Medication Reconciliation Agent
Builds a best possible medication history across EHR, pharmacy, and patient sources at transitions of care.
Medication discrepancies at admission, transfer, and discharge are a leading cause of adverse drug events
Clinicians must manually stitch together EHR med lists, retail pharmacy fill histories, patient-reported regimens, and discharge summaries—often under time pressure
Incomplete histories lead to omitted, duplicated, or conflicting orders
The Medication Reconciliation Agent assembles a best possible medication history (BPMH) from multiple sources, highlights discrepancies, and supports pharmacist and clinician review at every transition of care
At transitions of care, the agent consolidates medication data from the EHR, external pharmacy networks, claims, and patient interviews. It normalizes drug identities, detects conflicts, proposes a reconciled list, and routes unresolved discrepancies for pharmacist verification before the list is finalized in the chart.
Aggregate Multi-Source Medication Data
- Retrieve active meds from EHR, Surescripts/PBM fills, and prior discharge lists
- Capture patient- or caregiver-reported medications and OTCs
- Normalize NDC, RxNorm, dose, route, and frequency
Detect Discrepancies
- Identify omissions, duplications, dose conflicts, and discontinued agents still listed as active
- Flag high-alert medications and narrow therapeutic index drugs
- Score discrepancy severity for pharmacist prioritization
Propose Best Possible Medication History
- Generate recommended BPMH with source attribution for each line
- Suggest continuation, hold, or discontinue decisions for admission orders
- Attach evidence links from fill history and prior notes
Finalize and Propagate Across Transitions
- Capture pharmacist and provider verification
- Update admission, transfer, and discharge medication lists
- Hand off unresolved issues to discharge counseling workflows