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Note: this article is divided into sections.
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- Before you begin
- Create a prescription
- Authority prescriptions
- Custom medications
- Reprint or recreate prescriptions
- Inactive medications
Gentu now offers the ability to create prescriptions for your patients, using the PBS & RPBS drug databases. This process is covered in detail below.
Don't forget to check the FAQ at the bottom of the article for further details.
Before prescribing, you should ensure that your account settings are configured:
- In Settings > Manage Users; select your username and open the Practitioner Details tab to view your Billing Provider status.
- Under the Practitioner Details tab you'll also see where you can enter your prescriber number, and select your prescriber type.
- Press Save to confirm the changes once complete.
- You should also ensure that you have your pre-printed PBS/RPBS forms ready.
- Access the patient's file and select Add > Medications.
- The first time you select Add > Medications, a disclaimer will appear, as shown below.
- Please read through the disclaimer carefully and select either Accept or Decline.
- The disclaimer will only appear the first time you attempt to add a Medication for any patient, unless you select Decline.
- Please note that you will not be able to proceed with adding medications or creating prescriptions until you have read and accepted the disclaimer.
- After you accept the disclaimer, you will see the Add Medication section appear, as shown below.
While searching for medications, you will be able to view the patient's adverse reactions (allergies), past recorded medications, and diagnoses, by expanding the respective headings.
- Click into the 'Search for medications' field and begin typing in the medication name. You must enter at least 3 characters in order for Gentu to begin searching & display results.
- Gentu will present you with a list of medication names matching your search term.
- Select a medication from the list of results.
To add additional medications to the prescription:
- Return to the 'Search for medications' box at the top of the screen.
- Enter the new drug name.
- Select the additional drug from the results list to add it to the prescription.
- Repeat as needed until you have added all desired medications to the script.
If you have accidentally selected the wrong medication from the search results list:
- Find the drug name in the Medications list.
- Select the X icon to the right of the drug name.
- Press Confirm to remove the medication from the script.
- Alternatively, remove a drug from the current prescription by clicking the X to the far right of the drug name under the Selected Medication heading.
After you have selected at least one drug, it will appear under the Selected Medication heading.
- Gentu will prompt you to enter further details - the start and end date, dose, repeats, quantity, frequency, instructions, and reason.
- If the medication is of Restricted or Authority type; Gentu will also present you with prompt. Confirm the prompt to proceed with prescribing the drug under the selected scheme, or cancel the prompt to prescribe the drug privately.
- Please see the Authority Prescribing section below for more detail.
- Within the Selected Medication, you can change the Scheme of the drug by clicking on the current scheme type and selecting the appropriate option from the menu.
- If there are PBS recommendations available for the drug (e.g. Quantity, Repeats), these values will be automatically populated into the Medication Details section. These values can be left as is, or amended as needed.
- If you are creating a script containing multiple drugs, you can collapse or expand the medication details by clicking the arrow icon to the left of the drug name.
- After you have added the necessary details for each drug, press the Prescribe button at the bottom right of the screen.
- Gentu will generate a prescription for printing, and will save all medications on the script to the patient's Medications table.
- Please note that in order to successfully print, you must ensure that the Start Date, Dose, Repeats, Quantity, and Frequency details have been entered for all drugs.
- If you do not wish to print the prescription, you can simply press the Save button. This will save the selected drugs into the patient's Medications list, without printing.
Prescriptions generated in Gentu are designed to be compatible with pre-printed PBS/RPBS forms.
It is not possible to edit or change the prescription print-out template.
To ensure that the prescription prints correctly, the following print settings are recommended:
- Paper size should be set to A4
- Scale should be Actual Size or 100%.
- Any 'Scale to fit' options should be disabled.
You can change these settings in the browser's print dialog box which appears when you click Save in the new request window.
If you would like to prescribe a certain medication but cannot find it when searching the PBS/RPBS drug database, then you may wish to add the drug as a custom medication.
You can add custom medications at the time of creating a prescription.
- Within the patient's file, select Add > Medications.
- Type in the full name of the drug you wish to prescribe.
- Please note: custom medication names are case-sensitive.
- If no results are found, Gentu will prompt you to create the medication as a new custom entry.
- Select Create Medication.
