The "E-prescription" tab allows the doctor to prescribe medications for the patient and issue electronic prescriptions (e-prescriptions). The tab is organized in the form of three tables and a drugs prescribing form. The first table is the packages of issued e-prescriptions. The second table are ready drugs for which e-prescriptions have not yet been issued. The third table is prescription are made drugs for which e-prescriptions have not yet been issued. The drugs prescribing form allows one to prescribe both ready and made medicines – one can use the NORMAL / MADE switch to change the type of medicine being prescribed.

Prescribing prepared drugs is based on the mechanism of hints. If the field with the globe icon in front of the drug name field is not checked, then trade names should be used when entering the drug name, otherwise international names should be used. If in the surgery configuration mode of displaying hints when prescribing drugs "hints displayed for the name of the drug but containing the name, form, dosage and package" is on, then to prescribe normal drug start typing the name of the drug in the "drug name" field and optionally a dose. After entering at least three letters there is displayed a list of suggestions (refunded drugs on suggestions list are marked with the character of ®). Appropriate drug should be chosen from the list of suggestions. At the moment, the "drug name", "form", "dose", "package", "quantity", "repayment" fields will be automatically filled and moreover before “+” / “Add” (character / text within the button dependent on surgery configuration) button will appear a magnifier icon / “SoPCh” text (icon / text within the button dependent on surgery configuration). However, if mode of displaying hints when prescribing drugs "hints displayed separately for the name, form, dosage and package" in the surgery configuration is on, then to prescribe normal drug start typing the name of the drug in the "drug name" field. After entering at least three letters there is displayed a list of suggestions (refunded drugs names on suggestions list are marked with the character of ®). Appropriate drug should be chosen from the list of suggestions. After selecting name of drug form the list of hints, the system automatically moves a cursor to the field of form of drug and displays hints containing available forms of drug having this name (refunded drugs forms on suggestions list are marked with the character of ®). After selecting form of drug from the list of hints, the system automatically moves a cursor to the field of dose of drug and displays hints containing available doses of drug having this name and form (refunded drugs doses on suggestions list are marked with the character of ®). After selecting dose of drug from the list of hints, the system automatically moves a cursor to the field of package of drug and displays hints containing available packages of drug having this name, form and dose (refunded drugs packages on suggestions list are marked with the character of ®; drug packaging for which the marketing authorization has expired are highlighted in red). After selecting package of drug the system automatically fills the ”quantity” and “repayment” fields and moreover before “+” / “Add” (character / text within the button dependent on surgery configuration) button will appear a magnifier icon / “SoPCh” text (icon / text within the button dependent on surgery configuration). The task of the doctor is to verify (and possibly modify) the amount and payment for a drug (if for a given drug there is more than one level of price and the system has been configured in such a way as to display a text field with a list of hints for a payment, then placing the cursor in the "repayment" field and pressing the down arrow on your keyboard will develop a list of available payment to choose), determine the dosage, if the prescription for a given drug is to have a deferred realization date, indicate the issue date, if the given drug is to be on the list of patient's permanent medicines check the "fixed" field (if a given drug has already been entered on the patient's fixed drugs list, then the request to re-enter the given drug on this list will be ignored), if the prescription for a given medicine is to be year-round check the "year round" field, if substitutes for the drug cannot be used, check the "dont change" box, optional information can also be provided for the drug issuer. Dosage can be specified in one of two ways: descriptively or in the form of a chart. In the case of medical devices, products with a complex structure and insulin, the dosage is determined only descriptively, in the case of other drugs, for year-round prescriptions, the dosage is determined only in the form of a chart, and for prescriptions other than year-round prescriptions, the dosage can be determined either descriptively or in the form of a chart. To define the dosage schedule, click the green table icon. In the definition of the dosage chart, you must provide the number of days of taking the drug and define at least one row specifying the dosage method (one such row is displayed by default). Dosage can be specified in one of three methods: taking a specific dose of the medicine at specific times, taking a specific dose of the medicine a specific number of times a day, and taking a specific dose of the medicine at specific seasons of the day. The dosage chart row shows fields for all three dosage methods listed, but only one of them must be completed. If the dosage chart changes during the treatment (e.g. the patient is to take 2 tablets once a day for 5 days and then 1 tablet once a day for the next 3 days), then more rows should be entered specifying the dosage methods, maintaining their correct order. To do this, use the blue "More" button - each click on it displays another row to define the dosage method to be used next. Empty rows will be ignored when saving data. If more than one dosage row is completed, one has to indicate how many times the patient should repeat taking the medicine according to the given method (e.g. "take 2 tablets once a day for 5 days" means that the number of times the patient should repeat taking 2 tablets once a day is 5). In the case of completing the dosage with taking the drug at specific seasons of the day, even if only one row of the dosage chart is defined, it is also necessary to indicate how many times the patient is to repeat taking the drug according to the given method (if only one row of the dosage chart is defined, the number of repetitions should be the same with the number of days of treatment). If one needs to redefine the entire dosage chart, one has to click the red "Clear" button to clear all contents of the dosage chart definition form. Once one finished defining the dosage chart, one has to save the entered definition by clicking the green "Ready" button. If certain dosage charts have been defined for the staff, then their names are displayed in the drop-down list above the dosage chart definition form - selecting a chart from this list results in automatic completion of the dosage chart definition form (if necessary, changes to the dosage can be made in this form).

