{ "generated": "2026-08-25T13:43:39.568Z", "checks": [ { "id": "drug-allergy", "module": "Drug Allergy Screening", "what": "An ordered medication against a recorded allergen." }, { "id": "drug-interaction", "module": "Drug Interaction Screening", "what": "Drug against drug, food and alcohol." }, { "id": "duplicate-therapy", "module": "Duplicate Therapy Screening", "what": "Two orders that do the same job by different names." }, { "id": "dose-screening", "module": "Dose Screening + Drug Orders", "what": "Dose, frequency and duration against the accepted range." }, { "id": "drug-disease", "module": "Drug Disease Contraindications", "what": "A medication against a disease state the patient has. Renal and hepatic adjustment live here." }, { "id": "pregnancy-age-gender", "module": "Pregnancy, Lactation, Age, and Gender Screening", "what": "Patient attributes that change whether a drug is appropriate at all." }, { "id": "route-contraindication", "module": "Route Contraindications", "what": "A route that is contraindicated for this product." }, { "id": "controlled-substance", "module": "US Controlled Substances", "what": "DEA and state schedule status." } ], "patients": { "oracle": { "name": "SMARTS SR., NANCYS II", "age": 36, "sex": "female", "source": "Oracle Health Millennium open sandbox R4, unauthenticated, patient 12724066", "live": true, "vendor": "Oracle Health", "intake": [ { "resource": "encounters", "n": 200, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": true, "errored": false, "note": "encounters: TRUNCATED at 200 records. More exist and were not read." }, { "resource": "conditions", "n": 0, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": true, "truncated": false, "errored": false, "note": "conditions: SKIPPED by --skip-conditions. Not absent, not checked." }, { "resource": "allergies", "n": 124, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "medicationRequests", "n": 500, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": true, "errored": false, "note": "medicationRequests: TRUNCATED at 500 records. More exist and were not read." }, { "resource": "medicationAdministrations", "n": 12, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "vitals", "n": 1000, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": true, "errored": false, "note": "vitals: TRUNCATED at 1000 records. More exist and were not read." }, { "resource": "labs", "n": 345, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "procedures", "n": 563, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "immunizations", "n": 0, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": true, "note": "immunizations: timed out after 45s on this run. No immunization history." }, { "resource": "documents", "n": 199, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": true, "errored": false, "note": "documents: TRUNCATED at 199 records. More exist and were not read." } ], "totals": { "encounters": 200, "conditions": 0, "allergies": 124, "medicationRequests": 500, "medicationAdministrations": 12, "vitals": 1000, "labs": 345, "procedures": 563, "immunizations": 0, "documents": 199 }, "allergyState": "recorded", "labs": { "total": 332, "checked": 24, "pct": 7, "patterns": [ { "code": "2823-3", "note": "negative value. Impossible in any unit, so the bound's unit does not matter", "n": 8, "of": 231, "min": -1.1, "max": -0.2, "lo": 0.5, "hi": 12, "unit": "g/dL", "worst": -1.1 }, { "code": "2075-0", "note": "chloride, serum", "n": 1, "of": 2, "min": 6.2, "max": 6.2, "lo": 50, "hi": 160, "unit": "mmol/L", "worst": 6.2 } ], "unitMismatch": 296 }, "coverage": { "total": 8, "full": 0, "partial": 2, "context": 1, "blocked": 0, "none": 5, "performed": 2 }, "classes": [ { "id": "drug-allergy", "module": "Drug Allergy Screening", "what": "An ordered medication against a recorded allergen.", "level": "partial", "blockedBy": null, "findings": 1, "basis": "Substring match of allergen words longer than five characters against the product name on every order in scope, drafts included." }, { "id": "drug-interaction", "module": "Drug Interaction Screening", "what": "Drug against drug, food and alcohol.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "duplicate-therapy", "module": "Duplicate Therapy Screening", "what": "Two orders that do the same job by different names.", "level": "partial", "blockedBy": null, "findings": 1, "basis": "Product-name collision among orders in scope, after stripping strength, dose form and brand. Cannot see therapeutic duplication between two different drugs of the same class." }, { "id": "dose-screening", "module": "Dose Screening + Drug Orders", "what": "Dose, frequency and duration against the accepted range.