Overview The Prescriptions module (called “Indicaciones” in the system) allows doctors to create medical prescriptions and treatment indications for patients. These can include medications, dietary recommendations, post-operative care instructions, and other clinical directives.
Database Schema CREATE TABLE indications ( id INT AUTO_INCREMENT PRIMARY KEY , patient_id INT NOT NULL , doctor_id INT NOT NULL , indication_date TIMESTAMP DEFAULT CURRENT_TIMESTAMP, description TEXT NOT NULL , FOREIGN KEY (patient_id) REFERENCES patients(id) ON DELETE CASCADE , FOREIGN KEY (doctor_id) REFERENCES doctors(id) ON DELETE CASCADE );
The description field stores the complete prescription text including medications, dosages, and instructions.
Creating Prescriptions Access Points Prescriptions are created from multiple locations:
Patient Profile Navigate to the patient’s “Indications” tab and click “Nueva Indicación”.
Indications Page Access /indications for a system-wide view of all prescriptions.
After Consultation Create prescriptions immediately after documenting medical records.
The prescription form is simple and flexible:
Fields:
Patient : Automatically linked when created from patient profileDescription : Free-text field for complete prescription detailsDate : Auto-stamped with current timestampDoctor : Auto-filled with current user
Example Prescription Content 💊 Ibuprofeno 400mg cada 8h por 3 días 💊 Amoxicilina 500mg cada 8h por 5 días 🧪 Enjuague bucal con clorhexidina 0.12% cada 12h por 7 días 📋 Indicaciones adicionales: - Dieta blanda por 48 horas - Evitar bebidas calientes - No fumar durante el tratamiento - Aplicar hielo externo si hay inflamación - Control en 7 días
Prescription Display Indications List View Prescriptions are displayed in card format:
{ desc : "Ibuprofeno 400mg cada 8h por 3 días. Amoxicilina 500mg cada 8h por 5 días." , patient : "María Pérez" , date : "15/02/2026" }
Visual Design Each prescription card includes:
💊 Icon tag indicating it’s a prescription
Patient name and date in header
Full prescription text in readable format
Light background (slate-50) for visual separation
Subtle border and rounded corners
Prescription Workflow
Consultation
Doctor examines patient and determines necessary medications/instructions.
Document Record
Create a medical record documenting the diagnosis and treatment plan.
Create Prescription
Navigate to Indications tab and click “Nueva Indicación” to write prescription.
Print/Send
Print physical prescription for patient or send digitally via email/WhatsApp.
Follow-up
Track compliance during next appointment and adjust if needed.
Medication Templates Common Prescriptions While the system doesn’t have built-in templates, clinics often maintain their own:
Ibuprofeno 600mg cada 12h por 2 días Paracetamol 500mg si dolor moderado Evitar masticar con pieza tratada Higiene bucal suave en zona Control en 15 días para restauración final
Enjuague clorhexidina 0.12% cada 12h por 14 días Cepillado técnica Bass 3 veces al día Hilo dental diario Control en 21 días Valorar profilaxis si no mejora
Fluorización tópica aplicada Sellantes de fosas y fisuras Indicaciones: - Cepillado 3 veces al día - Pasta dental con flúor 1450ppm - Reducir azúcares en dieta - Control cada 6 meses
Printing Prescriptions Print Layout Prescriptions can be printed on clinic letterhead with:
Header:
Clinic logo and name
Clinic address and contact info
Doctor name, specialty, and license number
Body:
Date of prescription
Patient name and ID
“Rp/” symbol (prescription symbol)
Medication details with dosages
Additional instructions
Footer:
Doctor signature line
Doctor stamp/seal
Clinic registration number
Print Functionality function printPrescription ( indicationId ) { window . print (); }
Print styles should hide navigation, sidebar, and other UI elements, showing only the prescription content.
