Cd

Concord

Medication Reconciliation

AR

Eleanor Vasquez

78F · DOB 03/22/1947

MRN 00482913 · Post-discharge follow-up · PCP Dr. Angela Reyes

Discharged 10/14 · Mercy General Hospital · CHF exacerbation

Medications compiled

Discrepancies to resolve

Interaction flags

Beers Criteria flags

Clinical alerts requiring review

Sources: Chart · Discharge PDF · SureScripts · Patient Form · Photo

Medication C D S P Ph Status Flags Reconciled action

Ready to finalize reconciliation?

12 medications reviewed across 5 sources · reconciled by Dr. Angela Reyes

Finalized ✓ ready to notify care team

Every medication input channel, gathered in one place before reconciliation.

EHR Chart Pull

Synced

Auto-pulled from active/past medication list · 8:12 AM

12 active medications, 4 discontinued in past 90 days.

Discharge Packet (PDF)

96% confidence

Mercy_General_Discharge_10-14.pdf · uploaded 7:58 AM

Extracted 15 medications, including 1 new start (Amiodarone) and 1 dose change (Furosemide).

Dictation / Manual Entry

Transcribed

Captured during intake · 8:05 AM

"She also mentioned taking a water pill and something for sleep she gets over the counter."

Pill Bottle Photo

OCR extracted

Uploaded from mobile · 8:19 AM

DIPHENHYDRAMINE HCl 25MG — take 1-2 tabs QHS PRN

SureScripts Fill History

Connected

Pharmacy of record: CVS Pharmacy #2214, Riverdale

Furosemide 20mgFilled 09/15 · 30 day supply
Lisinopril 10mgFilled 09/28 · 90 day supply
Warfarin 5mgFilled 10/02 · 30 day supply

Patient / Caregiver Form

Completed

Emailed to Maria Vasquez (daughter) · completed 6:40 AM

8 medications self-reported, including Lorazepam PRN not found in chart.

Notify care team of reconciled medication list

Select who should receive the updated, reconciled medication list and any relevant instructions.

Message preview

Reconciled medication list for Eleanor Vasquez (MRN 00482913) following discharge from Mercy General Hospital. 12 medications reviewed against chart, discharge summary, SureScripts, and patient report. Furosemide dose updated to 40mg BID, Amiodarone added, Diphenhydramine and Lorazepam recommended for discontinuation per Beers Criteria. Full list attached.

Sent to recipients ✓