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Pharmacy Care Record User Guide

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1. The newly created care issue care issue outcome will be listed in the care issues associated with this assessment grid Figure 6 16 Figure 8 12 Care issues associated with this assessment Care issue Earliest review by Last modified on gt Poor inhaler technique 13 Apr 2012 View Add Figure 8 11 Associated care issues Gluten free assessment summary Adverse effects Is the patient aware of the common Unanswered symptoms that are caused by not following a gluten free diet Does the patient have any symptoms that may suggest that they are consuming foods that contain gluten Is the patient aware that adverse effects Unanswered should be reported tele patient adhering to their gluten free Yes iet Does the patient understand how to Yes identify foods that may contain gluten Does the patient have information that Yes will support their concordance with a gluten free diet Unanswered Is the patient prescribed folic acid iron Unanswered or calcium and Vitamin D supplements Is the patient aware of how to take these Unanswered medicines properly if indicated Use to add care issues for the specific question Care issues associated with this assessment Is the patient aware of how many gluten Unanswered free a they are able to order each month Gluten free annual health check not No completed in pharmacy What date is the patient due to receive Unanswered their gluten
2. Associate User button Figure 1 3 Pharmacy Care Record Please enter your details to associate with a Pharmacy User iD Password Contractor Code Message of the day Pharmacy Care Record Phase 2 Released Figure 1 3 Associate User Page 15 PCR User Guide for version 10 Access and security Step 3 Accept second security alert In the Security Alert dialogue box click Yes to accept the final security certificate Figure 1 4 Security Alert lecord Please en wwe eww wr ew ee ee ee re Message of the day Pharmacy Care Record Phase 2 Released Figure 1 4 Association final security certificate Page 16 PCR User Guide for version 10 Access and security Step 4 Check that association has been successful If the association is successful the following a message will be displayed in green text Figure 1 5 Pharmacy Care Record Please enter your details to associate with a Pharmacy R ects for further information click here Password ee Show password E Contractor Code 1234 Association has been created for TestUser to pharmacy 1234 Authorised Users Only Message Of The Day Welcome to Pharmacy Care Record Figure 1 5 Association successful At this stage only association with a pharmacy is complete A further step is required to login to the main PCR application to access patient records 1 4 2 Conditions that require a change of pa
3. Figure 9 5 Smoking Cessation Initial Data Capture If a selected option for Pharmaceutical usage includes Varenicline additional guidance is displayed and questions must be answered to confirm if the Varenicline assessment indicates that the patients GP should be contacted and to confirm that the GP must be contacted before the patient begins on Varenicline Figure 9 6 Page 125 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment Group support open rolling groups If Other chosen above please specify SS Shared care between pharmacy and non pharmacy OYes No services Pharmaceutical usage Pharmaceutical usage NRT and Varenicline change in product v Total number of weeks of known product use A Varenicline risk assessment must be completed prior to supply Does the Varenicline risk assessment indicate that the Yes GP has been contacted patient s GP should be contacted to confirm Varenicline appropriateness confirm that am aware the GP must be informed that the patient will begin on Varenicline Figure 9 6 Pharmaceutical usage includes Varenicline Page 126 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 4 Review assessment details after Initial data capture The review page is displayed after the initial data capture is saved Pharmacy 1234 Pharmacy One ieee chet hate ce Pharmacy Care Record N H S Last login Tue May 20 201
4. Has the patient missed any doses of the medicine or changed how they take it Is the patient having any problems with the medicine Is there anything else that the patient would like to know about the medicine Does the patient require another follow up intervention Is this follow up intervention complete Last modified 20 Aug 2012 by testuser Care issues associated with this intervention Care issue Earliest review by Last modified on No records to display Intanrantinn camnilatian Figure 7 11 New medicine intervention review page with completed follow up intervention Page 100 PCR User Guide for version 10 New medicine interventions 7 9 Add care issue care issue outcome Care issues and care issue outcomes can be added from links within the new medicine interventions review page There are two options to consider when adding a care issue care issue outcome Associate with new medicine intervention Associate with new medicine intervention based on the context of an intervention question To add a care issue care issue outcome Select the Add link at the bottom right hand side of the care issues section of the new medicine interventions review page Figure 7 12 Is this follow up intervention complete Unanswered Last modified 05 Apr 2012 by Testuser Care issues associated with this intervention Care issue Earliest review by Last modified on No records to display Figure 7 12
5. Page 157 PCR User Guide for version 10 10 4 4Open care issues with reviews outstanding To run the Open care issues with reviews outstanding report Reports Select the Open care issues with reviews outstanding link from the Reports page The report detail will be displayed Figure 10 12 Pharmacy 1234 Pharmacy 1234 User Testuser Jane Smith Last login Tue Apr 7 2015 15 28 Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Open care issues with reviews outstanding Patient name Mr Eric Bond Mr Simon Ames Miss Mary Cloud Miss Mary Cloud Mr Simon Ames Mr Simon Ames Mr Simon Ames Miss Mary Cloud Mr Eric Bond Mr Eric Bond Jane Brown Mr Simon Ames Jane Brown Date of birth 31 Jan 1979 30 Jan 1989 31 Aug 1980 31 Aug 1980 30 Jan 1989 30 Jan 1989 30 Jan 1989 31 Aug 1980 31 Jan 1979 31 Jan 1979 07 Jun 1987 30 Jan 1989 07 Jun 1987 Figure 10 12 Open care issues with review date in the past Report Columns CHI Type View Link Links to View Care Issue Page Patient Name Date of birth Description CHI 3101798558 3001893397 3108808036 3108808036 3001893397 3001893397 3001893397 3108808036 3101798558 3101798558 T777777777 3001893397 T777777 777 Description Bond Care Issue 3 Ames Care Issue 8 Cloud Care Issue 4 Cloud Care Issue 1 Ames Care Issue 5 Ames Care Issue 4 Ames Care Issue 7 Cloud Care Issue 2 Bond
6. e Quit Date e Date of birth e CHI e Post code e Last contact week e Quit attempt week e MDS Status View Link Select the View link at the right hand side of the report to view the assessment review page Page 171 PCR User Guide for version 10 10 9 5Assessments awaiting four or twelve week follow up Reports This report assists with keeping track of smoking cessation assessments that are within their next MDS submission window It will show all open smoking cessation assessment where e The next step is 4 week MDS submission and are in the 4 6 week submission window e The next step is 12 week MDS submission and are in the 10 14 week submission window Pharmacy 1234 Pharmacy One User Testuser Jane Smith Last login Wed Jun 11 2014 14 15 Search Protocols Reports Change password Manage profile Yellow card Help Logout Assessments awaiting four or twelve week follow up Patient name Quit date Date of birth CHI Post code MDS Stage Last contact week NHS Su P SCOTLAND Number of records on report 1 Show Hide Filter Quit attempt week Mark Feeney 07 May 2014 04 Feb 1984 2222222222 G12 9XQ Four week Week 4 Figure 10 23 Report Columns e Patient Name e Quit Date e Date of birth e CHI e Post code e MDS Stage e Last contact week e Quit attempt week View Link Week 6 Select the View link at the right hand side of the report to view the assessment review
7. entry page will be displayed Page 91 PCR User Guide for version 10 New medicine interventions 7 5 Enter answers to initial intervention questions The Initial intervention entry page is shown in Figure 7 3 To enter answers to initial intervention questions Confirm or select intervention date in the Intervention record section of the page Figure 7 3 Provide answers to initial intervention questions by selecting Yes No or Not Recorded Free text notes can be added to each question Select the Record amp Review button the new medicines interventions review page is displayed Figure 7 4 SMITH Johnathan Mr Bom 03 Feb 1973 39y Gender Male CHI No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 TEZ Phone and email 01506 000 000 v Initial intervention Means a field requires data Medicine Medicine detail Aspirin 75mg Tablets Instructions Take ONE Tablet Daily Service CMS Indication Angina Intervention record Intervention date 13 04 2012 Eaj e g 01 05 2010 for the 1st of May 2010 Does the patient know why they have been prescribed the medicine YesNoNot recorded Notes Is there anything that the patient would like to know about the medicine and how it D should work YesNoNot recorded Notes Is there anything else that the patient would lik
8. if Contact i number t Home 01506 000 000 fi A Mobile 0777 000 000 Work m 1 i a gt Schedule follow up Cancel Figure 7 8 Schedule follow up By Telephone User Options Use the arrow buttons to copy an existing telephone number held in the patient profile for the patient to use as the contact number for the follow up intervention or Enter another number in the contact number box to use for the follow up intervention record Select the Schedule follow up button on the pop up form the follow up intervention will be added to PCR and the new medicine interventions review page will be refreshed to show the By telephone follow up record that has been created this will be identical to that shown in Figure 7 7 with the exception that the contact preference is set to By Telephone and the contact number is displayed Page 96 PCR User Guide for version 10 New medicine interventions 7 8 Complete a follow up intervention Having already scheduled a follow up intervention use the following procedure when the patient has been successfully contacted by Telephone or is present in the pharmacy To complete a follow up intervention e Identify the patient in PCR and navigate to the review summary page of the New Medicine intervention and select the follow up link shown in Figure 7 9 Friday April 20 2012 Intervention date Not set Contact pre
9. Answer the first six follow up intervention questions using the radio buttons Yes No or Not recorded You may optionally add text notes against each question Has the patient started to take the medicine Is the patient still taking the medicine according to the instructions Has the patient missed any doses of the medication or changed how they take it Is the patient having any problems with the medication Is there anything else that the patient would like to know about the medicine Does the patient require another follow up intervention Answer the final question using the radio buttons Yes or No only Is the follow up intervention complete User options Select the Record amp Review button to save your answers and return to the new medicine intervention review page Figure 7 11 Select the Cancel button to exit without saving any changes and return to the new medicine intervention review page Page 99 PCR User Guide for version 10 New medicine interventions Is there anything else that the patient would like to know about the medicine Not recorded Last modified 20 Aug 2012 by testuser Scheduled date Friday April 20 2012 Intervention date Monday April 23 2012 Contact preference In person Time slot preference Morning Has the patient started to take the medicine Is the patient still taking the medicines according to the instructions
10. Concordance page by selecting either Yes or No for each question Figure 8 3 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Thu Oct 10 2013 13 04 W co SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Borm 17 Oct 1971 41y Gender Male CHI No 5555555555 WILLIAMS Alan Mr Patient Details Last Modified On 10 Oct 2013 By Testuser Address Phone and email v Concordance Concordance Is the patient adhering to their gluten free diet YesN Coeliac Disease is an autoimmune condition Ingesting gluten l a SINO__ causes the villi of the small intestine to react by flattening This Does the patient understand how to identify foods that reduces the absorptive capacity of the intestine Actions Does the patient have information that will support their Check the patient s feelings about how they are concordance with a gluten free diet YesNo managing with their diet may contain gluten YesNo Check if the patient is confident that they can identify foods that contain gluten Enquire if the patient is aware of the symptoms caused by eating gluten There is wide variation in the severity of symptoms some patients do not experience any symptoms Signpost the patient to Coeliac UK www coeliac org uk Record any care issues in the patient s care plan and agree desired outcomes and actions Refer to the community diet
11. Jane Brown 07 Jun 77777777177 Patent unaware that they should inform the team responsible for their anticoagulant care High risk 1987 of any newly prescribed medicines medicines Jane Brown 07 Jun 7777777777 New medicine care issue New medicine 1987 Mr Elliott 09 Jul 0907878512 Care Issue with no review date set Standard Bames 1987 Figure 10 14 Open care issues with no review date set Report Columns Patient Name Date of birth CHI Description Type Modified Default Sort Ascending View Link Links to View Care Issue Page Page 160 PCR User Guide for version 10 Reports 10 5 New Medicine intervention reports The following reports are available to support the new medicine interventions feature All new medicine interventions for the pharmacy All open new medicine interventions Follow ups scheduled up to TODAY Follow ups scheduled up to 7 days from today Follow ups scheduled up to 14 days from today Follow ups scheduled up to 28 days from today Open new medicine interventions without any follow ups Completed new medicine interventions Each of the new medicine intervention report links show as a summary the number of records that will be included on the report This patient count shown in square brackets can be used as an alert to the number of patients that match the criteria in the report title To run any new medicine intervention support tool report Select t
12. Not Applicable Recorded Immune status Yes No Not Not Applicable Recorded Patlent Factors Maternal Pregnant O Yes O No Not Not Applicable Recorded O Yes ONo Not ae a Applicable Pharmaceutical Care Plan Priority PCP Priority Low Priority Medium Priority High Priority Page 199 Care Plan Care Issue Inappropriate medication regimen leading to poor compliance with diuretic Difficulty with blister pack packaging Patient is a smoker PCR User Guide for version 9 Improve patient compliance Improved pain control with current therapy Provide paracetamol ina more appropriate packaging form Encourage and support the patient to stop smoking Advise the patient to take ACE inhibitor and diuretic in the morning and update labelling information Advise the patient that she can taken two paracetamol tablets every four to six hours when required for pain control supply paracetamol in non blister pack packaging Discuss risks of smoking with patient Appendix E Patient Test Cases 200 Actlon by Pharmacist GP Nurse Patlent Pharmacist Pharmacist Pharmacist Pharmacist Patient no longer having problems with nocturnal diuresis Patient reporting improved pain control with new dosage Patient reporting no further problems Patient enrolled on PHS smoking cessation service Page 200 PC
13. Page 64 PCR User Guide for version 10 Pharmaceutical care plans Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith i Last login Never SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout SMITH Johnathan Mr Bor 03 Feb 2001 11y 2m Gender Male CHI No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 Me Care Issue Means a field requires data Description of care issue Poor inhaler technique Figure 5 14 Add care issue description To create a care issue outcome associated with a standard care issue Click the Add link on the care issue detail page Figure 5 15 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Never we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout SMITH Johnathan Mr Bom 03 Feb 2001 11y 2m Gender Male CH No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v Care Issue Description Poor inhaler technique Modified 13 Apr 2012 by Testuser Care Issue Outcome Desired outcome Action by Response Status Review by Modified on Modified by No records to display Figure 5 15
14. This link is not enabled until the 12 week submission window is reached 10 14 weeks from quit date Page 138 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 10 Submit 12 Week Data The 12 week MDS can be submitted by the pharmacy to the national smoking cessation database between 10 and 14 weeks 70 98 days after the quit date For example where the quit date is set at 3pm on 1st May 2014 the first date that the 12 week submission can be is 10 weeks 70 days later on the 10th July 2014 at any time that day The last time the submission can be made is up until midnight on the 07th August 2014 To submit the 12 week data e Select Release 12 week MDS link from the next action section of the review page e Enter required information e Click submit 12 week data button the review page is displayed Page 139 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment Pharmacy 12345 Pharmacy Two N H S User Testuser Jane Smith Last login Thu Jun 5 2014 13 49 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 05 Jun 2014 By Testuser ddress 3 Apples Avenue PA3 3BB Phone and email 10234567890 v LLIAMS Steven Client information Referral and intervention context Gender Male Referral date 08 Jan 2014 Pregnant No Referral sourc
15. View link Patient Name CHI Last modified on Page 164 PCR User Guide for version 10 Reports Last modified by Status Review link Annual health check scheduled up to 8 weeks Patient Name from today CHI Date of annual health check Last modified on Last modified by Status Review link Annual health check not completed in Patient Name pharmacy CHI Last modified on Last modified by Status Review link A count of the number of records in the report is also displayed Page 165 PCR User Guide for version 10 Reports 10 8 High risk medicine assessments reports There are three High risk medicine assessments Support tool reports that can be accessed from a link on the Reports Page Figure 10 2 All high risk medicine assessments for the pharmacy All open high risk medicine assessments All completed high risk medicine assessments To display a high risk medicine assessments support tool report Select the link from the reports page Figure 10 2 The report detail will be displayed Figure 10 19 Example shown All Pharmacy 9895 Ork5 User orkS Kim Smith N H S Last login Mon Feb 25 2013 11 49 we oe Search Protocols Reports Change password Manage profile Yellow card Help Logout High Risk Medicine Assessments Patient Name CHI Type Last modified on Last modified by Status Johnathan Smith 1111111111 Methotrexate 25 Feb 2013 ork5 Open Figure 10 19
16. All High Risk Medicine Assessments as example All high risk medicine assessments reports display the following information Patient Name CHI Type of Medication Last modified on Last modified by Status View link to navigate to the High Risk Medicine Assessment summary Return to Reports Page link A count of the number of records in the report Filter criteria Additional filter criteria can be applied to the report The report can be filtered by Type All Methotrexate Lithium Warfarin Page 166 PCR User Guide for version 10 Reports Status Open Completed To apply a filter Select the desired filter criteria from the dropdown menus Type Status or both Select the Generate Report button The report will be generated with the filter criteria applied Page 167 PCR User Guide for version 10 Reports 10 9 Smoking Cessation support tool assessment reports 10 9 1 Report Filter for smoking cessation reports All smoking cessation reports have the same filter capability To Show Hide the filter e Select Show Hide Filter to toggle the report filter shown in the example below The will toggle the display of the filter Pharmacy 1234 Pharmacy One Pharmacy Care Record NHS iiser Testuser N Jane Smith p li i lg yc z Y oe Mel Wet I Last login Thu Jun 2014 11 20 i SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard
17. Enter form details Enter relevant details into the form Description of care issue Mandatory Desired Outcome Mandatory Action Action By Response Status Display Text Review by Page 85 PCR User Guide for version 10 High risk medicine care risk assessments Step 3 Save details Click Save The system will add the care issue care issue outcome to the PCR database and navigate to the Methotrexate Review screen The newly created care issue care issue outcome will be listed in the care issues associated with this assessment grid Figure 6 16 Care issues associated with this assessment Care issue Earliest review by Last modified on gt Poor inhaler technique 13 Apr 2012 Figure 6 16 Associated care issues Page 86 PCR User Guide for version 10 Completed High risk medicine care risk assessments To Complete a high risk medicine care risk assessment 6 9 Set the status of a high risk medicine care risk assessment to From the HRM review page select the Complete assessment button in the Assessment completion section of the Review screen Figure 6 17 The system will set the status of the assessment to completed and refresh the page Figure 6 18 The assessment completion details will be updated Assessment Complete Yes Assessment completed by Pharmacist ID Assessment completed on date Is the patient
18. Figure 9 12 Pharmacy 1234 Pharmacy One User Testuser Jane Smith Last login Tue May 20 2014 15 49 S SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout LLIAMS Steven Address 3 Apples Avenue G12 8DG Smoking cessation Client information Gender Male Pregnant No Ethnic group White Scottish Ethnic group other Employment status Employment status other Tobacco use and quit attempts Cigarettes smoked 10 or less Time after waking Within 5 minutes Number of quit attempts No quit attempts Pharmaceutical usage Pharmaceutical usage NRT only combination therapy Pharmaceutical usage 0 weeks In paid employment Quit date 23 May 2014 Next action Release 4 week MDS View submitted minimum data set Minimum dataset Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 21 May 2014 By Testuser Phone and email 102340000000 v Referral and intervention context Referral date 13 May 2014 Referral source Self referral Referral source other Intervention setting s Pharmacy Intervention setting other Date of initial appointment 21 May 2014 Intervention s used in this One to one sessions quit attempt Intervention other Is shared care No Consent Consent to follow up MDS Target date Status Release status Submitted by Submitted on Start Four week 20 Jun 2014 04 Jul 2014 Twelve week 01 Aug 2014 29 Aug 2014 We
19. Is the patient aware what might cause Unanswered lithium toxicity and how to avoid this happening Is the patient aware of what to do if they J Unanswered are Suffering from these signs Is the patient aware that adverse reactions should be reported Unanswered Unanswered that any newly prescribed medicines don t interact with lithium Does the patient know that certainOTC Unanswered medicines e g ibuprofen or Alka Seltzer can interact with lithium Unanswered Has the patient had a blood test to check their lithium levels in the last three months Care issues associated with this assessment Care issue Earliest review by Last modified on No records to display Assessment completion Assessment complete Assessment completed by Assessment completed on Figure 6 10 denotes unanswered questions Page 81 PCR User Guide for version 10 High risk medicine care risk assessments 6 5 1 Additional information on Warfarin Summary Page The Warfarin summary page has additional Key Messages and Actions information text Warfarin high risk medicine care risk assessment summary Concordance Is the patient taking their Warfarinas Yes Is the patient aware of the common side Yes prescribed Does the patient know what to do if they Yes miss a dose Does the patient have the patient Yes information and recording booklets and alert card and do they use them effects of Warfarin Is the pa
20. Other Suppressions Exemptions Repeat Rx e Registration ePrescription Updates Message Dynamics Health Options Registration Status Registration Status CMS Suitability Pharmacy Care Record MAS Not Registered NOT known Open PCR CMS Registered Priority Medium Export PCR History Figure 11 1 link to PCR from the Cegedim RX Pharmacy Manager PMR Figure 11 2 shows the equivalent functionality in Positive Solution s Analyst PMR system Select the Care Plan button to display the following two options View Care Plan Record which is the patient level interface and Export PMR History which is used for transferring the patient s medication history to PCR Page 176 PCR User Guide for version 10 PMR interface to PCR Es yp CSS NS ET a a i nmces Viactavisn 0333 hh A T E N AE E AE A AEA EAN Patient Detail 5 raile Afe i Lys PELS ase LAP i f p tal c POPR VDE E IDIS td a ins een ay A Details Notes Medical History Care CMS MAS Images SMS Registration ees 012 3400 0001 JDNV FES By Shevington Surgery PE 12 3400 0002 MM Evidence not seer 99 09 09 16 03 10 Current CMS registration status view Care Plan Record 2 Registered for CMS Export PMR History Quey Change PrintCP3 View TSR New TSR a To display the account details hold down the Ctrl key whilst invoking this dialogue Family Label OK Cancel
21. e Navigate to the Patient details page by selecting the link as described in section 3 3 The default state of the patient details page highlights what information is mandatory for CHI search Figure 4 6 using greyed out text Mandatory for CHI search within the text input boxes Pharmacy 1234 Pharmacy One gt a rann r 5 NHS User Testuser Jane Smith F EICI Wait MECU Last login Mon Jun 9 2014 16 01 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Patient Details Patient Demographics Means a field requires data CHI nd C Title Given name Family name Preferred name Date of birth Gender Patient Deceased Patient Address Contact Details Address 1 Home phone number Address 2 Mobile phone number Address 3 Work phone number Address 4 Email address Address 5 Postcode Figure 4 6 Highlighted mandatory for CHI search e Enter all information that is Mandatory for CHI Given Name Family Name Date of Birth Postcode O O O e Click the Find CHI button o If a unique match is found on the CHI system the CHI number will be populated Figure 4 7 Page 45 PCR User Guide for version 10 Search for and create patient records Pharmacy 1234 Pharmacy One ae joe ae See Pharmacy Care Record N H S Last login Thu May 29 2014 13 46 N aa 7 a E SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Pa
22. from Care Issue Type Patient DOB CHI Postcode gt Ms Jane Smith 07 Aug 1990 9008075679 EH54 7EZ View gt MrJohnathan Smith 03 Feb 2001 0102031231 EH54 7EZ View Page 150 PCR User Guide for version 10 Reports Figure 10 4 For each patient that matches the search criteria the following information is shown Patient name Date of birth CHI Postcode View link Selecting the View link will navigate to the corresponding patient home Page 151 PCR User Guide for version 10 Reports 10 3 PCR Patient Report for Associated Pharmacy The Patient Report for Associated Pharmacy allows you to view all patients at your associated pharmacy and allows you to filter the patients by the date that their Pharmacy care record was created Pharmaceutical Care Plan Priority and if a care issue has been recorded This report can also be used to determine how many patient records do not have the Initial Assessment Complete flag set To run the patient report for associated pharmacy Select the Patient Report for Associated Pharmacy link from the Reports page The report criteria options will be displayed Figure 10 5 Click the generate report button Figure 10 5 Pharmacy 1234 Pharmacy One User Testuser Jane Smith N H S Last login Tue Apr 10 2012 15 03 ee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Patient report for P
23. indication instructions and service type Create and maintain an initial intervention record Create and maintain one or more follow up intervention records Associate care issue care issue outcomes to a new medicine intervention record Complete a new medicine intervention record 7 2 Start a new medicine intervention To start a new medicine intervention Select the New Medicines Interventions tab an the patient home page Figure 7 1 e Select the Start new medicine intervention link the enter medication details page will be displayed Figure 7 2 Pharmacy 1234 Pharmacy One N Hi S User Testuser Jane Smith Last login Wed Oct 23 2013 11 55 W oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Hospital Logout SMITH Johnathan Mr Bom 03 Feb 2001 12y 8m Gender Male CH No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 TEZ Phone and email 01506 000 000 v Print Care Issues Edit Pharmaceutical care plan Y High risk medicine assessments New medicine interventions 7 Support tools New medicine interventions Medicine detail Number of Status Last modified on Intervention Intervention care issues completed on completed by Aspirin 75mg Tablets 0 22 Oct 2013 Testuser Edit Start new medicine intervention Figure 7 1 New medicines interventions tab on pa
24. mouth Does the patient have any symptoms that may suggest ulcers abdominal bloating lethargy nausea and blood in stools that they are consuming foods that contain gluten Actions Is the patient aware that adverse effects should be Keep a record of any problems that the patient reported describes Refer them to their GP if symptoms appear severe Record any care issues in the patient s care plan and agree desired outcomes and actions Back Interactions amp precautions Next Monitoring Figure 8 5 Adverse effects User Options Select the Back Interactions amp precautions button the System will save entered data and navigate to the Interactions amp precautions page Select the Next Monitoring button the system will save entered data and navigate to the Monitoring page Select the Save amp Review button the system will save the question answers and navigate to the Summary page for the assessment Page 111 PCR User Guide for version 10 Gluten free support tool assessment Step 4 Answer Monitoring Questions e Provide an answer to all questions on the Monitoring page by selecting either Yes or No for the first question and completing relevant details about the Gluten free annual health check and height and weight information Figure 8 6 e Select Save and review the Gluten free support tool assessment summary page is displayed P
25. page Page 172 PCR User Guide for version 10 Reports 10 9 6Assessments with no quit date set Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Tue Jun 3 2014 11 28 ee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Assessments with no quit date set Number of records on report 1 Show Hide Filter Patient name Date of birth CHI Post code One One 03 Jun 1987 0101011237 AAT 1AA Figure 10 24 Assessments with no quit date set Report Columns e Patient Name e Date of birth e CHI e Post code View Link Select the View link at the right hand side of the report to view the assessment review page Page 173 PCR User Guide for version 10 Reports 10 9 7 Assessments with minimum data set submissions expiring in the next seven days This report assists with managing assessment that are nearing their MDS submission deadline It is intended to help ensure submissions are not missed Pharmacy 1234 Pharmacy One N Ki S User Testuser Jane Smith Last login Tue Jun 17 2014 11 31 N oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Assessments with minimum data set submissions expiring in the next seven days Number of records on report 1 Show Hide Filter Patient name Quit date Date of birth CHI Postcode Days to expiry Last contact week Quit attempt week MDS Robert johnston 1
