Gaps #86967
openGaps #86698: HUMS T.H.I.S GAP Analysis
Gaps #86765: GAPS > PHIS > THIS
GAPS > PHIS > Extemporaneous module is required ASAP
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Description
Issues Description : Extemporaneous module is required ASAP
A dedicated Extemporaneous Preparation module within the Pharmacy system for managing the compounding and dispensing of non-standardized, patient-specific formulations is urgently required to ensure safe, standardized, and traceable preparations, meeting regulatory compliance and patient safety.
Files
Updated by CP Chan over 1 year ago · Edited
- Due date set to 01/12/2025
- Category set to M Pharmacy
- Assignee set to Sunil Shinde
Extemporaneous Medication: Ordering, Preparation & Administration
Extemporaneous preparation refers to the customized compounding of medications by pharmacists upon a clinician’s request, typically when a specific formulation is not commercially available or not listed in the hospital’s drug formulary. This practice ensures that patients receive appropriate therapy tailored to their clinical needs.
Extemporaneous compounding is commonly utilized in Paediatric Medicine and Dermatology, where standard formulations may not be suitable or accessible. Examples include:
- Oral antibiotic syrups and oral suspensions of medications such as:
- Phenytoin suspension
- Carbamazepine suspension
- Trimethoprim and sulfamethoxazole suspension
- Dermatological preparations, including creams and ointments, where active pharmaceutical ingredients (APIs) are incorporated into suitable bases.
This process requires careful attention to dosage accuracy, stability, and safety, ensuring that the compounded medication meets therapeutic requirements while maintaining quality standards.
Updated by CP Chan over 1 year ago · Edited
- File Clinical Pharmacy Module - MedCare 2025-06-18.pdf Clinical Pharmacy Module - MedCare 2025-06-18.pdf added
- File Extemporaneous Preparations 2025-08-08.docx Extemporaneous Preparations 2025-08-08.docx added
Please see: CP's FDS for Clinical Pharmacy
Page 7 - Wireframe for Extemporaneous Medication Screening
Page 8 - Extemporaneous Preparation Worksheet
Page 9 - Extemporaneous Preparation Label
Page 32 - Checklist for Compounding of Extemporaneous Preparations &
Handling Extemporaneous Medication Preparation in the Pharmacy
Page 33 - Sample MIS Report for Extemporaneous medication preparations
Module must be ready for HUMS Go Live which is on 2026-01-01
Updated by Daniyal Ansari 9 months ago
- Dev Due date set to 30/04/2026
- Issue released on NA added
Updated by Kierthini Nethi 8 months ago
- Assignee changed from Dayang Yusreena A.M Yaakub to Daniyal Ansari
- Priority changed from Normal to Critical
- Function HUMS added
Updated by CP Chan 6 months ago
Workflow for Extemporaneous Medication Compounding
1. The doctor orders an extemporaneous medication via CliniCare.
2. The pharmacist receives the order (via the Pharmacy Module).
3. The pharmacist screens and verifies the order for completeness and appropriateness based on patient-specific criteria as well as established treatment protocol and clinical practice guidelines (CPGs)
4. The pharmacist calls up the doctor and discusses the order with him/her if there are discrepancies or when clarification is required.
5. The pharmacist generates the relevant worksheet & label.
6. The pharmacist checks the printed label against worksheet to ensure that the details in the label are correct.
7. The pharmacist prepares required components for the required order.
8. The pharmacist counterchecks the components to see that they are correct.
9. The pharmacist prepares the requested medication (compounding).
• The requested medication is prepared in a clean room under strict aseptic technique.
10. The pharmacist checks the prepared medication against worksheet to ensure that it is correct.
11. The pharmacist sticks the printed label onto the prepared medication.
12. The pharmacist releases the prepared medication to the requesting unit.
13. The pharmacist records the task and documents any associated findings.
14. END.