The magnifier icon / “SoPCh” text (icon / text within the button dependent on surgery configuration), which appears before “+” / “Add” (character / text within the button dependent on surgery configuration) button after the selection of drug enables to view the details data of selected drug (clicking on this icon opens a new window with information about the drug). After filling the data drug should be added to the visit card by pressing the “+” / “Add” (character / text within the button dependent on surgery configuration) button. Repeating the above steps, it is possible to enter any number of drugs.

To prescribe a made drug, enter its name, specify the form, indicate the quantity and unit, specify the number of packages, enter repayment, specify the dosage and describe how to prepare the medicine and determine the ingredients and quantities. If the system has been configured in such a way as to display a text field with a list of hints for a payments, then by placing the cursor in the "repayment" field and pressing the down arrow on the keyboard, the list of payments to be selected will expand. If a given drug is to be included in the patient's permanent drugs list, then the "fixed" field should be checked (if a given drug has already been entered on the patient's fixed drugs list, then the request to re-enter the given drug on this list will be ignored). In order to add the added drug to the catalog of prescription drugs (common for all doctors), one must additionally check the "to catalog" box. If the prescription for a given drug is to have a deferred realization date, then the issue date should be indicated. If the prescription for a given medicine is to be year-round, check the "year round" box. If substitutes cannot be used for a given medicine, check the "dont change" box. Optional information can also be provided for the drug issuer. Ingredients are entered by specifying the name and the quantity and unit. When entering the name of the ingredient, after entering at least three characters, a list of hints with the names of the ingredients will be displayed - the correct ingredient should be selected from the list of hints. By default, the fields for entering one ingredient are displayed. To display more fields to enter more ingredients, use the "More ingredients" button. Each click on this button will display additional fields for entering the next ingredient. Fields for entering ingredients that are not filled will be ignored when adding the drug to the visit card. After completing the data, it remains to add the drug to the visit card by pressing the "Add drug" button. By repeating the above steps, you can enter any number of medicines.

If there is need to change the amount, payment, dosage or issue date for added ready drug or to change amount, payment, dosage, preparation or issue date for added made drug (before issuing prescriptions) one should made changes in the appropriate fields at the drug and save them by clicking on the floppy disk icon at the drug (any modification of the amount, payment, dosage, preparation or issue date entered at the drugs are also saved at the moment of creating prescriptions). To modify the dosage, click the green "Edit" button next to the dosage content. A new window will then open with two tabs - one for determining the dosage in a descriptive way, the other for determining the dosage in the form of a chart (the dosage can only be entered in one of the ways mentioned).The principle of modifying a dosage chart is the same as described earlier in this chapter when discussing defining a dosage chart, except that the modified chart is saved by clicking the "Save" button. If any drug is added by mistake, it is possible to remove it using the button with „×” sign visible at a particular drug. By the names of prescribed drugs there can appear the follwing caution marks: P – psychotropic drug, X – very strong drug, S – strong drug, N – intoxicating drug (full text of caution is displayed within tooltip which appears after moving mouse cursor onto the given mark).

One can issue e-prescriptions after completing the drug entry. Data of patient's guardians can be attached to e-prescriptions by selecting them in the "Include guardian's data" section in the lower part of the tab (if such data has been entered in the patient's card). To issue e-prescriptions without sending them at the same time, click the floppy disk button at the bottom of the "E-prescription" tab. The system will automatically issue e-prescriptions (a separate e-prescription is issued for each medicine) and automatically create packages for e-prescriptions issued (each package may contain a maximum of five e-prescriptions). The packages created will be displayed in the e-prescription package table. Each package has a blue button with a white arrow that allows you to show / hide package details, i.e. e-prescriptions included in the package. Each e-prescription has a button with the "×" sign enabling it to be deleted. Removing a prescription results in transferring the medicine for which the prescription was issued to the list of medicines for which prescription has not been issued. An identical button next to the package allows one to delete the package. The removal of the package results in the removal of all e-prescriptions included in the package, and thus the transfer of all medicines for which these prescriptions were issued, to the list of medicines for which prescription has not been issued.