26. used inthis One to one sessions Cigarettes smoked 11 to 20 quit attempt Time after waking 6 to 30 minutes Intervention other Number of quit attempts No quit attempts Is shared care Pharmaceutical usage Consent Pharmaceutical usage NRT only combination therapy Consent to follow up Pharmaceutical usage 0 weeks Contact attempt Contacted attempted on 20 052014 Contact type Face to face V Record contact attempt Figure 9 19 record contact attempt Page 143 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 14 Support tools overview The support tools tab shows a summary of Smoking Cessation Support Tool Assessments Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Wed Jun 11 2014 11 06 ee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Born 15 Feb 1945 69y Gender Male CHi No 1111111111 Patient Details Last Modified On 11 Jun 2014 5y Testuser Address 5 Oakbank Avenue Glasgow G12 3NR Phone and emai 10234567890 v Print Care Issues Edit WILLIAMS Steven Mr Pharmaceutical care plan af High risk medicine assessments New medicine interventions i Support tools Support tool assessments Type Number of Status Last modified on Last modified by Assessment completed on Assessment completed by care issues Gluten free 0 Open 11 Jun 2014 Testuser Review Smoking cessation assessments Quit date Sta
27. 147 PCR User Guide for version 10 Reports 10 Reports 10 1 Overview Using the Reports function a user can obtain relevant information about patients registered in PCR for a particular pharmacy There are five report categories Care issue and patient report New medicine intervention support tool reports Complex dispensing patient reports Gluten free reports High risk medicine assessment support tool reports Smoking Cessation To access the reports page e Select the Reports link from the PCR high level menu Figure 10 1 e The Reports summary page is displayed Figure 10 2 Pharmacy 1234 Pharmacy 1234 N H S User Testuser Jane Smith Last login Fri May 1 2015 14 12 we oe SCOTLAND Home Search Protocols hange password Manage profile Yellow card Help Logout Pharmacy Home Last accessed Fri May 8 2015 13 39 Totals Gluten free Patients for associated pharmacy 41 Gluten free diet set to Figure 10 1 reports link on high level menu Page 148 PCR User Guide for version 10 Reports Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Reports Care issue and patient report Figure 10 2 Reports Page with record count highlighted A count of the number of records in each report is shown opposite the report title in Square brackets Figure 10 2 Page 149 PCR User Guide for version 10 Reports 10 2 Outstanding care issues report T
28. 31 07 2013 for the 31 Has the patient started to take the medicine Notes Is the patient still taking the medicine according to the instructions Notes Has the patient missed any doses of the medicine or changed how they take it Notes Is the patient having any problems with the medicine Notes Is there anything else the patient would like to know about the medicine Notes Does the patient require another follow up intervention Notes Is this follow up intervention complete S Yes Yes Yes Yes Yes Yes Means a field requires data No Notrecorded No Notrecorded No Notrecorded No Notrecorded No Not recorded No Notrecorded Record amp Review Figure 7 10 Edit follow up intervention details Editing options Page 98 PCR User Guide for version 10 New medicine interventions To change the scheduled date only You may decide to edit the follow up intervention to change the scheduled date only Enter new scheduled date Select the Record amp Review button to save your answers and return to the new medicine intervention review page Figure 7 11 To answer the follow up questions Confirm that the intervention date is correct This is the date you met with the patient in person or spoke to the patient by phone The intervention date will always default to Today You may need to change it if you are entering the details retrospectively
29. Access Expiring within the next seven days Full Access No quit date set Full Access All completed gluten free assessments Full Access Annual health check scheduled up to 8 Full Access weeks from today All open gluten free assessments Full Access PCR User Guide for version 10 Access and security Awaiting 4 or 12 week followup Full Access Sme enaa ie S Complex dispensing patient set to Yes Complex dispensing patient set to No _ Full Access sss Fal al Recorded Support tool reports the pharmacy assessments assessments tool reports oharmac All open new medicine interventions Not visible on reports page Follow ups scheduled up to TODAY Not visible on reports page from toda from toda from toda without any follow ups interventions Page 12 PCR User Guide for version 10 Access and security 1 3 4 Change password on initial login On first login to PCR the password must be changed using the update password page Figure 1 1 The system automatically displays this page on initial login Pharmacy Care Record Your password has expired and needs to be updated before you can continue User ID 1234567 Old password New password Confirm password Figure 1 1 Update password page To change password on initial login Tear off the secure slip at the bottom of the password letter and place it on a light background The password can then be read from the tear off slip Re enter User ID and
30. Are there any pharmaceutical rationale of medicines care issues of note and this may lead to compliance problems Patlent Profile General Health Overweight smoker poor vision due to cataracts Medical conditions Diabetes Hypertension Allergles and Sensitivities None known Page 202 PCR User Guide for version 9 Appendix E Patient Test Cases 203 Patlent Factors Dispositions Compromised oral route yes No Not of administration Applicable Recorded Physical Impalrment O Yes O No Not O Not Applicable Recorded ee eee a yYes ONo ONot ONot Cataracts awaiting Applicable Recorded cataract operation Patlent Factors Organ Function Hepatic function O Yes O No O Not Not Applicable Recorded Renal function O Yes O No Not Not Applicable Recorded Lung function Yes O No Not Not Applicable Recorded Immune status QO Yes ONo Not Not Applicable Recorded Th Patlent Factors Maternal Pregnant O Yes O No Not O Not Applicable Recorded Breastfeeding Yes ONo Not Not l Applicable Recorded Pharmaceutical Care Plan Priority PCP Priority Low Priority Improve patients understanding Medium Priority of their medicines to prevent any tential compliance problem O High Priority po compliance problems Page 203 Care Pla
31. Care Issue 2 Bond Care Issue 1 Standard Care Issue Ames Care Issue 6 smoking cessation care issue Review By Default Sort Ascending Modified Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard Smoking cessation NHS S SCOTLAND Number of records on report 13 Show Hide Filter Review by 12 Feb 2008 01 Jan 2010 01 Jan 2010 10 Mar 2010 03 Apr 2010 20 Apr 2010 01 May 2010 10 Jun 2010 01 Jul 2010 01 Aug 2010 12 Mar 2015 02 Apr 2015 07 Apr 2015 Modified 30 Mar 2010 22 Mar 2010 30 Mar 2010 30 Mar 2010 29 Mar 2010 29 Mar 2010 26 Mar 2010 30 Mar 2010 30 Mar 2010 30 Mar 2010 12 Mar 2015 01 Apr 2015 31 Mar 2015 Page 158 PCR User Guide for version 10 Reports 10 4 5 Open care issues with no outcome ever recorded To run the Open care issues with no outcome ever recorded report Select the Open care issues with no outcome ever recorded link from the Reports page The report detail will be displayed Figure 10 13 Pharmacy 1234 Pharmacy 1234 N H S User Testuser Jane Smith Last login Tue Apr 7 2015 15 28 eee F SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Open care issues with no outcome ever recorded Number of records on report 3 Show Hide Filter Patient name Date of birth CHI Description Type Modified Mr Simon Ames 30 Jan 1989 3001893397 A
32. Care issue detail page The care issue outcome review page is displayed Figure 5 16 Page 65 PCR User Guide for version 10 Pharmaceutical care plans Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Never eee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout SMITH Johnathan Mr Bom 03 Feb 2001 11y 2m Gender Male CHI No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v Care Issue Outcome Means a field requires data Desired Outcome Improve inhaler technique Action Counsel patient and test inhaler techinque Action By Pharmacist Response Status Open Note Setting the status to Complete will clear the Review By date when saved Review By 20 04 2012 e g 01 05 2010 for th Click here to save your char Outcome Care Issue Care issue Care issue type Earliest review by Last modified on w Poor inhaler technique Standard 13 Apr 2012 Action No child records to display Figure 5 16 Care issue outcome Enter details for Desired outcome action by response status review by User Options Save save changes and associate care issue outcome with care issue or Cancel the care issues review screen will be displayed To set the status of a care issue outcome for a standard c
33. Care issues assoicated with a new medicine intervention The Record care issues for new medicine intervention page will be displayed Figure 7 13 Page 101 PCR User Guide for version 10 New medicine interventions Pharmacy 1234 Pharmacy One D armac Miaran Fia ae NHS User Testuser Jane Smith F HOAHHGaLY Vale Mev Last login Fri Apr 13 2012 12 03 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout SMITH Johnathan Mr Bom 03 Feb 1973 39y Gender Male CHI No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 ae Record care issue for new medicine intervention Means a field requires data Care issue Description of care issue Care issue outcome Desired Outcome Action Action By Patient Response Status Open Review By c e g 01 05 2010 for the 1st of May 2010 Figure 7 13 Record care issues for new medicine intervention Enter the details of the care issue and care issue outcome and click the Save button The care issue and care issue outcome information is saved in PCR and the new medicine intervention review page is displayed A summary of the added care issue is shown on the review page Figure 7 14 Last modified 05 Apr 2012 by Testuser BF EEES EANN A EENE E E E E E eee Care issues assoc
34. Help Figure 11 2 Positive Solution s Analyst PMR system 11 2 Patient interface Having chosen a patient on your PMR who is registered for CMS or has a registration pending status you select the relevant option within your PMR for accessing the PCR patient interface PCR will automatically be opened in a new window on your computer On successful login PCR will display one of three different options depending on the status of the relevant patient s record on PCR 1 If a patient record exists on PCR the CHI number matches that of the patient selected in your PMR and all the demographic details are the same then you will be taken straight to the patient home page for the patient you wish to view edit 2 If a patient record exists on PCR the CHI number matches that of the patient selected in your PMR but some of the demographic details are different as in Figure 11 3 then you will be asked if you wish to update the patient s demographics on PCR to match those held on your PMR page Page 177 PCR User Guide for version 10 PMR interface to PCR Contractor Code 1234 Pharmacy One Current User 1234567 Test User Search Protocols Reports Change password Help Logout SCOTLAND Patient Import Match The data passed from your PMR Application differs from the Patient information within the PCR Application Patient with CHI 3333333333 PCR information for the Patient PMR information for the Patient Family name Pati
35. Help Logout Assessments with no interactions in the last seven days gp raea Patient raa Qua date Date of birth CHI Post Last contact waak Qui aiempi week MDS Fe j Char Show or Patient name Quit date Date of births CHI Postcode Lasicomactweek Guitatiempiweek MDS Hide Nine Nore 2 Apr 2014 edu 1996 OO0AOMIIM BB 1B Weeki vlbek F Fourwwek released Yew Filter Ten Tet 25 Apr 2001 d Dhea 1m0 02H ATI 288 Weak 1 Pimek T Four week releated Viera Three Three i Apr AII d OF 1990 JOINS AAT 1AA Weak 1 Wimhek 7 Four week releaced Vier To use the filter e Enter search criteria in any the filter text boxes that correspond with the report columns The filter will be applied as you type Select Clear to remove filter criteria you have typed Page 168 PCR User Guide for version 10 Reports 10 9 2All Open smoking cessation assessments for the pharmacy Report Overview The All Open smoking cessation assessments for the pharmacy lists all smoking cessation assessments that have a PCR status of Open This is independent of the MDS Status Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Wed Jun 11 2014 14 02 eee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Today Wednesday 11th June 2014 All Open smoking cessation assessments for the pharmacy Show Hide Filter Patient name Quit date Date of birth CHI Post code Last c
36. MEES Help Appendix C PCR association Common issues 191 T eE E 9 Googie o ve Community Pharma Delete Browsing History Ctrl Shift Del a vite A Ge N N InPrivate Browsing Ctrl Shift P 2 Diagnose Connection Problems C omm Reopen Last Browsing Session ee InPrivate Filtering Ctrl Shitt F NHS SCOTLAND Home About Us InPrivate Filtering Settings HS Boards Links Pop up Blocker SmartScreen Filter eet The Webeite Documentation Manage Add ons Turn On SmartScreen Filter Local MAS Formularies Report Unsafe Website Compatibility View Protecting Vulnerable Comipatiinkty Vien Selina Groups Scheme i Subscribe to this Feed Publicity Material Feed Discowery Unscheduled Care Windows Undate Developer Tools u z OneNote Linked Notes Send to OneNote Internet Options LARIT a tee External Links Drug Alerts SGHD Circulars ePharmacy Results December 2011 Elartranie Beoacrriho OHO Check this website against a list of known unsafe websites oPharmacy Helpdesk 0131 275 6600 nas psdhelpinhs net iePharmacy News Pharmacy Care Record PCR Association PCR Login Figure 11 15 Tools gt Internet Options IE8 Select the security tab and then select the Trusted sites zone Figure 11 16 This zone contains websites that you trust not to damage your computer or your files You have websites in this zone Se
37. NHS community venue Cigarettes smoked 11 to 20 Eo Setting other Time after waking 6 to 30 minutes Date of initial appointment 03 May 2014 Number of quit attempts No quit attempts ahi fae used in this One to one sessions Ph ae quit attemp Group support closed groups ee ee Couple family based support Pharmaceutical usage None Intervention other Aee ay ER Is shared care No Consent Consent to follow up Quit date 05 May 2014 Next action Release 12 week MDS View submitted minimum data set Minimum dataset Target date Status Release status Submitted by Submitted on Start Validated Submitted Testuser 05 Jun 2014 Four week 02 Jun 2014 16 Jun 2014 Validated Submitted Testuser 05 Jun 2014 Twelve week 14 Jul 2014 11 Aug 2014 Open Not submitted Contact Week Contact date Contact type Smoked CO reading Product Product and contact Recorded by Recorded on notes o records to display Contact attempts Week Contact attempted on Contact type Recorded by Recorded on o records to display Care issues associated with this assessment Care Earliest review by Last modified on gt CARE ISSUE DESCRIPTION TEXT 27 Jun 2014 05 Jun 2014 Assessment completion Assessment complete Assessment completed by Assessment completed on Please select x Unique reference PCR 312EB8F0 EF1C 4DD4 BB9E A617CE4D2156 Figure 9 15 4 week data submitted The Next Action is shown as Release 12 week MDS
38. Oct 2013 Amoxicillian 125mg in 5 ml suspension Infection control 18 Oct 2013 Oxygen 100 respiratory Respiration maintenance 18 Oct 2013 Aspirin 100mg Pain relief 18 Oct 2013 Add Medication Figure 5 19 Medications To add a medication Click the Add medication link Figure 5 19 the entry edit medication is displayed Figure 5 20 Page 68 PCR User Guide for version 10 Pharmaceutical care plans Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Thu Apr 12 2012 13 41 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout SMITH Johnathan Mr Borm 03 Feb 2001 11y 2m Gender Male CHI No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 WA Medication Means a field requires data Name Service Indication Last dispensed on Not Dispensed Imported Not Imported Figure 5 20 Add medication Enter the medication name Mandatory Select the service under which the medication was dispensed You can enter an indication optional Click the Save button the medication detail page is displayed Figure 5 21 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Thu Apr 12 2012 13 41 eee oe SCOTLAND Search Protocols Reports Change password Manage pro
39. Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser ddress 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 Concordance Pee ere acme e E ee men ere Coeliac Disease is an autoimmune condition Ingesting gluten a causes the villi of the small intestine to react by flattening This Does the patient understand how to identify foods that reduces the absorptive capacity of the intestine may contain gluten C Actions Does the patient have information that will support their Check the patient s feelings about how they are concordance with a gluten free diet managing with their diet Check if the patient is confident that they can identify foods that contain gluten Rea d Enquire if the patient is aware of the symptoms caused by eating gluten There is wide variation in the severity of on ly symptoms some patients do not experience any symptoms Signpost the patient to Coeliac UK www coeliac org uk Record any care issues in the patient s care plan and agree desired outcomes and actions Refer to the community dietitian patient s GP or as per healthboard guidelines Figure 8 16 Read only completed assessment Page 120 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 Smoking Cessation Support Tool Assessment 9 1 Overview 9 1 1 Background The Scottish Government wish to improve the number of successful q
40. Risk Medicines All Open Warfarin Methotrexate Lithium 3 6 New medicine Interventions e Open e Open without follow ups e Completed Follow ups scheduled e Up to today e Upto 7 days e Up to 14 days e Up to 28 days Scheduled appointments Next X days Where X is a dropdown value of 1 7 14 or 28 e Lists patient name appointment date appointment time Page 40 PCR User Guide for version 10 Search for and create patient records 4 Search for and create patient records 4 1 Overview The Search criteria page Figure 4 1 is automatically displayed when you have successfully logged into PCR if not invoked from within the PMR application The Search criteria page can also be displayed at any time by clicking on the Search link on the high level menu A search must include at least one of the following criteria Family name surname Date of birth CHI Number Search on all or part of a CHI number Other identifying information such as given name first name or Post Code can also be entered to limit the number of records returned Pharmacy 1234 Pharmacy One Pharmacy Care Record N HS Last login Tue Mar 3 2015 15 47 ee oe SCOTLAND _ Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Search criteria Set as default page Family name Given name Date of birth Postcode CHI Search results Figure 4 1 Search criteria page The scope of any sear
41. User Guide for version 10 Smoking Cessation Support Tool Assessment Before the 4 week minimum data set information can be submitted any missing or invalid data is highlighted Figure 9 14 Pharmacy 1234 Pharmacy One User Testuser Jane Smith Pharmacy Ca re Record N H S Last login Never we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Born 20 Aug 1979 34y Gender Male CHI No 4444444444 WILLIAMS Steven ee aren E Patient Details Last Modified On 14 May 2014 By Testuser ddress 3 Apples Avenue G12 8DG Phone and emai 10234000000 v Client information Referral and intervention context Gender Male Referral date 01 Apr 2014 Pregnant No Referral source Unanswered Ethnic group White Scottish Referral source other Ethnic group other Intervention setting s Pharmacy Employment status In paid employment Intervention setting other Employment status other Date of initial appointment 14 Apr 2014 Tobacco use and quit attempts Cigarettes smoked 11 to 20 quit attempt Time after waking 6 to 30 minutes Intervention other Number of quit attempts No quit attempts Is shared care No Pharmaceutical usage Consent Pharmaceutical usage NRT only combination therapy Consent to follow up Pharmaceutical usage 0 weeks Intervention s used inthis One to one sessions Please correct the following validation errors before attempting to proceed Referral source is a required field Fi
42. an individual patent The new medicine interventions tab on the patient home page shows a summary of all new medicine interventions for a patient Figure 7 19 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Fri Apr 13 2012 12 03 SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout SMITH Johnathan Mr Bom 03 Feb 1973 39y Gender Male CHI No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and email 01506 000 000 a Print Care Issues Edit Pharmaceutical Care Plan High Risk Medicine Assessments New Medicine Interventions New medicine interventions Medicine detail Number of Status Last modified on Last modified by Intervention Intervention care issues completed on completed by Aspirin 75mg Tablets 0 Open 13 Apr 2012 Testuser Start new medicine intervention Figure 7 19 New medicine interventions summary on patient home page This tab shows the following data Medicine detail Number of care issues Status mouse over to display completed reason Last modified on e Last modified by hover to display full name of user Intervention complete on Intervention complete by hover cursor to display full name of user Edit or View link navigates to new medicine interventions review page Edit if s
43. annual health check not No completed in pharmacy What date is the patient due toreceive Unanswered their gluten free annual health check at the pharmacy Height or weight or both not available No Height m Unanswered Weight kg Unanswered BMI Unanswered Care issue Earliest review by Last modified on gt Patient may not be adhering to their gluten free diet 14 Oct 2013 Assessment completion Assessment complete Assessment completed by Assessment completed on Complete assessment Figure 8 13 Assessment completion details for an Open assessment Assessment completion Assessment complete Yes Assessment completed by Testuser Assessment completed on 22 Oct 2013 Figure 8 14 Assessment completion details updated Page 118 PCR User Guide for version 10 Gluten free support tool assessment The user can navigate back to the patient home from the link at the bottom of the review page 8 9 Access existing Gluten free support tool assessments from the Patient Home page Open or Completed Gluten free support tool assessments can be accessed from the Gluten free tab on the Patient Home page To edit an Open Gluten free support tool assessment Select the Edit link for the Gluten free support tool assessment you want to edit The system will navigate to the Gluten free support tool assessment Review page To view a Completed Gluten free support tool a
44. button The system will navigate to the Adverse reactions page Click the Save amp Review button The system will navigate to the Summary page Figure 8 7 Page 112 PCR User Guide for version 10 Gluten free support tool assessment 8 4 Gluten free support tool assessment summary page Pharmacy 1234 Pharmacy One N S User Testuser Jane Smith Last login Thu Oct 10 2013 13 04 re oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 17 Oct 1971 41y Gender Male CH No 3395030055 Patent Details Last Modited On 10 Oct 2013 By Testuser WILLIAMS Alan Mr Address Phone and smal Gluten free assessment summary page eases ewe inie Yes ls the patient adhering to their gluten Yes s the pa free diet symptoms that are caused by not Does the patientunderstandhowto Yes PERPA A SEa E T identify foods that may contain gluten Does the patient have any symptoms Yes vale cl Nemes ore cet that may suggest that they are Does the patient have information that No La Po will support their concordance with a consuming foods that contain gluten gluten free diet ls the patient aware that adverse Yes effects should be reported Add care Monitoring issue link ls the patient prescribed folic acid iron Yes or calcium and Vitamin D ample supplements Is the patient aware of how many Yes gluten free units they are able to
45. by prescriber social services hospital Other adherence support required e g MAR sheet Instalment dispensing requested by prescriber special monitoring and feedback required Pharmaceutical care plan priority PCP Priority Not Recorded Notes a Initial assessment complete F Figure 5 4 Patient Profile data entry edit page split over 2 screenshots e Edit data and click save the patient home will be displayed Figure 5 5 Alternatively click cancel no changes will be saved and the patient home page will be displayed The details of the user who last modified the patient profile is recorded along with the date of the modification Figure 5 5 shows the patient home after the patient profile has been updated Page 58 PCR User Guide for version 10 Pharmaceutical care plans Pharmaceutical Care Plan Patient Profile Named Pharmacist Additional Information General Health Medical Conditions Allergies and Sensitivities Diagnosed Coeliac Complex dispensing patient Dispositions Patient has a Organ function Patient has an impaired compromised Maternal Patient is Pharmaceutical Care Plan Priority Initial assessment completed on y High Risk Medicine Assessments New Medicine Interventions Show less detail A Pharmacist A Pharmacist A Additional information Poor Health Asthma Allergic Yes Yes Compromised oral route of administration Not Recorded Not
46. can be removed using Windows Explorer Ensure that only PCR medication history export files are removed and other files that may be required for other applications are not removed Page 183 PCR User Guide for version 9 Appendix A Error Messages 184 Appendix A Error Messages The following list shows the error messages that may occur when accessing the PCR User Association website to associate with a pharmacy The list is split into technical and general errors PCR Code 101 Association Error Technical General Error No valid ePharmacy certificate found Please ensure that you are performing this operation on your main PMR server If you are using your main PMR server please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 102 Association Error Technical Error Certificate not accessible Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 103 Association Error Technical Error Unable to sign association request Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 212 Authentication Error Your account is currently locked Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 201 Authentication Error Incorrect User ID or Password entered Please try again entering you
47. care risk assessment High risk medicine care risk assessment summary page Contents 2 70 70 71 73 80 Create associated care issue and care issue outcome using prepopulated text 83 Create associated care issue care issue outcome using the Add link 85 Set the status of a high risk medicine care risk assessment to Completed 87 Access existing high risk medicine care risk assessments from the patient home 88 7 New medicine interventions 7 1 Overview 90 90 Page 2 7 11 Start a new medicine intervention Enter medication details Enter answers to initial intervention questions New medicines interventions review page Schedule a follow up intervention Complete a follow up intervention Add care issue care issue outcome Complete a new medicine intervention record Summary of new medicine interventions for an individual patent 8 Gluten free support tool assessment Overview Start a Gluten free Support Tool Assessment Create a Gluten free support tool assessment Gluten free support tool assessment summary page Contents 3 107 108 109 113 Create associated care issue and Care Issue Outcomes using prepopulated text 114 Create associated care issue and care issue outcome using the Add link 115 Set the status of a Gluten free support tool assessment to Completed 118 Access existing Gluten free support tool assessments from the Patient Home 119 9 Smoking Cessation Support To
48. date Not set Contact preference In person Time slot preference Morning Has the patient started to take the medicine Unanswered Is the patient still taking the medicines according to the instructions Unanswered Has the patient missed any doses of the medicine or changed how they take it Unanswered Is the patient having any problems with the medicine Unanswered Is there anything else that the patient would like to know about the medicine Unanswered Does the patient require another follow up intervention Unanswered Is this follow up intervention complete Unanswered Last modified 13 Apr 2012 by Testuser Figure 7 7 Follow up record shown on review page Page 95 PCR User Guide for version 10 New medicine interventions To schedule a By Telephone follow up intervention Select the Schedule follow up link from the new medicine interventions review page Figure 7 5 the system will display a Schedule follow up pop up form Figure 7 6 Use the date picker in the pop up form to select the date you have agreed with the patient for the follow up intervention to take place Add free text details of the timeslot if required E g after 1pm Select By telephone as the contact method the pop up form will automatically extend to display existing contact telephone information and a box to add an alternative contact telephone number Figure 7 8 Schedule follow up x a Contact by By telephone 3
49. how to take the medicines properly Record any care issues in the patient s care plan and agree desired outcomes and actions Back Concordance Next Adverse effects Figure 8 4 Interactions and Precautions User Options Select the Back Concordance button the System will save entered data and navigate to the Concordance screen Select the Next Adverse effects button the system will save entered data and navigate to the Adverse effects screen Select the Save amp Review button The system will save the question answers and navigate to the Summary screen for the assessment Page 110 PCR User Guide for version 10 Gluten free support tool assessment Step 3 Answer Adverse effects Questions e Provide an answer to all questions on the Adverse effects page by selecting either Yes or No for each question Figure 8 5 Pharmacy 1234 Pharmacy One N I S User Testuser Jane Smith Last login Thu Oct 10 2013 13 04 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout WILLIAMS Alan Mr Bom 17 Oct 1971 41y Gender Male CHI No 5555555555 Patient Details Last Modified On 10 Oct 2013 By Testuser Address Phone and email v Adverse effects aae m scar hat aha pearl ab renal Patients who do not adhere strictly to their diet may experience a a f decreased appetite weight loss diarrhoea anaemia
50. intervention context Information entered or selected on the Initial Data Capture page can be saved even if some items are incomplete or missing However they all need to be completed before the quit date is set To record Initial Data Capture e Select or where applicable enter text for all sections of the Initial Data Capture Or aS much as is known e Click save the Review Page is displayed Figure 9 7 Page 124 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith E SLU Last login Tue May 20 2014 15 49 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 21 May 2014 By Testuser ddress G12 8DG Phone and email v Smoking cessation initial data capture LLIAMS Steven Consent Does the client consent to follow up Please select By participating in the smoking cessation service the client has agreed to be contacted by NHS Scotland representatives in order to follow up their progress and smoking status and has agreed to provide a telephone number to facilitate follow up Client information Gender If female pregnant What is the client s ethnic group White Scottish If Other chosen above please specify What is the client s employment status In paid employment ix If Othe
51. login Never Nese poe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 14 May 2014 By Testuser Address 3 Apples Avenue G12 8DG Phone and email 10234000000 v WILLIAMS Steven Client information Referral and intervention context Gender Male Referral date 01 May 2014 Pregnant No Referral source Self referral Ethnic group White Scottish Referral source other Ethnic group other Intervention setting s Pharmacy Employment status In paid employment Intervention setting other Employment status other Date of initial appointment Unanswered Tobacco use and quit attempts Intervention s used in this Unanswered Cigarettes smoked 11 to 20 quit attempt Time after waking 6 to 30 minutes Intervention other Number of quit attempts No quit attempts Is shared care No Pharmaceutical usage Consent Pharmaceutical usage NRT only combination therapy Consent to follow up Pharmaceutical usage 0 weeks Please correct the following validation errors before attempting to proceed Date of initial appointment is a required field Intervention s is a required field Figure 9 11 Validation errors shown in red text Page 132 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 7 Review Assessment Details Quit Date Confirmed The review page is displayed once the quit date is confirmed
