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Summary

SNOMED International has received requests for addition of concepts in the procedure hierarchy that use the terms “provision” and “dispensing”.

Examples currently in SNOMED CT:

  • 713114000 |Provision of medication list (procedure)|
  • 713113006 |Provision of medication schedule (procedure)|
  • 713836000 |Provision of anticipatory care medication (procedure)|
  • 409021006 |Dispensing medication education (procedure)|
  • 409020007 |Dispensing medication assessment (procedure)|
  • 409022004 |Dispensing medication management (procedure)|
  • 7128000 |Provision of spectacles (procedure)|
  • 448792007 |Dispensing of spectacles (procedure)|

How do countries define these terms? Is there a subtle difference in these terms or would these be considered duplicates? We would like to determine if definitions vary across countries. There are almost 240 concepts using 360273002 |Provision - action (qualifier value)| and less than ten concepts using 440338007 |Dispensing - action (qualifier value)|. The Provision concept is a parent to the Dispensing concept. The Provision concept has an effective date of January 2002; the Dispensing concept has an effective date of January 2009. The term “supply” is sometimes used interchangeably in provision procedure concepts.


Relevant documents

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Actions: 

DateRequested actionRequester(s)Response required by:Comments
14 April 2020Please respond on provision and dispensing questions above.

Krista Lilly Cathy Richardson

  • Camilla Wiberg Danielsen  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Daniel Karlsson  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Elze de Groot  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Linda Parisien  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Matt Cordell  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Olivier Bodenreider  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Jostein Ven  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Elizabeth Tanya Antoun  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Karina Revirol  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Katrien Scheerlinck  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Sheree Hemingway  Please see provision and dispensing topic summary and provide a response. Thank you.
  • Theresa Barry  Please see provision and dispensing topic summary and provide a response. Thank you.
Please post your final responses in the Country response table below. Discussion comments can be made as comments.


Country response 

CountryDateResponse
Denmark 2020-04-15 Krista Lilly In Denmark we do not use any of these concepts. Usually, we use dispensing related to drugs only.
 US  2020-04-17

The Board of Pharmacy definition for:  "Dispense" means preparing and packaging a prescription drug or device in a container and labeling the container with information required by State and federal law.

This seems to make provision a more generic (e.g., parent) concept compared to dispensing. Provision might apply to over-the-counter drugs for which no prescription is required.

   
   
   
   
   
   
Member countries without a CMAG rep  

 

CMAG response

DateCMAG ResponseNext steps
   
   
   

 

Final outcome: 

Date: 

 

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