The purpose of the electronic prescription is to collect as much information as possible about the prescriptions prescribed and aggregated to patients in the National Drug List. Electronic prescriptions have been used in practice for quite some time now. However, the stipulation that it should be the main rule has been postponed several times, since the free tool for recipes was not completed as planned.
But now it’s finally time. As of Tuesday, May 10, electronic prescriptions are primarily applicable, with a few exceptions where paper prescriptions can still be used (see fact box).
For most physicians and other prescribers, this does not mean a change currently, as they can continue to use their usual prescribing regimens. But for small prescribers, such as small clinics or pensioners and others so called leisure prescribers, the cost of a commercial prescription system is sometimes seen as unreasonable. Therefore, there was a condition that a free alternative should be created.
One of them came a year ago when Förskrivningskollen was launched, and since November it has been possible to create prescriptions in it. Recipe checking should act as a backup if the usual recipe system doesn’t work and as a free alternative.
But it has a number of limitations. Functions that are currently lacking, for example, the ability to renew, change and redo prescriptions.
Just rejuvenation is something you’re looking at right now, says Peter Alvinson, division head at the E-Health Authority, which is responsible for the Prescribing Association.
Nothing has been reported yet. But if I had to guess, I think this feature would come.
Other limitations are the ability to label and cut goods, such as syringes, needles, and testing equipment. This should be described on the aid card. There is also no decision support, for example, pediatric prescriptions, reasonable dose control or prescription templates.
The E-Health Authority’s guide also notes that Förskrivningskollen lacks information on many things, including allergies, prescriptions and required medications. This is something that will probably not be dealt with by Förskrivningskollen in the future either, as this information is not transmitted from medical record systems.
However, readers have drawn Läkartidningen’s attention to the fact that there are technical limitations. For example, you need to use a computer with a sufficiently high-resolution screen. It does not work with a tablet or mobile phone.
– We have received requests for further development, including the ability to display content on tablets or mobile phones. But we do not include it in our development plan for this year, because we are busy with other initiatives. We haven’t made the plan for next year, says Peter Alvinson.
But it is not excluded that you develop support for mobile devices?
– no not like that. The position is not taken.
Peter Alvinsson points out that the desire to support the various units must conflict with other developments. In addition, the mission of the E-Health Authority is to provide a system that acts as a back-up and for small-scale discharge. It is not intended to compete with the commercial systems in the market.
We’ve never had the ambition to develop a complete prescribing solution that has all things and more, says Peter Alvinson.
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Exceptions to electronic prescriptions as a general rule are
- In the event of technical disturbances that make it impossible to prescribe the drug electronically.
- When patients need to buy medicines from other countries.
- When the prescriber estimates that the patient needs protection, which means that the data is handled more securely by prescribing it in a prescription form.
- Other special reasons. However, the lack of an electronic system does not count there.
The basic technical requirements for a prescription examination are that the prescriber uses a computer (desktop or laptop) with a screen of at least 14 inches and a resolution of 1920 x 1080 pixels.
Prescription scan should be able to work on several types of computers. However, the EHA recommends the use of the Windows operating system and browsers Chrome or Edge. Mac is not recommended yet, as this platform has not been adequately tested.