M46Care· Care

Medication

Here you maintain each client’s medication plan and document every administration – who gave, refused or missed which medication and when.

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Live preview — real view with sample data

M46 · Medication

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Client	Medication	Active ingredient	Strength	Dosage form	BtM	Dosage	morning	noon	evening	at night	Free-form schedule	Frequency	Route	End	Status
Entry 2	Bauer & Co.	Item 4	Item 4	In progress	✓	Record 3	Item 1	Entry 2	Record 3	Item 1	Entry 5	Done	Open	06/06/2026	In progress
Record 3	Wolf Spedition	Entry 5	Entry 5	Done	—	Item 4	Entry 2	Record 3	Item 4	Entry 2	Record 6	Reviewed	In progress	17/06/2026	Done
Item 4	Roth Handel	Record 6	Record 6	Reviewed	✓	Entry 5	Record 3	Item 4	Entry 5	Record 3	Item 7	Open	Done	28/06/2026	Reviewed
Entry 5	Meyer GmbH	Item 7	Item 7	Open	—	Record 6	Item 4	Entry 5	Record 6	Item 4	Entry 8	In progress	Reviewed	09/07/2026	Open
Record 6	Kraus Logistik	Entry 8	Entry 8	In progress	✓	Item 7	Entry 5	Record 6	Item 7	Entry 5	Record 9	Done	Open	20/07/2026	In progress

Not a screenshot: the same interface you get in production.

What you do here

Use „New medication“ to capture name, dosage, unit, frequency (e.g. Morning), route and the period for a client. In the detail view you see the history of all administrations and document each new one via „Document administration“ with an outcome (Given, Refused, Missed) and a note. Mark paused or stopped medications via the status.

Tips

The „Active“ tab shows only ongoing medications – ideal for rounds. Carers may document administrations even without being able to edit the plan. Use the frequency „As needed“ for PRN medication that is not given at fixed times.

Legal requirements

Controlled drugs (BtM) are handled separately under BtMG/BtMVV: flag the medication via „Controlled drug (BtM)“ and, if applicable, state the BtMVV schedule (I/II/III). Every medication requires a medical prescription (SGB V §31, SGB XI) – record the prescriber, prescription date and prescription reference. Administering controlled drugs follows the four-eyes principle (dual signature, BtMVV): a second carer confirms the administration via „Verified by“/„Verified at“. Care documentation must be audit-proof and – depending on the applicable rules – is typically retained for 10 years („Retain until“). NOTE: per-carer read access and the technical enforcement of the dual signature follow separately; only the fields are provided at this stage.

Data protection

Medication and administration data are health data and thus a special category of personal data under Art. 9 GDPR. They require heightened protection: restrict access strictly to what is necessary for care, document every administration traceably, and retain data only within the statutory retention periods. Do not record information beyond the care purpose.

What's inside

Medication settings
What is due
New medication
Set status
Document administration
Discontinue
Book controlled-drug stock
Check and close the month

Part of these packs

Care serviceFor home care: clients, records, medication, tours, rota — SGB XI ready.

Fits together with

Other blocks from the same area.

M47

Care documentation

Here you keep the care diary per client – each entry chronologically records what was observed and done during the shift.

M48

Care routes

The route plan is a care worker’s daily schedule: one route with the ordered sequence of client visits – as a list or calendar.