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "drug-disease", "module": "Drug Disease Contraindications", "what": "A medication against a disease state the patient has. Renal and hepatic adjustment live here.", "level": "context", "blockedBy": null, "findings": 1, "basis": "Surfaces renal function from the laboratory results and counts the orders in scope. Does not map any drug to any disease state." }, { "id": "pregnancy-age-gender", "module": "Pregnancy, Lactation, Age, and Gender Screening", "what": "Patient attributes that change whether a drug is appropriate at all.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "route-contraindication", "module": "Route Contraindications", "what": "A route that is contraindicated for this product.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "controlled-substance", "module": "US Controlled Substances", "what": "DEA and state schedule status.", "level": "none", "blockedBy": null, "findings": 0, "basis": null } ], "findings": [ { "check": "drug-allergy", "severity": "record-defect", "headline": "Allergy screen SATURATED. 775 text matches, which is not 775 contraindications", "detail": [ "124 recorded allergens screened against 500 orders in scope.", "775 substring matches, involving 22 allergens and 431 orders.", "NO RESULTS ARE LISTED, deliberately. A screen returning this many alerts has", "stopped being a screen, and printing them would be alert fatigue manufactured", "by the tool. The number is evidence about the METHOD, not about the patient.", "Ingredient-level checking against a maintained drug knowledge base is what", "separates a match on letters from a match on a substance." ], "evidence": [ "124 AllergyIntolerance", "500 MedicationRequest" ], "confidence": "none. This is a report that the screen did not work at this scale, not a clinical finding." }, { "check": "duplicate-therapy", "severity": "record-defect", "headline": "37 ingredients each have multiple active orders", "detail": [ "Across 500 orders in scope, 37 distinct ingredients carry more than one active order.", "The largest, listed so the shape is visible:", " 57 active orders of template non formulary medication cough sore thr", " 54 active orders of template non formulary medication medi meclizine", " 53 active orders of template non formulary medication advil migraine", "The remaining 34 are not listed.", "A medication list where this many ingredients are multiply ordered is a", "finding about the list, not about any one order." ], "evidence": [ "MedicationRequest/465537639", "MedicationRequest/466804405", "MedicationRequest/465537623", "MedicationRequest/465537647", "MedicationRequest/468189235", "MedicationRequest/468189275" ], "confidence": "name collision after stripping strength and dose form, aggregated because the individual hits are not separately useful" }, { "check": "drug-disease", "severity": "context", "headline": "Renal function is impaired and this source cannot say which orders are affected", "detail": [ "Creatinine Level 32 mcmol/L measured 2024-11-15", "500 active medication orders are on file.", "Determining which of those require dose adjustment, or are contraindicated at this level of renal function, requires a maintained drug knowledge base. No such source is connected. The question is open, not answered." ], "evidence": [ "Observation/L-206974025" ], "confidence": "laboratory value read directly from the record. No drug was assessed against it." } ], "activeMeds": [ "NS drip 0.9 %", "acetaminophen", "acetaminophen (Tylenol)", "acetaminophen (acetaminophen 500 mg oral tablet)", "acetaminophen (acetaminophen 500 mg oral tablet)", "acetaminophen (acetaminophen 500 mg oral tablet)", "acetaminophen (acetaminophen 500 mg oral tablet)", "acetaminophen (acetaminophen 500 mg oral tablet)", "acetaminophen (acetaminophen 500 mg oral tablet)", "acetaminophen (acetaminophen 500 mg oral tablet)", "acetaminophen (Tylenol)", "acetaminophen (Tylenol)", "acetaminophen (Tylenol)", "acetaminophen/aspirin/caffeine (Excedrin)", "amLODIPine", "aspirin (aspirin 81 mg oral tablet, chewable)", "atorvastatin (Lipitor 80 mg oral tablet)", "atorvastatin (Lipitor 10 mg oral tablet)", "chlorothiazide", "chlorothiazide", "chlorothiazide", "cloNIDine", "diphenhydrAMINE (diphenhydrAMINE 25 mg oral tablet)", "diphenhydrAMINE (diphenhydrAMINE 25 mg oral tablet)", "diphenhydrAMINE (diphenhydrAMINE 25 mg oral tablet)", "diphenhydrAMINE (diphenhydrAMINE 25 mg oral tablet)", "diphenhydrAMINE (diphenhydrAMINE 25 mg oral tablet)", "diphenhydrAMINE (diphenhydrAMINE 25 mg oral tablet)", "diphenhydrAMINE (diphenhydrAMINE 25 mg oral tablet)", "diphenhydrAMINE (diphenhydrAMINE 25 mg oral tablet)", "diphenhydrAMINE (diphenhydrAMINE 25 mg oral tablet)", "hepatitis B adult vaccine (hepatitis B adult vaccine dialysis 40 mcg/mL intramuscular