52. medication lines 11 3 2Editing imported medication It is not possible to edit any medication details imported from your PCR but you can add an indication or manually add further dispensing history for a medication item You perform these actions in exactly the same manner as editing a medication item that you have manually added Figure 11 9 shows the addition of an indication for an item that has been imported from a PMR Pharmacy 1234 Pharmacy 1234 User Testuser Jane Smith Last login Mon Mar 16 2015 08 06 SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout AMES Simon Mr Born 30 Jan 1989 26y Gender Male CHI No 3001893397 Patient Details Last Modified On 30 Mar 2010 By testuser ddress Ames Address Line 1 Ames Address Line 2 Ames Address Line 3 Ames Ad Phone and email Means a field requires data Medication Name Aspirin 75mg dispersible tablets Service CMS Indication Last dispensed on 17 Oct 2015 Imported Yes Figure 11 9 PCR patient medication entry edit page editing an imported item Page 182 PCR User Guide for version 10 PMR interface to PCR 11 3 3Tidying up medication export files The export files created by your PMR system will remain on your computer after the data has been imported into the patient s record on PCR It is advisable to delete these export files once the import process is complete All files are in the same folder and
53. of the Care issues associated with this assessment grid on the Gluten free assessment summary page Figure 8 7 The care issue form is displayed Figure 6 15 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Mon Oct 14 2013 13 47 b Pa SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout SMITH Johnathan Mr Borm 03 Feb 2001 12y 8m Gender Male CHI No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v Record care issue for support tool assessment Means a field requires data Care issue Description of care issue Tp Care issue outcome Desired Outcome Action Action By Response Status Review By Figure 8 10 Record care issue using Add link Step 2 Enter form details Enter relevant details into the form e Description of care issue Mandatory e Desired Outcome Mandatory e Action e Action By e Response e Status Display Text Page 115 PCR User Guide for version 10 Gluten free support tool assessment e Review by Page 116 PCR User Guide for version 10 Gluten free support tool assessment Step 3 Save details Click Save The system will add the care issue care issue outcome to the PCR database and navigate to the Gluten free assessment summary page
54. on your desktop https ocr mhs scot nhs uk Figure 11 11 Confirm Create shortcut Select Yes A shortcut to PCR is placed on your Desktop Figure 11 12 Page 187 PCR User Guide for version 9 Libraries a NHS Nee SCOTLAND Appendix B Create PCR shortcut on desktop 188 5 Recycle Bin PGP Shredder Pharmacy Care Record Logon ez Control Panel a qa i Figure 11 12 PCR Icon on Desktop Page 188 PCR User Guide for version 9 Appendix C PCR association Common issues 189 Appendix C PCR association Common issues Using PCR association function from a computer without an ePharmacy Certificate The PCR association process as detailed in section 1 of this Guide uses the ePharmacy Certificate This means that association can only be successfully accessed from a computer that has the ePharmacy certificate installed in the majority of cases this will be your PMR server computer If you attempt to perform PCR association on a computer that does not have your ePharmacy certificate installed you will see the following error page Figure 11 13 Pharmacy Care Record Please enter your details to associate with a Pharmacy Windows Internet Explorer PCR Code 101 Association Error No wad ePharmacy certificate found are performing the np th dienes server Tang you man PO server are contact ow PSD ema helpdesk on O31 275 G0 or by en SNES PLES et Message of the
55. password can be set Enter new password into the New password box and the Confirm password box and click the Set Password button to change your password Figure 1 19 Pharmacy Care Record Set password for testuser New password Confirm password Figure 1 19 Set password Page 28 PCR User Guide for version 10 Access and security 1 12 Expiring Password Warning On login to PCR there is a warning on the main menu to highlight that the password is due to expire shortly Fourteen days prior to when a password is due to expire the Change password menu item will be highlighted in yellow Hovering the cursor over the Change password menu item will display the number of days before the password is due to expire Pharmacy 1234 Pharmacy One User 1234567 Test User Last login Fri Nov 12 2010 15 32 Search Protocols Reports Search criteria ci Your password will expire in 3 days Figure 1 20 Expiring password warning 1 13 Last login date and time For security the last login date and time is displayed in PCR Figure 1 21 Pharmacy 1234 Pharmacy One Jharmary Cara Rarnrr NHS Last login Mon Oct 14 2013 09 58 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Search criteria Family name 7 Figure 1 21 Last login date and time Page 29 PCR User Guide for version 10 High level menu functions 2 High le
56. risk medicines care risk assessment Please select the high nsk medicine Methotrexate Ia Cancel Figure 6 3 Select high risk medicine Click the Start button Figure 6 3 The system will navigate to the Methotrexate Concordance questions page Figure 6 4 Page 72 PCR User Guide for version 10 High risk medicine care risk assessments 6 4 Create a high risk medicine care risk assessment Having completed the steps in section 5 2 this section guides you through the procedure to create and save a high risk medicine care risk assessment Step 1 Answer Concordance questions Provide an answer to all questions on the Concordance page by selecting either Yes or No for each question Figure 6 4 Pharmacy 1234 Pharmacy One myi armacv Care Record N H S User Testuser Jane Smith mM iici ic i y OIC TMACOCLOI L Last login Fri Apr 13 2012 11 06 ee oe SCOTLAND Search Protocols Reports Changepassword Manageprofile Yellowcard Help Logout Bom 15 Feb 1945 67y Gender Male CHI No 1111111111 Patient Details Last Modified On 13 Apr 2012 By Testuser Phone and email v WILLIAMS Steven Mr Address 5 Oakbank Avenue Glasgow G12 3NR Concordance Concordance j j j ibed a E E When indicated for RA and psoriasis methotrexate is prescribed as a single dose taken once a week on the same day each week As directed instructions should be avoided You should YesNo Does the pati
57. taking thair methotrexate Yes as prescnbed Does the patient know what to do il they Yes miss a dose of methotrexate or vornil after taking a dese If the patient is taking folic acid are they Yes taking it as prescribed Does the Mahe have a methotrexate Yes patent infornabon and monitoring booklet and do they use it Is the patient aware they should check Yes that any mety prescribed medicines don t interact wath methotrexate Is the patent aware that certain OTC Mo medicines can interact wath methorexate Is the patent aware of the common side Yes effects of methotrexate Is the pabent aware of the side effects Yes that occur if they are having a reaction ta methotrexate Is the patient aware of what to do if they Yes are sulenna irom these sians Is the patent aware that adverse Yes reactions should be reported Is the patent aware of how trequenty Tes they should have their blood tests done Can the patient tell you the date of thar Ne last Blood test and if 0 when was it Does the patent record their blood Yes results in their methotrexate monitorning booklet Care issues associated with this assessment Cae feud Earliest review by Lasi modited on P Patenl unaware tal gome OTE prodati can interac wath Methotnearae 11 Jan 2012 DE J 201 2 Wig Assessment completion Assessment completa Assessment completed by Assessment completed on Complete assesment ehm ta Pahant Home Pana Fig
58. that Yes vill support their concordance with a Jluten free diet Figure 8 8 Add Care Issue Care Issue Outcome link The system will display the support tool assessment Record care issue page Figure 8 9 Pharmacy 1234 Pharmacy One P H 5 User Testuser Jane Smith Last login Mon Oct 14 2013 13 47 be F SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout SMITH Johnathan Mr Bom 03 Feb 2001 12y 8m Gender Male CH No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v Record care issue for support tool assessment Means a field requires data Care issue Description of care issue Patient may not be adhering to their gluten free diet Care issue outcome Desired Outcome Patient aware that adherence to a gluten free diet is vital for treatment and good health oo Action By Patient v Response Status Review By Figure 8 9 Gluten free Record care issue screen Page 114 PCR User Guide for version 10 Gluten free support tool assessment 8 6 Create associated care issue and care issue outcome using the Add link This option allows you to add an associated Care Issue with the assessment but without prepopulating any text Step 1 Select Add link Select the Add link at the bottom
59. the patients of the community pharmacy where they are currently working All access attempts to PCR and updates viewing of patient records are audited 1 2 User ID and password All practising Pharmacists and Pharmacy Technicians in Scotland who work in a community pharmacy and require access to PCR will need a PCR User ID and password Each Health Board is responsible for identifying PCR users and distributing their User IDs and passwords 1 2 1 Determining your User ID A PCR user ID varies based on when the user was initially provided with access to PCR Date received access to PCR User ID Prior to and including 5th October 2010 RPSGB membership number On or after 1st February 2011 GPhC registration number After 5th October 2010 but before ist February 2011 GPhC registration number or RPSGB membership number 1 3 User Role PCR can be accessed by Pharmacists and Pharmacy Technicians Pharmacists can access all PCR functionality however pharmacy technicians have access to a limited set of functionality Access to specific functions in PCR is determined by user role User role is determined when the user account is created and cannot change A summary of Pharmacy Technician Access to PCR functions is listed below 1 3 1 High Level Menus Function oo cess Full Access Protocols No Access Page 9 PCR User Guide for version 10 Access and security Partial Access Change Password Full Access Manage Profi
60. the patient started to take the medicine Unanswered ls the patient still taking the medicines according to the instructions Unanswered Has the patient missed any doses of the medicine or changed how they take it Unanswered ls the patient having any problems with the medicine Unanswered ls there anything else that the patient would like to know about the medicine Unanswered Does the patient require another follow up intervention Unanswered ls this follow up intervention complete Unanswered Last modified 26 Mar 2012 by Testuser Care issues associated with this intervention Care issue Earliest review by Last modified on No records to display Intervention completion Intervention complete Intervention completed by Intervention completed on Complete intervention Select Adhering Not Adhering eiesentstcsecceccsectesscescssmee Lost to intervention Figure 7 17 Intervention completion Page 104 PCR User Guide for version 10 New medicine interventions Select the Complete intervention button the page will refresh and the intervention completion information will be updated Figure 7 18 Intervention completion Intervention complete Yes Adhering Intervention completed by Testuser Intervention completed on 05 Apr 2012 Figure 7 18 Intervention completion information displayed Page 105 PCR User Guide for version 10 New medicine interventions 7 11 Summary of new medicine interventions for
61. timescale refer them to their GP practice for monitoring contacting the GP to alert them Advise the patient to discuss their monitoring arrangements with their GP or practice nurse if there appears to be confusion about the interval Encourage the patient to check their results are normal with their GP or practice nurse after each test and record the results in their monitoring booklet Encourage the patient to carry their methotrexate booklet Record any care issues in the patient s care plan and agree desired outcome and actions Back Adverse reactions Save amp Review Figure 6 8 Monitoring questions screen Provide answers to the monitoring questions using the radio buttons for question 1 and 3 and the text input field for question 2 User Options Select the Back Adverse reactions button The system will navigate to the Adverse reactions screen Figure 6 7 OR Click the Save amp Review button The system will navigate to the Methotrexate Review screen Figure 6 9 Page 79 PCR User Guide for version 10 High risk medicine care risk assessments 6 5 High risk medicine care risk assessment summary page The summary page shows an overview of all questions and any answers provided for the medicine selected in section 5 2 step 3 If an answer has not been provided for a question this will be shown as Unanswered Figure 6 10 The headings for each question group ar
62. to add the patient to PCR Once saved the patient home page will be displayed 11 3 Medication history transfer The medication history transfer is a two stage process first you create an export file using your PMR system and then you need to import the file into PCR Creating the medication export file on your PMR The medication export file contains the last 24 weeks of dispensing history held for the patient on your PMR from the date of creating the export file The history export file will include the following details for each item dispensed Medication name Pharmacy service AMS CMS etc Date dispensed Quantity dispensed Directions for use Page 178 PCR User Guide for version 10 PMR interface to PCR The medication name will be the prescribed item name for prescriptions processed electronically AMS CMS and MAS Where the prescription has not been processed from electronic data then the medication name may be the name of the dispensed product i e the brand name To create the export file you select the relevant patient in your PMR system note the patient must be registered for CMS then choose the PMR History Export or equivalent option from the PCR interface functionality on your PMR system Your PMR system will automatically create an export file The export file will be named as follows MHddmmyyxxxx xml where ddmmyyxxxx is the patient s CHI number If an export fi le already exist
63. your choice Page 61 PCR User Guide for version 10 Pharmaceutical care plans When you have completed the entire list of questions click the Save button if any of the Pharmaceutical Care Risk Assessment questions have not been completed they will be highlighted Figure 5 9 and you must complete them before you can save the data When you select the Save button the details are saved and the patient home page is displayed To exit without saving any changes Select the Cancel button no details are saved and the patient home page is displayed Prefered name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH34 TEZ Phone and emal 01306 H II i Care Risk Assessment Pharmaceutical care issues which affect the patient Care issue with the appropriateness ofthe i Yes Nom Not Recorded a medicine s Care issue with the formulation ofthe medicine s 5 Yes No amp Not Recorded a Selection required Care issue with the dosage and frequency of the 5 Yes No amp Not Recorded a medicine s Selection required Care issue with the contraindications 5 Yes 5 No amp Not Recorded a Selection required Drua interaction with one or more medicines Yes A No Not Recorded Selection required Side effect s with one or more medicines 5 Yes Nom Not Recorded a Figure 5 9 Selection required message To view an existi
64. 0 May 2014 01 Jan 1983 9999999999 G1 1AB 4 Week 1 Week 7 Started Vie Figure 10 25 Report Columns e Patient Name e Quit Date e Date of birth e CHI e Post code e Days to expiry e Last contact week e Quit attempt week e MDS View Link Select the View link at the right hand side of the report to view the assessment review page Page 174 PCR User Guide for version 10 Reports Page 175 PCR User Guide for version 10 PMR interface to PCR 11 PMR interface to PCR 11 1 Overview PMR applications have the ability to interface with PCR Full details of the interface functionality are detailed in your PMR User Manual There are two specific interfaces Patient interface and Medication history transfer These interfaces are designed to prevent the re keying of patient demographic data and medication dispensing history that is already present in your PMR system The PMR interface to PCR may only be available for patients who are registered for CMS Links to PCR functions are therefore usually found on the Patient s CMS Registration Status History details within the PMR Figure 11 1 shows the link to PCR from the Cegedim RX Pharmacy Manager PMR There are two buttons that are specific to PCR Open PCR which is the patient level interface and Export PCR History which is used for the medication history transfer for a patient Patient Doctor Conditions Medication History
65. 1 11 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Thu Oct 10 2013 13 04 Manae ya SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Manage profile Figure 1 11 Manage my reset password questions link Step 3 Select a question to answer Select a question to answer from the Question drop down list on the manage my reset password questions page Figure 1 12 Page 22 PCR User Guide for version 10 Access and security Pharmacy 1234 Pharmacy One i aa dg heen aes Pharmacy Care Record NHS act saat Thu Oct 10 2013 13 04 SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Manage Reset Password questions Using the function below you can configure Reset Password questions which will allow you to unlock or reset your password without contacting the helpdesk You need to have 5 questions answered before you can use Reset Password functionality 7 Question 13 Questions alre Question 14 Question 1 Question 2 Question 3 Question 4 Question 5 Answered Questions 5 Required Questions 5 Figure 1 12 Manage reset password questions page Page 23 PCR User Guide for version 10 Access and security Step 4 Type your answer and click Add Answer button Type a relevant answer to the selected question in the Answer single line text box figure 1 3 Cl
66. 12 inhaler one puff twice daily 3 months ago Previous drug therapy Amoxicillin 500mg capsules one three times a day Co amoxiclav 625mg tablets one three times a day Prednisolone 5mg tablets eight daily Other information Suffers frequently with chest infections Uses salbutamol inhaler 4 puffs six times daily doesn t get much benefit no tremors or palpitations Wife says white smoke comes out his mouth after using it Smoker Slightly overweight Page 196 PCR User Guide for version 9 Appendix E Patient Test Cases 197 Appendix E Patient Test Cases Test Patient 1 Ms Sally Shortbread Patlent Detalls Name Sally Shortbread Gender Female Date of Birth CHI Number 5555555555 Contact Detalls N A Address 123 Anywhere Street ANT 3RR Emall address Phone Number Medication Profile Pharmaceutical Care Risk Assessment Care Issues with the appropriateness of the medicine s Care Issue with the formulation of the medicine s Care Issue with the dosage and frequency of the medicine s Care Issue with the contralndicatlons Drug Interaction with one or more medicines O Yes O No Not Recorded Not Recorded Not Recorded Takes ACE inhibitor and diuretic at tea time Sub therapeutic dosage of paracetamol Not Recorded Page 197 PCR User Guide for version 9 Appendix E Patient Test Cases 198 Slde effects with one or more Ye
67. 13 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith i Last login Mon Mar 26 2012 08 51 eee ULI Search Protocols Reports Change password Manage profile Yellowcard Help Logout SMITH Johnathan Mr Bor 03 Feb 2001 11y 1m Gender Male CH No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v Care Issues Care issue Care issue type Earliest review by Last modified on Asthma Inhaler Technique Standard 01 Feb 2010 03 Dec 2008 Increased Asthma Attacks Standard 03 Dec 2008 Medication Use Review Standard 03 Dec 2008 Allergy Review Standard 03 Dec 2008 Oxygen Technique Standard 03 Dec 2008 Medication Advice Standard 03 Dec 2008 Wound Care Standard 03 Dec 2008 Ointment Technique Standard 03 Dec 2008 NN NPE II NE ENP ED NT NA Insulin Injection Advice Standard 03 Dec 2008 Figure 5 13 Care issues review screen Select the Add link from the care issues review screen the care issue edit page is displayed Enter a description of the care issue Figure 5 14 User options o Select Save the care issue description will be saved the Care Issue description and associated Care Issue Outcome information will be displayed Figure 5 15 or o Select Cancel no changes will be saved the care issues review screen will be displayed Figure 5 13
68. 1989 30 Jan 1989 30 Jan 1989 31 Aug 1980 31 Jan 1979 31 Jan 1979 07 Jun 1987 30 Jan 1989 07 Jun 1987 07 Jun 1987 CHI 3101798558 3001893397 3108808036 3108808036 3001893397 3001893397 3001893397 3108808036 3101798558 3101798558 TITTI 3001893397 TITITTTTTT TITTI Description Bond Care Issue 3 Ames Care Issue 8 Cloud Care Issue 4 Cloud Care Issue 1 Ames Care Issue 5 Ames Care Issue 4 Ames Care Issue 7 Cloud Care Issue 2 Bond Care Issue 2 Bond Care Issue 1 Standard Care Issue Ames Care Issue 6 smoking cessation care issue Patient may not be adhering to their gluten free diet Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard Smoking cessation Gluten free Review by 12 Feb 2008 01 Jan 2010 01 Jan 2010 10 Mar 2010 03 Apr 2010 20 Apr 2010 01 May 2010 10 Jun 2010 01 Jul 2010 01 Aug 2010 12 Mar 2015 02 Apr 2015 07 Apr 2015 28 Apr 2015 Modified 30 Mar 2010 22 Mar 2010 30 Mar 2010 30 Mar 2010 29 Mar 2010 29 Mar 2010 26 Mar 2010 30 Mar 2010 30 Mar 2010 30 Mar 2010 12 Mar 2015 01 Apr 2015 31 Mar 2015 31 Mar 2015 Figure 10 9 Open Care issues with review date set Report Columns Patient Name Date of birth CHI Description Type Review By Default Sort Ascending Modified View Link Links to View Care Issue Page Page 155 PCR User Guide for version 10 Reports 10 4 20Open care issues with reviews du
69. 2010017 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 Print Care Issues Edit Pharmaceutical care plan y _ High risk medicine assessments New medicine interventions Support tools Named Pharmacist Please enter your password and select unlock Additional Information Password ocooooooo General Health The password was incorrect or you are not the Medical Conditions user who was previously active on this page code 502 Allergies and Sensitivities Diagnosed coeliac historical Gluten free diet Complex dispensing patient Unlock Logout Dispositions Patient has a Compromised oral route of administration Not Recorded Detail available Physical Impairment Not Recorded Detail available Visual Impairment Not Recorded Detail available Organ function Patient has an impaired compromised Hepatic Function Not Recorded Detail available Renal Function Not Recorded Detail available Lung Function Not Recorded Detail available Immune Status Not Recorded Detail available Maternal Patient is Pregnant Not Applicable Detail available Breast Feeding Not Applicable Detail available Pharmaceutical Care Plan Priority Not Recorded Detail available Patient Profile Last Modified 03 Dec 2008 by Initial User Review Edit Figure 1 10 Lock screen error To logout from the lock screen e Select Logout e Th
70. 22 Figure 4 2 Search results list Page 42 PCR User Guide for version 10 Search for and create patient records 4 2 2 If the search is not successful A Message will be displayed below the Search criteria form advising that No matching patient records have been found Figure 4 3 User options e Search again using different search criteria or Use the click here link to create a new PCR record Figure 4 3 bee Search results No matching patient record has been found Please change your search criteria or click here to create a new PCR record Figure 4 3 No matching patient records found Pharmacy 1234 Pharmacy 1234 N H S User Testuser Jane Smith Last login Tue Mar 24 2015 13 08 e a fh SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Search criteria Set as default page Family name Given name Date of birth Postcode CHI Search results No matching patient record has been found Please change your search criteria or click here to create a new PCR record Figure 4 4 No matching patient records found Page 43 PCR User Guide for version 10 Search for and create patient records 4 4 Manually create a patient record The option to manually create a new patient record is only available via the click here link if a patient search has completed and no records have been found Figure 4 4 a patient sear
71. 4 15 49 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 21 May 2014 By Testuser Address G12 8DG Phone and email v LLIAMS Steven Smoking cessation Client information Referral and intervention context Gender Male Referral date Unanswered Pregnant No Referral source Self referral Ethnic group White Scottish Referral source other Ethnic group other Intervention setting s Pharmacy Employment status In paid employment Intervention setting other Employment status other Date of initial appointment 21 May 2014 Tobacco use and quit attempts Intervention s used in this One to one sessions Cigarettes smoked 10 or less quit attempt Time after waking Within 5 minutes Intervention other Number of quit attempts No quit attempts Is shared care No Pharmaceutical usage Consent Pharmaceutical usage id a combination Consent to follow up erapy Pharmaceutical usage 0 weeks Quit date Not set Unanswered questions shown as Unanswered Care issues associated with this assessment Care issue Earliest review by Last modified on No records to display Assessment completion Assessment complete Assessment completed by Assessment completed on Please select v Complete Unique reference Figure 9 7 Review Page after Initial Data Capture Below is a summary of the review page section
72. 9 18 Record Contact Page 142 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 13 Record Contact Attempt A pharmacy is required to make several contact attempts if necessary in order to achieve a successful follow up contact at 4 and 12 weeks PCR provides a simple function to log contacts attempts that the pharmacy makes To record a contact attempt e Select Record link under the contact attempts summary on the review page e Enter contact attempt date and contact type e Click record contact attempt button details are saved and the review page is displayed Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Never we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 WILLIAMS Steven Patient Details Last Modified On 14 May 2014 By Testuser Address 3 Apples Avenue G12 8DG Phone and email 10234000000 v Smoking cessation intervention record contact attempt Client information Referral and intervention context Gender Male Referral date 13 May 2014 Pregnant No Referral source Self referral Ethnic group White Scottish Referral source other Ethnic group other Intervention setting s Pharmacy Employment status In paid employment Intervention setting other Employment status other Date of initial appointment 14 May 2014 Tobacco use and quit attempts Intervention s
73. A summary of any contacts that have been created Contact Attempts A summary of any contact attempts that have been created Care Issues associated with this assessment A summary of any associated care issues that have been created Assessment completion Option to complete an assessment When complete completion date and reason are shown Unique Reference Unique reference for quit attempt Page 134 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 8 Submit 4 Week Data The 4 week MDS can be submitted to the national smoking cessation database between 4 and 6 weeks 28 42 days after the quit date For example where the quit date is set at 3pm on 1st May 2014 the first date that the 4 week submission can be is 4 weeks 28 days later on the 29th May 2014 at any time that day The last time the submission can be made is up until midnight on the 12th June 2014 It is not possible to submit the data if this 4 6 week submission window is missed This submission includes all information recorded in the initial data capture together with additional information shown below To submit 4 week data e Select release 4 week MDS link from the next action section of the review page e Enter required information e Click submit 4 week data button There is a link to update the initial data capture details if any have changed For example Pharmaceutical usage weeks Jw a e Search Protocols Reports Change p
74. AMS Steven g 34y Patient Details Last Modified On 05 Jun 2014 By Testuser Address Phone and email v Print Care Issues Edit Pharmaceutical care plan af High risk medicine assessments New medicine interventions J Support tools Support tool assessments Type Number of Status Last modified on Last modified by Assessment completed on Assessment completed by care issues No records to display Smoking cessation assessments Quit date Status MDS Last recorded contact Quit attempt in No records to display Figure 9 1 Start support tool assessment e Select Smoking Cessation from the dropdown menu marked Please select the Support tool Figure 9 2 Pharmacy 1234 Pharmacy One r nn rs Dan NHS User Testuser Jane Smith E ii LY edie MeCOTU Last login Never SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout WILLIAMS Steven Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 14 May 2014 By Testuser Address 3 Apples Avenue G12 8DG Phone and emai 10234000000 v Support tool assessment Figure 9 2 Please select the support tool e Click Start The system will display the Initial Data Capture page Figure 9 5 Page 122 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment Validation If an open smoking cessation support tool assessment exist at the same pharmacy an error message will be d
75. CR association function 190 Appendix D Example test patients 194 Test patient 1 194 Test patient 2 195 Test patient 3 196 Appendix E Patient Test Cases 197 Test Patient 1 Ms Sally Shortbread 197 Test Patient 2 Mr Bertie Biscuit 201 Test Patient 3 Mr Colin Cracker 205 Page 4 PCR User Guide for version 10 Introduction The Pharmacy Care Record PCR PCR is a web based application that assists Pharmacists and Pharmacy Technicians with Pharmaceutical Care Planning in Scottish community pharmacies A registered PCR user can create and maintain patient records that contain information that relates to Patient details Pharmaceutical care plans Care issues and care issue outcomes High risk medicine care risk assessments for Methotrexate Lithium and Warfarin New medicine interventions Support tool assessments for Gluten free and smoking cessation This functionality is further supported by A rigorous access and security model The capability to synchronise patient medication history and patient demographic information between the PMR and PCR Pharmacy level reports External link to the MHRA YellowCard web portal About this user guide This user guide covers all versions of PCR up to and including version 10 New functionality in PCR version 10 includes User role in support of Pharmacy Technician access Pharmacy home page Lock screen on system timeout e Open care issue rep
76. Change password Manage profile Yellow card Help Logout Pharmacy Home Last accessed Tue Nov 18 2014 11 09 Set as default page Gluten free Patients Initial Assessment complete Care Issues Figure 2 3 Pharmacy Home Pharmacy Technician View A full description of information and functions on the Pharmacy home page is described in section 3 2 2 2 Search Selecting the Search menu will display the Search criteria page Figure 2 4 Pha 5 1234 Pha O e a Pharmacy Care Record NHS Last login Tue Oct 22 2013 13 43 S SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Hospital Logout Search criteria Family name Given name Date of birth Postcode CHI Search results Figure 2 4 Search criteria page Full guidance on using the search function is covered in section 5 Page 32 PCR User Guide for version 10 High level menu functions 2 2 4 Protocols The Protocols menu is intended to be used to list the CMS disease protocols Figure 2 5 Protocols However at present there are no protocols available in PCR Cortractoas Code 123 Phannacy One Curent User 1234567 Test User N H S Searcif Protocols Repons Change password 3 Heip Logout SCOTLAND Protocols Figure 2 5 Protocols 2 2 5 Reports Select the Reports menu to view a list of reports available to the Pharmacy Reports are explained in section 9 of this guide 2 2 6 Change password Select
