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Inpatient Issue Discharge Medicines
Issue Discharge Medicines dispenses take-home (discharge) medicines to an inpatient at the retail rate with no inward service charge. It is the discharge counterpart of Direct Issue to BHTs from Pharmacy — but where Direct Issue to BHTs adds the inward price-matrix margin (a service charge), discharge medicines are issued at the plain retail rate with no margin added.
Path: Pharmacy → Inpatient Medication Management → Issue Discharge Medicines Also from: Inpatient Dashboard → Pharmaceuticals & Consumables → Issue Discharge Medicines Also from: the discharge prescription — see Inpatient EHR — Discharge Medications → Create Discharge Issue Bill Privilege: Pharmacy Discharge Medicine Issue
Use this page when a patient is going home and you are dispensing their discharge (take-home) medicines. The medicines come out of your logged-in pharmacy's stock and are charged at the retail rate only — the patient is not charged the inward dispensing service charge for take-home drugs.
For medicines given during the ward stay, use Direct Issue to BHTs from Pharmacy (which applies the inward margin) instead.
If the ward team has already written the discharge medicines, you do not need to re-type them.
- Open the patient's Inpatient Dashboard → Discharge Medicines.
- Tick the discharge medicines to dispense (one, several, or all).
- Click Create Discharge Issue Bill.
- The system converts each ticked prescription into an issue line and opens this page with the lines pre-filled — batch chosen automatically (earliest expiry first) and quantity calculated from the prescription.
- Open Pharmacy → Inpatient Medication Management → Issue Discharge Medicines (or the Issue Discharge Medicines button on the Inpatient Dashboard).
- Search for the patient by name, BHT number, or PHN and select them.
- Search for each medicine, enter the quantity, and click Add.
- Check each line's batch, expiry, quantity and rate. Expired or soon-to-expire batches are tagged.
- Adjust the quantity of any line if needed (the value updates automatically).
- Use Remove to drop a line, or add more medicines with the search box.
- Click Settle to finalise the issue.
- Print the bill in the configured format.
Use New Bill to start over for another patient.
The Settle button is shown only to users with the Pharmacy Discharge Medicine Issue privilege.
When you arrive from a discharge prescription (option A), a Prescription → Dispensing report is shown above the bill items. It lists, for each prescribed medicine:
| Column | Meaning |
|---|---|
| Prescribed | What the ward team prescribed |
| Dispensing as | The actual item resolved for dispensing |
| Required | Quantity calculated from the prescription |
| Issued | Quantity actually placed on the bill |
| Status | Colour-coded outcome (see below) |
| Note | Explanation / what to do |
Status meanings:
| Status | Meaning | What to do |
|---|---|---|
| Issued in full (green) | The full required quantity was placed on the bill | Nothing — ready to settle |
| Qty defaulted (amber) | The prescription was incomplete, so the quantity was set to 1 | Check and correct the quantity before settling |
| Partial — low stock (amber) | Only part of the required quantity was in stock | Issue the rest from another batch/pharmacy, or omit |
| Not available (red) | No stock in your pharmacy, or the medicine could not be resolved | Add it manually from another source, or omit |
If any line needs attention, the report opens expanded with a warning banner. Review it before settling so a patient is never sent home short of a medicine without you knowing. Medicines that could not be issued are always shown here — they are never silently dropped.
- Pharmacy: always your logged-in department. A pharmacist in the Main Pharmacy issues from Main Pharmacy stock.
- Batch: the earliest-expiry batch that has enough stock (first-expiry-first-out). If no single batch covers the full quantity, the earliest batch is used for the available amount and the shortfall is flagged in the report.
- Quantity: calculated from the prescription's dose, frequency and duration. If the prescription is incomplete, the quantity defaults to 1 and is flagged for you to correct.
All of these are editable on this page before you settle.
Discharge medicine issues are counted exactly like regular inward medicine issues in every report — including the interim bill, BHT summaries, inward charge-type breakdowns, pharmacy and stock reports. The only difference is the absence of the service-charge margin. Cancellations and returns of a discharge issue are tracked as discharge cancellations/returns.
- Inpatient EHR — Discharge Medications — where the ward team writes the discharge prescription
- Direct Issue to BHTs from Pharmacy — issuing ward medicines during the stay (with service charge)
- Request Medicine from Pharmacy — ward requesting medicines from a pharmacy
- Finance — Inpatient Interim Bills — where issued medicines appear on the running bill
- Inpatient Admission Profile (Dashboard) — entry point