verification and charting of medications being administered to a patient the medical administration management module 110 creates and maintains an on line real time patient specific medication administration record u201c mar u201d or integrated medication administration record u201c imar u201d for each patient this medication administration module 110 contains all of the information generated in the institution regarding the care provided to the patient the medication administration management module 110 gathers information from the various nursing and bedside cpu 39 s 70 80 fig1 comprising the peripheral hardware of the care management system 30 that is distributed throughout the institution for example when a physician attending a patient diagnoses an illness and determines an appropriate course of treatment for the patient the physician may prepare a handwritten medical order specifying the desired therapeutic treatment as well as any appropriate parameters such as dosage and or period of administration the written prescription is sent through the institutional mail system to the pharmacy where it is then entered into the pharmacy information system 20 through a dedicated terminal or other means and is then entered into the care management system 30 in another embodiment the physician accesses the pharmacy management system 20 through a dedicated terminal or through the.