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Reviewing Prescriptions

The Anamnesis Center is where you review prescription requests from patients. This page explains how the review process works and what actions you can take.

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The Anamnesis Center

The Anamnesis Center is your main workspace for reviewing prescriptions. When patients submit orders that require a prescription, those requests arrive here for your review. Prescriptions appear in a queue and are presented to you one by one (or grouped by order, depending on your organisation’s configuration). This focused approach helps you give each prescription the attention it deserves without being overwhelmed by a long list.
If your organisation runs a storefront, requests patients submitted and paid a review fee for arrive in this same queue — there is no second list. They have a few extra rules of their own, so read Storefront Prescription Requests before you review one.

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What You See During Review

When you open a prescription for review, you will see:
  • Patient information — The patient’s name, date of birth, and relevant medical details.
  • Questionnaire responses — The patient’s answers to the medical questionnaire (anamnesis) associated with the requested medication. Opening these answers is recorded: RxScale stores which doctor viewed them and when.
  • Requested medication — The specific product and dosage the patient is requesting.
  • Patient history — Previous prescriptions and any relevant notes from past reviews.
  • Previous questionnaire — If the patient has an earlier prescription, the answers from their most recent earlier questionnaire are shown next to the one under review, so you can compare the two directly. The History button lists all earlier prescriptions.
  • Patient warnings — If an RxScale administrator has flagged the patient, a coloured warning banner appears at the top of the review.
Patient warnings are set by RxScale administrators — you cannot edit them. They have a severity (informational, warning, or critical). A critical warning must be acknowledged before you continue the review, and you are prompted again each time you open the review.

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Actions You Can Take

After reviewing a prescription, you have three options:

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Approve

If the prescription is medically appropriate based on the patient’s information and questionnaire responses, approve it. The prescription will then move to the Sign Center, where it needs to be electronically signed before it can be sent to a pharmacy.

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Decline

If the prescription is not appropriate, decline it. When you decline a prescription, you will be asked to provide a reason. This note is important because:
  • It helps the patient understand why their request was not approved.
  • It creates a record of your clinical decision.
  • It may be shared with the patient or the support team.
Always include a clear and professional reason when declining a prescription. This is a required step.

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On Hold

If you need more information before making a decision, you can place the prescription on hold. When placing a prescription on hold, add a note explaining what additional information is needed. The support team will follow up and the prescription will return to your queue once the situation is resolved. A hold applies to the whole order: the other prescriptions of the same order are held with it and are offered to nobody until it is resolved.

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What Happens After Your Decision

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One Order, One Doctor

An order can contain more than one prescription, and all of them belong to the same clinical case: the same patient, the same identity document, the same date of birth. An order is therefore reviewed by a single doctor. As soon as you take any prescription of an order, the order’s remaining prescriptions are held for you. They stop appearing in your colleagues’ queues and reach you in the Anamnesis Center as you work through the order. The same applies in reverse: if a colleague is already working an order, none of its prescriptions reach you.
If a prescription you were expecting never appears, a colleague is most likely working another prescription of the same order. The prescription history shows who holds it.
There is one exception. If a prescription of the order is one you could not review anyway — its product is on your blacklist, it requires a questionnaire you are not assigned to, it needs a digital signature you do not have, or it is over your maximum prescription quantity — it is released to a colleague who can review it, rather than waiting for you indefinitely. A reservation you held on another prescription of that order is released at the same time, so that colleague takes the whole case and the reserved prescription leaves your list before the timer runs out.

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When One Prescription Goes On Hold

Placing a prescription on hold stops the entire order, not only that prescription. Its sibling prescriptions leave the queue as well and are offered to nobody until the hold is resolved. This is deliberate. A hold is usually raised because something about the patient is missing or inconsistent — an identity document that was not supplied, a date of birth that does not match. That doubt applies to every prescription in the order, so none of them should be signed and shipped while it stands. Without this rule, one half of an order could be signed and dispatched while the other half was still waiting for the patient’s ID. Once the support team resolves the hold and returns the prescription to the queue, the whole order becomes available again.

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Tips for Efficient Review

  • Review prescriptions regularly. Patients are waiting for their medication, so timely reviews make a real difference.
  • Read the questionnaire responses carefully. The patient’s answers to the anamnesis questionnaire are your primary source of clinical information.
  • Use clear notes. Whether you are declining or placing a prescription on hold, write notes that are specific and actionable.

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Reassigning a Prescription to Another Doctor

If a case is better handled by a colleague, you can reassign a prescription without declining it. Reassignment is available while reviewing a prescription in the Anamnesis Center and from the patient detail page.
You can only reassign prescriptions that have not yet been signed — those that are awaiting review, on hold, or approved but not yet signed. Already-signed or declined prescriptions cannot be reassigned.
To reassign a prescription, select Assign to another doctor from the prescription actions. A picker appears listing only the colleagues this prescription can actually be assigned to. A colleague is left out of the list when they have not been enabled by an administrator to receive assigned prescriptions, assigning it would put them over their Maximum Prescription Quantity, or they are blacklisted for one of the prescription’s products — so if someone you expected is missing, that is why. After you confirm the reassignment:
  • The prescription moves back to “waiting for doctor” status for the new doctor.
  • The change is recorded in the prescription’s history so there is a clear audit trail.
If the picker reports that no doctors are available, contact your administrator to enable the Can Receive Assigned Prescriptions setting for the relevant doctor accounts, raise their Maximum Prescription Quantity, or review the product blacklist for those doctors.

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Taking a Prescription Reserved for You

Your organisation can set aside a share of new prescriptions for one doctor. If that is you, those prescriptions appear in your prescriptions list as soon as they are created, before anybody has started work on them. A reservation is not yet an assignment. The prescription is being held for you, but it is not yours until you say so, which is why reserved prescriptions show a Take action in the list. Select it and the prescription is assigned to you, and from then on it reaches you in the Anamnesis Center like the rest of your work. Every reservation has a time limit set by your administrator. If you do not take the prescription before that limit passes, it returns to the shared queue and any eligible colleague can review it. This is normal — a reservation is a head start, not a permanent hold.
If Take does not work, the prescription is simply no longer reserved for you: either a colleague picked it up from the shared queue, a colleague took another prescription of the same order that you could not review, or the reservation ran out while the page was open. The list refreshes and the prescription drops off it. Nothing has gone wrong, and there is nothing to fix on your side.