Prescription and medication administration
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.
Bundle → Layer → Finding → Questions Filled
2 bundles · 2 layers · 4 findings · 8 questions
Prescribing What was ordered and dispensed.
Orders
Medication orders, replacements and dispenses.
Medication order
Product, dose, route, frequency and prescriber.
- Which medicinal product, dose, route and frequency does this order state, and who prescribed it?
- Which earlier order did this order replace, and why?
Dispensing
Dispenses made against the prescription.
- Which dispenses were made against this prescription, with quantities and dates?
Administration What was given or not given.
Given and omitted doses
Administrations, omissions and reconciliation.
Administrations
Recorded doses with time, person and batch.
- Which administrations were recorded for this order, by whom and at what times?
- Which product batch was given in each administration of this order, where recorded?
Omissions and reconciliation
Omitted doses and medication lists at transitions.
- Which doses of this order were omitted or refused, and what reason was recorded?
- What was the medication list of this patient at admission and at discharge, and who reconciled it?
- Which allergy records were available to the prescriber when this order was placed?
Classifiers Filled
- Family
- Enterprise profiles
- Category
- Enterprise subject
- Entry kind
- subject
- Domain
- EnterpriseHCP
- Industry
- Healthcare provider
- Tags
- EM-HCP-06W-INDsubjectMedicationRequestPrescriptionMedicationDispenseMedicationAdministrationOmissionReason
What it is Filled
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.
Why it exists Filled
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.
Distinguishing features Filled
- 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.
What robots and AI may and may not do Filled
Must not
- Prescribe, change doses or stop medications.
- Advise patients on the use of medication.
- Edit past administration records.
Only with a human decision
- Prescribing and dose changes are made by authorized prescribers.
- Medication reconciliation is confirmed by a clinician or a pharmacist.
May
- Show the medication history from orders, dispenses and administrations.
- Flag administrations without a matching order.
- Prepare a reconciliation list for clinician review.
Moral aspects Filled
- Medication errors can cause serious harm.
- Medication history reveals sensitive health conditions.
Who is affected
- Patients
- Prescribers, pharmacists and nurses
- Family carers
Owners Filled
Steward
The head of pharmacy who answers for the medication record together with prescribers.
Master systems
- Electronic health record system
- Pharmacy information system
- Electronic medication administration record
Links to other meta-models Filled
neighbor
- EM-HCP-05
- EM-HCP-03
- EM-HCP-04
- EM-HCP-08
- EM-OPS-05
references
- WM-ACT-048 - conceptual-candidate
- WM-OBJ-005 - conceptual-candidate
What else AI and robots need to interact with it Filled
Identity and identifiers required Filled
- A medication order has an identifier unique within the prescribing system.
- Products are identified by national or international medicinal product codes.
Direct properties not applicable Not applicable
Not applicable
Enterprise record contour: physical properties belong to referenced world models.
Recognition required Filled
- 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 and actions required Filled
- The contour supports medication history, reconciliation and administration tracking.
Hazards and failure modes required Filled
- Edited or ambiguous orders can lead to wrong doses.
- Missing omission reasons hide gaps in treatment.
Standards and interfaces optional Filled
- HL7 International publishes the FHIR MedicationRequest, MedicationDispense and MedicationAdministration resources.
- ISO publishes the IDMP standards for the identification of medicinal products.
Context of use required Filled
- The contour is used in hospitals, clinics and community pharmacies.
- Controlled substances follow additional legal record rules.
Sources Filled
- HL7 FHIR: MedicationRequest, MedicationDispense and MedicationAdministration resources
- ISO IDMP: identification of medicinal products
- Medication reconciliation practice at transitions of care
- HL7 FHIR R4 MedicationRequest resource - Checked live (HTTP 200) on 2026-10-21.
- HL7 FHIR R4 MedicationAdministration resource - Checked live (HTTP 200) on 2026-10-21.
- HL7 FHIR R4 MedicationDispense resource - Checked live (HTTP 200) on 2026-10-21.
Open questions
- 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.
Machine files
Provenance
enterprise research programme · published-partial
Built from: enterprise/models/em-hcp-06/brief.json, ver-cy/world-models/card-supplements/em-hcp-06.json