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PDFWAC 246-945-417

Electronic systems for patient medication records, prescriptions, chart orders, and controlled substance records.

(1) A pharmacy shall use an electronic recordkeeping system to establish and store patient medication records, including patient allergies, idiosyncrasies or chronic conditions, and prescription, refill, transfer information, and other information necessary to provide safe and appropriate patient care.
(a) Systems must prevent auto-population of user identification information.
(b) Pharmacies that provide off-site pharmacy services without a pharmacist for product fulfillment or prescription processing must track the identity of each individual involved in each step of the off-site pharmacy services.
(2) The electronic recordkeeping system must be capable of real-time retrieval of information pertaining to the ordering, verification, and processing of the prescription where possible.
(3) The electronic recordkeeping system must include security features to protect the confidentiality and integrity of patient records including:
(a) Safeguards designed to prevent and detect unauthorized access, modification, or manipulation of prescription information and patient medication records; and
(b) Functionality that documents any alteration of prescription information after a prescription is dispensed, including the identification of the individual responsible for the alteration.
(4) The pharmacy shall have policies and procedures in place for system downtime.
(a) The procedure shall provide for the maintenance of all patient recordkeeping information as required by this chapter.
(b) Upon restoration of operation of the electronic recordkeeping system the information placed in the auxiliary recordkeeping procedure shall be entered in each patient's records within two working days, after which the auxiliary records may be destroyed.
(c) This section does not require that a permanent dual recordkeeping system be maintained.
(5) The pharmacy shall maintain records in accordance with WAC 246-945-020.
(6) Electronic prescriptions for prescription drugs must be maintained by the pharmacy in a system that meets the requirements of 21 C.F.R. Sec. 1311.
(7) HCEs or HPACs that maintain an electronic record system must be done in accordance with subsections (2) through (7) of this section.
[Statutory Authority: RCW 18.64.005, 18.64.080, 18.130.075, 18.64.043, 18.64.044, 18.64.045, 18.64.046, 18.64.370, 18.64.460, 69.50.310, 18.64.011, 18.64.245, 18.64.470, 18.64.255, 18.64.205, 18.64.253, 18.64.410, 18.64.500, 18.64.590. WSR 20-12-072, ยง 246-945-417, filed 6/1/20, effective 7/1/20.]
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