77. NHS ew SCOTLAND Pharmacy Care Record Pharmacy User Guide Version 10 Document information 1 Document information Document control Document Ref UGO020 File Name PCR_User_Guide pdf File Version Number 9 0 Final File Version Date 08 05 2015 Acknowledgements The diligence of all contributors to this User Guide is gratefully acknowledged Thanks in particular are extended to primary care colleagues in NHS Fife and the GP practices and community pharmacies who took part in the Early Adopter initiative for their assistance in contributing to the working processes underpinning the Chronic Medication Service Thanks are also due to Dr Scott Cunningham and the staff at the School of Pharmacy and Life Sciences at Robert Gordon University for supplying the case studies for the test patients Authors ePharmacy Delivery Team Contributors Dr Scott Cunningham Senior Lecturer School of Pharmacy and Life Sciences Robert Gordon University Professor Alison Strath Principal Pharmaceutical Officer Scottish Government Dr Ailsa Power Assistant Director of Pharmacy NHS Education for Scotland Valerie Inglis Administrative Assistant NHS Education for Scotland Pharmacy Paul Gunnion Greenhead Editorial and Publishing Service Limited Cover Image Source Atos Mediabank Asset ID 2420 Disclaimer While every precaution has been taken in the preparation of this User Guide neither NHS Scotland nor external contribut
78. Patient Address Contact Details Address 1 3 Appleton Parkway Home phone number 01506 000 000 Address 2 Livingston Mobile phone number 0777 000 000 Address 3 West Lothian l Work phone number Address 4 UK Email address JohnSmith home com Address 5 Postcode Figure 4 12 Patient Details Edit the details as required and click the Save button Selecting the Cancel button will display the patient home no details will be changed Page 50 PCR User Guide for version 10 Pharmaceutical care plans 5 Pharmaceutical care plans 5 1 Overview The patient home page is the starting point for entering any information associated with a patient s Pharmaceutical Care Plan PCP On creation of a new patient record Section 3 a blank PCP is automatically created There are four main sections in the PCP Patient Profile Medication Profile otherwise referred to as a Pharmaceutical Care Risk Assessment Pharmaceutical Care Issues Care Issue Outcomes and Actions Medication History The NES Chronic Medication Service Implementation Resource Pack explains the practice elements of pharmaceutical care planning and how to complete the relevant information in each of the above four sections of the PCP The information in this User Guide focuses on the practicalities of entering and recording information into the care plan Page 51 PCR User Guide for version 10 Pharmaceutical care plans 5 2 P
79. R Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 210 Reset Password Error Your new password must not be the same as your previous password Please re enter a new password Page 186 PCR User Guide for version 9 Appendix B Create PCR shortcut on desktop 187 Appendix B Create PCR shortcut on desktop Section 1 of the User Guide detailed the URLs website addresses for accessing the PCR Association website and the main PCR website Your PMR supplier may have added icons to your computer desktop enabling you to quickly access PCR without entering the relevant URL into Internet Explorer If you do not have the required PCR icons on your computer desktop then you can add them by following these instructions To create a PCR icon on your desktop Type the PCR website https pcr mhs scot nhs uk into the address bar of your browser the PCR login page is displayed Right click anywhere on the page Internet Explorer context menu is displayed Figure 11 10 Select Create Shortcut from the context menu Flees euch Record ails to login Select All Oo Ej Blog with Windows Live a Tre ate wit All Accelerators d L Create Shortcut Login ATES password View Source Encoding gt Print Figure 11 10 right click to Create shortcut A popup message will be displayed Figure 11 11 Do you want to put a shortcut to this website
80. R User Guide for version 9 Test Patient 2 Mr Bertie Biscuit Patlent Detalls i Name Bertie Biscuit Gender Male Date of Birth CHI Number 7777777777 Appendix E Patient Test Cases 201 Contact Detalls N A Address 124 Anywhere Street ANT 3RR Emall address Phone Number Medication Profile Pharmaceutical Care Risk Assessment Care Issues with the appropriateness of the medicine s Care Issue with the formulation of the medicine s Care Issue with the dosage and frequency of the medicine s Care Issue with the contralndicatlons Drug Interaction with one or more medicines O Yes O Yes O Yes O 5 D No No No O Not Recorded Not Recorded O Yes Not Recorded Not Recorded Not Recorded Page 201 PCR User Guide for version 9 Appendix E Patient Test Cases 202 Side effects with one or more Yes No Not Rec medicines Problems with concordance Not Rec Care Issue In relation to O Yes D No Not Recorded polypharmacy Pharmacokinetic risk factors Not Rec Pharmacodynamic risk factors ore No Not Recorded Disease risk factor OYes ONo Not Recorded o o Taking one or more medicines Yes O No O Not Recorded with a narrow therapeutic range Taking one or more black Yes O No Not Recorded triangle medicines al Summary yYes ONo Not Recorded Has Sa of
81. Recorded Not Recorded Physical Impairment Visual Impairment Not Recorded Not Recorded Not Recorded Not Recorded Hepatic Function Renal Function Lung Function Immune Status Not Recorded Not Recorded Pregnant Breast Feeding Medium Priority 25 Feb 2013 by Ork5 Patient Profile Last Modified 25 Feb 2013 by Ork5 Review Edit Figure 5 5 Patient home after completion of the patient profile If you have entered any free text for any of the patient factors this will be displayed on the patient home as Detail available You must select the Review Edit link to view this text Selecting the Show less detail link with display only the named pharmacist general health medical conditions allergies and sensitivities and pharmaceutical care plan priority details Figure 5 6 Pharmaceutical Care Plan Patient Profile Named Pharmacist General Health Medical Conditions Allergies and Sensitivities Diagnosed Coeliac Complex dispensing patient Pharmaceutical Care Plan Priority Initial assessment completed on High Risk Medicine Assessments New Medicine Interventions Show more detail v Pharmacist A Poor Health Asthma Allergic Yes Yes Medium Priority 25 Feb 2013 by Ork5 Patient Profile Last Modified 25 Feb 2015 by OrkS Review Edit Figure 5 6 Show less detail Page 59 PCR User Guide for version 10 Pharmaceutical care plans To revert back to displ
82. ain OTC No medicines can interact with methotrexate Does the patient record their blood No results in their methotrexate monitoring booklet Care issues associated with this assessment Care issue Earliest review by Last modified on No records to display Assessment completion Assessment complete Assessment completed by Assessment completed on Complete assessment Figure 6 9 Methotrexate review screen Care Issues associated with the assessment are shown below the questions summary Figure 6 9 The assessment completion status is shown at the bottom of the screen Figure 6 10 Page 80 PCR User Guide for version 10 High risk medicine care risk assessments bom 13 Feb 1949 o y Gender Male GHI NO 1111111111 Patient Details Last Modified On 13 Apr 2012 By Testuser Phone and email Vv WILLIAMS Steven Mr Address 5 Oakbank Avenue Glasgow G12 3NR Lithium high risk medicine care risk assessment summary Use to add care issues for the specific question Concordance Is the patient taking their lithium as Unanswered prescribed Does the patient know what to do if they Unanswered miss a dose Does the patient have the patient information and recording booklets and alert card and do they use them Unanswered Is the patient aware they should check Unanswered Is the patient aware of the common side effects of lithium Is the patient aware of the signs of lithium toxicity
83. al Health Medical Conditions Allergies and Sensitivities Diagnosed coeliac historical Gluten free diet Complex dispensing patient Unlock Logout Dispositions Patient has a Compromised oral route of administration Not Recorded Detail available Physical Impairment Not Recorded Detail available Visual Impairment Not Recorded Detail available Organ function Patient has an impaired compromised Hepatic Function Not Recorded Detail available Renal Function Not Recorded Detail available Lung Function Not Recorded Detail available Immune Status Not Recorded Detail available Maternal Patient is Pregnant Not Applicable Detail available Breast Feeding Not Applicable Detail available Pharmaceutical Care Plan Priority Not Recorded Detail available Patient Profile Last Modified 03 Dec 2008 by Initial User Review Edit Figure 1 9 Lock screen To Unlock the screen Page 20 PCR User Guide for version 10 Access and security e Enter password e Select Unlock Only the previously logged in user can log back in from the lock screen If another user attempts to log in or the password is incorrect an error will be displayed Figure 1 10 Pharmacy 1234 Pharmacy One iN H S User Testuser Jane Smith Last login Tue Jan 27 2015 15 26 ee oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout SMITH Johnathan Mr Bom 03 Feb 2001 13y 11m Gender Male CHI No 030
84. are issue to complete Select the Complete option in the Status dropdown menu on the care issues review page Select the Save button the system will navigate to the care issue detail page Figure 5 15 Returning to the patient home page will display a summary of the care issue you have created Figure 5 17 Page 66 PCR User Guide for version 10 Pharmaceutical care plans Organ function ees Patient has an impaired compromised Hepatic Function Not Recorded Renal Function Not Recorded Lung Function Not Recorded Immune Status Not Recorded Maternal Patient is Pregnant Not Recorded Breast Feeding Not Recorded Pharmaceutical Care Plan Priority Medium Priority Initial assessment completed on 25 Feb 2013 by OrkS Patient Profile Last Modified 25 Feb 2015 by Orks Review Edit Pharmaceutical Care Risk Assessment Review date Review user Care issues Add Care Issues Care issue Care issue type Earliest review by Last modified on gt Poor inhaler technique Standard 26 Feb 2013 View Medication Name Last dispensed on Service Indication Modified date Modified by Imported a No records to display W 0 of 0 Ra l l Newly created Figure 5 17 Care issue summary on patient home care issue shown on patient home page Care Issues Care issue type Standard 01 Feb 2010 03 Dec 2008 Standard 20 Apr 2012 13 Apr 2012 Increased Asthma Attacks Standard 03 Dec 2008 Medication Use R
85. assword Manage profile Yellow card Help Logout Born 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 14 May 2014 By Testuser Address 3 Apples Avenue G12 8DG Phone and email 10234000000 v WILLIAMS Steven Client information Referral and intervention context Gender Male Referral date 01 Apr 2014 Pregnant No Referral source Self referral Ethnic group White Scottish Referral source other Ethnic group other Intervention setting s Pharmacy Employment status In paid employment Intervention setting other Employment status other Date of initial appointment 14 Apr 2014 Tobacco use and quit attempts Intervention s used inthis One to one sessions Cigarettes smoked 11 to 20 quit attempt Time after waking 6 to 30 minutes Intervention other Number of quit attempts No quit attempts Is shared care Pharmaceutical usage Consent Pharmaceutical usage NRT only combination therapy Consent to follow up Pharmaceutical usage 0 weeks Submit four week minimum dataset Was the client successfully contacted for 1 month follow up Yes v Date follow up carried out Client withdrawn from service at time of follow up Has the client smoked at all even a puff in the last two weeks CO reading confirms quit Reason CO reading not taken If initial data capture has changed please edit the values using the following link Submit four week data Figure 9 13 Submit 4 week data Page 135 PCR
86. atient profile The patient profile section of the patient home page Figure 5 1 is used to record specific information about a patient s health Pharmaceutical care plan High risk medicine assessments _ New medicine interventions Support tools Patient Profile Show less detail Named Pharmacist Additional Information General Health Medical Conditions Allergies and Sensitivities Diagnosed coeliac historical Not Recorded Gluten free diet Not Recorded Complex dispensing patient Not Recorded Dispositions Patient has a Compromised oral route of administration Not Recorded Physical Impairment Not Recorded Visual Impairment Not Recorded Organ function Patient has an impaired compromised Hepatic Function Not Recorded Renal Function Not Recorded Lung Function Not Recorded Immune Status Not Recorded Maternal Patient is Pregnant Not Recorded Breast Feeding Not Recorded Pharmaceutical Care Plan Priority Not Recorded Patient Profile Last Modified 10 Oct 2013 by Testuser Review Edit Figure 5 1 Patient Home Patient profile section The patient profile is organised into the following categories that can all be edited on the same page Named Pharmacist responsible for Pharmaceutical Care Plan Additional Details of named pharmacist General Health Medical Conditions Allergies and sensitivities Diagnosed coeliac Historical Gluten free diet Complex dispensing patient Is th
87. ay of the full details select the Show more detail link at the top right hand side of the Patient profile information 5 3 Pharmaceutical care risk assessment The Pharmaceutical care risk assessment represents a snapshot assessment of the patient s situation in relation to their therapy and subsequent impact on their pharmaceutical care To create a Pharmaceutical Care Risk Assessment Select the Add link at the bottom right hand side of the Pharmaceutical care risk assessment section on the Pharmaceutical care plan tab Figure 5 7 Pharmaceutical Care Risk Assessment Review user 05 May 2005 InitialUser 04 Apr 2004 InitialUser 03 Mar 2003 InitialUser 02 Feb 2002 InitialUser 01 Jan 2001 InitialUser Figure 5 7 Add pharmaceutical care risk assesement The Care risk assessment entry page is displayed Figure 5 8 Page 60 PCR User Guide for version 10 Pharmaceutical care plans Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Fri Mar 23 2012 16 07 re 4 SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout SMITH Johnathan Mr Bom 02 Feb 2004 11y im Gender Male CH Mo 102001234 amed name John Patient Details Last Modified On 03 Dec 2008 Ey InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH34 TEZ Phone and amal 0146 H II w Care Risk Assessment Pharmaceutical care issues which affect the pati
88. b 1945 67y Gender Male CHI No 1111111111 WILLIAMS Steven Mr j Patient Details Last Modified On 13 Apr 2012 By Testuser Address 5 Oakbank Avenue Glasgow G12 3NR Phone and email v Print Care Issues Edit Pharmaceutical Care Plan High Risk Medicine Assessments New Medicine Interventions High risk medicine care risk assessment Type Number of care issues Last modified on Last modified by Assessment completed Assessment completed by on o records to display Figure 6 1 high risk medicines tab Select Start high risk medicine care risk assessment link The system will display the high risk medicine selection screen Figure 6 2 Step 2 select a high risk medicine from the list Select the high risk medicine from the drop down menu The possible values are Methotrexate Lithium or Warfarin Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Fri Apr 13 2012 11 06 ee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Bom 15 Feb 1945 67y Gender Male CHI No 1111111111 WILLIAMS Steven Mr i Patient Details Last Modified On 13 Apr 2012 By Testuser Address 5 Oakbank Avenue Glasgow G12 3NR Phone and email v High risk medicine care risk assessment Please select the high risk medicine Figure 6 2 Drug Selection Page 71 PCR User Guide for version 10 High risk medicine care risk assessments High
89. ch Protocols Reports Change password Manage profile Yellow card Help Logout Search criteria Set as default page Family name Given name Date of birth Postcode CHI Search results Figure 1 7 Search criteria page 1 6 3 Common information and functions on all PCR pages The heading at the top of the Search criteria page is consistent across all PCR pages and displays the details of the current user the contractor code and the name of the pharmacy the current user is associated with The high level menu is displayed below the heading and is also displayed on each page The high level menu allows you to quickly move between the different functions within PCR The High level menu functions are detailed in Section 2 of this guide 1 6 4 Login failure If the login has failed then the reason for failure will be displayed in bold red text Figure 1 8 Examples of reasons for login failure include incorrect password incorrect User ID or no association for the user Pharmacy Care Record Please enter your details to login User ID 7654321 Login Your user credentials are not currently associated with a Pharmacy Figure 1 8 Login failure example You must associate with a pharmacy before you can continue with the PCR login process 1 6 5 Alternative login scenarios Page 19 PCR User Guide for version 10 Access and security First time Login If you are logging in to PCR
90. ch has completed and the searched for patient is not listed Figure 4 4 Note Section 11 of this User Guide details the process for creating a patient record using the patient interface functionality between your PMR application and PCR 4 4 1 Where the CHI Number is known To manually create a patient record Select the Click here link from the Search criteria search results page The Patient Details input page is displayed Figure 4 5 Pharmacy 1234 Pharmacy One User Testuser Jane Smith N H S Last login Tue Jun 3 2014 11 28 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Patient Details Patient Demographics Means a field requires data CHI Title Given name i Family name Preferred name Gender Date of birth fan raa Patient Deceased Patient Address Contact Details Address 1 Home phone number Address 2 Mobile phone number Address 3 Work phone number Address 4 Email address Address 5 Postcode Figure 4 5 Patient details Enter the patient details Select the Save button the patient home will be displayed Figure 4 10 A new patient will be created in PCR Page 44 PCR User Guide for version 10 Search for and create patient records 4 4 2 Where the CHI Number is not known If the CHI is not known the Find CHI function can be used to search the National CHI database To search for a CHI Number
91. ch is limited to patients who have a PCR record at the community pharmacy where the user is currently associated If a patient has a PCR record associated with another pharmacy it will not be visible It is possible to create a new record for the patient which will then be uniquely linked to the current associated pharmacy Page 41 PCR User Guide for version 10 Search for and create patient records 4 2 Using the search function To search for a patient Type the search criteria into the form and click the Search button 4 2 1 If the search is successful A list of records that match your criteria will be displayed Figure 4 2 User Options Select the view link for the patient you want to view this will display the patient home page for the selected patient or Create a new patient record if you are satisfied that the patient you were looking for does not exist in PCR e eae ee NHS Last login Tue Mar 24 2015 13 08 wee oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Set as default page Search criteria Family name Given name Date of birth Postcode CHI Search results If you were looking for another person please change your search criteria If you are sure the person has no record click here to create a new record Patient Name Date of Birth Post Code Mr John SCOne 18 Nov 1988 1811880010 Jonathan Smith 20 Mar 1968 22222222
92. control of COPD Patient enrolled on the PHS smoking cessation service Patient is taking more exercise and has lost weight Page 208
93. curity level for this zone Allowed levels for this zone All i Medium Prompts before downloading potentially unsafe co content Unsigned ActiveX controls will not be downloaded Enable Protected Mode requires restarting Internet Explorer Defaut ieva Reset all zones to default level Page 191 PCR User Guide for version 9 Appendix C PCR association Common issues 192 Figure 11 16 Trusted sites zone on security tab Click the Sites button the Trusted sites dialogue is shown Figure 11 17 internet Options r Trusted sites You can add and remove Web sites from this zone All Web sites in this zone will use the zone s security settings Add this Web site to the zone Sl Web sites https pcrua mhs scot nhs uk Vv Require server verification https for all sites in this zone Custom Level Default Level Figure 11 17 Trusted sites dialogue If there already is an entry for the PCR association website listed then close all the dialogue boxes and contact the ePharmacy Helpdesk to report your issue with PCR Association If there is no entry present Enter the website address for the PCR Association website in the Add this website to the zone Figure 11 17 click the Add button then click the OK button on the trusted sites dialogue and the ok button on Internet Options The PCR Association website address is https
94. d metiotrexate or vomit after taking a dose sehle On the prescription form do not match what the patent tells you Actions Ifthe patent is taking folic acid are they taking it as Check the patient s understanding of how and when to prescribed ashe take their methotrexate and clarify any discrepancies ati a methot ag if the patient is currently receiving methotrexate 10 m ii alin pcp Ma A reota Dean eea either alone or in combination with the 2 5 mg tablets and monitoring booklet and do they use it ISN en discuss the merits of using a single strength of 25 mg If patient is content te change contact their GP to discuss the change Advise the patient that methotrexate should be Read Only pi prak tide and at coleeed peal eere Check the patient s understanding of how and when to take their folic acid and clarify any discrepancies Advise the patient ta carry and use the methotrexate booklet Record any care issues in the patient s care plan and agree desired outcomes and actions Figure 6 20 Read only completed assessment Page 89 PCR User Guide for version 10 New medicine interventions 7 New medicine interventions 7 1 Overview The New Medicine Interventions allows healthcare professionals to create and maintain an intervention record for patients that have a newly prescribed medicine This functionality allows users to Start a new medicine intervention record where you record the medication details
95. d record patient contacts View and record patient contact attempts Validate MDS information prior to submission View MDS submission deadline alerts Submit 4 and 12 week MDS information for external processing View smoking cessation reports 9 1 3 Key information e A unique reference is created for each quit attempt when the quit date is confirmed e The MDS submission deadlines are calculated in number of weeks from the quit date e It is not possible to submit a twelve week MDS if the quit attempt failed at the four week follow up e A submission will expire and will not be able to be submitted via PCR if not completed within the allowable submission window Page 121 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 2 Start Smoking Cessation Support Tool Assessment To start a Smoking Cessation Support Assessment Log into PCR and identify the patient that you want to create the assessment for You may need to create a new patient e Select the support tools tab on the patient home page and click the Start Support tool assessment link The support tool assessment options page is displayed Figure 9 1 Pharmacy 1234 Pharmacy One m nnen Da i H S User Testuser Jane Smith Ghia 1E SOUT Last login Wed Jun 4 2014 14 46 pone SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Born 20 Aug 1979 34y Gender Male CH No 4444444444 WILLI
96. day Pharmacy Care Record Phase 2 Released Figure 11 13 Error message if ePharmacy Certificate not present Page 189 PCR User Guide for version 9 Appendix C PCR association Common issues 190 Unable to access the PCR association function If you receive an error on your computer requesting you to install an Active X component or the association process fails with a technical error and you did not see the certificate security alert pop up window as shown in Figure 11 13 then you may be able to resolve the issue by adding the PCR Association website to your list of trusted websites C This Web site needs access to digital certificates on this computer Please en WARNING x ati rcs test aegis this Web vehi at access to any personal information that are stored in your certificates USE Do you want this Web ste to gain access to the certificates on this computer now Pas w EE Associate User Message of the day Pharmacy Care Record Phase 2 Released Figure 11 14 Initial association page To add the PCR Association website to the list of Trusted Websites Open Internet Explorer this does not have to be the PCR Association page Select the Tools menu and then Internet Options Figure 11 15 Page 190 PCR User Guide for version 9 COW 7 http www communitypharmacy scot nhs uk Re ee ee ee ee ae f P Nacy Home MIE SOTL INTE iE i if Jy A File Edit View Favorites
97. e amp Review button The system will save entered data and navigate to the Review screen for the selected high risk medicine Page 73 PCR User Guide for version 10 High risk medicine care risk assessments Concordance Is the patient taking their methotrexate as prescribed C YesNo Does the patient know what to do if they miss a doseof cc methotrexate or vomit after taking a dose YesNo Required If the patient is taking folic acid are they taking it as C C prescribed YesNo Required Does the patient have a methotrexate patient information C and monitoring booklet and do they use it YesNo Required Figure 6 5 Error message mandatory information Step 2 Answer Interactions amp Precautions questions Select an answer for each of the questions on the Interactions amp Precautions screen Figure 6 6 Pharmacy 1234 Pharmacy One foe ee ee Pharmacy Care Record NHS Last login Fri Apr 13 2012 11 06 SCOTLAND Search Protocols Reports Changepassword Manageprofile Yellowcard Help Logout Bom 15 Feb 1945 67y Gender Male CHI No 1111111111 Patient Details Last Modified On 13 Apr 2012 By Testuser Address 5 Oakbank Avenue Glasgow G12 3NR Phone and email Me WILLIAMS Steven Mr Interactions amp precautions Interactions and precautions Is the patient aware they should check that any newly ae prescribed medicines don t interact with methotrexate yesNo Serious drug
98. e CH No 1111111111 Patent Detals Last Modified On 13 Apr 2012 By Testuser WILLIAMS Steven Mr Address 3 Qakbank Avenue Glasgow G12 INR Adverse reactions side effects and toxicity ls the patient aware ofthe common side effects of t oe Ei methotrexate YesNo The most common side effects are Is the patient aware of the side effects that occur ifthey DAE are having a reaction to methotrexate YesNo Haematopoietic reactions e g anaemia pneumonia ls the patient aware of whatto do if they are suffering septicaemia f i 1 a EE EE ae YesNo Alimentary tract e g nausea vomiting gingivitis ls the patient aware that adverse reactions shouldbe pharyngitis intestinal ulceration reported YesNo Hepatic e g acute hepatitis or cirrhosis Urogenital e g vaginal discharge or ulcers cystitis dysuria Pulmonary e g acute pulmonary oedema fibrosis CNS e g headache drowsiness or blurred vision Cardiac hypotension deep vein thrombosis Actions Check the patient s understanding of the side effects of Methotrexate using the information booklet as a prompt Ask the patient if they are experiencing any side effects Refer them to their GP if side effects appear severe Record any care issues in the patient s care plan and agree desired outcomes and actions signs of methotrexate toxicity or intolerance are Breathlessness Dry persistent cough severe vomiting or diarrh
99. e Pharmacist Ethnic group White Scottish Referral source other Ethnic group other Intervention setting s Primary Care Employment status In paid employment Hospital Inpatient Employment status other Educational establishment Tobacco use and quit attempts eae Cigarettes smoked 11 to 20 Time after waking 6 to 30 minutes Number of quit attempts No quit attempts Pharmaceutical usage Pharmaceutical usage None Pharmaceutical usage 0 weeks Intervention setting other Date of initial appointment 05 Feb 2014 Intervention s used in this One to one sessions quit attempt Group support closed groups Couple family based support Intervention other Is shared care No Consent Consent to follow up Quit date 05 Mar 2014 Submit twelve week minimum dataset Was the client successfully contacted for 3 month follow up Pleaseselect f Date follow up carried out B Has the client smoked at all since the 1 month follow up Please select i CO reading confirms quit Please select x Reason CO reading not taken If initial data capture has changed please edit the values using the following link Submit twelve week data Unique reference PCR 312EB8F0 EF1C 4DD4 BB9E A617CE4D2156 Figure 9 16 Submit 12 week data Reason CO reading not taken is disabled unless CO reading not taken selected in CO reading confirms quit 9 11 Review Assessment Details 12 Week data submitted Now t
100. e for version 10 High risk medicine care risk assessments Step 4 Answer monitoring questions Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Fri Apr 13 2012 11 06 ee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Born 15 Feb 1945 67y Gender Male CHI No 1111111111 WILLIAMS Steven Mr 67y Patient Details Last Modified On 13 Apr 2012 By Testuser Address 5 Oakbank Avenue Glasgow G12 3NR Phone and email v Monitoring Monitoring Is the patient aware of how frequently they should have their blood tests done Methotrexate has a narrow therapeutic index Monitoring is very important Patients should know who is responsible for the prescribing and monitoring of their methotrexate You should Can the patient tell you the date of their last blood test expect to find monitoring will be and if so when was it Record the date or approximate date if known Otherwise record No pak pe apie bs Lee na stable on methotrexate for years four to eight weekly for those in the first couple of years of Does the patient record their blood results in their gt being on a stable dosage or co morbidities in long term users methotrexate monitoring booklet YesNo weekly fortnightly for those just started Actions Establish if the patient is receiving regular monitoring If the patient has not had their blood levels monitored within an appropriate
101. e hyperlinks to the corresponding questions pages See highlighted examples in concordance section Bom 15 Feb 1945 67y Gender Male CHI No 1111111111 WILLIAMS Steven Mr Patient Details Last Modified On 13 Apr 2012 By Testuser Address 5 Oakbank Avenue Glasgow G12 3NR Phone and email v Methotrexate high risk medicine care risk assessment summary Use to add care issues for the specific question Concordance aA Is the patient taking their methotrexate Yes Is the patient aware of the common side Yes as prescribed effects of methotrexate Link to Does the patient know what to do ifthey Yes Is the patient aware of the side effects Yes questions miss a dose of methotrexate or vomit that occur if they are having a reaction to page after taking a dose methotrexate lf the patient is taking folic acid are they Yes A Is the patient aware of what to do if they Yes taking it as prescribed are suffering from these signs Does the patient have a methotrexate Add C Is the patient aware that adverse No patient information and monitoring are reactions should be reported booklet and do they use it Issues Link Is the patient aware of how frequently No Is the patient aware they should check Yes pE they should have their blood tests done that any newly prescribed medicines Can the patient tell you the date of their no don t interact with methotrexate last blood test and if so when was it Is the patient aware that cert
102. e in the next 7 days To run the Open care issues with reviews due in the next 7 days report Select the Open Care issues with review due in the next 7 days link from the Reports page The report detail will be displayed Figure 10 10 Pharmacy 1234 Pharmacy 1234 N H S User Testuser Jane Smith Last login Fri Apr 10 2015 11 12 eee oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Open care issues with reviews due in the next 7 days Number of records on report 4 Show Hide Filter Patient Date of CHI Description Type Review Modified name birth by Jane Brown 07 Jun 7777777777 Standard Care Issue Standard 18 Apr 16 Apr View 1987 2015 2015 Mr Eric Bond 31 Jan 3101798558 Bond Care Issue 1 Standard 21 Apr 16 Apr View 1979 2015 2015 Mr Eric Bond 31 Jan 3101798558 Patient unaware that they should inform the team responsible for their anticoagulant Standard 21 Apr 16 Apr View 1979 care of any newly prescribed medicines 2015 2015 Mr Simon 30 Jan 3001893397 Ames Care Issue 8 Standard 22 Apr 16 Apr View Ames 1989 2015 2015 Figure 10 10 Open Care issues with review due in the next 7 days Report Columns Patient Name Date of birth CHI Description Type Review By Default Sort Ascending Modified View Link Links to View Care Issue Page Page 156 PCR User Guide for version 10 Reports 10 4 3 Open care issues with revie