suspension)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "hyoscyamine/methena/mblue/phenylsal/sodbiphos (hyoscyamine/methena/mblue/phenylsal/sodbiphos 0.12 mg-81.6 mg-10.8 mg-36.2 mg-40.8 mg oral tablet)", "ibuprofen (Motrin ED take-home pack 100 mg/5mL x 120 mL)", "ibuprofen (Motrin ED take-home pack 100 mg/5mL x 120 mL)", "ibuprofen (Motrin ED take-home pack 100 mg/5mL x 120 mL)", "ibuprofen (ibuprofen 600 mg oral tablet)", "levothyroxine (Synthroid 125 mcg (0.125 mg) oral tablet)", "levothyroxine (Synthroid 125 mcg (0.125 mg) oral tablet)", "lisinopril", "lisinopril (lisinopril 10 mg oral tablet)", "lisinopril (lisinopril 10 mg oral tablet)", "lisinopril (lisinopril 10 mg oral tablet)", "lisinopril (lisinopril 10 mg oral tablet)", "lisinopril (lisinopril 10 mg oral tablet)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "metFORMIN (metFORMIN 500 mg oral tablet, extended release)", "omega-3 polyunsaturated fatty acids", "omeprazole (PriLOSEC)", "sacubitril-valsartan (Entresto)", "sacubitril-valsartan (Entresto)", "template non-formulary (medication) (acyclovir-hydrocortisone topical (Xerese 5%-1% topical cream))", "template non-formulary (medication) (ALPRAZolam (Xanax))", "template non-formulary (medication) (aspirin 75 MG)", "template non-formulary (medication) (acetylene)", "template non-formulary (medication) (acetylene)", "template non-formulary (medication) (acetylene)", "template non-formulary (medication) (Tylenol)", "template non-formulary (medication) (Tylenol)", "template non-formulary (medication) (Tylenol)", "template non-formulary (medication) (aspirin)", "template non-formulary (medication) (aspirin)", "template non-formulary (medication) (aspirin)", "template non-formulary (medication) (aspirin)", "template non-formulary (medication) (aluminum aspirin)", "template non-formulary (medication) (aluminum aspirin)", "template non-formulary (medication) (Adalimumab)", "template non-formulary (medication) (Aspirin)", "template non-formulary (medication) (Lipitor)", "template non-formulary (medication) (Warfarin)", "template non-formulary (medication) (Omega-3 Polyunsaturated Fatty Acids)", "template non-formulary (medication) (Omega-3 Polyunsaturated Fatty Acids)", "template non-formulary (medication) (Aciclovir)", "template non-formulary (medication) (azithromycin)", "template non-formulary (medication) (Ac9clovir)", "template non-formulary (medication) (insulin lispro 100 UNT/ML Pen Injector)", "template non-formulary (medication) (Testmedication3333)", "template non-formulary (medication) (Testmedication3333)", "template non-formulary (medication) (Testmedication3333)", "template non-formulary (medication) (UreaTEst)", "template non-formulary (medication) (UreaTEst)", "template non-formulary (medication) (UreaTEst)", "template non-formulary (medication) (zotepine)", "template non-formulary (medication) (zotepine)", "template non-formulary (medication) (zomepirac)", "template non-formulary (medication) ((+)-panthenol)", "template non-formulary (medication) ((-)-ambroxide)", "template non-formulary (medication) (Medi-Meclizine oral)", "template non-formulary (medication) (Advil oral)", "template non-formulary (medication) (Cough-Sore Throat Night oral)", "template non-formulary (medication) (Medi-Meclizine oral)", "template non-formulary (medication) (penicillin G benzathine intramuscular)", "template non-formulary (medication) (Penicillamine(D-))", "template non-formulary (medication) (honey-marshmallow root extract oral)", "template non-formulary (medication) (honey-marshmallow root extract oral)", "template non-formulary (medication) (Jock Itch topical)", "template non-formulary (medication) (honey-marshmallow root extract oral)", "template non-formulary (medication) (Jock Itch topical)", "template non-formulary (medication) (Allegra-D 24 Hour oral)", "template non-formulary (medication) (NS drip 0.9 %)", "template non-formulary (medication) (NS drip 0.9 %)", "template non-formulary (medication) (adalimumab-adbm subcutaneous)", "template non-formulary (medication) (Children Delsym Cough-Chest Congestion DM oral)", "template non-formulary (medication) (Cough-Sore Throat Night oral)", "template non-formulary (medication) (Advil Migraine oral)", "template non-formulary (medication) (amoxicillin-potassium clavulanate oral)", "template non-formulary (medication) (Cough-Sore Throat Night oral)", "template non-formulary (medication) (honey-hydrocolloid dressing topical)", "template non-formulary (medication) (Medi-Meclizine oral)", "template non-formulary (medication) (Advil Migraine oral)", "template non-formulary (medication) (amoxicillin-potassium clavulanate oral)", "template non-formulary (medication) (Cough-Sore Throat 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(amoxicillin-potassium clavulanate