Authors: Abuj Prem Balasaheb, Professor Bangar Abhishek Popat, Professor S. B. Bhosale, Professor Karad V. A.
Abstract: A prescription is the link that carries a doctor’s decision to the patient and the pharmacy. On paper, however, prescriptions are easily lost or damaged, can be misread when the handwriting is poor, and are difficult to authenticate. Electronic prescribing, in which a prescription is created, stored, shared and verified in digital form, is widely proposed as a remedy. This paper offers a focused narrative review of sixteen verified sources: one foundational consensus report [1], eight review or perspective articles, and seven primary studies covering systems, standards and case studies. Three connected themes are examined: the technologies and design elements behind a Smart Prescription Manager, which is a single secure platform joining doctors, patients and pharmacies; how strong the evidence is on medication errors and computerised prescribing; and the conditions that shape real-world deployment. The sources indicate that computerised prescribing with decision support can lower prescribing errors, and that standards such as HL7 FHIR and blockchain-based access control can be assembled into working prototypes. Yet most of the strong evidence comes from hospitals, most blockchain work remains at prototype level, and little is known about small clinics, pharmacies, telemedicine, staff training, dependence on the internet, or the new errors that software itself may introduce. The review contributes a comparative table, a conceptual architecture linking prescription creation, patient access and pharmacy verification, and a prioritised list of research gaps. The architecture is only a proposal; it has been neither built nor tested.
