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Medication reconciliation

Compare admit/discharge meds with RxNorm matching and discrepancy flags.

Authored byPrivate Pangolin
Vibe-coded in JetBridge AI · clone in one click on launch day
Discrepancies found
5
RxNorm matched
11
Resolved by clinician
0

Home medication list

From last clinic visit · 4/12/26

860975Metformin500 mg · BID
314076Lisinopril20 mg · Daily
617312Atorvastatin40 mg · QHS
243670Aspirin81 mg · Daily
329498Albuterol HFA90 mcg · PRN

Hospital discharge list

Mercy Hospital · 4/27/26

860975Metformin1000 mg · BID
314076Lisinopril20 mg · Daily
859749Rosuvastatin20 mg · QHS
1364430Apixaban5 mg · BID
329498Albuterol HFA90 mcg · PRN
8640Prednisone taper40 mg → 0 · 5d taper

Reconciliation worklist

Dose change
Metformin 500 mg BIDMetformin 1000 mg BID
Metformin uptitrated 500 → 1000 mg BID for A1C 8.4.
Therapeutic sub
Atorvastatin 40 mg QHSRosuvastatin 20 mg QHS
Atorvastatin → rosuvastatin 20 mg (intensification).
Discontinued
Aspirin 81 mg Daily
Aspirin DC'd — overlapping bleed risk with new apixaban.
New
Apixaban 5 mg BID
Apixaban 5 mg BID for new-onset AFib (CHA2DS2-VASc 4).
New
Prednisone taper 40 mg → 0 5d taper
Prednisone taper for asthma exacerbation.

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