prescription to My Health Record. The actual electronic prescription token itself is not sent to My Health Record.

In the Past Prescriptions section of the patient record, a new column eScripts has been added that will contain a 'Yes' if the prescription was sent by electronic prescription.

Yes. Controlled substance checks and alerts will apply as normal when adding a new prescription.

Yes. Controlled substance checks and alerts will apply as normal when adding a new prescription.

Yes, you can sent electronic prescriptions via the Best Health App if you have upgraded to Saffron.

No, you do not need to have email set up in Bp Premier to send electronic prescriptions via email.

See Set up Electronic Prescribing for all steps required for setting up electronic prescribing in Bp Premier.

Details entered into the Bp Premier user setup (Setup > Users > Edit) can be used on documents produced by the software (such as invoices and electronic prescriptions), and therefore users should refrain from entering personal contact information in user setup. Contact details in the Edit User Details window should always be specific where possible to the provider’s practice location.

While this has always been how the software has functioned, this is now particularly important for Practices using electronic prescribing. If the Mobile Number field is populated, a prescriber's personal mobile number could potentially be seen by a third party that has obtained access to the electronic prescription token.

There are also some smart forms that the information will end up on, but this is likely to be less of a problem, as the user reviews the form before it’s sent.

An electronic prescription is a prescription that is electronically generated and sent to your mobile phone or computer. You can use an electronic prescription, in the same way as a paper prescription, to get medicines from your pharmacy.

Yes, paper prescriptions are still available. You can choose to have either a paper or an electronic prescription.

When your doctor writes your electronic prescription they will send you a 'Token' which is an electronic message sent to your mobile phone or computer.

This may change depending on electronic prescription exchange development, but the message should look similar to the following, with a hyperlink to click on and download the token.

It will be a SMS, email, or Best Health App message with a QR code and some information about your medicine.

A patient should receive their electronic prescription token very shortly after the doctor has sent it in Bp Premier. If practicable, you may prefer to wait until the patient receives confirmation before they leave the practice.

If the exchange service is processing high volumes of requests and for any reason a delay occurs, you still have the option to resend as a paper token, which prints immediately.

Electronic prescriptions will give people convenient access to their medicines and will improve patient safety by reducing the risk of transcription errors.

They can also lessen the risk of infection being spread in general practice waiting rooms and at community pharmacies as they are sent directly to the patient and can be forwarded to the pharmacy.

You don’t need any technology to participate as a patient, because you can receive a paper version of the token. To receive an email or SMS token, you will need a mobile phone or a computer. The phone does not have to be a smart phone, but pharmacies will be unable to scan a QR code from an older type of phone.

You do not need My Health Record to use electronic prescriptions. However, the patient will require an IHI number.

Electronic prescriptions must meet a high level of privacy and security. Your prescription is protected until it is retrieved at your pharmacy when you give them your token.

There are currently no restrictions as to which medicines can be prescribed using an electronic prescription.

You will get a separate token for each medicine you are prescribed.

If you have repeats on your prescription, your pharmacy will send you a new token for your next repeat. You will need to give the new token to the pharmacist when it is time to get your medicine.

Your pharmacy can verify which token has been used. Once you have your medicine you should delete the token that was used to get that medicine.

If you lose your token, you will need to ask your doctor to cancel the electronic prescription and issue a new one. The doctor will send you a new token.

You can go to the pharmacy and they will use your token to unlock the electronic prescription and supply your medicines.

As is currently the case with paper prescriptions, a family member or agent may collect your medicines for you. You will need to send them the token with the QR code so they can give it to the pharmacy to unlock the electronic prescription.

Check with your pharmacy to see if they do home delivery and if you can forward your token to them. If so, there is no need to go into the pharmacy.

You can check that you have received your token before you leave the doctor’s office or finish your telehealth consultation, so you know it is from your doctor.

Your GP practice will usually check with you that they have your correct details when you arrive for your doctor’s appointment.

If using telehealth, check your details are correct when you book online.

You can also check with your doctor when they issue your electronic prescription that all your details are correct.

It would need to be cancelled and sent to the correct mobile phone number.

You should check that your doctor has sent you the token before you leave the GP practice.

No, the choice of whether you get an electronic or a paper prescription is always yours.

Yes, all repeats issued with the initial electronic prescription will also be electronic. Any repeats will have new tokens issued once the prescription is dispensed. You will need to keep the new token for the next time you need the medicine.

The Australian Government Department of Health has made the following fact sheets available:

• Prescriptions by telehealth - a guide for prescribers
• Prescriptions by telehealth - a guide for pharmacists

The Australian Digital Health Agency has an electronic prescriptions toolkit for prescribers and dispensers:

• Toolkit for prescribers
• Toolkit for dispensers

The Australian Digital Health Agency have also created eLearning courses for prescribers and dispensers:

• Electronic prescribing eLearning courses

Other resources you might find useful:

• eRx - An introduction to electronic prescriptions
• Australian Digital Health Agency - Electronic scripts

Electronic prescriptions meet a high level of privacy and security. They are fully encrypted with dual key encryption and use a public key infrastructure to ensure it cannot be intercepted.

While the token itself does not contain identifiable information, the QR Code holds an identifier which is a key used by the Prescription Delivery Service (PDS) to pull the prescription details from the database. The identifiers are meaningless unless scanned using a PDS with the required connectivity and authorising processes to check for a legitimate and legal request to the information.

At the initial release of electronic prescriptions, the token model allows for only one token to be issued per medication. When a patient is prescribed multiple medications, one token must be issued for each medication on the prescription. Alternatively, the prescriber is still able to issue paper prescriptions if preferred; the choice is up to the patient.

When the Active Script List model is implemented, prescribing multiple medications will be far more suitable as it allows the pharmacist to see all outstanding prescriptions (and medications) for each patient.

In the short-term, hospitals will not be able to generate electronic prescriptions because hospital based EMRs are still developing this functionality. Once this has been completed, electronic prescriptions will be progressively rolled out across systems used in hospitals for the management of inpatients.

For patients who don’t have a smart phone or are immobile, they can elect to send the electronic prescription token directly to their carer/agent, who can collect the medication on the patient’s behalf. Alternatively, the patient also has the choice of receiving a paper token or prescription if they are unable to receive an electronic token.

An electronic prescription is recognised as a new legal form of prescription that authorises supply of prescribed medicines. There is no ‘opt-in or opt-out’; the patient will choose the type of prescription with their doctor (paper or electronic) at the time of prescribing.