Print CSS Example @media print { /* Hide UI elements */ nav , aside , .btn , .toolbar { display : none !important ; } /* Prescription styling */ .prescription-print { padding : 40 px ; font-size : 14 px ; line-height : 1.8 ; } .prescription-header { border-bottom : 2 px solid #000 ; margin-bottom : 30 px ; padding-bottom : 20 px ; } .prescription-body { min-height : 400 px ; } .prescription-footer { margin-top : 60 px ; text-align : center ; } }
Digital Prescriptions WhatsApp Integration Send prescriptions via WhatsApp:
const message = encodeURIComponent ( ` *Prescripción Médica* Paciente: ${ patient . name } Dr. ${ doctor . name } Fecha: ${ date } ${ prescription . description } ` ); const whatsappUrl = `https://wa.me/ ${ patient . phone } ?text= ${ message } ` ; window . open ( whatsappUrl );
Email Integration Email prescriptions to patients:
POST / api / notifications / email Body : { to : patient . email , subject : `Prescripción médica - ${ clinic . name } ` , template : 'prescription' , data : { patient : patient , doctor : doctor , prescription : indication . description , date : indication . indication_date } }
API Reference List Indications GET / api / patients / { patientId } / indications Response : { success : true , indications : [ { id: number , patient_id: number , patient_name: string , doctor_id: number , doctor_name: string , indication_date: string , description: string } ] }
Create Indication POST / api / patients / { patientId } / indications Body : { description : string } Response : { success : true , indication_id : number }
System-Wide Indications GET / api / indications Response : { success : true , indications : [ /* All prescriptions across all patients */ ] }
Permissions
Module : ClínicoView prescriptions and medical indications for patients. Useful for pharmacists and nursing staff.
Module : ClínicoCreate new prescriptions and treatment indications. Typically restricted to licensed doctors.
Only licensed medical professionals should have CREATE_INDICATIONS permission to comply with prescription regulations.
Medication Safety Allergy Checking Before prescribing, always verify:
if ( patient . allergies && patient . allergies . includes ( 'Penicilina' )) { // Show warning showToast ( '⚠️ Paciente alérgica a penicilina' , 'warning' ); }
CRITICAL : Always check patient allergies before prescribing medications. The patient profile displays allergies prominently.
Drug Interaction Alerts Consider implementing:
Drug interaction database lookup
Contraindication warnings
Dosage verification
Age/weight-based dose calculation
Legal Compliance Prescription Requirements Depending on your jurisdiction, prescriptions must include:
Doctor Info
Patient Info
Medication Details
Clinic Info
Full name
Medical license number
Specialty
Signature and stamp
Full name
Patient ID or cedula
Age (for dosage verification)
Generic and brand name
Dosage and form
Frequency and duration
Quantity to dispense
Clinic name and address
Phone number
Registration number
Date of prescription
Controlled Substances Prescriptions for controlled substances may require special forms, duplicate copies, and additional documentation. Consult local regulations.
Special Handling For controlled medications:
Use separate prescription forms
Include DEA number or equivalent
Maintain controlled substance log
Follow quantity limitations
Require patient signature
Best Practices
Use Generic Names
Prescribe using generic medication names when possible for cost-effectiveness.
Be Specific
Include complete dosing instructions: dose, frequency, duration, and route.
Check Interactions
Review patient’s current medications before prescribing new ones.
Patient Education
Explain purpose, side effects, and precautions verbally and in writing.
Document Thoroughly
Link prescriptions to medical records for complete treatment documentation.
Follow-up
Schedule follow-up to assess medication effectiveness and compliance.
IndicationsTab Component The patient profile includes a dedicated tab:
src/lib/components/patients/tabs/IndicationsTab.svelte
Features:
List all prescriptions for the patient
Create new prescriptions (doctors only)
Print individual prescriptions
Filter by date range
Search prescription text
Integration with Medical Records Prescriptions work seamlessly with medical records:
Document consultation in medical recordsReference treatment in prescriptionLink IDs (optional) for full traceabilityReview history before prescribing new medications
// Create record first const recordRes = await fetch ( `/api/patients/ ${ patientId } /records` , { method: 'POST' , body: JSON . stringify ( recordData ) }); // Then create linked prescription const prescriptionRes = await fetch ( `/api/patients/ ${ patientId } /indications` , { method: 'POST' , body: JSON . stringify ({ description: prescriptionText , record_id: recordRes . data . record_id // Optional linking }) });
Future Enhancements Potential improvements to the prescription system:
Electronic prescription (e-prescription) integration
Pre-defined medication templates library
Drug database integration for auto-complete
Automatic drug interaction checking
Refill management
Pharmacy system integration
Multi-language prescription templates
QR codes for digital verification
