Medication Reconciliation Assistant

The Medication Reconciliation Assistant consolidates patient-reported lists, pharmacy fill data, and prior EMR medications into a single, guided workspace for accurate reconciliation during transitions of care. It leverages SMART on FHIR for embedded launch and normalizes all medications to RxNorm and NDC standards, enabling side-by-side comparison, discrepancy tracking, and pharmacist or clinician attestation.

This assistant reduces errors of omission and commission by aligning all sources into a consistent, auditable view. Whether at admission, transfer, or discharge, it ensures complete and clinically trusted medication lists flow into the patient record and downstream orders.

Benefits

• Reduced medication errors: Aggregates and reconciles data across patient, pharmacy, and EMR sources with standardized vocabularies.
• Faster transitions of care: Streamlines admission and discharge processes with structured, guided reconciliation steps.
• Improved continuity and safety: Maintains consistent medication data across care settings, preventing therapy gaps and duplications.
• Audit-ready traceability: Logs every add, remove, and modify action with timestamps and attestation for compliance review.

Capabilities

• SMART on FHIR integration: Embedded launch within EMR workflows for medication review and reconciliation.
• RxNorm/NDC normalization: Standardizes all medications for accurate matching and downstream interoperability.
• Side-by-side comparison: Displays prior, current, and external medication lists with action controls for each discrepancy.
• Change log and attestation: Tracks clinician and pharmacist actions with structured signatures and audit metadata.
• Discharge continuity support: Carries reconciled lists into discharge instructions, summaries, and continuity-of-care documents.

Great for

• Clinical Informatics and EMR Analysts: Embed med rec workflows into EMR transitions using SMART on FHIR and RxNorm/NDC vocabularies for interoperability.
• Pharmacists and Care Team Leads: Safely reconcile medications with structured compare views, external fills, and attestation-ready audit logs.
• Compliance and Quality Teams: Ensure defensible medication documentation and reduce reconciliation-related safety events with traceable change history.
• Transition-of-Care Coordinators: Maintain continuity between inpatient and outpatient settings through standardized reconciliation artifacts.