Prescriptions and privileges

A clinical privilege record links a clinician to a privilege type, license number, issuing authority, verification evidence and effective dates. Its state may be Pending, Verified, Suspended or Expired. The Clinical Lead reviews this evidence for the work a clinician will perform. The record gives the team a place to inspect the decision and dates during an encounter handoff.

A prescription order belongs to an encounter and names its prescriber. It records the medication and dose instruction and moves among Draft, Signed and Cancelled. The Clinician checks the patient and visit context before signing. A signed order has a signing date; a cancelled order stays distinguishable from one that was never finished. The order records the clinic’s prescribing decision. External pharmacy delivery is a separate connection to set up if the clinic needs it.

• Authority. The privilege record holds type, evidence, status and effective period.
• Order. A prescription belongs to one encounter and one prescriber.
• Decision. Draft, Signed and Cancelled distinguish the order’s working state.

Agree who verifies privilege evidence and how often effective dates are checked. Map which privilege type a local prescribing role requires. Decide who may draft an order and who signs it. A general clinician assignment does not replace review of the relevant privilege. Record the prescriber on the order so the clinical decision remains attributable after the visit is completed. Include a change of prescriber in the rehearsal and check the new person’s privilege before signing.

During an in progress consultation, the Clinician plans a medication order. The Clinical Lead checks that the clinician’s Prescribe privilege is Verified for the relevant period. The prescriber enters the medication and dose instruction against the correct encounter as a Draft order, reviews the patient context, then signs it and records the signing date. If the order is no longer appropriate, the clinician marks it Cancelled. In a rehearsal, use another clinician with a Pending or Expired privilege. Have the Clinical Lead stop signing until the privilege is resolved and the access rule is tested.

• Draft Prescriptions — Find encounter orders awaiting a prescriber decision.
• Privileges to Verify — Review evidence for clinicians awaiting verification.
• Encounter Review Queue — Open the visit linked to an order during review.

Use visit documentation to place the order in context and clinical review to check the visit. Review roles before access setup.