oral)", "template non-formulary (medication) (Cough-Sore Throat Night oral)", "template non-formulary (medication) (honey-hydrocolloid dressing topical)", "template non-formulary (medication) (Medi-Meclizine oral)", "template non-formulary (medication) (Advil Migraine oral)", "template non-formulary (medication) (amoxicillin-potassium clavulanate oral)", "template non-formulary (medication) (Cough-Sore Throat Night oral)", "template non-formulary (medication) (honey-hydrocolloid dressing topical)", "template non-formulary (medication) (Medi-Meclizine oral)", "template non-formulary (medication) (Advil Migraine oral)", "template non-formulary (medication) (amoxicillin-potassium clavulanate oral)", "template non-formulary (medication) (Cough-Sore Throat Night oral)", "template non-formulary (medication) (honey-hydrocolloid dressing topical)", "template non-formulary (medication) (Medi-Meclizine oral)", "template non-formulary (medication) (Advil Migraine oral)", "template non-formulary (medication) (amoxicillin-potassium clavulanate oral)", "template non-formulary (medication) (Cough-Sore Throat Night oral)", "template non-formulary (medication) (honey-hydrocolloid dressing topical)", "template non-formulary (medication) (Medi-Meclizine oral)", "template non-formulary (medication) (Advil Migraine oral)", "template non-formulary (medication) (amoxicillin-potassium clavulanate oral)", "template non-formulary (medication) (Cough-Sore Throat Night oral)", "template non-formulary (medication) (honey-hydrocolloid dressing topical)", "template non-formulary (medication) (Medi-Meclizine oral)", "template non-formulary (medication) (Advil Migraine oral)", "template non-formulary (medication) (amoxicillin-potassium clavulanate oral)", "template non-formulary (medication) (Cough-Sore Throat Night oral)", "template non-formulary (medication) (honey-hydrocolloid dressing topical)", "template non-formulary (medication) (Medi-Meclizine 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"activeMedCount": 500 }, "epic": { "name": "Camila Maria Lopez", "age": 38, "sex": "female", "source": "Epic sandbox R4", "live": true, "vendor": "Epic", "intake": [ { "resource": "encounters", "n": 10, "denied": false, "notRequested": false, "scopeHeld": true, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "conditions", "n": 0, "denied": true, "notRequested": false, "scopeHeld": true, "skipped": false, "truncated": false, "errored": false, "note": "conditions: HTTP 403 on this run, scope not granted. No diagnosis list. Comorbidity cannot be considered." }, { "resource": "allergies", "n": 0, "denied": true, "notRequested": false, "scopeHeld": true, "skipped": false, "truncated": false, "errored": false, "note": "allergies: HTTP 403 on this run, scope not granted. NO MEDICATION SAFETY CHECK OF ANY KIND is possible." }, { "resource": "medicationRequests", "n": 1, "denied": false, "notRequested": false, "scopeHeld": true, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "medicationAdministrations", "n": 0, "denied": false, "notRequested": false, "scopeHeld": true, "skipped": false, "truncated": false, "errored": false, "note": "medicationAdministrations: permitted but zero records exist for this patient. Nothing can be said about what was actually given, only what was ordered." }, { "resource": "vitals", "n": 371, "denied": false, "notRequested": false, "scopeHeld": true, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "labs", "n": 5, "denied": false, "notRequested": false, "scopeHeld": true, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "procedures", "n": 0, "denied": false, "notRequested": true, "scopeHeld": false, "skipped": false, "truncated": false, "errored": true, "note": "procedures: HTTP 403 on this run, scope not granted. No procedure history." }, { "resource": "immunizations", "n": 0, "denied": false, "notRequested": true, "scopeHeld": false, "skipped": false, "truncated": false, "errored": true, "note": "immunizations: HTTP 403 on this run, scope not granted. No immunization history." }, { "resource": "documents", "n": 0, "denied": false, "notRequested": true, "scopeHeld": false, "skipped": false, "truncated": false, "errored": true, "note": "documents: HTTP 403 on this run, scope not granted. No clinical notes. Nothing can be read from narrative documentation." } ], "totals": { "encounters": 10, "conditions": 0, "allergies": 0, "medicationRequests": 1, "medicationAdministrations": 0, "vitals": 371, "labs": 5, "procedures": 0, "immunizations": 0, "documents": 0 }, "allergyState": "unknown", "labs": { "total": 4, "checked": 3, "pct": 75, "patterns": [], "unitMismatch": 1 }, "coverage": { "total": 8, "full": 0, "partial": 1, "context": 1, "blocked": 1, "none": 5, "performed": 1 }, "classes": [ { "id": "drug-allergy", "module": "Drug Allergy Screening", "what": "An ordered medication against a recorded allergen.", "level": "blocked", "blockedBy": "the record does not say whether allergy data exists, was withheld, or was never sought", "findings": 0, "basis": "Substring match of allergen words longer than five characters against the product name on every order in scope, drafts included." }, { "id": "drug-interaction", "module": "Drug Interaction Screening", "what": "Drug against drug, food and alcohol.