- The new medication will populate into the Add Medication field.
- You will be prompted to enter the drug form & strength. You can also edit the drug name here, and select the scheme.
- Click the tick icon to save any changes.
- Once you have added the custom medication, you can continue to enter the prescription details (such as the Scheme, Quantity, Repeats, and Frequency).
- Once complete, click Save or Prescribe.
Gentu will then save this custom medication to the drug database list. In future, you can search for and select this medication to add it to a prescription as you would for any other PBS/RPBS drug.
Previously added prescriptions and medications can be reprinted, or used to generate a new prescription as needed.
Please note: reprinted prescriptions will include all of the original prescription details, including the date of prescription and any authority approval numbers (where applicable).
Reprinting should be used in the instance where, for example, a patient has lost their original prescription.
If you wish to generate a new prescription for the patient based on a previously prescribed medication, you should instead recreate the prescription.
You can reprint prescriptions from the Medications table within the patient's Clinical tab.
Under the Medications table you will see a list of all past medications prescribed or recorded for this patient.
- Medications which were prescribed are indicated by a printer icon to the far right of the drug name.
- Medications which were added without prescribing will not show a printer icon.
To reprint a previous prescription, simply click the print icon.
Gentu will recreate the script print-out using all of the script's original details, including the original date of prescription. If the script is an Authority script, it will print with the original authority number.
Please note: it is only possible to reprint one medication at a time.
To recreate a prescription based on a previously prescribed medication, you can use the following steps.
- Expand the Medications table within the patient's Clinical file.
- Find the medication you wish to recreate the prescription for.
- Click the medication to open its View Medication window.
- Click Add.
- Gentu will open the Add Medication section and add the medication to it.
- You can then enter the dose and frequency for the new prescription.
- If the script is an authority prescription, you will be prompted to enter the authority details.
- You can continue to add previous medications to the same prescription by selecting them and clicking Add.
- Press Prescribe to print the medication to a script.
Note: even if a medication has been deactivated, you can still recreate its prescription as you would for an active drug.
If you wish to remove a medication so it no longer appears in the patient's active Medications table, you can do so by inactivating the medication.
Inactive medications will be kept in the background where they can be viewed, re-activated, or re-prescribed as needed.
- Expand the Medications table within the patient's Clinical tab.
- Select the medication you wish to deactivate.
- Press Deactivate.
- The medication will move to the Inactive medications list.
To view inactive medications:
- Click the 3 dots icon within the Medications table heading.
- A pop-up menu will open.
- Select the Inactive only or Both options.
- Gentu will reload the Medications list to show the relevant medications.
- Inactive Medications are shown in greyed-out text.
Note that it is not possible to reprint a prescription for an inactive medication. You would need to re-activate the medication before reprinting its original prescription.
However, it is possible to recreate a new prescription from an inactive medication.
- Select an inactive medication from the patient's Medications table.
- Click the Activate button.
- Gentu will return the medication to the patient's active Medications list.
You can delete medications as follows:
- Selecting the medication to delete from the patient's Medications table.
- Press the Delete button.
- Confirm the prompt.
> Does Gentu show medication results by brand name, or by generic name?
Currently you are able to search for drugs by either brand name or generic name, however, the results list will always list the generic drug name. We do have plans to develop Prescribing further and allow you to see both the brand and generic names in the results list.
> Which drug database does Gentu use for its medications?
Gentu currently uses the Australian PBS/RPBS drug database.
> Can I add a medication without creating a prescription (or without searching the PBS/RPBS drug database)?
You can add medications without prescribing them by simply selecting the Save option (instead of the Prescribe option) when adding medications.
> I cannot see the Add > Medication option, or I cannot see the Prescribe button to print a prescription.
This may be due to your current User Role and its enabled permissions. Within Settings > User Roles, you will find the Medications heading and associated permissions.
You must ensure the appropriate option is selected (e.g. Add/Edit, Print Prescription) in order to have access to that feature. If you are unable to change your User Role permissions, or if you cannot see the User Roles link within Settings, please speak to your Gentu administrator, who can enable these permissions for you.
Please also note that you must be a marked as a Billing Provider in Gentu in order to create and print prescriptions. Users who do not have the Billing Provider option ticked in their User Preferences will not be able to print prescriptions.