Dispensing from Medication Charts

At any time during the dispensing of a script, you can toggle in and out of chart mode for a patient within an eligible nursing home.

RACF medication chart dispensing

In Fred Dispense, select a patient for medication chart dispensing.
Once the patient is selected, press CTRL+SHIFT+ C keys together to switch to Chart Mode.
To ensure fields are all validated before a script is saved, during the dispense process toggling chart mode on/off returns the cursor to the Script Date field.
Fred Dispense switches to Chart Mode and the Medication Chart Period is displayed.
This dialog is displayed the first time you dispense a medication chart type dispensing for a patient.
The Duration field is disabled when dispensing from a Medication Chart in a RACF.
In the Chart Start Date field enter the chart start date to continue dispensing as a chart script.
If the chart date is today, press the letter T to select today's date.

Field	Description
Chart Start Date	Indicates the starting date of the patient’s current medication chart. The new chart start date can be entered if a new medication chart is provided for the patient while an existing medication chart is still active.
Chart End Date (Read-only)	Indicates the end date for the patient’s current medication chart *. Charts end on the third complete calendar month that follows after the month the chart starts. FOR EXAMPLE: If Chart Start Date is 5 May, the Chart End Date** is calculated as: 5 May Remainder of May + 3 full months 31 Aug 2015 31 May Remainder of May + 3 full months 31 Aug 2015 1 June Remainder of June + 3 full months 30 Sep 2015

Field

Description

Chart Start Date

Indicates the starting date of the patient’s current medication chart. The new chart start date can be entered if a new medication chart is provided for the patient while an existing medication chart is still active.

Chart End Date (Read-only)

Indicates the end date for the patient’s current medication chart ***. Charts end on the third complete calendar month that follows after the month the chart starts.

FOR EXAMPLE:

If Chart Start Date is 5 May, the Chart End Date is calculated as:

5 May Remainder of May + 3 full months 31 Aug 2015
31 May Remainder of May + 3 full months 31 Aug 2015
1 June Remainder of June + 3 full months 30 Sep 2015

In the Script Date field, enter the date the prescriber wrote the order on the medication chart for a particular item ***.
The Script Date cannot be earlier than the chart start date.
Fred Dispense displays the The Script Date cannot be earlier than the chart start date. on the same line as the script title.
In the Script Type field***, enter the prescription type.
In the Doctor field, select the prescribing doctor.
In the Drug field, select the prescribed drug *** Invalid drugs, include: Chemotherapy items, Drugs of Addiction, S100 drugs, and items with a phone approval authority. Invalid drugs must be dispensed from a normal eRx or paper prescription. Blacklisted (ineligible) drugs, include: Phone authority items, S8 (narcotic) drugs, S100 items, and chemotherapy items. Blacklisted drugs must be accompanied by a regular prescription form and claimed as normal PBS scripts. Blacklisted items must be dispensed as regular scripts (not chart items) and must be accompanied by the paper prescription in claim bundles. .
In the Drug Selection screen a c displayed next to the drug name indicates drugs that are eligible to be dispensed from a medication chart (without an additional script) on the PBS *** Drug Selection screen: c displays only while in chart mode. These are valid items which can be dispensed from a medication chart where an additional prescription is not required. Drugs with no c displayed must have a separate prescription written in order for it to be dispensed. Private drugs, S3 Recordables and OTC items can be dispensed as chart items. Schedule 8 drugs of addiction are chartable, depending on the Facility Type selected. See also Dispensing Drugs of Addiction (S8 or DD) . Dangerous Drugs (DD) cannot be dispensed without a separate prescription.
Items on the chart can be re-dispensed multiple times during the life of a chart if they are indicated as chronic medication.
If the item selected requires a Streamlined Authority, the Streamlined Authority Script Item dialog appears. The Authority Number generates automatically.
The Authority Number generation only occurs when dispensing for RACF (not Hospitals).
In the Enter Streamlined Code field, enter the streamlined code, and then click Yes***.
In the Directions field, enter the directions as required.

In the Repeats field, press [TAB].

The Medication Chart Item Details dialog appears.

Field	Description
Chart Start Date	For a 'New Chart Script', defaults to patient chart start date and is the starting date for the patient’s current medication chart. If required, the Chart Start Date can be changed to a new date if a new chart is issued before this chart’s expiry date. *** For 'Edit Chart Script', defaults to the chart start date used at the time of dispensing the chart script.
Quantity	For a 'New Chart Script', defaults to the PBS maximum quantity or the quantity listed in Lists/Drugs for Private items. Enter a different quantity if required. *** For 'Edit Chart Script', defaults to the quantity used at the time of dispensing the chart script.
Chronic ***	Enter: <Y> to indicate the medication should be continued to the full length of the medication chart. — or — <N> to indicate the medication is to cease as per medication end date. If this drug is not to be taken chronically (for example: short-term antibiotics) set the Chronic field to <N> and then enter the Medication End Date.
Medication End Date	Enter the date that specifies when the medication is to be stopped.***
Number of Days Treatment for supply	Enter the number of days’ treatment the current supply is for, based on the dosage and the quantity of the drug. ***

Enter the medication chart details.
Complete the dispensing as per normal.
Once complete the Wait screen will display serial numbers (for claiming purposes) which start at 10001 to indicate chart dispensing.
See Claiming.

Public or Private Hospital medication chart dispensing

In Fred Dispense, select a patient for medication chart dispensing.
Once the patient is selected, press CTRL+SHIFT+C keys together to switch to Chart Mode.
For the first time a patient has been dispensed a prescription from a medication chart the Medication Chart Period dialog opens.
Enter the Chart Start Date and the Duration.

The End Date is automatically calculated date (Start Date + Duration).

This is different from the calculation used when dispensing in a RACF.
Click Save to save the Medication Chart Period.
A blue message is displayed if attempting to save the Medication Chart Period with an invalid or missing value in the Duration field.
The Hospital Provider Number is now displayed on the main dispense screen.
Fred Dispense displays the Chart Period on the same line as the script title.
5. In the Script Date field, enter the date the prescriber wrote the order on the medication chart for a particular item. ***
The script date cannot be earlier than the chart start date. A blue message is displayed.
Select the relevant Prescriber.
Select the drug as noted on the script.
The Medication Chart Item Details dialog is displayed.
If you change the Duration in this dialog, the End Date is re-calculated.
Complete the dispensing as per normal.