103. e login screen will be displayed 1 7 Technical environment 1 7 1 Browser compatibility PCR is a web application and has been tested for compatibility with Microsoft Internet Explorer 6 7 and 8 The main PCR application is available from any computer within a Scottish community pharmacy that is connected to the N3 network either directly or indirectly via an approved corporate network Page 21 PCR User Guide for version 10 Access and security 1 7 2 Saving changes in PCR As PCR is a web application changes made must be saved by clicking the Save or equivalent button on each page If an Internet Explorer browser window is closed the system will not prompt for changes to be saved It will just close and any changes made will be lost 1 8 Maintain reset password questions The purpose of this feature is to securely reset a password without the need to contact the ePharmacy helpdesk This is achieved by recording answers to security questions such as e What primary school did you attend e What was the name of your first pet or e Name an author that you enjoy Step 1 Navigate to Manage Profile page Login to PCR Select Manage profile from the high level menu the system will display the Manage profile page Step 2 Navigate to Manage Reset Password Questions page Select Manage my reset password questions link from the Manage profile page Figure
104. e patient a complex dispensing patient Page 52 PCR User Guide for version 10 Pharmaceutical care plans Complex dispensing subcategories If signified as complex dispensing patient Patient Factors Dispositions Compromised oral route of administration Physical impairment Visual impairment e Organ function Hepatic function Renal function Lung function Immune system Maternal Pregnant Breast Feeding e Notes Pharmaceutical Care Plan Priority PCP Priority Notes Initial assessment complete Initial assessment complete checkbox Named Pharmacist responsible for Pharmaceutical Care Plan Contains details of the pharmacist who is responsible for the patient s PCP and any specific contact details for the pharmacist You can enter this data as free text and also create line breaks by using the Enter key Patient Profile Record information about the patients general health medical conditions and allergies Diagnosed Coeliac historical Diagnosed Coeliac was used in the previous version of PCR As not all patients that are following a gluten free diet are Diagnosed Coeliac It has been marked as historical and superseded by Gluten free diet The Diagnosed Coeliac historical is for informational purposes and is read only Gluten free diet Page 53 PCR User Guide for version 10 Pharmaceutical care plans Use this section to signify if patient is f
105. e to know about the medicine esNoNot recorded Notes Figure 7 3 Initial intervention entry page Page 92 PCR User Guide for version 10 New medicine interventions 7 6 New medicines interventions review page This section describes the options available from the new medicines interventions review page Figure 7 4 SMITH Johnathan Mr Bor 03 Feb 1973 39y Gender Male CH No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v New medicines intervention for Aspirin 75mg Tablets Use to add care issues for the specific question Medicine Medicine detail Aspirin 75mg Tablets Instructions Take ONE Tablet Daily Service CMS Indication Angina Last modified 13 Apr 2012 by Testuser Initial intervention Does the patient know why they have been prescribed the medicine Yes ea Is there anything that the patient would like to know about the medicine and how it Yes BE should work Is there anything else that the patient would like to know about the medicine Not recorded Last modified 13 Apr 2012 by Testuser Care issues associated with this intervention Care issue Earliest review by Last modified on Intervention completion Intervention complete Intervention completed by Intervention completed on Select Figure 7 4 New Medicines interventions revie
106. eek 24 Apr 2014 22 May 2014 Validated Submitted Testuser 14 May 2014 Contact Week Intervention Contact type Smoked CO reading Product Product and contact Recorded by Recorded on date notes 14 14 May 2014 Face to face No Not recorded Testuser 14 May 2014 Record Contact attempts Week Contact attempted on Contact type Recorded by Recorded on 14 14 May 2014 Telephone Testuser 14 May 2014 Record Care issues associated with this assessment Care issue Earliest review by Last modified on No records to display ntervention completion Intervention complete Intervention completed by Intervention completed on Please select af Unique reference PCR 6893717A D279 40E8 A46F D8F290BAF4B7 Figure 9 21 Intervention completion Page 145 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment To complete a smoking cessation intervention From the Intervention completion section on the smoking cessation review page select the complete button The Confirm Completion message is displayed Figure 9 22 Select Yes to complete intervention or No to cancel Client information Referral and intervention context Gender Male Referral date 18 Mar 2015 Pregnant No Referral source Self referral Ethnic group White Scottish Referral source other Ethnic group other Intervention setting s Primary Care Employment status In paid employment Employment status other Date of i
107. ek Contact date Contact type Smoked Submitted Testuser 21 May 2014 Not submitted Not submitted Product Product and contact Recorded by Recorded on notes 0 21 May 2014 Face to face No Not recorded Gum Testuser 21 May 2014 Contact attempts Week Contact attempted on o records to display Care issues associated with this assessment Care issue Earliest review by No records to display Assessment completion Assessment complete Assessment completed by Assessment completed on Please select hd Unique reference Recorded by Last modified on PCR C333F2A2 1B01 4862 8DD4 8C4BDA3E8204 Figure 9 12 Review Page after quit date is confirmed Page 133 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment Below is a Summary of the information shown on the review page after the quit date is confirmed Initial Data Capture Summary A summary of the initial data capture Quit Date Once the Quit Date is Confirmed it is displayed on the Smoking Cessation Review Page Next Action This section shows the Release 4 week MDS link The link is disabled until it is between 4 6 weeks from the quit date This will also show the Release 12 week MDS link when the current date is within the target date submission window View Submitted Minimum Dataset link Select this link to view all submitted MDS data Minimum Dataset A summary of the status of the Start 4 week and 12 week MDS Contacts
108. ent Care issue with the appropriateness ofthe T No Not Recorded medicine s Care issue with the formulation of the medicine s 5 Yes amp Noo Not Recorded Care issue with the dosage and frequency of the T No Not Recorded medicine s Care issue with the contraindications 5 Yes 5 No Not Recorded Drua interaction with one or more medicines 5 Yes amp No Not Recorded Side effects with one or more medicines Ha 5 Nom Not Recorded Problem s with concordance 5 Yes amp No Not Recorded Care issue in relation to polvoharmacy i 5 Nom Not Recorded Pharmacokinetic risk factors E 5 Nom Not Recorded Pharmacodynamic risk factors 5 Yes No Not Recorded Disease risk factor 5 Yes amp No amp Not Recorded Taking one or more medicines with a narrow 5 Yes 5 No Not Recorded therapeutic ranae Takina one or more black trianole medicines Bi Nom Not Recorded Duplication of medication 5 Yes amp No Not Recorded Summary Are there any pharmaceutical care issues of note a S Nom Not Recorded Figure 5 8 Care risk assessment entry page e Answer Yes No or Not recorded to each question If required free text notes can be added alongside each question Once all the questions have been answered you must indicate if you believe that there are any care issues of note As before you are given a choice of Yes No or Not Recorded options A multi line text box is also available for any notes that may supplement
109. ent Family name Patient Given name Demo Given name Demo Title Mr Title Mr Date of birth 01 Jan 1960 Date of birth 01 Jan 1960 Address 1 3 Appleton Parkway Address 1 2 Linwood Road Address 2 Livingston Address 2 Linwood Address 3 West Lothian Address 3 Paisley Address 4 Address 4 Address 5 Address 5 Postcode EH54 7EZ Postcode PA3 3BB Home telephone number 0123456789 Telephone number 0987654321 Gender Male Gender Male Do you want to update PCR with the information from the PMR Yes No Figure 11 3 PCR page highlighting differences between PMR and PCR demographic information The patient home page will be displayed once you have chosen to update or ignore the patient demographic updates from your PMR 3 Ifthe patient does not already exist on PCR then the patient search page will be displayed and the search criteria will be pre populated with the relevant patient s demographic details as held on your PMR You can modify these search criteria and research for the patient You can also click the link that will create a new PCR record for the patient This link will include the name of the patient to be created Clicking on this link will automatically take you to the create edit patient details page and all the demographic details held on your PMR will be pre populated on the PCR patient details page If relevant you can then add any other additional details that may not have been held on your PMR and click the Save button
110. ent know what to do if they miss a dose of methotrexate or vomit after taking a dose YesNo If the patient is taking folic acid are they taking it as prescribed YesNo Does the patient have a methotrexate patient information follow up with the patient s GP practice if the instructions printed on the prescription form do not match what the patient tells you Actions Check the patient s understanding of how and when to take their methotrexate and clarify any discrepancies If the patient is currently receiving methotrexate 10 mg either alone or in combination with the 2 5 mg tablets then discuss the merits of using a single strength of 2 5 mg If patient is content to change contact their GP to discuss the change Advise the patient that methotrexate should be swallowed whole and not crushed or chewed and monitoring booklet and do they use it YesNo Check the patient s understanding of how and when to take their folic acid and clarify any discrepancies Advise the patient to carry and use the methotrexate booklet Record any care issues in the patient s care plan and agree desired outcomes and actions Next Interactions amp precautions l Figure 6 4 Methotrexate Concordance as example User Options Select the Next Interactions amp Precautions button The system will save entered data and navigate to the Interactions amp Precautions screen or Select the Sav
111. er User ID and click the Start button Figure 1 16 Pharmacy Care Record Start the reset password process UserID RPSGB GPhC _ for futher information click here Stat Caca Figure 1 16 Start the reset password process Step 3 Start the reset password process e Select Yes to continue and remove any associations Selecting No will return to the login page Figure 1 17 Page 26 PCR User Guide for version 10 Access and security Pharmacy Care Record Start the reset password process User ID RPSGB GPhAC for futher nform sto n click here ag Af ere Start Cancel Resetting your password will remove any current pharmacy association Are you sure you wish to continue Yes No Figure 1 17 Confirm continue and remove any associations Step 4 Answer password reset questions The system will prompt to provide answers to a sample of questions that have already been configured for the password reset process Figure 1 18 Type question answer in the single line text box and click the Answer Question button Pharmacy Care Record Reset password questions for 1234567 Please answer the following question What is your favourite book Figure 1 18 Enter answer to reset password question Page 27 PCR User Guide for version 10 Access and security Step 5 Set password Having successfully answered a sufficient number of reset password questions a new
112. ersion 10 Reports 10 7 Gluten free reports Gluten free reports are accessed from a link on the Reports Page Figure 10 2 The following reports are available Diagnosed coeliac patients historical Gluten free diet set to Yes Gluten free diet set to No Gluten free diet set to Not Recorded e All gluten free assessments All open gluten free assessments All completed gluten free assessments Annual health check scheduled up to 8 weeks from today Annual health check not completed in pharmacy To view a Gluten free report Select link from the Reports page The report detail will be displayed Figure 10 18 Pharmacy 1234 Pharmacy One N i S User Testuser Jane Smith Last login Mon Oct 14 2013 08 56 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Gluten free diet set to Not Recorded Patient name Date of birth CHI Post code Gluten free diet Mr Johnathan Smith 03 Feb 2001 0102031231 EH54 7EZ Not Recorded Figure 10 18 Gluten free diet Not Recorded as example Report Data Diagnosed coeliac patients historical Patient Name Date of birth CHI Post Code View link Gluten free diet set to Yes Gluten free diet set to No Gluten free diet set to Not Recorded All gluten free assessments All open gluten free assessments All completed gluten free assessments Patient Name Date of birth CHI Post Code Gluten free diet
113. eview Standard 03 Dec 2008 Medication Shows total number of Click to care issues expand care Click review issue detail to see all care issues Page 67 PCR User Guide for version 10 Pharmaceutical care plans 5 5 Medication The patient home shows a summary of medication To review medication Select the Review link on the patient home Figure 5 18 Medication Last dispensedon Service Indication Modified date Modified by Imported Paracetemol 120mg in 5ml suspension 30 Nov 2009 Pain relief 12 Apr 2012 Salbutamol 100mcg Respiration maintenance 12 Apr 2012 Amoxicillian 125mg in 5 mi suspension Infection control 12 Apr 2012 Oxygen 100 respiratory Respiration maintenance 12 Apr 2012 Figure 5 18 Review Medication A list of medications are displayed Figure 5 19 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Tue Oct 22 2013 15 56 SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Hospital Logout SMITH Johnathan Mr Bom 03 Feb 2001 12y 8m Gender Male CHI No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 TEZ Phone and emai 01506 000 000 v Medications Name Last dispensed on i Indication Modified date Paracetemol 120mg in 5ml suspension 30 Nov 2009 Pain relief 18 Oct 2013 Salbutamol 100mcg Respiration maintenance 18
114. ewed and updated from the review page Not all sections of the assessment need to be completed at the same time Individual sections can be completed saved and returned to at a later date Care issues and care issue outcomes can be associated with a high risk medicine care risk assessment these can be viewed alongside standard care issues as well as with the associated high risk medicine care risk assessment A high risk medicine care risk assessment care issue and care issue outcome can be created with prepopulated text based on the context of an individual question They can also be created independent of the questions without prepopulated text The high risk medicine care risk assessment supports the concept of a status Open or Completed Care issues and care issue outcomes can continue to be added and updated to a completed high risk medicine care risk assessment Page 70 PCR User Guide for version 10 High risk medicine care risk assessments 6 3 Start a HRM Care Risk Assessment Step 1 start a high risk medicine care risk assessment Identify the patient you want to create a high risk medicine care risk assessment for and go to the patient home page Select the High Risk Medicine Assessment tab Figure 6 1 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Fri Apr 13 2012 11 06 Sm P SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Bom 15 Fe
115. ference In person Time slot preference Morning Has the patient started to take the medicine Unanswered Is the patient still taking the medicines according to the instructions Unanswered Has the patient missed any doses of the medicine or changed how they take it Unanswered Is the patient having any problems with the medicine Unanswered Is there anything else that the patient would like to know about the medicine Unanswered Does the patient require another follow up intervention Unanswered Is this follow up intervention complete Unanswered Last modified 20 Aug 2012 by testuser Care issues associated with this intervention Care issue Earliest review by Last modified on No records to display Intervention completion Intervention complete No Figure 7 9 Select link to edit follow up intervention Page 97 PCR User Guide for version 10 New medicine interventions e The follow up intervention edit page will be shown Figure 7 10 Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v Follow up intervention Medicine Medicine detail Instructions Service Indication Aspirin 75mg Tablets Take ONE tablet daily CMS Angina Contact preference Contact preference In person hd Telephone Intervention record Scheduled date Timeslot 30 10 2013 mia e g 31 07 2013 for the 31st of July 2013 Intervention date Haj st of July 2013 22 10 2013 e g
116. file Yellowcard Help Logout SMITH Johnathan Mr Bom 03 Feb 2001 11y 2m Gender Male CHI No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v Medication wv aspirin 300mg 12 Apr 2012 Testuser Quantity o child records to display Figure 5 21 Medication summary Alternatively click cancel to return to the patient home no details will be saved Select the edit link to amend any details Page 69 PCR User Guide for version 10 High risk medicine care risk assessments 6 High risk medicine care risk assessments 6 1 Overview A high risk medicines care risk assessment allows healthcare professionals to record information about a patient s use of a particular medicine type At present a High risk medicine care risk assessment can be completed for Methotrexate Lithium or Warfarin The functionality consists of a series of grouped questions answers and supporting protocol guidance The capability supports the capture and recording of the answers in line with the provided protocol The questions are grouped into the following sections Concordance Interactions and precautions Adverse reactions and Monitoring A patient can have multiple high risk medicine care risk assessments over time Sections can be answered in sequence or be completed individually and revi
117. follow up x ina Date 20 04 2012 a Timeslot Morning Bal ave Contact by In person v oul ent lec La is Schedule follow up Cancel Earnest review by Last MOdITIEd on Figure 7 6 Schedule follow up pop up dialogue Select the Schedule follow up button on the pop up form the follow up intervention will be added to PCR and the new medicine interventions review page will be refreshed to show the In person follow up record that has been created Figure 7 7 Page 94 PCR User Guide for version 10 New medicine interventions SMITH Johnathan Mr Bom 03 Feb 1973 39y Gender Male CHI No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and email 01506 000 000 v New medicines intervention for Aspirin 75mg Tablets Use to add care issues for the specific question Medicine Medicine detail Aspirin 75mg Tablets Instructions Take ONE Tablet Daily Service CMS Indication Angina Last modified 13 Apr 2012 by Testuser Initial intervention Does the patient know why they have been prescribed the medicine Yes ka Is there anything that the patient would like to know about the medicine and how it Yes BE should work Is there anything else that the patient would like to know about the medicine Not recorded fal Last modified 13 Apr 2012 by Testuser Scheduled date Friday April 20 2012 Intervention
118. for the first time the change password screen will display instead of the default landing page Search criteria or Home page In this case See Changing your password on initial login section Login from PMR application Some pharmacy Patient Medication Record PMR systems have the ability to directly link to a patient s PCR record from within the PMR If logging in from within the PMR application the Search criteria screen will not be displayed Further information on PCR integration with PMRs is detailed in section 8 of this guide Login after system timeout When the automatic session timeout is triggered the screen will lock Figure 1 9 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Tue Jan 27 2015 15 26 we oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellowcard Help Logout SMITH Johnathan Mr Bor 03 Feb 2001 13y 11m Gender Male CH No 0302010017 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 TEZ Phone and emai 01506 000 000 v Print Care Issues Edit Pharmaceutical care plan j High risk medicine assessments N New medicine interventions aS Support tools Patient Profile Your session has timed out x Show less detail Named Pharmacist Please enter your password and select unlock Additional Information Password Gener
119. free annual health check at the pharmacy Height or weight or both not available No Height m Unanswered Weight ka Unanswered Unanswered Figure 8 12 Care Issues Associated with This Assessment Page 117 PCR User Guide for version 10 8 8 Set the status of a Gluten free support tool assessment to Completed Gluten free support tool assessment To Complete a Gluten free support tool assessment From the GLUTEN FREE review page select the Complete assessment button in the Assessment completion section of the Review screen Figure 6 17 The system will set the status of the assessment to completed and refresh the page Figure 8 14 The assessment completion details will be updated Assessment Complete Yes Assessment completed by Pharmacist ID Assessment completed on date tm Th EOLA CFE ee ur ww will support their concordance with a gluten free diet Is the patient prescribed folic acid iron Unanswered or calcium and Vitamin D supplements Is the patient aware of how to take these Unanswered medicines properly if indicated Use to add care issues for the specific question Care issues associated with this assessment consuming foods that contain gluten Is the patient aware that adverse effects Unanswered should be reported Is the patient aware of how many gluten Unanswered free units they are able to order each month Gluten free
120. gure 9 14 Submit 4 week data validation error shown Page 136 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 9 Review Assessment Details 4 Week Data Submitted Now that the 4 week MDS has been submitted the minimum dataset section shows the overall MDS status as Validated with the release status shown as Submitted Figure 9 15 The assessment must be accessed and updated with any contacts or contact attempts that occur in the weeks leading up to the 12 week submission Where appropriate care issues can also be recorded Page 137 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment Pharmacy 12345 Pharmacy Two N IH S User Testuser Jane Smith Last login Thu Jun 5 2014 13 49 a eee SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 05 Jun 2014 By Testuser ddress 3 Apples Avenue PA3 3BB Phone and email 10234567890 v LLIAMS Steven Smoking cessation Client information Referral and intervention context Gender Male Referral date 01 May 2014 Pregnant No Referral source Pharmacist Ethnic group White Scottish Referral source other Ethnic group other Intervention setting s Primary Care Employment status In paid employment Hospital Inpatient Employment status other Educational establishment Tobacco use and quit attempts Non
121. h level menu functions Explains the links on the high level menu with reference to more detailed guidance on some functions elsewhere in the document Section 3 Pharmacy Home page The Pharmacy home pages displays a high level summary of patients within the pharmacy Section 4 Search for and create patient records Detailed guidance on how to create and search for patient records on PCR Section 5 Pharmaceutical care plans Create and maintain pharmaceutical care plans for patients including the creation and maintenance of patient profile information and care issues and care issue outcomes Section 6 High risk medicine care risk assessments Create and maintain high risk medicine care risk assessments and associate care issues and care issue outcomes to a high risk medicine care risk assessment Section 7 New medicine interventions Create and maintain new medicine interventions and associated care issues and care issue outcomes Section 8 Gluten free Support Tool Assessment Create and maintain Gluten free Support Tool Assessment and associated care issues and care issue outcomes Section 9 Smoking Cessation Support Tool Assessment Create and maintain smoking cessation Support Tool Assessment and associated care issues and care issue outcomes Section 10 Reports This section includes details of the outstanding care issues report patient summary report Open care issue reports new medicine interventions reports diagn
122. harmacy 1234 Pharmacy One a E oo S User Testuser Jane Smith Pharmacy Care Record N H Last login Thu Oct 10 2013 13 04 SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Born 17 Oct 1971 41y Gender Male CHI No 5555555555 Patient Details Last Modified On 10 Oct 2013 By Testuser Address Phone and email Me WILLIAMS Alan Mr Monitoring Monitoring miek a alpina plated hr Loar bd Bi There are national recommendations for the number of monthly gluten free units these vary by age and gender The amount of Gluten free annual health check not completed in gluten free units patients are given should meet their dietary What date is the patient due to receive their 0 10 2014 S Patients should be monitored periodically to ensure that they 9 maintain a healthy weight Some patients may have a blood test ee at intervals by their general practitioner to ensure that the patient Height or weight or both not available A is not showing signs of malabsorption Height m Actions Weight k Communicate the information gained from the annual eight kg health check to the patient s general practitioner Record any care issues in the patient s care plan and BMI 25 11 F agree desired outcome and actions Back Adverse effects Figure 8 6 Monitoring User Options Select calculator icon to calculate BMI if height and weight entered Select the Back Adverse effects
123. harmacy One Criteria PCR creation date from PCP Priority Care Issues Recorded Initial Assessment Completed Generate Report Figure 10 5 Patient Report for Associated Pharmacy criteria The report search results will be displayed Figure 10 6 Page 152 PCR User Guide for version 10 Reports Pharmacy 1234 Pharmacy One H S User testuser Jane Smith s Last login Fri Apr 13 2012 13 18 w aml SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Patient report for Pharmacy One Criteria PCR creation date from PCP Priority Care Issues Recorded Initial Assessment Completed Generate Report Number of patients on report 1 Family name Given name C Created on PCP Priority Modified on Number of Latest care risk care issues assessment Johnathan 0102031231 13 Apr 2012 Medium Priority 13 Apr 2012 9 05 May 2005 View Figure 10 6 Patient Report Showing Patients with No Initial Assessment Completed Flag For each patient that matches the search criteria the report details the patient s e Family name e Given name e CHI e The date the record was created PCP Priority as defined by the pharmacist e Date the patient s record was last modified e Number of care issues e Date of the latest care risk assessment note this is not the date the Initial Assessment Completed flag was set but refers to the completion of a Pharmaceutical Care Risk Assessment as def
124. hat the 12 week MDS has been submitted the minimum dataset section is complete for all MDS submissions it shows the overall MDS status for Start four week and twelve week as Validated with the release status for each shown as Submitted Figure 9 17 Any Contacts or Contact attempts that were made in the weeks leading up to the 12 week submission are also shown on the review page The Next Action section is no longer displayed on the page Page 140 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment er ee a weeks Quit date 13 Feb 2014 View submitted minimum data set Minimum dataset Target date Release status Start Validated Submitted Testuser 14 May 2014 Four week 13 Mar 2014 27 Mar 2014 Validated Submitted Testuser 14 May 2014 Twelve week 24 Apr 2014 22 May 2014 Validated Submitted Testuser 14 May 2014 Contact Week Intervention Contact type Smoked CO reading Product Product and contact Recorded by Recorded on date notes 14 14 May 2014 Face to face No Not recorded Testuser 14 May 2014 Record Contact attempts Week Contact attempted on Contact type Recorded by Recorded on 14 14 May 2014 Telephone Testuser 14 May 2014 Record Care issues associated with this assessment Care issue Earliest review by Last modified on No records to display Add Intervention completion Intervention complete Intervention completed by Intervention completed on Please select Un
125. he Outstanding care issues report shows patients with care issues that require a review between two dates the From and To date fields at the top of the report To show all patients with a care issue needing a review by or before today s date by leaving the From and To dates blank and then click the Generate Report button With the introduction of the High risk Medicines Care Risk assessments and new medicine interventions functionality it is also possible to filter on Care Issue Type Standard High Risk Medicine or New Medicine To run the outstanding care issues report Select the outstanding care issues link from the Reports page The outstanding care issues criteria will be displayed Figure 10 3 Pharmacy 1234 Pharmacy One A 7 User Testuser Jane Smith N H S Last login Mon Oct 14 2013 08 56 ee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Outstanding care issues Criteria Review by date from Care Issue Type Figure 10 3 Outstanding care issues report criteria Select the Generate Report button all outstanding care issues for the associated pharmacy will be displayed Figure 10 4 Pharmacy 1234 Pharmacy One User Testuser Jane Smith Last login Mon Oct 14 2013 08 56 SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Outstanding care issues Criteria Review by date
126. he report link Figure 10 15 Pharmacy 9895 Ork5 N H S User Ork5 Kim Smith Last login Mon Feb 25 2013 09 49 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Reports Care issue and patient report Figure 10 15 New medicine intervention support tool report links e The report is displayed Figure 10 16 Page 161 PCR User Guide for version 10 Reports Pharmacy 1234 Pharmacy One N H S User testuser Jane Smith aa Last login Fri Apr 13 2012 13 38 we oe CL SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout All new medicine interventions report Figure 10 16 All new medicine interventions report Report Data Report Name Report Columns All new medicine interventions for the pharmacy e Patient Name e CHI All open new medicine interventions report e Medicine detail e Last modified on Open new medicine interventions without any follow ups e Last modified by e Status Completed new medicine interventions e Review page link Follow ups scheduled up to TODAY e Scheduled date hover for timeslot Follow ups scheduled up to 7 days from today e Patient name e CHI Follow ups scheduled up to 14 days from today e Medicine detail e Last modified on Follow ups scheduled up to 28 days from today e Last modified by e Contact preference By Telephone or In Person e Review page link Page 162 PCR User Guide for ver
127. ially when staying with family Patient takes ACE inhibitor and diuretic together at tea time Has difficulty pressing out paracetamol tablets from the blister pack Suffers arthritic pain regularly Smoker Page 194 PCR User Guide for version 9 Appendix D Example test patients 195 Test patient 2 Name Mr Bertie Biscuit CHI number 7177777777 Relevant medical history Diabetes 10 years ago Hypertension 5 years ago Current drug therapy Metformin 500 mg tablets one twice daily started 7 years ago Ramipril 10 mg capsules one daily started 3 years ago Bendroflumethiazide 2 5 mg tablets one daily started 5 years ago Simvastatin 40 mg tablets one daily started 3 years ago Previous drug therapy Glibenclamide 5mg tablets once daily stopped 9 years ago Tolbutamide 500mg tablets two daily stopped 7 years ago Other information Poor understanding of rationale of medicines Poor vision due to cataracts Overweight Smokes about 10 cigarettes a day Page 195 PCR User Guide for version 9 Appendix D Example test patients 196 Test patient 3 Name Mr Colin Cracker CHI number 9999999999 Relevant medical history COPD 1 year ago Osteoarthritis 15 years ago Current drug therapy Paracetamol 500 mg two three or four times daily 10 years ago Salbutamol inhaler two puffs when required 1 year ago Tiotropium 18 mcg inhaler one puff daily 6 months ago Symbicort 400
