Real Time Prescription Monitoring Notifications

The practitioner will get a Real Time Prescription Monitoring prompt after performing the following on any S8 drugs and other high risk medicines such as benzodiazepines, zolpidem or zopiclone, quetiapine and codeine.

• When adding drugs to the Current Rx tab.
• When Changing 'Dose' in Current Rx tab
• When Changing 'Quantity' in Current Rx tab
• When Changing 'Strength' in Current Rx tab
• When re-prescribing a current high-risk medication via the patient's Old Scripts Tab

  See Managing and Modifying Current Prescriptions

  A GREEN notification will appear in the following situations:

• When there has not been a prescription issued/dispensed for a monitored medicine in the last 6 months or
• When prescriptions for a monitored medicine in the last 6 months have been issued by the same prescriber/medical practice, and there are no alerts

  When use of Real Time Prescription Monitoring becomes mandatory, prescribers/pharmacists will not be required to click on the notification to review the patient history.

  
  
  

  An AMBER notification will appear in the following situations:

• When prescriptions for a monitored medicine in the last 6 months have been issued by more than one prescriber/medical practice or
• When the daily morphine equivalent dose (calculated based on an average over the last 90 days) is between 50mg and 100mg MED daily (i.e. a medium risk dose).

  When use of Real Time Prescription Monitoring becomes mandatory, prescribers/pharmacists will be required to click on the notification to review the patient history to assess whether it is safe or appropriate to prescribe/dispense a medicine.

  
  
  

  A RED notification will appear in the following situations:

• Patient has active alerts within the last 3 month (90 days)

  A RED notification will appear when there is a current alert relating to the prescribing/dispensing history of a patient.

  These alerts are:

• Multiple provider episodes: When prescriptions from 4 or more prescribers/medical practices or 4 or more pharmacies have been recorded in Real Time Prescription Monitoring within the last 90 days.
• High-risk drug combinations: When prescriptions for certain drug combinations have been recorded in Real Time Prescription Monitoring within the last 90 days.
  • Methadone + a benzodiazepine
  • Methadone + a long-acting opioid
  • Fentanyl + a benzodiazepine
  • Fentanyl + a long-acting opioid
• Opioid dose threshold: When the daily morphine equivalent dose (calculated based on an average over the last 90 days) exceeds 100mg MED daily (i.e. a high risk dose).

  When use of Real Time Prescription Monitoring becomes mandatory, prescribers/pharmacists will be required to click on the notification to review the patient history to assess whether it is safe or appropriate to prescribe/dispense a medicine.

  
  
  

  Amber and Red Notification include a URL that allows the user to link into the Health Professional Portal and view the patient's profile.