{"schema":"https://ver.cy/schemas/card/1.0.0","id":"EM-HCP-06","code":"em-hcp-06","url":"https://ver.cy/models/em-hcp-06/","name":"Prescription and medication administration","alternateNames":[],"kind":"enterprise-contour","status":"published","version":"research-checkpoint","language":"en","classifiers":{"family":"Enterprise profiles","category":"Enterprise subject","entryKind":"subject","plane":"","domain":["Enterprise","HCP"],"industry":["Healthcare provider"],"navPath":"","tags":["EM-HCP-06","W-IND","subject","MedicationRequest","Prescription","MedicationDispense","MedicationAdministration","OmissionReason"],"facets":{}},"whatItIs":"A medication order or prescription, its dispensing and each recorded administration or omitted dose. Medicinal product definitions belong to referenced world models, and dosing decisions belong to clinicians.","purpose":"Keep an accurate, versioned record of what was prescribed, dispensed and given, so that the medication history can be trusted at every transition of care.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Orders, dispenses and administrations are separate linked records.","A dose change is a new order, not an edit.","Omitted doses are recorded with reasons.","Product definitions come from medicinal product models."],"structure":{"bundles":[{"id":"prescribing","name":"Prescribing","description":"What was ordered and dispensed.","layers":[{"id":"orders","name":"Orders","description":"Medication orders, replacements and dispenses.","findings":[{"id":"medication-order","name":"Medication order","description":"Product, dose, route, frequency and prescriber.","questions":[{"text":"Which medicinal product, dose, route and frequency does this order state, and who prescribed it?","id":"medication-order-q1"},{"text":"Which earlier order did this order replace, and why?","id":"medication-order-q2"}]},{"id":"dispensing","name":"Dispensing","description":"Dispenses made against the prescription.","questions":[{"text":"Which dispenses were made against this prescription, with quantities and dates?","id":"dispensing-q1"}]}]}]},{"id":"administration","name":"Administration","description":"What was given or not given.","layers":[{"id":"given-and-omitted-doses","name":"Given and omitted doses","description":"Administrations, omissions and reconciliation.","findings":[{"id":"administrations","name":"Administrations","description":"Recorded doses with time, person and batch.","questions":[{"text":"Which administrations were recorded for this order, by whom and at what times?","id":"administrations-q1"},{"text":"Which product batch was given in each administration of this order, where recorded?","id":"administrations-q2"}]},{"id":"omissions-and-reconciliation","name":"Omissions and reconciliation","description":"Omitted doses and medication lists at transitions.","questions":[{"text":"Which doses of this order were omitted or refused, and what reason was recorded?","id":"omissions-and-reconciliation-q1"},{"text":"What was the medication list of this patient at admission and at discharge, and who reconciled it?","id":"omissions-and-reconciliation-q2"},{"text":"Which allergy records were available to the prescriber when this order was placed?","id":"omissions-and-reconciliation-q3"}]}]}]}]},"agentConduct":{"may":["Show the medication history from orders, dispenses and administrations.","Flag administrations without a matching order.","Prepare a reconciliation list for clinician review."],"mustNot":["Prescribe, change doses or stop medications.","Advise patients on the use of medication.","Edit past administration records."],"requiresHuman":["Prescribing and dose changes are made by authorized prescribers.","Medication reconciliation is confirmed by a clinician or a pharmacist."]},"ethics":{"considerations":["Medication errors can cause serious harm.","Medication history reveals sensitive health conditions."],"affectedParties":["Patients","Prescribers, pharmacists and nurses","Family carers"]},"owners":{"steward":"The head of pharmacy who answers for the medication record together with prescribers.","roles":[],"masterSystems":["Electronic health record system","Pharmacy information system","Electronic medication administration record"]},"relations":[{"target":"EM-HCP-05","type":"neighbor"},{"target":"EM-HCP-03","type":"neighbor"},{"target":"EM-HCP-04","type":"neighbor"},{"target":"EM-HCP-08","type":"neighbor"},{"target":"EM-OPS-05","type":"neighbor"},{"target":"WM-ACT-048","type":"references","note":"conceptual-candidate"},{"target":"WM-OBJ-005","type":"references","note":"conceptual-candidate"}],"interaction":{"identity":{"applicability":"required","items":["A medication order has an identifier unique within the prescribing system.","Products are identified by national or international medicinal product codes."]},"properties":{"applicability":"not-applicable","items":[]},"recognition":{"applicability":"required","items":["Records show product, dose, route, frequency, prescriber and administration times.","A medication order must be distinguished from a dispense, an administration and a stock movement."]},"capabilities":{"applicability":"required","items":["The contour supports medication history, reconciliation and administration tracking."]},"hazards":{"applicability":"required","items":["Edited or ambiguous orders can lead to wrong doses.","Missing omission reasons hide gaps in treatment."]},"interfaces":{"applicability":"optional","items":["HL7 International publishes the FHIR MedicationRequest, MedicationDispense and MedicationAdministration resources.","ISO publishes the IDMP standards for the identification of medicinal products."]},"context":{"applicability":"required","items":["The contour is used in hospitals, clinics and community pharmacies.","Controlled substances follow additional legal record rules."]}},"sources":[{"title":"HL7 FHIR: MedicationRequest, MedicationDispense and MedicationAdministration resources"},{"title":"ISO IDMP: identification of medicinal products"},{"title":"Medication reconciliation practice at transitions of care"},{"title":"HL7 FHIR R4 MedicationRequest resource","url":"https://hl7.org/fhir/R4/medicationrequest.html","note":"Checked live (HTTP 200) on 2026-10-21."},{"title":"HL7 FHIR R4 MedicationAdministration resource","url":"https://hl7.org/fhir/R4/medicationadministration.html","note":"Checked live (HTTP 200) on 2026-10-21."},{"title":"HL7 FHIR R4 MedicationDispense resource","url":"https://hl7.org/fhir/R4/medicationdispense.html","note":"Checked live (HTTP 200) on 2026-10-21."}],"openQuestions":["How is a prescription linked to dispenses and administrations without copying its content?","How are changes of dose recorded as new orders rather than edits?","How is an omitted dose recorded with its reason?","Settle the boundary and the reuse, extend or new decision against the current specifications.","Confirm the semantic crosswalk, rights and source mastership.","Choose immutable references and run fixture checks before claiming publication readiness."],"resources":{"source":"https://ver.cy/enterprise/models/em-hcp-06/"},"provenance":{"origin":"enterprise research programme","builtFrom":["enterprise/models/em-hcp-06/brief.json","ver-cy/world-models/card-supplements/em-hcp-06.json"],"providers":[],"researchStatus":"published-partial","generatedAt":"","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"interaction.properties":"Enterprise record contour: physical properties belong to referenced world models.","_supplement":"Sections authored in card supplement 1.1.0 by Claude (Opus 5.5) (2026-10-21, unreviewed). Written from the industry contour brief and established practice in the field; source pages were checked live on 2026-10-21. Unreviewed.","_gate":"Published through the contour publication gate 1.0 on 2026-10-21T19:02:23+00:00: completeness 1.00; subject: research brief; 3 live sources; review by codex: pass"},"score":1.0}}