Each e-prescription package also has a button with a paper plane icon that you click to send the eprescription package. The view of the e-prescription package table changes then - the icons for removing e-prescriptions / packages and sending packages disappear, and icons for e-prescription printing and package printing and e-prescription cancelling appear. The access code and the key of the e-prescription package also appear (by default, the first four digits of the access code are displayed, and next to them are arrows, which you can click to display the full code - the hidden part of the code is the patient's PESEL number). Clicking on the print package / e-prescription icon opens a preview of the package / e-prescription in a new window, enabling it to be printed. After clicking on the e-prescription cancellation icon, the system asks for the reason for its cancellation, then cancels the e-prescription and instead of printing and canceling icons, an icon appears indicating that the e-prescription has been canceled.

To issue e-prescriptions with their simultaneous sending, click the button with the paper airplane icon visible at the bottom of the "E-prescription" tab. The system will automatically issue eprescriptions (a separate e-prescription is issued for each medicine), automatically create packages for e-prescriptions issued (each package may contain a maximum of five e-prescriptions) and send them. The created packages will be displayed in the e-prescription package table with the icons of printing next to them and the printing icons of e-prescriptions included in the packages.

If in the system configuration the mechanism of automatic sending of SMS messages with eprescription access codes to patients has been enabled, then when the e-prescription package is sent to the P1 platform, an SMS is also sent to the patient with the access code to such e-prescription package (if the patient does not use the Internet Patient Account and has a mobile phone number in the patient's card).

The button with the database icon visible at the bottom of the "E-prescription" tab allows access to the history of prescribed drugs and prescriptions issued for the patient and allows you to easily rewrite the same drugs or re-issue the same prescriptions. After pressing this button a new window opens in which drug categories appear on the left and drugs on the right. Drug categories are divided into outpatient clinics where the patient was treated. The following categories of medicines are available in each clinic:

• recent visits - ready and made medicines for the patient from the last three visits completed at the given clinic
• last year - ready and made medicines for the patient from visits completed at the given clinic during the last year (365 or 366 days back from the current date)
• all - patient's ready and made drugs from all visits at the given clinic

By clicking on the names of individual categories, the right drugs are displayed on the right side of the window. Each drug has a button with a "+" sign, which, when pressed, adds the selected drug to the list of medications prescribed to the patient at the current visit. Drugs are grouped in the way they were prescribed. For each such group of drugs there is a button with the sign "♺", which pressing adds the selected group of drugs to the list of drugs prescribed to the patient at the current visit and automatically creates an e-prescription package with these drugs at the current visit. It is therefore a very fast way to repeat e-prescriptions.

The "×" button in the prescription and drug history window closes this window and returns to the "E-prescription" tab in the visit window.

The button with the medkit icon visible at the bottom of the "E-prescription" tab opens the medkit window, i.e. the list of your doctor's preferred medicines. Each drug has a button with a "+" sign, which, when pressed, adds the selected drug to the list of medications prescribed to the patient at the current visit.

The "×" button in the first aid kit window allows you to close this window and return to the "Eprescription" tab in the visit window.

The button with the "☑" icon visible at the bottom of the "E-prescription" tab opens a window with a list of patient's permanent medicines broken down into ready and made medicines. Each drug has a button with a "+" sign, which, when pressed, adds the selected drug to the list of medications prescribed to the patient at the current visit. Each drug also has a button with the "-" sign, which when pressed, removes the selected drug from the patient's permanent drug list.

The "×" button in the permanent medication window allows you to close this window and return to the "E-prescription" tab in the visit window.

The button with an icon of open file displayed in the lower part of the "E-prescription" tab allows to access to the full catalog of drugs and provides an easy way to prescribe drugs from the catalog. When you press this button there is opened a window of drugs’ catalogue, which shows all the available drugs. At each drug are presented the following information:

• name
• form
• package
• producer
• repayment
• is this drug authorized for marketing
• is this contraceptive drug
• group of precursors
• category of availability
• international name
• characteristic - if the drug has a characteristic then in the field of characteristic is displayed a button with the down arrow „↓” to download the PDF file with the characteristic of the drug
• replacements - at every drug there is the "Display" button, which allows to display replacements for a particular drug

Before each of the drugs there is visible "Add" button, which adds the drug to the list of drugs prescribed to the patient on the current visit. In turn, pressing the button of displaying replacements at any drug switches the view from the list of drugs to the list of replacements for this drug. In the upper part of the window there is displayed additional information about which drug’s replacements are currently displayed ant at this information is „×” sign. Clicking on the „×” ends displaying of replacements and restores the previous view of drugs.

