Patient Medication Records (PMRs)
Pharmacists' records of medicines dispensed to patients
Electronic Transmission of Prescriptions
Process of generating, transmitting, and
receiving electronic prescriptions
NHS Care Records
Fundamental principles of the National
Health Service's care records
Snomed CT
Systematized Nomenclature of Medicine
Clinical Terms for coding clinical information
dm+d
Dictionary of Medicines and Devices for
coding medication information
Data Protection Act 2018
Legislation updating data protection laws
and implementing GDPR
General Data Protection Regulation
(GDPR)
EU regulation on personal data protection, impacting pharmacy owners
Consent for Processing Patient Data
Explicit permission required under
GDPR for handling patient data
Data Controller
Individual or entity determining the purposes and means of data processing
Data Processor
Entity processing personal data based
on the controller's instructions
Caldicott Guardians
Senior staff protecting patient information in NHS and social services
Electronic Prescription Service (EPS)
System for generating, transmitting, and
dispensing electronic prescriptions
Smartcards
Issued to healthcare professionals for
controlled access to EPS
Pharmacy PMRs Purpose
Monitor prescriptions, manage medicines, and ensure patient safety
PMR Storage Details
Patient identity, prescription details, clinical conditions, and more
GDPR Compliance Principles
Laws require lawful, fair, transparent, and
secure data processing
1/4 GDPR Data Processor Safeguards
Include security, following instructions,
and assisting the data controller
GDPR Compliance for Pharmacies
Pharmacies must adhere to GDPR principles in data processing
ETP Programme
Initiative to integrate EPS with NHS Care
Records Service
Pharmacist Access to Care Records
Extent of pharmacist access to patient
care records under consultation
Pharmacy Data Protection Obligations
Monitoring compliance, staff training,
and appointing a data protection officer
Drug Interaction Software Issues
Historical inconsistencies, inadequate
references, and pharmacological group
errors
PMR Data Usage
Monitoring prescriptions, managing
medicines, and ensuring patient safety
GDPR Guidance Documents
Resources to aid community pharmacies
in understanding and complying with
GDPR
Pharmacy Data Processors
Entities processing personal data on behalf of community pharmacies
GDPR Data Controller Responsibilities
Ensuring lawful, fair, and secure processing of personal data
Validation
Complete validation of scaled-up system
while paper is still in use
Technical Upgrades
Main upgrades in software, hardware,
and connectivity separate from patient
changes
Roll-out Flexibility
Suppliers can deploy systems at varied
rates without favoring certain pharmacies
User Familiarization
Users can adapt to the system before
patient-related changes occur
Barcode on Prescription
2/4 Contains no personal info, links paper
prescription to electronic message
Scanning Barcode
Draws electronic copy of prescription info
into pharmacy's computer
Dispensing Process
Pharmacist dispenses medicine with
usual safety checks
Message to EPS
Records dispensed items sent back to
Electronic Prescription Service
Reimbursement Process
Paper prescription sent to authority for
payment
Electronic Signature
Allows prescribers to create electronic
prescriptions
Patient Nomination
Patients can choose a preferred pharmacy for prescriptions
Paper Token
Given to patients without a nominated
pharmacy for prescription dispensing
Repeat Dispensing
Possible from a single electronic prescription in the second stage
Smartcard Usage
Required for healthcare staff to access
SCR with proper role
SCR Viewing Steps
Smartcard use, patient identification,
permission, and legitimate relationship
needed
Emergency Access
Allows viewing SCR in emergencies
when patient cannot provide consent
SCR Interpretation
Summary record, may lack full patient
info, check for updates
SNOMED Clinical Terms
Standard terminology for NHS, merger of
UK and US systems
ICD-11
WHO International Classification of diseases
ICPC-2
WHO International Classification of Primary Care, 2nd edition
3/4 ATC Classification
WHO Anatomical Therapeutic Chemical
classification
BNF Codes
British National Formulary codes for
medications
EAN Barcodes
European Article Number barcodes for
product identification
4/4
Professional Practice Preparation Overview
of 4
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