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Medication management is one of the most complex issues in health care computing, particularly in the distributed computing environment that openEHR aims to support. Illustrations of this complexity include:

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The proposed actions that might be recorded against a medication order are:

Plan Careflow step	The medication is planned but no execution has taken place.	Current state: initial
Plan suspended Careflow step	The plan to order medication has been suspended.	Current state: postponed
Cancelled order Careflow step	The planned administration has been cancelled prior to any administration.	Current state: cancelled
Start time set Careflow step	The time to start this medication has been set.	Current state: scheduled
Issue item prescription Careflow step	The order has been transfered to the dispensary.	Current state: active, initial
Dispense medication item Careflow step	The medication has been dispensed.	Current state: active, initial
Commence medication item administration Careflow step	The medication has been taken by the patient for the first time.	Current state: active
Review medication item Careflow step	The medication has been reviewed.	Current state: active
Administer medication item Careflow step	A single administration of the medication has taken place.	Current state: active
Re-issue item prescription Careflow step	The medication has been re-prescribed for an existing order.	Current state: active
Medication item withheld Careflow step	The administration of a medication has been withheld and not given.	Current state: active
Medication item refused Careflow step	An administration of the medication was refused by the patient.	Current state: active
Reverse item dispense Careflow step	A dispensed medication is returned or not collected without use.	Current state: active, initial
Delayed supply Careflow step	The medication has not been dispensed as supply is not yet available.	Current state: suspended
Suspended administration Careflow step	The administration of the medication has been suspended.	Current state: suspended
Suspended re-order Careflow step	Reordering of this medication is not available.	Current state: suspended
Administration ceased Careflow step	The administration of this medication has been ceased before anticipated completion.	Current state: aborted
Reverse prescription Careflow step	The prescription has been cancelled but administration or dispensing may have occurred.	Current state: aborted
Completed Careflow step	The medication has been completed as prescribed.	Current state: completed

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