The list of drugs displayed in the window of catalogue of drugs can be narrowed by entering a part of the name, form, package, producer, international name in the fields visible at the bottom of the column and / or selecting the appropriate values from the drop-down lists also visible at the bottom of the column. When entering a part of the name, form, package, producer, international name and / 439 or selecting values from drop-down lists, the system automatically displays only these medicines that meet the search criteria. By clicking in turn on the headers of columns under the list of drugs it is possible to sort them alphabetically by the column (subsequent clicks are changing the sort order from ascending to descending and vice versa). At the top of the left column there is also displayed a navigation pane uses to change the amount of drug visible on one screen as well as switching between successive screens if the drugs do not fit on one.

Button with the „×” sign in the catalogue of drugs window can close this window and return to the "E-prescription" tab in the visit window.

Button with gears visible in the lower part of the tab "E-prescription" allows to preview list of interactions between prescribed drugs, interactions between prescribed drugs and agents patient is allergic to, interactions between prescribed drugs and agents patient is addicted to, and interactions between prescribed drugs and other agents defined within the dictionary of interaction agents. Depending on system configuration, this button can be always blue (higher system performance) or it can automatically change color into red in case when any interaction is detected (lower system performance). After clicking this button there opens new window with the list of detected interactions. The interaction detection mechanism includes both drugs prescribed to the patient in the "E-prescription" tab as well as those prescribed to the patient in the "Drugs" tab. System indicates the following interactions:

• drug-drug interaction defined by the user within interactions database (drug in sense of trade name or international name)
• drug-agent interaction defined by the user within interactions database (drug in sense of trade name or international name)
• prescribing of the same drug more than once
• prescribing at least two drugs containing the same component (component in sense of trade name or international name)
• interaction between drug and agent patient is allergic to
• interaction between drug and agent patient is addicted to

Button with mark „×” within drug interactions window allows to close this window and return to “E-prescription” tab within visit window.

The button with the flask icon visible at the bottom of the "E-prescription" tab allows access to the prescription drug catalog. After clicking it, a new prescription drug catalog is displayed in the new window and with each drug a button with the "©" sign, which click closes the catalog window and copies the drug data to the prescription drug prescription form at the bottom of the "E-prescription" tab, which allows faster prescription given medicine to the patient.

The button with an icon of a sheet of paper on an orange background, visible at the bottom of the "E-prescription" tab, allows the doctor to submit an application for access to the patient's e-prescriptions issued by other doctors. After clicking this icon, the application submission window opens.

After clicking the "Apply for access to the patient's e-prescriptions" button, an application for such access is created on the P1 platform and an SMS with an access code to the e-prescriptions is sent to the patient's phone number. At this point, the doctor should ask the patient for the access code that the patient has just received and then enter it into the form.

After entering the access code and clicking the "Approve application for access to the patient's e-prescriptions" button, information about granting access and the ability to view the patient's e-prescriptions is displayed. To view the patient's e-prescriptions, use the icon described in the next paragraph.

The button with the icon of a piece of paper, visible in the lower part of the "E-prescription" tab, allows you to view all e-prescriptions issued to the patient, which the patient has allowed with the settings entered in his Internet Patient Account. By default, the doctor can only see e-prescriptions issued by him, while the patient can allow the doctor to view e-prescriptions issued by other doctors, even from other facilities, as described above (does not apply to primary care, where the doctor can see all the patient's e-prescriptions without the need to obtain additional permissions). In connection with the entry into force of the Regulation of the Minister of Health on narcotic drugs, psychotropic substances, category 1 precursors and preparations containing these agents or substances on August 2, 2023, a prerequisite for issuing an e-prescription for psychotropic and narcotic drugs is the doctor's review with the patient's e-prescription history, and this button is for this purpose. From the moment the doctor becomes acquainted with the patient's e-prescription history, he has one hour to issue a prescription for a psychotropic or narcotic drug to the patient (after one hour, the right to issue such a prescription expires - then it is necessary to review the list of e-prescriptions issued to the patient again). After clicking the aforementioned button, the e-prescription search engine is displayed in a new window. The search is possible using the following criteria: e-prescription issuing date range and e-prescription status. In clinics other than primary care, there is also an access mode criterion that allows viewing all e-prescriptions for children, seniors and pregnant women without the need to obtain additional permits. After entering the criteria and clicking the "Display" button, a list of e-prescriptions meeting the search criteria is displayed. If the list of e-prescriptions that meet the search criteria is too long, an appropriate message will appear - then you should narrow down the search criteria and try again.

If there is information in the patient's card that he is using the Internet Patient Account, then at the top of the tab an additional red message appears informing the doctor about this fact, and providing an indication for him that there is no need to print e-prescriptions for such a patient.

The "Back" and "Next" buttons visible at the bottom of the tab allow you to switch accordingly to previous and next tabs in the visit card.