128. iated with this intervention Care issue Earliest review by Last modified on gt difficulty opening the packaging 18 Apr 2012 05 Apr 2012 Intervention completion Intervention complete No Intervention completed by Figure 7 14 Summary of added care issue Page 102 PCR User Guide for version 10 New medicine interventions To add a care issue care issue outcome with context to a specific intervention question Select the link next to a specific question listed on the new medicines intervention review page Figure 7 15 Initial intervention Does the patient know why they have been prescribed the medicine Yes Is there anything that the patient would like to know about the medicine and how it Yes should work Is there anything else that the patient would like to know about the medicine Not recorded Last modified 13 Apr 2012 by Testuser Figure 7 15 Link to add a question specific care issue The Record care issues for new medicine intervention page will be displayed and the description of care issue and desired outcome input boxes will be prepopulated with default text Figure 7 16 User Testuser Jane Smith l Last login Fri Apr 13 2012 12 03 Pharmacy 1234 Pharmacy One Dharman Dara D pa NHS SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout SMITH Johnathan Mr Born 03 Feb 1973 39y Gender Male CHI No 0102031231 Preferred name John Pat
129. ick the Add answer button Figure 1 13 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Thu Oct 10 2013 13 04 w P SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Manage Reset Password questions Using the function below you can configure Reset Password questions which will allow you to unlock or reset your password without contacting the helpdesk You need to have 5 questions answered before you can use Reset Password functionality Question Question 8 Se enter answer here m m m m m mmm then click to add Questions already answered Question Answer set on Question 1 01 Dec 2009 Delete Question 2 01 Dec 2009 Delete Question 3 01 Dec 2009 Delete Question 4 01 Dec 2009 Delete Question 5 01 Dec 2009 Delete Answered Questions 5 Required Questions 5 Figure 1 13 Answer text box and add answer button Step 5 Answer additional questions Repeat Step 4 until you have answered the required number of questions currently set at five questions Page 24 PCR User Guide for version 10 Access and security 1 10 Change or remove questions Password reset questions cannot be edited To change an answer to a question remove the question first and then re add it with your new password To change or remove questions Within the Manage Reset Password questions page click Delete on the question you want to change or re
130. ient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v Record care issue for new medicine intervention Means a field requires data Care issue Description of care issue Patient is having problems or suffering adverse effects Care issue outcome Desired Outcome Patient is not having problems or suffering adverse effects Action Action By Patient Response Status Review By Figure 7 16 Record care issue Enter the details of the care issue and care issue outcome and click the Save button Page 103 PCR User Guide for version 10 New medicine interventions The care issue and care issue outcome information is saved in PCR and the new medicine intervention review page is displayed A summary of the added care issue is shown on the review page Figure 7 14 7 10 Complete a new medicine intervention record A new medicine intervention can be completed in the following circumstances Patient is adhering Patient is not adhering Patient lost to follow up To set the status of a new medicine intervention to complete Select a reason from the dropdown menu in the Intervention Completion section of the review page Figure 7 17 Scheduled date Monday March 26 2012 Intervention date Not set Contact preference By telephone on 01506 000 000 Time slot preference Call after 1pm Has
131. ined in section 4 3 of this user guide for the patient Selecting the View link will navigate to the corresponding patient home Figure 10 7 Number of patients on report 1 Family name Given name Cc Created on PCP Priority Modified on Number of Latest care risk care issues assessment Johnathan 0102031231 13 Apr 2012 Medium Priority 13 Apr 2012 05 May 2005 I View l Figure 10 7 View link Page 153 PCR User Guide for version 10 Reports 10 4 Open Care Issue reports The following Open care issue reports are available Open care issues with review date set Open care issues with reviews due in next 7 days Open care issues with reviews due in next 14 days Open care issues with reviews outstanding Open care issues with no outcome ever recorded Open care issues with no review date set All Open Care Issue reports have a report filter that can be accessed via the Show Hide Filter link Open Care issue with review date set shown as example Figure 10 8 The filter is applied automatically as you type Pharmacy 1234 Pharmacy 1234 User Testuser Jane Smith Last login Wed Apr 8 2015 15 32 NHS SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Number of records on repot 14 Show Hide Filter Open care issues with review date set Date of birth CHI 1989 Patient name Description Review by Patient name Date of birth CHI De
132. ing this function will display the change password page Figure 2 6 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Tue Apr 3 2012 10 36 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Change password Current password New password Confirm password Figure 2 6 Change password page The change password function can be used at any time Page 33 PCR User Guide for version 10 High level menu functions 2 2 7 Manage profile Use this function to access links to manage details relating to the user s profile password reset questions and also a link to the change password functionality Figure 2 7 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Tue Apr 3 2012 10 36 S pment SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Manage profile Figure 2 7 available options on Manage profile page Pharmacists can now change the details held about them in the PCR system such as their name email address and how their name is displayed in PCR Step 1 Access the manage profile page Login to PCR Select Manage Profile from the main menu The system will display the Manage Profile Page Select the Manage my profile link Figure 2 8 Pharmacy 1234 Pharmacy One e NnS SCOTLAND Search Protocols Reports Change password Manage profile Yellow ca
133. initial password and then enter a new password on the update password page Figure 1 1 Click the Change Password button Figure 1 1 If the password change is successful the system displays the Search criteria page A password can be changed at any time by selecting the Change Password option on the high level PCR Menu See section User IDs and passwords must only be used by the person that they were distributed to and must be kept secure All access to PCR login viewing and updating of patient records is audited and patterns of inappropriate use are investigated Page 13 PCR User Guide for version 10 Access and security 1 4 Associating with a community pharmacy A user can only access patient records relating to the pharmacy where they are currently working A user must associate with the pharmacy where they are working when they begin work in their usual or a different pharmacy usually each morning In most pharmacies the association process can only be performed on the main server computer in the pharmacy however some large multiple pharmacies may allow the association process from any computer in the pharmacy The main server computer is usually the one where the ePharmacy Certificate Management Application is installed and the ePharmacy Client Certificate resides except Lloyds pharmacy The association process makes use of the ePharmacy Certificate in one of the checks to ens
134. interactions include Is the patient aware that certain OTC medicines can Acitretin and Sulfinpyrazone interact with methotrexate YesNo Chloramphenicol co trimoxazole probenecid and trimethoprim Consider the need for contraceptive and family planning advice Action Advise the patient to always check with their GP and pharmacist that any new medicine including OTC is safe to take with methotrexate Record any issues in the patient s care plan and agree desired outcomes and actions Figure 6 6 Interactions amp Precautions screen User Options Select the Back Concordance button the System will save entered data and navigate to the Concordance screen Figure 2 3 OR Select the Next Adverse reactions button the system will save entered data and navigate to the Adverse reactions screen Figure 2 6 OR Page 74 PCR User Guide for version 10 High risk medicine care risk assessments Select the Save amp Review button The system will save the question answers and navigate to the Review screen for the selected medicine Page 75 PCR User Guide for version 10 High risk medicine care risk assessments Step 3 Answer adverse reactions questions Select an answer for each of the questions on the Adverse reactions screen Figure 6 7 Page 76 PCR User Guide for version 10 High risk medicine care risk assessments Bom 13 Feb 1945 67y Gender Mal
135. ique reference PCR 6893717A D279 40E8 A46F D8F290BAF4B7 Figure 9 17 Page 141 PCR User Guide for version 10 9 12 Record Contact Smoking Cessation Support Tool Assessment The patient is encouraged to keep in contact with the pharmacy weekly A contact can be recorded at any time during the quit attempt To record a contact e Select the Record link at the bottom right hand side of the Contact summary on the review page e Enter required information e Click record contact Employment status Employment status other Tobacco use and quit attempts Cigarettes smoked More than 30 Time after waking Number of quit attempts Pharmaceutical usage Pharmaceutical usage one time Pharmaceutical usage 0 weeks In paid employment VVithin 5 minutes No quit attempts NRT only one product at any details are saved the review page is displayed Peete eee y Intervention setting other Date of initial appointment Intervention s used in this quit attempt Intervention other 13 Feb 2014 One to one sessions ls shared care No Consent Consent to follow up Yes Contact Contact date Contact type Has the patient smoked CO Reading Product Product and contact notes Please select gt Yes C No Please select ppm 16h patch Gum r 24h patch Lozenge C Nasal spray C Inhalator m Bupropion m Yarenicline Sub lingual tablet pO Record contact Figure
136. isplayed Figure 9 3 and it will not be possible to create a new assessment Please complete the open smoking cessation support tool assessment before initiating another assessment Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 TEZ Phone and email 01506 000 000 v Suppor tool assessment Please select the support tool Smoking cessation Y Please complete the open smoking cessation support tool assessment before initiating another assessment Figure 9 3 open smoking cessation support tool assessment exists If an assessment has been started at another pharmacy within the last 12 weeks an error message will be displayed Figure 9 4 and it will not be possible to create a new assessment Address Phone and email v Support tool assessment Please select the support tool Smoking cessation Smoking cessation support tool assessment cannot be started because the patient has had an assessment started at another pharmacy within the last twelve weeks Figure 9 4 Assessment started at another pharmacy within 12 weeks Page 123 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 3 Initial Data Capture The Initial Data Capture page allows the user to enter or select the following information Consent Client Information Tobacco use and quit attempts Pharmaceutical usage Referral and
137. itian patient s GP or as per healthboard guidelines Next Interactions amp precautions Figure 8 3 Concordance User Options Select the Next Interactions amp Precautions button The system will save entered data and navigate to the Interactions amp Precautions page Select the Save amp Review button The system will save entered data and navigate to the Review page for the selected assessment Page 109 PCR User Guide for version 10 Gluten free support tool assessment Step 2 Answer Interactions amp Precautions Questions Provide an answer to all questions on the Interactions amp Precautions page by selecting either Yes or No for each question Figure 8 4 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Thu Oct 10 2013 13 04 eee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bor 17 Oct 1971 41y Gender Male CHI No 5555555555 Patient Details Last Modified On 10 Oct 2013 By Testuser Address Phone and email v WILLIAMS Alan Mr Interactions amp precautions Interactions amp precautions Fh ppl aame e a EAA ean ee Yeda Health risks associated with non compliance with a gluten free Ea diet include osteoporosis chronic malabsorption and gut Is the patient aware of how to take these medicines lymphoma properly if indicated YesNo Aoii Provide advice on
138. le Full Access Yellow Card Full Access Full Access Full Access High risk medicine and new medicine reports will not be visible 1 3 2 Search Create and Edit Patients 1 3 3 Patient Context Tabs Pharmaceutical Care Plan Tab Can only see Gluten free and Smoking Cessation High Risk Medicine Tab Tab Hidden From View New Medicine Tab Function cess New Medicines Tab Start NMIST assessment View NMIST Review Page Tab Hidden From View Page 10 PCR User Guide for version 10 Access and security Support Tools Tab Function cess OUO Support Tools Tab Full Access Start Gluten Free Support Tool Assessment Full Access View Gluten Free Support Tool Assessment Full Access Edit Gluten Free Support Tool Assessment Full Access View Summary of Gluten free support tool assessments Full Access Smoking Cessation Reports and Smoking Cessation maree la pharmacy Review Date set and Smoking Cessation days and Smoking Cessation 14 days and Smoking Cessation ever recorded and Smoking Cessation but at least 1 outcome and Smoking Cessation in the past and Smoking Cessation rs patients historical Gluten free diet set to Not Recorded Full Access All gluten free assessments Full Access Annual health check not completed in Full Access pharmacy Open smoking cessation assessments Full Access Completed smoking cessation Full Access assessments No interactions in the last seven days Full
139. le being keyed into the Import Medications filename area Pharmacy 1234 Pharmacy 1234 N H S User Testuser Jane Smith Last login Mon Mar 16 2015 08 06 ae ah SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Born 30 Jan 1989 26y Gender Male CHI No 3001893397 Patient Details Last Modified On 30 Mar 2010 By testuser AMES Simon Mr Address Ames Address Line 1 Ames Address Line 2 Ames Address Line 3 Ames Ad Phone and email v Import Medications Choose file Browse ee Choose File to Upload GO Users cacadminy Searche oodmin Organize v New folder Jr Fanii Name Date modified E Desktop 5 Contacts 05 12 2 m Downloads hk Desktop i Recent Places is Downloads 05 12 m Favorites 2013 14 00 e folder a Libraries F Links 05 12 26 2014 14 2 e folder 13 14 00 e folder 13 14 00 e folder 13 14 00 e folder 12 a Music m My Music 05 12 2013 1 e folder Pictures _E My Pictures 05 12 2 e folder e folder Documents E My Documents 05 12 E Videos BE My Videos 05 12 2 Saved Games 05 12 Computer JP Searches 05 12 2013 14 00 e folder 0 n n n 0 2013 14 00 i der r 0 n n n th Network 4 File name AIl Files inn Figure 11 6 PCR medication import page and standard windows file open dialog If the box is greyed out preventing you from enteri
140. lid signature Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 108 Association Error Technical Error Your association request could not be verified by the PCR server Invalid certificate Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 109 Association Error Technical Error Your association request could not be verified by the PCR server no signature present Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 110 Association Error Technical Error Please check that the time and date on your PC is correct Check and if necessary correct the time and date on your computer If this error reoccurs please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 111 Association Error Technical Error No timestamp present in the association message Please ensure that you have followed all the association steps in the PCR User Guide If this issue reoccurs please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 112 Association Error Technical Error Your association request could not be processed The timestamp is not in a valid format If this error reoccurs please contact the PSD ePharmacy helpdesk on 0131 275 6600 or b
141. me p o o Desired Outcome Patent noe aware to check sufabddy of OTC products purchased wil Acton a a Action By Patent Response Status Renew By Figure 6 13 high risk medicines Record care issue screen Page 83 PCR User Guide for version 10 Step 2 Enter form details Enter relevant details into the form Description of care issue Mandatory Desired Outcome Mandatory Action Action By Response Status Display Text Review by Step 3 Save details e Click Save High risk medicine care risk assessments The system will add the Care Issue Care Issue Outcome to the PCR database and navigate to the Review screen The newly created Care Issue Care Issue Outcome will be listed in the Care issues associated with this assessment grid Figure 2 12 ls the patient aware they should check Yes that any newly prescribed medicines don t interact with methotrexate ls the patient aware that certain OTC Yes medicines can interact with methotrexate Care issues associated with this assessment Care issue gt Patient unaware that some OTC products can interact with Methotrexate Assessment completion Assessment complete Assessment completed by Assessment completed on Complete assessment ls the patient aware of how frequently Yes they should have their blood tests done Can the patient tell you the date oftheir 1 last blood test and if
142. mes Care Issue 1 Standard 17 Mar 2010 Miss Mary Cloud 31 Aug 1980 3108808036 Cloud Care Issue 3 Standard 30 Mar 2010 Mrs Louise Brennan 21 Aug 1998 2108989749 Care Issue with no Outcome Standard 01 Apr 2015 Figure 10 13 Open care issues with no outcome ever recorded Report Columns e Patient Name e Date of birth e CHI e Description e Type e Modified Default Sort Ascending View Link Links to View Care Issue Page Page 159 PCR User Guide for version 10 Reports 10 4 6 Open care issues with no review date set To run the Open care issues with no review date set report Select the Open care issues with no review date set link from the Reports page The report detail will be displayed Pharmacy 1234 Pharmacy 1234 N H S User Testuser Jane Smith Last login Tue Apr 7 2015 15 28 we oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Open care issues with no review date set Number of records on report 8 Show Hide Filter Patient Date of CHI Description Modified name birth Mr Simon 30 Jan 3001893397 Ames Care Issue 2 Standard Ames 1989 Mr Simon 30 Jan 3001893397 Ames Care Issue 3 Standard Ames 1989 Miss Mary 31 Aug 3108808036 Cloud Care Issue 5 Standard Cloud 1980 Jane Brown 07 Jun 777777717717 Methotrexate Care issue High risk 1987 medicines Jane Brown 07 Jun 7777777777 Narfarin Care Issue High risk 1987 medicines
143. move Figure 1 14 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Thu Oct 10 2013 13 04 Nere cee SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Manage Reset Password questions Using the function below you can configure Reset Password questions which will allow you to unlock or reset your password without contacting the helpdesk You need to have 5 questions answered before you can use Reset Password functionality Question Question 7 Answer Questions already answered Question Answer set on Question 1 01 Dec 2009 Question 2 01 Dec 2009 Delete Question 3 01 Dec 2009 Delete Question 4 01 Dec 2009 Delete Question 5 01 Dec 2009 Delete Answered Questions 5 Required Questions S Figure 1 14 Delete reset password question Page 25 PCR User Guide for version 10 Access and security 1 11 Reset password Use the reset password process to change your password where a password has been forgotten and a sufficient number of reset password questions have been set Step 1 Click forgotten your password link Select the Forgotten your password link on the PCRUA or PCR login screen Figure 1 15 Pharmacy Care Record Please enter your details to login UserID RPSGB GPh for futher information click here Password gt Figure 1 15 forgotten your password link Step 2 Enter user details Ent
144. n No records to display Figure 8 1 Support tools tab Select Gluten free from the dropdown menu The Concordance page is displayed Pharmacy 12345 Pharmacy Two Pharmacy Care Record N HS User Testuser Jane Smith THdatihldty Wale MELJ Last login Thu Jun 5 2014 14 17 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 05 Jun 2014 By Testuser Address 3 Apples Avenue PA3 3BB Phone and email 10234567890 v WILLIAMS Steven Support tool assessment Please select the support tool Gluten free r Figure 8 2 Support tool selection Page 108 PCR User Guide for version 10 Gluten free support tool assessment 8 3 Create a Gluten free support tool assessment Having completed the steps in section 8 2 this section guides you through the procedure to create and save a Gluten free support tool assessment All questions are mandatory If an answer is not selected an error message will be displayed when either the Next or Save amp review buttons are selected It is not possible to navigate to the next questions screen or the review screen unless an answer is provided for each question Protocol guidance text is displayed on the right hand side of each question page Step 1 Answer Concordance Questions Provide an answer to all questions on the
145. n Poor understanding of rationale of medicines for diabetes and hypertension Patient has poor vision due to cataracts Patient is overweight PCR User Guide for version 9 Improve patient s understanding of the rationale of their current therapy Ensure that the patient can read any appropriate patient information e g medication labels Encourage and support the patient to stop smoking Reduce patient s weight through lifestyle changes Counsel patient accordingly Discuss the patients ability to read labels Discuss risks of smoking with patient Provide lifestyle advice e g weight loss exercise alcohol intake Appendix E Patient Test Cases 204 Action by Pharmacist GP Nurse Patlent Patient has better understanding of each therapy and its importance Pharmacist Provide large print labels if necessary Pharmacist Patient is enrolled on the PHS smoking cessation service Pharmacist Pharmacist Patient starting a regular exercise regimen Page 204 PCR User Guide for version 9 Appendix E Patient Test Cases 205 Test Patient 3 Mr Colin Cracker Patlent Detalls Name Colin Cracker Date of Birth Gender Male CHI Number 99999999909 Contact Detalls Address N A 125 Anywhere Street Anytown ANT 3RR Emall address Phone Number Medication Profile Pharmaceutical Care Risk Assessment Care Issues with the appropriateness of the medici
146. n Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and email 01506 000 000 v Print Care Issues Edit Pharmaceutical care plan High risk medicine assessments New medicine interventions Support tools i High risk medicine care risk assessment Type Number of care issues Last modified on Last modified by Assessment Assessment completed by completed on Methotrexate 0 23 Oct 2013 Testuser Edit Figure 6 19 High Risk Medicines tab Page 88 PCR User Guide for version 10 High risk medicine care risk assessments Phanmacy 1234 Pharmacy One ae pe est dana Smith Pharmacy Care Record NHS Last login Thu Jan 12 2012 14 12 SCOTLAND search Protocols Reports Change password Manage profile Help Logout Bor 15 Feb 1045 G y Gender Male CHI No 1491119911 Patent Dolois Last Modified On Jan20i By Testuser Acsives Oakbank Avenue Glasgow G12 JHR Phone and emai 0115554044 HOM Mathetrevate Poceaa COMtaRiAGa gt lnteracteuns Concordance ls the patient taking their methotrexate as prescnbed WILLIAMS Steven Mr When indicated for RA and psoriasis methotrexate is prescribed as a single dose taken once a week on the same day each week As directed instructions should be avorded You should Does the patient know what to do if they miss a dose of f follow up with the patient s GP practice if the instructions printe
147. ne s Care Issue with the Yes OWNo Not Record formulation of the medicine s Care Issue with the dosage Yi Not Recorded and frequency of the medicine s ed Poor inhaler technique with MDI white smoke may be linked to osteoarthritis Care Issue with the O Yes D No Not Recorded contralndications Drug Interaction with one or No Not Recorded more medicines Page 205 PCR User Guide for version 9 Appendix E Patient Test Cases 206 Side effects with one or more Yes OWNo Not Recorded medicines Problems with concordance No Not Recorded Over use of salbutamol inhaler 4 puffs six times daily Care Issue In relation to O Yes WNo Not Recorded polypharmacy Pharmacokinetic risk factors Pharmacodynamic risk factors Disease risk factor Yes oe No Not Recorded Smoking is a primary risk factor for COPD Taking one or more medicines sal Ves ia No Not Recorded with a narrow therapeutic range Taking one or more black O Yes O No Not Recorded triangle medicines Duplication of medication summary yYes ONo Not Recorded Are there any pharmaceutical care issues of note Patlent Profile General Health Smoker Suffers occasional chest infections Medical conditions COPD Osteoarthritis Allergles and Sensitivities None known Page 206 PCR User Guide for version 9 Appendix E Patient Test Case
148. ng information click the Browse button shown in Figure 11 6 This will open the standard Windows file search dialogue box Page 180 PCR User Guide for version 10 PMR interface to PCR You can now manually search for the file or paste the location and filename into the filename area hold the lt CTRL gt key down and type V or use the mouse as described previously Figure 11 6 also shows the selection input of the export filename You then click the Open button and this will copy the filename and location to the Import Medications filename area box Once the export filename and location has been entered on the Import Medications page you click the Upload button If the export file is a valid medication history export file the screen seen in Figure 11 7 will be displayed Pharmacy 1234 Pharmacy 1234 N H S User Testuser Jane Smith Last login Mon Mar 16 2015 08 06 we oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellowcard Help Logout Born 30 Jan 1989 26y Gender Male CHI No 3001893397 AMES Simon Mr Patient Details Last Modified On 30 Mar 2010 By testuser Address Ames Address Line 1 Ames Address Line 2 Ames Address Line 3 Ames Ad Phone and email v Import Medications Are you sure you wish to import the medication data of patient AMES Simon Mr Figure 11 7 PCR patient medication import confirmation page You will now be asked to confirm that you wish t
149. ng medication profile Select the View link for the pharmaceutical care risk assessment you want to view Figure 5 10 The selected pharmaceutical care risk assessment is displayed Read only Figure 5 11 Pharmaceutical Care Risk Assessment 05 May 2005 InitialUser 04 Apr 2004 InitialUser 03 Mar 2003 InitialUser 02 Feb 2002 InitialUser 01 Jan 2001 InitialUser Figure 5 10 Newly created pharmaceutical care risk assesement displayed Page 62 PCR User Guide for version 10 Pharmaceutical care plans Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith s Last login Mon Mar 26 2012 08 32 SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout SMITH Johnathan Mr Born 03 Feb 2001 11y 1m Gender Male CH No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and email 01506 000 000 v Care Risk Assessment Pharmaceutical care issues which affect the patient Care issue with the appropriateness of the medicine s No Care issue with the formulation of the medicine s No Care issue with the dosage and frequency of the No medicine s Care issue with the contraindications No Drug interaction with one or more medicines No Side effect s with one or more medicines No Problem s with concordance No Care issue in relation to polypharmacy No Pharmacokinetic
150. nitial appointment Unanswered Tobacco use and quit attempts Intervention s used in this Group support closed groups Cigarettes smoked 10 or less quit attempt Time after waking 6 to 30 minutes Intervention other Number of quit attempts Once Pharmaceutical usage Pharmaceutical usage NRT No further MDS submissions will be possible if you onet complete this assessment are you sure you wish Pharmaceutical usage 0 to complete the assessment weeks Intervention setting other Confirm completion Quit date Not set Yes No Care issues associated with this assessment Care issue Earliest review by Last modified on No records to display Assessment completion Assessment complete Assessment completed by Assessment completed on Unsuccessful 7 Unique reference Not set Figure 9 22 Smoking Cessation Confirm Completion 9 16 View Submitted minimum data set This read only view of submitted minimum dataset is updated with each submission The example in Figure 9 23 shows all submissions Page 146 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment Pharmacy 12345 Pharmacy Two N H S User Testuser Jane Smith l Ei l Last login Thu Jun 5 2014 13 49 S mee SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 05 Jun 2014 By Testuser ddress 3 Apples A
151. o import the medication details for the patient PCR automatically checks that the CHI number included on the medication history export file matches that for the patient that you are currently viewing on the PCR If the CHI number does not match then you will not be able to import the medication history details The patient s name detailed in the medication history export file is also displayed as an additional check to ensure that the correct patient has been selected You confirm that you wish to upload the medication history by clicking Yes on the medication upload confirmation page The import process will not overwrite any existing medication history It will add new dispensing history information e g date quantity etc to any medication item and service combination that currently exists for the patient Once you have confirmed the uploading of the medication history you will be returned to the medication page and the imported medication will be displayed Figure 11 8 shows several expanded medication lines which are displayed by clicking gt and show the dispensing history over the period of time Page 181 PCR User Guide for version 10 PMR interface to PCR Contractor Code 1234 Pharmacy One Current User 1234567 Test User Pharmacy Care Record NHS Search Protocols Reports Changepassword Help Logout SCOTLAND Bom 01 Jan 1960 50y Gender Male CHI No 7777777777 PATIENT Demo Mr j Patient Details Las
152. oea Sore throat or mouth ulcers Unexplained bleeding or bruising Abdominal discomfort Dark urine Actions Check the patient s understanding of the signs of methotrexate toxicity using the information booklet Remind the patient that they should tell the pharmacist GP or specialist if they experience any side effects that could indicate toxicity Immediately refer the patient to their GP if they are showing signs of toxicity contacting their GP to alert them Patients with signs of pneumonitis must stop methotrexate and seek urgent hospital attention Advise the patient to report any adverse drug reactions through the MHRA Yellow Card Reporting Scheme either via yourself or by them self reporting Record any care issues in the patient s care plan and agree desired outcomes and actions Figure 6 7 Adverse reactions screen User Options Select the Back Interactions amp precautions button the System will save entered data and navigate to the Interactions amp precautions screen Figure 2 5 OR Page 77 PCR User Guide for version 10 High risk medicine care risk assessments Select the Next Monitoring button the system will save entered data and navigate to the Adverse reactions screen Figure 6 8 OR Select the Save amp Review button the system will save the question answers and navigate to the Review screen for the selected medicine Page 78 PCR User Guid
153. ofile Yellowcard Help Logout Born 03 Feb 2001 11y 2m Gender Male CHI No 0102031231 SMITH Johnathan Mr Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 Usual address Home 01506 000 000 3 Appleton Parkway Work Livingston Mobile 0777 000 000 Hi d e a othian Email JohnSmith home com EH54 7EZ Print Care Issues Edit New Medicine Interventions Pharmaceutical Care Plan Patient Profile High Risk Medicine Assessments Show less detail A Figure 4 11 Show hide patient address and contact details Page 49 PCR User Guide for version 10 Search for and create patient records 4 6 Edit Patient Details To edit patient details Select the Edit link located at the top right of the patient profile on the patient home screen This will display the patient details screen Figure 4 12 Pharmacy 1234 Pharmacy One Dharmam Narn PEPEES User Testuser Jane Smith P armac y Care R CCOT N H S Last login Tue Apr 3 2012 11 37 eee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Patient Details Patient Demographics Means a field requires data CHI 102031231 Title Given name Johnathan Family name Preferred name John Gender Date of birth 03 02 2001 j Patient Deceased e g 01 05 2010 for the 1st of May 2010
