Pharmacy Requirements Requirement Output Priority Provision of alerts to patient Allow for opt-in alerts e.g. Check your pump, check fridge temperature etc provided by text, phone-call email etc Strategic Clinical Governance Provide patient satisfaction information Priority 1 Provide patient compliance feedback Priority 1 Allow for Issue identification, recording and resolution Priority 1 Provide option for patient and/or healthcare professional Yellow card alerting in relation to their homecare medication Strategic Access to a single clinical record Provide access to Real-time clinical data including all entries relating to that patients care from all clinicians and the patient. Priority 1 Allow for auditable event reporting including admissions, discharges, death etc Priority 1 Providing reporting on patient entered information including adherence & adverse drug events Strategic Display all related Pathology & other recorded clinical data Priority 1 Display information from homecare company clinical evaluation records during homecare Priority 1 Electronic prescribing – review and authorisation Provide clinical screening functionality to allow review of prescribed medication to ensure compliance with formulary and clinical governance controls. This must allow for clinical changes to be reviewed, pharmacy specific annotation to be added. Fundamental Provide information on any required Funding approval processes including approval status. Priority 1 Record authorisation of prescription by clinical pharmacist. Fundamental Allow allocation of relevant treatment to categories – NICE, PbR excluded, exceptional funding. Fundamental Allow transmission on to pharmacy ordering system Fundamental Homecare formulary Allow pharmacy to maintain formulary for homecare medication (linked to wider hospital formulary). Fundamental Allow maintenance of Patient Charter information, supplier information & any required additional registration paperwork Priority 1 Adherence / compliance information Allow the clinical pharmacist to review any medicines compliance/adherence information. Priority 1 Ecommerce processes Link from ePrescribing review & authorisation Priority 1 Parallel process to create & transmit electronic purchase order (next to EPS) Fundamental POD reconciliation Fundamental Goods receipt Fundamental eInvoicing Fundamental eCredit (e.g. for Patient Access Schemes, credit notes) Priority 1 Clinical Costing & coding Automate patient level issue “booking out” of Homecare with correct/current costing from eCommerce transaction. Fundamental
Plain text Medicine administered Record of administration to the patient, including self-administration. Part of the drug administration record. Date administered and by whom. Reason for Reason why drug not administered (e.g. patient refused, patient unavailable, drug not available). Part of the drug administration record. Plain text Relevant Previous Medications Record of relevant previous medications Use NHS Dictionary of Medicines and Devices (DM+D), where possible, but may be plain text, e.g. where patient is providing the information. Relevant previous medications to be communicated between healthcare settings in addition to current medications Medication Recommendations Suggestions about duration and or review, ongoing monitoring requirements, advice on starting, discontinuing or changing medication. Plain text Medication recommendations to be communicated between healthcare settings where relevant. Medical devices The record of dietary supplements, dressings and equipment that the patient is currently taking or using. Data items: *Device name * Device Identifier *Batch number *Serial number The data items are attributes of medical device record. Also record start and stop dates, where relevant. Use NHS Dictionary of Medicines and Devices (DM+D) only for prescribable devices. Increasing numbers of medical devices contain active pharmacological ingredients. Medical devices should not therefore be separated from medicines in the viewable record.