Hospital Medication Workflow

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Hospital Medication Workflow Profile covers the message-based workflow related to medication prescriptions inside a healthcare institution.

This is a template page. Update in process


The Hospital Medication Workflow Profile describes the interoperability and the transactions present in a typical hospital workflow concerning the prescription, dispensing, distribution and administration of medication.

It describes the transactions between the Prescription Placer, the Pharmaceutical Adviser, the Medication Dispenser, the Medication Administration Informer to establish an end-to-end operational workflow.

While covering this end-to-end scenario, the many possible exceptions and errors in each part are not covered yet. By establishing a working flow in this first release, we expect to facilitate the detailing of the exceptions in forthcoming editions of this profile.

The current release of the profile includes the messages that relate to the clinical information flow. The supply flow is foreseen, but is not detailed in this release.


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Systems Affected

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  • PACS systems may store, manage, and/or display Evidence Documents.
  • Display systems may query, retrieve and display Evidence Documents.
  • Reporting workstations may retrieve, process and include details from Evidence Documents in reports

Actors & Transactions:

The actors supported are:

  • Prescription Placer (typically a physician)
  • Pharmaceutical advisor (typically a pharmacist)
  • Medication dispenser - receives the validated prescription and prepares the medication fot the patient (typically a pharmacy technician or a pharmacist, or a robot, or, more common, a chain of actors)
  • Medication administration informer (typically a nurse)

The HMW profile supports the following transactions :

  • Medication Order (Prescription) ,
  • Validated order (after pharmaceutical analysis, if needed),
  • Medication Preparation report (after medication is assigned to the patient, for a specific administration)
  • Administration Report

Optionally, the following transactions allow the dispensing pharmacist and the nurse to do any preparation while waiting for the needed pharmaceutical validation

  • Advance prescription notification
  • Validated order confirmation (notifying the dispenser or administration informer of the validation, or any changes to the prescription.


Profile Status: Trial Implementation


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IHE Pharmacy Technical Framework:

  • Vol. 1 - Section 5 (HMW Profile)

Underlying Standards:

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See Also

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Related Profiles

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Consumer Information

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Implementer Information

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Reference Articles

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This page is based on the Profile Overview Template