154. ointment 09 Jun 2014 Tobacco use and quit attempts Intervention s used inthis One to one sessions Cigarettes smoked 11 to 20 quit attempt Time after waking 6 to 30 minutes Intervention other Number of quit attempts Unknown ls shared care Pharmaceutical usage Consent Pharmaceutical usage NRT only combination therapy Consent to follow up Pharmaceutical usage 0 weeks Confirm quit date and record contact Quit date lO Record contact Confirm quit date Figure 9 10 Confirm quit date Without recording a contact If any of the initial data capture information is invalid missing a section named Please correct the following validation errors before attempting to proceed is displayed in place of the confirm quit date and record contact section The missing or invalid information is highlighted in red text Figure 9 11 e The Edit Initial Data Capture link allows the patient to update any missing information from the Initial Data Capture e The Edit Patient link allows the user to edit address telephone and post code information held in the patient profile This information is also submitted as part of the minimum dataset Once all missing or invalid information is corrected the confirm quit date and record contact section is displayed Page 131 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last
155. ol Assessment 9 16 Overview Start Smoking Cessation Support Tool Assessment Initial Data Capture Review assessment details after Initial data capture Start Quit Attempt and Confirm Quit Date Confirm quit date and record contact Review Assessment Details Quit Date Confirmed Submit 4 Week Data Review Assessment Details 4 Week Data Submitted Submit 12 Week Data Review Assessment Details 12 Week data submitted Record Contact Record Contact Attempt Support tools overview Smoking Cessation Assessment Completion View Submitted minimum data set 10 Reports 10 1 10 2 10 3 10 4 10 5 10 6 10 7 10 8 10 9 Overview Outstanding care issues report PCR Patient Report for Associated Pharmacy Open Care Issue reports New Medicine intervention reports Complex dispensing patient reports Gluten free reports High risk medicine assessments reports Smoking Cessation support tool assessment reports 11 PMR interface to PCR 11 1 11 2 11 3 Overview Patient interface Medication history transfer Appendix A Error Messages 121 121 122 124 127 129 130 133 135 137 139 140 142 143 144 145 146 148 148 150 152 154 161 163 164 166 168 176 176 177 178 184 Page 3 Contents 4 Appendix B Create PCR shortcut on desktop 187 Appendix C PCR association Common issues 189 Using PCR association function from a computer without an ePharmacy Certificate 189 Unable to access the P
156. ollowing a gluten free diet how many units they have allocated based on guidelines and if the number of units is dietitian advised The gluten free diet options are Not Recorded default option e No e Diagnosed coeliac Diagnosed coeliac and Dermatitis Herpetiformis Dermatitis Herpetiformis Undiagnosed Complex dispensing patient Use this option to signify if a patient is identified as a complex dispensing patient Options are Yes No or Not recorded Default If Yes is selected one or more of the five sub categories must be selected Monitored dosage system required by pharmacist Monitored dosage system requested by prescriber social services hospital Other adherence support required e g MAR sheet Instalment dispensing requested by prescriber Special monitoring and feedback required Patient Factors Dispositions Organ function Maternal Record any relevant patient factors This can include information about impaired organ function or visual impairment marking each of the factors as Yes No Not Applicable or Not Recorded Again you can enter any applicable free text information associated with each patient factor Pharmaceutical Care Plan Priority PCP A PCP priority can be recorded to assist with the recording of a Care Plan Priorities Figure 5 2 Possible values for PCR Priority are Not Recorded Default value Low Medium High N
157. omeopathic Sees prisene i ese a j all healthcare products mot just suspected side effects to medicines lf you would like to comment on our website or report a technical problem plase contact us Medical device adverse incident Already Registered Defective medicine not of an acceptable quality a piabie quakiy lf you have already registerad with this site please login Emal Address Counterfeit or fake medicine or medical device Fak iH Password Not sure which option te select Help us guide you We cannot give you medical advice If you are worried about your health Register 1 Talk to your doctor pharmacist or nurse 7 area a etna fou can register on the Yellow Car ee reporting site when you submit a NHS 111 in England and Scotland on 111 texctphone 12001 111 report or you Can register in NHS Direct Wales Galw IECHYD Cymru on 0845 48 47 textphone 0845 606 46 47 eens NHS Northern reland l Te Register Always read the patient information leaflet or instruction supplied with your medicine Stay connected with the MHRA or medical device It lists the known side effects of problems and advises you on what to do ea P R O Crown Cooyright i Semap eee MHR A C ot ere a ee Pagers mers ee ee Ds Figure 2 10 MHRA YellowCard website Page 36 PCR User Guide for version 10 High level menu functions 2 2 10Help Select this option to view help related information that include
158. ontact date ee Contact type Please select gt Has the patient smoked c Yes C No CO Reading Please select gt ppm Product 16h patch C 24h patch C Lozenge E Gum C Nasal spray C Inhalator E Sub lingual tablet m Bupropion C Varenicline E Product and contact notes po Confirm quit date Figure 9 9 Confirm quit date with option to record contact Page 130 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment To confirm quit date without Recording a contact e Enter quit date in the confirm quit date and record contact section e Deselect Record contact checkbox e Click the confirm quit date button the review page is displayed Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Wed Jun 4 2014 14 50 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Born 15 Feb 1945 69y Gender Male CH No 1111111111 Patient Details Last Modified On 11 Jun 2014 5y Testuser Address 5 Oakbank Avenue Glasgow G12 3NR Phone and emai 10234567890 LY WILLIAMS Steven Mr Client information Referral and intervention context Gender Male Referral date 02 Jun 2014 Pregnant No Referral source Self referral Ethnic group VVhite Scottish Referral source other Ethnic group fother Intervention setting s Pharmacy Employment status In paid employment Intervention setting other Employment status other Date of initial app
159. ontact week Quit attempt week Mr Steven Williams 15 Feb 1945 1111111111 G12 3NR Figure 10 20 All open Report Columns e Patient Name e Quit Date e Date of birth e CHI e Post code e Last contact week e Quit attempt week e MDS Status View Link Select the View link at the right hand side of the report to view the assessment review page Page 169 PCR User Guide for version 10 Reports 10 9 3All Completed smoking cessation assessments for the pharmacy The All Completed smoking cessation assessments for the pharmacy lists all smoking cessation assessments that have been completed using the assessment completion function in PCR This is independent of the MDS Status Pharmacy 1234 Pharmacy One N IH S User Testuser Jane Smith Last login Wed Jun 11 2014 14 15 eee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout Today Wednesday 11th June 2014 All Completed smoking cessation assessments for the pharmacy Show Hide Filter Patient name Quit date Date of birth CHI Post code Last contact week Quit attempt week MDS Frembokin Holutgon 04 May 2014 27 Jul 1973 8888888888 EH54 FEZ Week 7 Four week released Mr Steven Williams 11 Jun 2014 15 Feb 1945 1111111111 G12 3NR Week 1 Started Figure 10 21 All Completed smoking cessation assessments Report Columns e Patient Name e Quit Date e Date of birth e CHI e Post code e Last con
160. order each month Gluten free annual health checknot Wo ls the patient aware of how to take Yes these medicines properly if indicated completed in pharmacy What date is the patient due to receive 10 Oct 2014 Use to add care issues for the specific question their gluten free annual health check atthe pharmacy Height or weight or both not available Wo Height m 1 34 Weight kg 85 BMI Care issues associated with this assessment Care sue No records to display Assessment completion Assessment complete Assessment completed by Assessment completed on Figure 8 7 Gluten free support tool assessment summary page Care issues associated with the assessment are shown below the questions summary The assessment completion status is shown at the bottom of the page Page 113 PCR User Guide for version 10 Gluten free support tool assessment 8 5 Create associated care issue and Care Issue Outcomes using prepopulated text Selecting a link next to a question on the Gluten free summary page will populate the care issue with default text Step 1 Select link Select a link for the question on the Gluten free Summary page that you want to create a care issue care issue outcome for Figure 8 8 luten free assessment summary s the patient adhering to their gluten free Yes Jiet Joes the patient understand how to Yes dentify foods that may contain gluten Joes the patient have information
161. orm 30 Jan 1989 26y Gender Male CHI No 3001893397 Patient Details Last Modified On 30 Mar 2010 By testuser Address Ames Address Line 1 Ames Address Line 2 Ames Address Line 3 Ames Ad Phone and email v AMES Simon Mr Import Medications Choose file Page 179 PCR User Guide for version 10 PMR interface to PCR Figure 11 5 Import medications When you created the export file on your PMR your PMR will have also saved a copy of the export file s location and filename to the clipboard on your computer If you perform the import operation immediately after creating the export file you will not need to manually search and select the medication history export file instead you can just use the clipboard details to define the location and filename If the Import Medications filename area as seen in Figure 11 5 is not greyed out then you can click in the box and then hold the lt CTRL gt key down and type V This will paste the fi le name and location of the export file into the box or you can perform the same function by right clicking the mouse and choosing Paste Each of the PMR systems store the medication export files in a specific folder on your computer Your PMR supplier will be able to advise where the medication export files are located on your computer Some versions of Internet Explorer include additional security checks which prevent the location and the filename of the export history fi
162. ors shall have any liability to any person or entity with respect to liability loss or damage caused or alleged to be caused directly or indirectly by the information therein NHS Scotland 2015 You can copy or reproduce the information in this document for use within NHS Scotland and for non commercial educational purposes Use of this document for commercial purposes is permitted only with the written permission of NHS Scotland Page 1 Contents Introduction 1 Access and security ee Ce kKaKaKuKRnKnRKaAkK NOV AK GW NM Bm uann UNK Access and security principles User ID and password User Role Associating with a community pharmacy PCR Login process Technical environment Maintain reset password questions Change or remove questions Reset password Expiring Password Warning Last login date and time 2 High level menu functions 2 1 2 2 Overview Menu functions 3 Pharmacy Home Overview Totals Smoking Cessation Gluten free High Risk Medicines New medicine Interventions 4 Search for and create patient records Overview Using the search function Manually create a patient record View Patient details Fdit Patient Details 5 Pharmaceutical care plans 6 High risk medicine care risk assessments Overview Patient profile Pharmaceutical care risk assessment Pharmaceutical care issues outcomes and actions Medication Overview Start a HRM Care Risk Assessment Create a high risk medicine
163. orts Smoking Cessation Assessment Completion Warning Message This user guide complements the NES Pharmacy Chronic Medication Service CMS Implementation Resource Pack Resource pack copies are available on request from NES Pharmacy In particular this user guide should be read in conjunction with section 4 of the NES Pharmacy CMS Implementation Resource Pack which describes the pharmaceutical care planning process Page 5 PCR User Guide for version 10 Creating test patients Test patients can be created to support PCR training Test patients must only be given one of the following CHI numbers e 5555555555 7177777777 9999999999 All PCR users can create test patients with these CHI numbers Test patients will only be visible for the pharmacy where they are currently associated Using these CHI numbers will ensure that test patients can be easily identified and are excluded from any relevant processing and reporting It is important to ensure that test patients do not resemble real patients To assist with this suggested patient names are listed in Appendix D Example test patients The pharmacy address can be used to complete the demographic data for each test patient Page 6 PCR User Guide for version 10 User guide structure Section 1 Access and security Understand the security arrangements for PCR and Use the associate function to determine your pharmacy and login to PCR Section 2 Hig
164. osed Coeliac patient report High risk medicine assessments reports and smoking cessation support tool reports Section 11 PMR interface to PCR Understand the relationship between PCR and the Patient Medication Record PMR application Appendix A Error Messages Full list of application error codes and their meaning Page 7 PCR User Guide for version 10 Appendix B Create PCR shortcut on desktop Create a shortcut to PCR on your desktop if one doesn t exist Appendix C PCR association common issues Explains common issues with the PCR association process Appendix D Example test patients Three example test patients Appendix E Test patient case studies Test patient case studies to help you learn about PCR Page 8 PCR User Guide for version 10 Access and security 1 Access and security 1 1 Access and security principles Security and access protocols in PCR are built around the following key principles Access is only allowed from Scottish community pharmacies via an independent community pharmacy N3 connection or an authorised corporate network with an approved N3 gateway Access to PCR is limited to practising Pharmacists and Pharmacy Technicians who work in Scottish community pharmacies All Pharmacists and Pharmacy Technicians who practice in Scottish community pharmacies have an individual User ID and password to access PCR A Pharmacist or Pharmacy Technician can only access PCR records for
165. ot Required Page 54 PCR User Guide for version 10 Pharmaceutical care plans Pharmaceutical care plan priority PCP Priority Not Recorded Notes A ba Initial assessment complete Figure 5 2 PCP Priority Page 55 PCR User Guide for version 10 Pharmaceutical care plans Initial assessment complete checkbox The Initial assessment complete checkbox allows a positive indicator to be set that identifies when the patient s initial assessment has been completed Once the Initial assessment complete box has been checked and the patient s PCR recorded saved the box cannot be unchecked To edit the patient profile e Select Review Edit link from the patient home page Figure 5 3 the patient profile edit page is displayed Figure 5 4 Patient is Pregnant Not Applicable Detail available Breast Feeding Not Applicable Detail available Pharmaceutical Care Plan Priority Not Recorded Detail available Patient Profile Last Modified 03 Dec 2008 by Initial User atte Review Edit NIN y Pharmaceutical Care Risk Assessment 05 May 2005 InitialUser 04 Apr 2004 InitialUser 03 Mar 2003 InitialUser 02 Feb 2002 InitialUser 01 Jan 2001 InitialUser Care Issues Figure 5 3 Review Edit Patient Profile Page 56 PCR User Guide for version 10 Pharmaceutical care plans Named pharmacist responsible for pharmaceutical care plan Additional Information e g Pharmacist A Info
166. out has been selected Page 38 PCR User Guide for version 10 Pharmacy Home 3 Pharmacy Home 3 1 Overview The Pharmacy Home page displays a summary of information about patients within the associated Pharmacy ee Pharmacy Care Record NHS Last login Tue Mar 3 2015 15 47 eee SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Pharmacy Home Last accessed Tue Mar 3 2015 16 00 Set as default page Totals Gluten free High Risk Medicines 0 Warfarin Smoking Cessation 0 0 0 0 0 0 0 Scheduled appointments Next days Figure 3 1 Pharmacy Home Pharmacist View Each item listed on the home page displays the total number of records in the list and a link to the detail 3 2 Totals e Patients All patients for associated pharmacy Page 39 PCR User Guide for version 10 Pharmacy Home e Initial assessment complete Where initial assessment is set to complete Care Issues e Total e Outstanding By Type Standard High risk medicines New medicine interventions Gluten free Smoking cessation 3 3 Smoking Cessation MDS e Expiring within the next 7 days e No quit date set e Awaiting 4 or 12 week follow up Assessments e No interactions in the last 7 days e Open Smoking cessation assessments o Start o 4 week o 12 week 3 4 Gluten free e Yes e Diagnosed coeliac DC e Dermatitis Herpetiformis DH 3 5 High
167. pcrua mhs scot nhs uk Re open Internet Explorer and open the PCR Association page or click on the desktop shortcut if you have previously created one Re attempt to associate yourself with the pharmacy where you are working If you still get a failure report the issue to the ePharmacy helpdesk Page 192 PCR User Guide for version 9 Appendix C PCR association Common issues 193 Additional information to help resolve these issues is available from the community pharmacy website http www communitypharmacy scot nhs uk core_services pcr html under PCR Association Error 109 Resolution Time Synchronisation Error The association process requires that the time on your PC is accurate a maximum of a 10 minute leeway is allowed If you have issues with association please check that the computer s clock is correct both date and time Page 193 PCR User Guide for version 9 Appendix D Example test patients 194 Appendix D Example test patients Test patient 1 Name Ms Sally Shortbread CHI number 9555555555 Relevant medical history Hypertension 2 years ago Osteoarthritis 3 years ago Current drug therapy Bendroflumethiazide 2 5 mg tablets one daily started 2 years ago Lisinopril 10 mg tablets one daily started 1 year ago Paracetamol 500 mg tablets one three times a day started 3 years ago Other information Doesn t always take her diuretic due to concerns about night time diuresis espec
168. r chosen above please specify Tobacco use and quit attempts On average how many cigarettes does the client usually smoke per day How soon after waking does the client usually smoke No quit attempts x their first cigarette How many times has the client tried to quit smokingin No quit attempts x the past year Referral and assessment context Date referred to service Referral source s Self referral Pharmacist Dentist Practice nurse P Prison Health visitor Smokeline HealthPoint E Stop smoking roadshow Incentive scheme Other please specify If Other chosen above please specify Intervention setting s i Workplace Hospital Inpatient Educational establishment Hospital Outpatient E Non NHS community venue Home Other please specify If Other chosen above please specify Date of initial appointment Intervention s used in this quit attempt One to one sessions on based Group support closed as specify groups Telephone support Unknown Group support open rolling groups If Other chosen above please specify Shared care between pharmacy and non pharmacy Yes No services Pharmaceutical usage Pharmaceutical usage NRT only combination therapy Total number of weeks of known product use
169. r Guide for version 10 Smoking Cessation Support Tool Assessment 9 6 Confirm quit date and record contact To Confirm quit date with option to record contact e Enter the quit date you have agreed with the patient in the confirm quit date and record contact section e Complete contact details date contact type has the patient smoked CO reading product product and contact notes e Click the confirm quit date button the review page is displayed When confirm quit date is selected any missing information is highlighted in red text Required Address 3 Uakbank Avenue Glasgow GIZ JNK Phone and ema 1023456 69U M Client information Referral and intervention context Gender Male Referral date 02 Jun 2014 Pregnant No Referral source Self referral Ethnic group White Scottish Referral source other Ethnic group other Intervention settingis Home Employment status In paid employment Intervention setting other Employment status other Date of initial appointment 10 Jun 2014 Tobacco use and quit attempts Intervention s used inthis One to one sessions Cigarettes smoked 11 to 20 quit attempt Time after waking 6 to 30 minutes Intervention other Number of quit attempts 4 or more times ls shared care No Pharmaceutical usage Consent Pharmaceutical usage NRT only combination therapy Consent to follow up Pharmaceutical usage 0 weeks Confirm quit date and record contact Quit date lM Record contact C
170. r correct User ID or Password PCR Code 202 Authentication Error Your password must be changed before attempting the association process Please change your password and then associate yourself PCR Code 203 Authentication Error You do not have permission to perform this action Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 204 Authentication Error Your account is suspended Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 104 Association Error An invalid Contractor Code was entered If you believe the contractor code to be correct please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 105 Page 184 PCR User Guide for version 9 Appendix A Error Messages 185 Association Error our Contractor Code is not valid with your ePharmacy certificate If you believe the contractor code to be correct please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 106 Association Error Your association request could not be verified by the PCR server Invalid EPOC Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 107 Association Error Technical Error Your association request could not be verified by the PCR server Inva
171. rd Help Logout Manage profile Figure 2 8 Manage profile options Step 2 edit profile details The Pharmacist Profile page will now be displayed Figure 2 9 User options Change details as appropriate and select Save details will be saved in PCR Select Cancel to exit without saving changes Page 34 PCR User Guide for version 10 High level menu functions Pharmacy 1234 Pharmacy One m NI H 1S User Testuser Jane Smith Pharr Care Record Last login Mon Mar 26 2012 15 46 pone prone Search Protocols Reports Change password Manage profile Help Logout Pharmacist Profile rads ID RPSGB i GPhC Testuser ation chek here Means a field requires data Title Given Name Middle Nameyinitial Family Name Email Address Display Jane Smith ss s Figure 2 9 Pharmacist profile For more details on the other options on the Manage profile page see Maintain reset password questions section 1 8 Page 35 PCR User Guide for version 10 High level menu functions 2 2 9 Yellow Card Select Yellow Card to open a link in a new browser window or tab to http yellowcard mhra gov uk Home About Yellow Card Downloads Contact Us Welcome to the reporting site for the Yellow Card Scheme Welcome to the MHRA s new reporting site Report a suspected problem or incident The Yellow Card Scheme now Supports the reporting of all Side effect to a medicine vaccine herbal or h
172. risk factors No Pharmacodynamic risk factors No Disease risk factor No Taking one or more medicines with a narrow therapeutic No range Taking one or more black triangle medicines No Duplication of medication No Summary Are there any pharmaceutical care issues of note No Care Risk Assessment Completed 05 May 2005 Figure 5 11 Care risk assessment Read only 5 4 Pharmaceutical care issues outcomes and actions The pharmaceutical care plan is progressively built using pharmaceutical care issues that are identified for a patient The PCP has a section for entering care issues You also record the desired outcome for the care issue any actions required to deliver the outcome the current status of the outcome and apply a review by date to each outcome There are four types of care issues Standard High risk medicine New medicine Gluten free To create a standard care issue for a patient Page 63 PCR User Guide for version 10 Pharmaceutical care plans Care Issues Care issue Care issue type Earliest review by Last modified on Asthma Inhaler Technique Standard 01 Feb 2010 03 Dec 2008 Increased Asthma Attacks Standard 03 Dec 2008 Medication Use Review Standard 03 Dec 2008 Allergy Review Standard 03 Dec 2008 Figure 5 12 Care issues Click on the Review link Figure 5 12 in the Care Issue Section of the patient home page The care issues review screen is displayed Figure 5
173. rmation P contact details a Patient profile General health Medical conditions Allergies and sensitivities allergic rhinitis Patient factors Dispositions Compromised oral route of administration Yes z No Not Applicable amp Not Recorded Notes pO Physical impairment Yes No Not Applicable amp Not Recorded Notes Visual impairment Yes No Not Applicable amp Not Recorded Notes Patient factors Organ function Hepatic function Ye No Not Applicable amp Not Recorded Notes pO Renal function Yes No Not Applicable amp Not Recorded Notes pO Lung function Ye s No Not Applicable Not Recorded Notes Immune status x NN Not Applicable amp Not Recorded Notes Page 57 PCR User Guide for version 10 Pharmaceutical care plans Patient factors Maternal Pregnant A Ye No NotApplicable Not Recorded Motes a p Breast feeding m e No NotApplicable Not Recorded Notes Gluten free Diagnosed coeliac historical Yes Gluten free diet Not Recorded Number of units Dietitian advised E Guideline units Child 1 3 years 1 Female 15 74 years Child 443 years Female 75 years Chiki 7 10 years Bresstfeeding Chiki 11 14 years ard trimester pregnancy Chiki 15 18 years Complex dispensing patient ls the patient a complex dispensing patient mm Te e No wz Not Recorded Monitored dosage system required by pharmacist Monitored dosage system requested
174. s 207 Patlent Factors Dispositions Compromised oral route yes No Not O Not of administration Applicable Recorded Physical Impairment Yes No Not O Not Applicable Recorded Visual Impairment Yes ONo O Not O Not Applicable Recorded Patlent Factors Organ Function Hepatic function O Yes O No O Nat Not Applicable Recorded Renal function OvYes ONo O Not Not Applicable Recorded Lung function Yes ONo Not Patient has COPD and Applicable Recorded Smokes which will impact on lung function Immune status Breastfeeding O Yes O No O Not O Not Pharmaceutical Care Plan Priority PCP Priority Low Priority Improve inhaler technique Medium Priority Provide smoking cessation advice High Priority a Page 207 Care Plan Poor MDI inhaler technique leading to overuse of salbutamol inhaler PCR User Guide for version 9 Improve inhaler technique or consider a spacer or an alternative type of inhaler Encourage and support the patient to stop smoking Teach better inhaler technique and review progress Discuss risks of smoking with patient and offer to Provide lifestyle advice e g healthy diet take regular exercise alcohol intake Appendix E Patient Test Cases 208 Action by Pharmacist GP Nurse Patient Pharmacist Pharmacist Technique much improved and patient reporting better
175. s OWNo O Not Recorded Night time diuresis as a medicines result of timing of diuretic Problems with concordance Yes O No Not Recorded Doesn t always take her diuretic therapy due to concems about diuresis Finds it difficult to press out paracetamol tablets from blister pack polypharmacy Pharmacokinetic risk factors Pharmacodynamic risk factors a Disease risk factor Oves Ono Not recorded Taking one or more medicines Yes No Not Recorded with a narrow therapeutic range Taking one or more black OYes ONo O Not Recorded triangle medicines Duplication of medication Summary O Ye O No Not Recorded Are there any pharmaceutical care issues of note Patient Profile General Health Smoker Medical conditions Hypertension Osteoarthritis Allergles and Sensitivities None known Page 198 PCR User Guide for version 9 Appendix E Patient Test Cases 199 Patlent Factors Dispositions Compromised oral route yes No Not O Not of administration Applicable Recorded Physical Impairment QO ves ONo O Not Not Note suffers with sore Applicable Recorded hands Visual Impairment Yes No Not O Not Applicable Recorded Patlent Factors Organ Function Hepatic function O Yes O No O Not Not Applicable Recorded Renal function QO Yes ONo Not O Not Applicable Recorded Lung function QO Yes ONo Not
176. s for a patient the fi le will be overwritten by any subsequent created export file You then click on the Import Medication link This opens a page requesting you to select the location of the export fi le that you previously created on your PMR 11 3 1Importing the medication import file to PCR To import the medication history file to the Patient s PCR Pharmaceutical Care Plan you search for the patient on the PMR this can be done via PMR Patient Interface You then click on the Review link under the medications section on the patient home page You will then be shown the Medications page Figure 11 4 Pharmacy 1234 Pharmacy 1234 N H S User Testuser Jane Smith Last login Mon Mar 16 2015 08 06 ee oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Born 30 Jan 1989 26y Gender Male CHI No 3001893397 Patient Details Last Modified On 30 Mar 2010 By testuser Address Ames Address Line 1 Ames Address Line 2 Ames Address Line 3 Ames Ad Phone and email v AMES Simon Mr Medications Name Last dispensed on Indication Modified date Modified by gt TestOne None 23 Nov 2012 PCRDVRO2User Add Medication Figure 11 4 Medications page Pharmacy 1234 Pharmacy 1234 N S User Testuser Jane Smith Last login Mon Mar 16 2015 08 06 we oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout B
177. s support contact details and a link to this user guide Figure 2 11 Pharmacy 1234 Pharmacy 1234 a ee ae N HS User Testuser Jane Smith la la amp y a R CCO d Last login Fri May 1 2015 14 12 ee oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Help Contact Details Please contact us at Tel 0131 275 6600 or email us nss psdhelp nhs_net User Guide View Guide deed additional information on PCR and eCMS please see the Quick Reference guide For guidance on the PCR system including High Risk Medicine assessments and New Medicine Interventions please see the PCR User Guide The reference guide and supplementary user guide are in a format called PDF If you cannot open these documents please contact either your pharmacy system supplier or IT support Alternatively if your system allows a viewer Adobe Acrobat Reader can be downloaded and installed onto most PCs Click here to go to the Adobe Acrobat Reader website Figure 2 11 PCR help information with link to user guide Page 37 PCR User Guide for version 10 High level menu functions 2 2 12Logout Selecting the logout option from the high level menu will logout the current user and display the login page Figure 2 12 Pharmacy Care Record Please enter your details to login for futher information cick here Authorised Users Oniv Figure 2 12 Login page displayed after log
178. s with information on their current state Page 127 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment Initial Data Capture A summary of the information recorded in the initial data capture is displayed on the review page If no information was provided for a specific question this is shown as Unanswered Quit date The quit date is shown as not set This is confirmed in the next step Next Action The options in this section vary depending on the state of the assessment After the initial data capture this will show an option to Start Quit Attempt and Confirm quit date As the assessment progresses this section will display options to submit the 4 and 12 week MDS Care issues associated with this assessment Option to add a care issue is available Assessment completion Function to complete an assessment in PCR This is independent of the MDS submission process More details of this function are provided in section 9 15 Page 128 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 5 Start Quit Attempt and Confirm Quit Date Starting a quit attempt will create a new quit attempt record that will have a unique identifier Having set the quit date the four week and target dates for the four week and twelve week MDS submissions are calculated To start a quit attempt and confirm quit date e Select Start quit attempt and confirm quit date form the Next action
179. scription Type Review by Modified Mr Simon Ames Mr Simon Ames Mr Simon Ames Mr Simon Ames Mr Simon Ames 30 Jan 1989 30 Jan 1989 30 Jan 1989 30 Jan 1989 30 Jan 1989 3001893397 3001893397 3001893397 3001893397 3001893397 Ames Care Issue 8 Ames Care Issue 5 Ames Care Issue 4 Ames Care Issue 7 Ames Care Issue 6 Standard Standard Standard Standard Standard Figure 10 8 Report Filter Example 01 Jan 2010 03 Apr 2010 20 Apr 2010 01 May 2010 02 Apr 2015 22 Mar 2010 29 Mar 2010 29 Mar 2010 26 Mar 2010 01 Apr 2015 Page 154 PCR User Guide for version 10 Reports 10 4 10pen Care issues with review date set To run the Open Care issues with review date set report Select the Open Care issues with review date set link from the Reports page The report detail will be displayed Figure 10 9 Pharmacy 1234 Pharmacy 1234 N H S User Testuser Jane Smith Last login Tue Apr 7 2015 15 28 we oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Number of records on report 14 Show Hide Filter Open care issues with review date set Patient name Mr Eric Bond Mr Simon Ames Miss Mary Cloud Miss Mary Cloud Mr Simon Ames Mr Simon Ames Mr Simon Ames Miss Mary Cloud Mr Eric Bond Mr Eric Bond Jane Brown Mr Simon Ames Jane Brown Jane Brown Date of birth 31 Jan 1979 30 Jan 1989 31 Aug 1980 31 Aug 1980 30 Jan
180. section Figure 9 8 The Confirm quit date and record intervention page is displayed Figure 9 9 Pharmacy 1234 Pharmacy One iN H S User Testuser Jane Smith Last login Never we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 14 May 2014 By Testuser Address 3 Apples Avenue G12 8DG Phone and emai 10234000000 a WILLIAMS Steven Smoking cessation intervention Client information Referral and intervention context Gender Male Referral date 01 May 2014 Pregnant No Referral source Self referral Ethnic group White Scottish Referral source other Ethnic group other Intervention setting s Pharmacy Employment status In paid employment Employment status other Date of initial appointment Unanswered Tobacco use and quit attempts Intervention s used in this Unanswered Cigarettes smoked 11 to 20 quit attempt Time after waking 6 to 30 minutes Intervention other Number of quit attempts No quit attempts Is shared care Pharmaceutical usage Consent Pharmaceutical usage NRT only combination therapy Consent to follow up Pharmaceutical usage 0 weeks Intervention setting other Quit date Not set Next action Care issues associated with this assessment Care issue Earliest review by Last modified on No records to display Figure 9 8 Page 129 PCR Use
181. sion 10 Reports 10 6 Complex dispensing patient reports There are three complex dispensing patient reports that can be accessed from links on the Reports Page There is one report for each flag status Complex dispensing patient set to Yes Complex dispensing patient set to No Complex dispensing patient set to Not Recorded To view a complex dispensing patient report Select link form the reports page Figure 10 2 Separate links for Yes No or Not recorded The report detail will be displayed Figure 10 17 Pharmacy 1234 Pharmacy One User Testuser Jane Smith N H S Last login Tue Oct 22 2013 15 56 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Hospital Logout Complex dispensing patient set to Yes Number of records on report 1 Patient name Date of birth CHI Post code Monitored Monitored Other Special instalment dosage dosage adherence monitoring dispensing system system support and feedback requested by required by requested required required prescriber pharmacist Mr Johnathan Smith 03 Feb 2001 0102031231 EH54 7EZ Yes Yes Figure 10 17 Example complex dispensing report Example set to Yes Each complex dispensing patient report displays Patient name Date of birth CHI Postcode View link to navigate to the patient details Return to Reports Page link A count of the number of records in the report Page 163 PCR User Guide for v
182. so when was it Does the patient record their blood Yes results in their methotrexate monitoring booklet Earliest review by Last modified on 25 Jan 2012 09 Jan 2012 Figure 6 14 Care Issues Associated with This Assessment Page 84 PCR User Guide for version 10 High risk medicine care risk assessments 6 8 Create associated care issue care issue outcome using the Add link This option allows you to add an associated care issue with the assessment but without prepopulating any text Step 1 Select link Select the Add link at the bottom of the Care issues associated with this assessment grid Figure 6 14 The care issue form is displayed Figure 6 15 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Fri Apr 13 2012 14 39 we oe ee 6SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout SMITH Johnathan Mr Bom 03 Feb 2001 11y 2m Gender Male CH No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v Record care issue for high risk medicine care risk assessment Means a field requires data Care issue Description of care issue Care issue outcome Desired Outcome Action Action By Patient Response Status Review By Save Cancel Figure 6 15 Record care issue Step 2
183. ssessment Select the View link for the Gluten free support tool assessment you want to View The system will navigate to the Gluten free support tool assessment summary page Pharmacy 1234 Pharmacy One AJ H S User Testuser Jane Smith Last login Mon Oct 14 2013 14 14 M oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout SMITH Johnathan Mr Bom 03 Feb 2001 12y 8m Gender Male CH No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 v Print Care Issues Edit Pharmaceutical care plan _ High risk medicine assessments New medicine interventions Support tools Support tool assessments Type Number of Status Last modified on Last modified by Assessment completed on Assessment completed by care issues No records to display Figure 8 15 Support Tools tab Page 119 PCR User Guide for version 10 Gluten free support tool assessment 8 9 1 Example question page for completed assessment Read only Pharmacy 1234 Pharmacy One oo oe NHS E P ee Pharmacy Care Record Last login Tue Oct 22 2013 15 56 ee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Hospital Logout SMITH Johnathan Mr Bom 03 Feb 2001 12y 8m Gender Male CHI No 0102031231
184. ssword after successful association On successful association the system will prompt to change password if A new PCR user and associating for the first time Password has expired When a password has been changed the association page will be re displayed and the association process will require to be repeated from step 2 Page 17 PCR User Guide for version 10 Access and security 1 6 PCR Login process 1 6 1 Accessing PCR from a computer Once associated to a pharmacy The PCR application can be accessed in the following ways e By following the link on the association page Figure 1 5 e From a desktop shortcut on any PC in the pharmacy where you are working e Via the following URL https pcr mhs scot nhs uk e A link on the Community Pharmacy website 1 6 2 Login to PCR To login to PCR e Go to the Login page Figure 1 6 e Enter User ID and Password e Click the Login button Pharmacy Care Record Please enter your details to login for iher informaiton cick here Authorised Users Only Figure 1 6 Login page System displays the default landing page either the Search criteria screen Figure 1 7 or the Pharmacy Home page Page 18 PCR User Guide for version 10 Access and security Pharmacy 1234 Pharmacy 1234 Pharmacy Care Record NHS User Testuser Jane Smith mT Tidtttiat y Caie meCorU Last login Tue Mar 24 2015 13 08 ee oe SCOTLAND Home Sear
185. stions without prepopulated text A Gluten free support tool assessment supports the concept of a status Open or Completed care issues and care issue outcomes can continue to be added and updated to a completed Gluten free support tool assessment Page 107 PCR User Guide for version 10 Gluten free support tool assessment 8 2 Start a Gluten free Support Tool Assessment To start a Gluten free Support Tool Assessment Select the Support tools tab an the patient home page Figure 8 1Figure 7 1 Select the Start support tool assessment link the Support tool selection page will be displayed Figure 8 2 Pharmacy 12345 Pharmacy Two Dharmnannm nrn Doane User Testuser Jane Smith Pharmac V care mecord N HS Last login Thu Jun 5 2014 13 49 we ee SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Bom 20 Aug 1979 34y Gender Male CHI No 4444444444 Patient Details Last Modified On 05 Jun 2014 By Testuser ddress 3 Apples Avenue PA3 3BB Phone and email 10234567890 v WILLIAMS Steven Print Care Issues Edit Pharmaceutical care plan 4 High risk medicine assessments at New medicine interventions Support tools Support tool assessments Type Number of Status Last modified on Last modified by Assessment completed on Assessment completed by care issues o records to display Smoking cessation assessments Quit date Status MDS Last recorded contact Quit attempt i
186. t Modified On 13 Apr 2010 By 1234567 Phone and email 0123456789 lv Address 3 Appleton Parkway Livingston West Lothian EH54 7EZ Medications Name Last dispensed on Service Indication Modified date Modified by Imported 12 Apr 2010 OTC 13 Apr 2010 1234587 26 Feb 2010 MAS 12 Apr 2010 1234587 Aspirin 75mg Tablets Ot Jan 2910 CPUS 13 Apr 2010 1234587 E45 Crm 24 Jun 2003 CMS 12 Apr 2010 1234557 24 Jun 2009 CMS 13 Apr 2010 1234567 Direction Dispensed on St Johns Wort Chioramphenicol 0 6 eye crops Co Pharma y Atorveststin Tabs 40MG Take One Daily Take One Daily Take One Daily Take One Daily Diprobase cream Schering Plough Ltd 50 gram Xalatan SOmicrograms mi eye drops Pfizer Ltd 2 5 mi Paracetamol 500mg caplets Tews UK Ltd 32 tablet 4x 8 tablets Aspirin Tabs TEMG Levothyroxine Tabs 50MICROGRAMS 28 May 2009 28 May 2009 26 May 2009 28 May 2009 26 May 2009 24 Jun 2009 26 May 2009 23 Apr 2003 26 Feb 2009 13 Apr 2010 13 Apr 2010 12 Apr 2010 12 Apr 2010 13 Apr 2010 1224567 1234567 1234587 1234567 1234567 Direction Dispensed on Imported Take One Three Times A Day 20 May 2009 23 Apr 2003 13 Apr 2910 1234567 Take One Three Times A Day Clinutren Dessert vanilia Nestle Clinics Nutrition 500 gram 4 23 Apr 2009 x 125g pots Aspirin Tabs 75MG 23 Apr 2003 26 Feb 2009 13 Apr 2010 Paracetamol 500mg caplets M amp A DPS 32 12 Apr 2010 Figure 11 8 several expanded
187. t Profile Show less detail Named Pharmacist Additional Information General Health Medical Conditions Allergies and Sensitivities Diagnosed coeliac historical Gluten free diet Complex dispensing patient Dispositions Patient has a Organ function Patient has an impaired compromised Maternal Patient is Pharmaceutical Care Plan Priority Not Recorded Not Recorded Not Recorded Compromised oral route of administration Not Recorded Physical Impairment Visual Impairment Hepatic Function Renal Function Lung Function Immune Status Pregnant Breast Feeding Not Recorded Not Recorded Not Recorded Not Recorded Not Recorded Not Recorded Not Recorded Not Recorded Not Recorded Patient Profile Last Modified 21 May 2014 by Testuser Review Edit Pharmaceutical Care Risk Assessment INo records to display Care Issues Care issue No records to display Medication Name Last dispensed on No records to display Figure 4 10 Patient Home page Page 48 Search for and create patient records PCR User Guide for version 10 Select the arrow on the right hand side of the patient home page to show hide the patient address and contact details Figure 4 11 Show Pharmacy 1234 Pharmacy One D armacv Amen Danneel User Testuser Jane Smith F AANHaLyY ValS ROLIN Last login Thu Apr 12 2012 11 07 ee oe SCOTLAND Search Protocols Reports Change password Manage pr
188. tact week e Quit attempt week e MDS View Link Select the View link at the right hand side of the report to view the assessment review page Page 170 PCR User Guide for version 10 Reports 10 9 4Assessments with no interactions in the last seven days The report is intended to help the pharmacist keep track of patients that have not been in regular contact with the pharmacy This report highlights where there has been no contact in the last 7 days or more It is cumulative once an assessment appears on the report it will stay there until a contact is recorded Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Thu Jun 5 2014 11 20 eee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Assessments with no interactions in the last seven days Number of records on report 6 Show Hide Filter Date of birth CHI Post code Patient name Quit date Last contact week Quit attempt week MDS E E OO GO Quit date 25 Apr 2014 25 Apr 2014 25 Apr 2014 Date of birth CHI Post code BB11 168 AAI1 2BB AAT TAA Patient name Last contact week Quit attempt week MDS Week 7 Week 7 Week 7 03 Jun 1996 03 Jun 1997 03 Jun 1990 0909091234 1010101234 0303031239 Week 1 Week 1 Week 1 Nine Nine Four week released Ten Ten Four week released Three Three Four week released Figure 10 22 Report Columns e Patient Name
189. tatus is open View if status is Completed Page 106 PCR User Guide for version 10 Gluten free support tool assessment 8 Gluten free support tool assessment 8 1 Overview This support tool assessment allows pharmacists to manage information about patients that are following a Gluten free diet At present Gluten free is the only support tool assessment The assessment consists of a series of grouped questions answers and supporting protocol guidance The capture and recording of the answers is in line with the provided protocol The questions are grouped into the following sections Concordance Interactions and precautions Adverse effects Monitoring A patient can have multiple Gluten free support tool assessments over time Sections can be answered in sequence completed individually and reviewed and updated from the review page Not all sections of the assessment need to be completed at the same time Individual sections can be completed saved and returned to at a later date Care issues and care issue outcomes can be associated with Gluten free support tool assessments these can be viewed alongside standard care issues as well as with the associated Gluten free support tool assessments A Gluten free support tool assessment care issue and care issue outcome can be created with prepopulated text based on the context of an individual question They can also be created independent of the que
190. tient Details Patient Demographics Means a field requires data CHI 9876543210 Title Given name Steven Family name Williams Preferred name Gender Male Date of birth 20 08 1979 as Patient Deceased e g 31 07 2013 for the 31st of July 2013 Patient Address Contact Details Address 1 Home phone number Address 2 Mobile phone number Address 3 Work phone number Address 4 Email address Address 5 Postcode Pa3 3bb Figure 4 7 Unique Match Found o If more than one match is found on the CHI system a message will display advising to review search criteria Figure 4 8 Pharmacy 1234 Pharmacy One g User Testuser Jane Smith Pharmacy Care Record NHS Last login Thu May 29 2014 13 46 SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Patient Details Patient Demographics Means a field requires data CHI Title Given name Family name Identical Preferred name Gender Date of birth Fin Patient Deceased e g 31 07 2049 for the 31st of July 2013 Patient Address More see oon match found Address 1 Please review your search Address 2 l criteria Address 3 o Address 4 OK Address 5 i Postcode Pa33bb Page 46 PCR User Guide for version 10 Search for and create patient records Figure 4 8 More than one match found o If no match is found on the CHI system an error message will displa
191. tient aware of the signs of over No under anticoagulation Is the patient aware what might cause Yes over anticoagulation and how to avoid this happening Is the patient aware of what to do if they Yes are suffering from these signs Is the patient aware to whom adverse Yes Is the patient aware they should inform Yes reactions should be reported the team responsible for their Warfarin care of any newly prescribed medicines to ensure any interactions are managed appropriately Does the patient know that certain OTC Yes medicines e g ibuprofen or micanazole gel and foods alcohol can interact with Warfarin Use to add care issues for the specific question Has the patient had a recent bloodtest Yes E to check their INR ey messages Actions Always check for interacting medicines and manage accordingly e Any pharmaceutical care issues desired outcomes and actions i e more frequent INR monitoring and adjustment of dose of to resolve the issues should be agreed with patient and Warfarin if appropriate recorded in their care plan e At each future dispensing o Check for monitoring and signs of toxicity o Review and update any outstanding care issues in the care plan if appropriate Check if the patient has been educated on Warfarin Check if the patient has Oral Anticoagulant Therapy Pack Check if the patient has a recent INR result Care issues associated with this assessment Care issue Earliest review b
192. tient home page Page 90 PCR User Guide for version 10 New medicine interventions 7 4 Enter medication details To enter and save medication details Enter the required information in the medication details page Figure 7 2 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Fri Apr 13 2012 12 03 ee oe SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Logout meee i Daa Se a ee Pei ee ee i oo SMITH Johnathan Mr Bom 03 Feb 1973 39y Gender Male CH No 0102031231 Preferred name John Patient Details Last Modified On 03 Dec 2008 By InitialUser Address 3 Appleton Parkway Livingston West Lothian UK EH54 7EZ Phone and emai 01506 000 000 a Start new medicine intervention Means a field requires data Medicine Medicine detail Aspirin 75mg Tablets Instructions Take ONE Tablet Daily Service CMS v Indication Angina Figure 7 2 Medication details page The table below shows an example of data to be entered in the medication details page Item Example Medicine detail Name Strength and Aspirin 75mg Tablets Form Instructions Take ONE Tablet Daily Service Select from list CMS or AMS Note the list also includes MAS CPUS OTC or other it is not expected that any of these latter categories will be used for the New Medicine Intervention service Indication Angina Select the Start button the Initial Intervention
193. tus MDS Last recorded contact Quit attempt in gt Open Open Review gt 11 Jun 2014 Closed Started Review Figure 9 20 Support tools overview Page 144 PCR User Guide for version 10 Smoking Cessation Support Tool Assessment 9 15 Smoking Cessation Assessment Completion An assessment can be completed at any time at the discretion of the pharmacist The assessment completion status is independent of the status of the smoking cessation minimum dataset submissions This is necessary because some board areas have enhanced smoking cessation services that go beyond the 12 week MDS submission and Pharmacies may wish to keep an assessment record open beyond the 12 week MDS and to continue recording patient contacts As with other assessments in PCR a smoking cessation assessment must be completed before a new assessment can be begin If a patient wanted to restart a quit attempt because they had smoked the pharmacy will need to complete the existing assessment not necessarily waiting for the next MDS submission before beginning a new one Valid PCR completion statuses are Successful Unsuccessful Lost to follow up Patient died Se ee ee See Quit date 13 Feb 2014 View submitted minimum data set Minimum dataset MDS Target date Status Release status Submitted by Submitted on Start Validated Submitted Testuser 14 May 2014 Four week 13 Mar 2014 27 Mar 2014 Validated Submitted Testuser 14 May 2014 Twelve w
194. uit attempts and to increase the level of responses to minimum dataset questions to the national smoking cessation database To enable this the Pharmacy Care Record PCR has been updated to provide a consistent electronic solution to support community pharmacies in the recording and management of national smoking cessation quit attempts Additionally PCR will support the pharmacy in capturing validating and electronically submitting the national smoking cessation minimum dataset MDS Smoking cessation is a service currently delivered by community pharmacists in all NHS Scotland health board areas The service involves engaging with patients who wish to stop smoking by recording information about them their tobacco use and previous quit attempts The smoking cessation support tool function in PCR provides pharmacists with a function to record information about a patient who wants to stop smoking Information recorded in PCR aligns with the Smoking Cessation Minimum Dataset and is submitted to the national smoking cessation database at specific intervals in the quit attempt 9 1 2 PCR smoking cessation support tool assessment overview The smoking cessation support tool assessment will allow the user to Start a smoking cessation support tool assessment Record initial data capture MDS information Confirm quit date and submit MDS Start View and maintain initial data capture View maintain and submit 4 and 12 week MDS information View an
195. ure 6 17 Assessment completion details for an Open assessment Assessment completion Assessment complete Wes Assessment completed by Testuser Assessment completed on O6Jan 2012 rahim he Giahoant Heine Dann Figure 6 18 Assessment completion details updated The user can navigate back to the patient home from the link at the bottom of the review page Page 87 PCR User Guide for version 10 High risk medicine care risk assessments 6 10 Access existing high risk medicine care risk assessments from the patient home page Open or Completed HRM Care Risk Assessments can be accessed from the High Risk Medicines tab on the Patient Home page To edit an Open High Risk Medicine Care Risk Assessment Select the Edit link for the HRM Care Risk Assessment you want to edit Figure 6 19 The system will navigate to the HRM Care Risk Assessment Review page To view a Completed High Risk Medicine Care Risk Assessment Select the View link for the HRM Care Risk Assessment you want to View Figure 6 19 The system will navigate to the HRM Care Risk Assessment Review page Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Wed Oct 23 2013 11 55 were ee SCOTLAND Search Protocols Reports Change password Manage profile Yellowcard Help Hospital Logout SMITH Johnathan Mr Bom 03 Feb 2001 12y 8m Gender Male CHI No 0102031231 Preferred name Joh
196. ure that the user is actually located in the pharmacy that they are currently requesting to be associated with An icon may be present on the Windows desktop of the computer used for accessing the PCR association function if an icon is not present then a link to the association page is present on the SHOW Community Pharmacy website http www communitypharmacy scot nhs uk Alternatively the following URL website address can be used to access the PCR association function https pcrua mhs scot nhs uk Further information on creating a PCR icon on the Windows desktop can be found in Appendix B Create PCR shortcut on desktop The PCR association page includes Message of the Day text This is used to display messages that relate to planned downtime on either PCR or the ePharmacy Message Store EPMS It is also used to display information about new functionality releases on PCR 1 4 1 Perform an association Step 1 Navigate to website and accept first security alert Navigate to the PCR association website In the Security Alert dialogue box Select Yes to allow the website to gain access to the digital certificate Figure 1 2 Page 14 PCR User Guide for version 10 Access and security Message of the day Pharmacy Care Record Phase 2 Released Figure 1 2 PCR association first security alert Step 2 Enter user credentials Enter PCR User ID Password and contractor code and select the
197. vel menu functions 2 1 Overview The PCR high level menu contains links to other PCR functions Figure 2 1 These links are not patient specific but give access to pharmacy wide functions Pharmacy 1234 Pharmacy One a ey NHS User testuser Jane Smith eNnarmacy Care MNecora Last login Tue Nov 18 2014 11 01 Home Search Protocols Reports Change password Manage profile Yellow card Help Logout SCOTLAND Pharmacy Home Last accessed Tue Nov 18 2014 11 06 Set as default page Figure 2 1 PCR high level menu 2 2 Menu functions 2 2 1 Home The Home link displays the Pharmacy Home page Figure 2 2 This page displays summary information about patients in the associated pharmacy Page 30 PCR User Guide for version 10 High level menu functions Pharmacy 1234 Pharmacy O E swe dns ca Pharmacy Care Record NHS Last login Tue Mar 3 2015 15 47 ae SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Pharmacy Home Last accessed Tue Mar 3 2015 16 00 Set as default page Totals Gluten free High Risk Medicines 0 Warfarin Smoking Cessation 0 0 0 0 0 0 0 0 Scheduled appointments Next days Figure 2 2 Pharmacy Home Pharmacist View Page 31 PCR User Guide for version 10 High level menu functions Pharmacy 1234 Pharmacy One Last login Thu Nov 6 2014 13 29 SCOTLAND Home Search Reports
198. venue PA3 3BB Phone and email 10234567890 v LLIAMS Steven Initial data capture Client information Referral and intervention context Gender Male Referral date 08 Jan 2014 Pregnant No Referral source Pharmacist Ethnic group White Scottish Intervention setting s Primary Care Employment status In paid employment Hospital Inpatient 7 Educational establishment Tobacco use and quit attempts Non NHS community venue Cigarettes smoked 11 to 20 Time after waking 6 to 30 minutes Number of quit attempts No quit attempts Pharmaceutical usage Pharmaceutical usage None Pharmaceutical usage 0 Is shared care No weeks Consent Consent to follow up Date of initial appointment 05 Feb 2014 Intervention s used in this One to one sessions quit attempt Group support closed groups Couple family based support Quit date 05 Mar 2014 Four week submission Was the client successfully contacted for 1 month follow up Yes Date follow up carried out 05 Jun 2014 Client withdrawn from service at time of follow up No Has the client smoked at all even a puff in the last two No weeks CO reading confirms quit CO reading not taken Twelve week submission Was the client successfully contacted for 3 month follow up Yes Date follow up carried out 05 Jun 2014 Has the client smoked at all since the 1 month follow up No Unique reference PCR 312EB8F0 EF1C 4DD4 BB9E A617CE4D2156 Figure 9 23 Submitted minimum dataset Page
199. w page Options from the new medicines intervention review page are e Schedule a follow up intervention Edit a follow up intervention If one exists Edit an initial intervention Add a care issue care issue outcome and associate with a new medicine intervention record Selecting a reason for completion and set status to completion Page 93 PCR User Guide for version 10 New medicine interventions 7 7 Schedule a follow up intervention Having started an initial intervention see section 7 2 you can create subsequent follow up intervention records An In person follow up intervention is when the patient will visit the pharmacy to provide follow up information on the use of their newly prescribed medicine Alternatively the follow up intervention can be conducted By telephone To schedule an In person follow up intervention Select the Schedule follow up link from the new medicine interventions review page Figure 7 5 the system will display a Schedule follow up pop up form Figure 7 6 worded Last modified 05 Apr 2012 by Testuser Figure 7 5 Schedule follow up link Use the date picker in the pop up form Figure 7 6 to select the date you have agreed with the patient for the follow up intervention to take place Add free text details of the timeslot if required e g after 1pm Select In person as the contact method a ee 3 Schedule
200. ws due in the next 14 days To run the Open care issues with reviews due in the next 14 days report Select the Open Care issues with reviews due in the next 14 days link from the Reports page The report detail will be displayed Figure 10 11 Pharmacy 1234 Pharmacy 1234 N H S User Testuser Jane Smith Last login Fri Apr 10 2015 11 12 ee oe SCOTLAND Home Search Protocols Reports Change password Manage profile Yellow card Help Logout Open care issues with reviews due in the next 14 days Number of records on report 5 Show Hide Filter Patient Date of CHI Description Type Review Modified name birth Jane Brown 07 Jun 7777777777 Standard Care Issue Standard Apr 16 Apr 1987 j 2015 Mr Eric 31 Jan 3101798558 Bond Care Issue 1 Standard Apr 16 Apr Bond 1979 2015 Mr Eric 31 Jan 3101798558 Patient unaware that they should inform the team responsible for their anticoagulant Standard Apr 16 Apr Bond 1979 care of any newly prescribed medicines 2015 Mr Simon 30 Jan 3001893397 Ames Care Issue 8 Standard Apr 16 Apr Ames 1989 2015 Jane Brown 07 Jun 7777771717 Patent may not be adhering to their gluten free diet Gluten 31 Mar 1987 free 2015 Figure 10 11 Open Care issues with review date up to and including 14 days Report Columns Patient Name Date of birth CHI Description Type Review By Default Sort Ascending Modified View Link Links to View Care Issue Page
201. y advising to alter search criteria Figure 4 9 Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Thu May 29 2014 13 46 we oe SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Patient Details Means a field requires data Patient Demographics CHI Title Given name Nomatch Family name Williams Preferred name Gender Male Date of birth ef Patient Deceased a Patient Address No match found Address 1 Please review your search Address 2 Address 3 Address 4 Address 5 Postcode Pa3 3bb Figure 4 9 No match found Once a unique match has been found follow steps as described in section 3 5 1 to complete the creation of the patient record Page 47 PCR User Guide for version 10 Search for and create patient records 4 5 View Patient details Once a patient has been selected or newly created via the search process the patient home is displayed Pharmacy 1234 Pharmacy One N H S User Testuser Jane Smith Last login Tue May 20 2014 15 49 SCOTLAND Search Protocols Reports Change password Manage profile Yellow card Help Logout Borm 20 Aug 1979 34y Gender Male CHI No 4444444444 LLIAMS Steven ee ER Patient Details Last Modified On 21 May 2014 By Testuser ddress G12 8DG Phone and email v Print Care Issues Edit Pharmaceutical care plan High risk medicine assessments New medicine interventions Support tools Patien
202. y Last modified on Add Assessment completion Assessment complete Yes Figure 6 11 Warfarin summary page with key messages and actions text Page 82 PCR User Guide for version 10 High risk medicine care risk assessments 6 6 Create associated care issue and care issue outcome using prepopulated text Selecting a link next to a question on the high risk medicine review page will populate the care issue with default text Step 1 Select link Selecta link for the question that you want to create a care issue care issue outcome for Figure 6 12 QOTTI LINLETACL WIL TNELNIOL eEXa Le f Is the patient aware that certain OTC No medicines can interact with methotrexate Figure 6 12 Add Care Issue Care Issue Outcome link The system will display the high risk medicines Record care issue screen Figure 6 13 Phamacy 1234 Pharmacy One l An Dan User Tastuser tae Ea Pharmacy Care Record NHS Last login Thu Jan 5 2012 11 33 SCOTLAND search Protocols Reports Change password Manage profile Help Logout Born 15 Feb 1945 Giy Geode Male CA Wo 191970799171 Patent Detaws Last Aodied On 05 an 20i By Testumer Address 5 Oakbank Avenue Glasgow G12 INA Phen and dere yf WILLIAMS Steven Mr Record care issue for high nsk medicine care risk assessment Miaa a fk pequanes diate Care issue Description of care issue alee ungaa that aame OTC products can interact wiih Methods Care issue outco
203. y email at NSS PSDHelp nhs net for Support PCR Code 113 Association Error An invalid Contractor Code was entered If you believe the contractor code to be correct please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 114 Association Error Technical Error Your association request could not be verified by the PCR server no signature present Please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support PCR Code 300 Application Error A general error has occurred If this error reoccurs please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for support Page 185 PCR User Guide for version 9 Appendix A Error Messages 186 PCR Code 205 Authentication Error Incorrect User ID or Password entered when changing password or your account is locked If you have forgotten your password please contact the PSD ePharmacy helpdesk on 0131 275 6600 or by email at NSS PSDHelp nhs net for Support PCR Code 206 Authentication Error You are no longer associated with a pharmacy Please re associate with a pharmacy before attempting to change your password PCR Code 207 Reset Password Error Your new password must be at least 8 characters and contain at least 1 non alphanumeric character Please re enter a new password PCR Code 208 Authentication Error You do not have permission to access PC

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