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "duplicate-therapy", "module": "Duplicate Therapy Screening", "what": "Two orders that do the same job by different names.", "level": "partial", "blockedBy": null, "findings": 0, "basis": "Product-name collision among orders in scope, after stripping strength, dose form and brand. Cannot see therapeutic duplication between two different drugs of the same class." }, { "id": "dose-screening", "module": "Dose Screening + Drug Orders", "what": "Dose, frequency and duration against the accepted range.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "drug-disease", "module": "Drug Disease Contraindications", "what": "A medication against a disease state the patient has. Renal and hepatic adjustment live here.", "level": "context", "blockedBy": null, "findings": 0, "basis": "Surfaces renal function from the laboratory results and counts the orders in scope. Does not map any drug to any disease state." }, { "id": "pregnancy-age-gender", "module": "Pregnancy, Lactation, Age, and Gender Screening", "what": "Patient attributes that change whether a drug is appropriate at all.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "route-contraindication", "module": "Route Contraindications", "what": "A route that is contraindicated for this product.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "controlled-substance", "module": "US Controlled Substances", "what": "DEA and state schedule status.", "level": "none", "blockedBy": null, "findings": 0, "basis": null } ], "findings": [], "activeMeds": [ "drospirenone-ethinyl estradiol (YAZ) 3-0.02 MG per tablet" ], "impossibleVitals": [ { "name": "Systolic blood pressure", "value": 1, "unit": "mm[Hg]", "lo": 50, "hi": 300, "date": "2020-12-26" }, { "name": "Diastolic blood pressure", "value": 1, "unit": "mm[Hg]", "lo": 20, "hi": 200, "date": "2020-12-26" }, { "name": "Temp", "value": 45, "unit": "Cel", "lo": 30, "hi": 43, "date": "2026-08-18" }, { "name": "Temp", "value": 44, "unit": "Cel", "lo": 30, "hi": 43, "date": "2026-08-18" }, { "name": "Weight", "value": 1.1, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-20" }, { "name": "Weight", "value": 1.1, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-20" }, { "name": "Weight", "value": 1.1, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-20" }, { "name": "Weight", "value": 1.1, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-20" }, { "name": "Weight", "value": 1.1, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-20" }, { "name": "Weight", "value": 1.1, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-20" }, { "name": "Weight", "value": 1.1, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-19" }, { "name": "Weight", "value": 1.1, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-19" }, { "name": "Weight", "value": 9.5, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-19" }, { "name": "Weight", "value": 9.5, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-19" }, { "name": "Weight", "value": 9.5, "unit": "kg", "lo": 20, "hi": 500, "date": "2026-08-19" } ] }, "meditech": { "name": "Sarai Mccall", "age": 67, "sex": "female", "source": "MEDITECH Greenfield Workspace, FHIR R4 US Core STU6, Patient/$everything, patient 0218f2d0-968b-5888-976f-68a554670f6e", "live": true, "vendor": "MEDITECH", "intake": [ { "resource": "encounters", "n": 4, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "conditions", "n": 10, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "allergies", "n": 1, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "medicationRequests", "n": 5, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "medicationAdministrations", "n": 0, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "vitals", "n": 15, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "labs", "n": 33, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "procedures", "n": 3, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "immunizations", "n": 2, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "documents", "n": 10, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null } ], "totals": { "encounters": 4, "conditions": 10, "allergies": 1, "medicationRequests": 5, "medicationAdministrations": 0, "vitals": 15, "labs": 33, "procedures": 3, "immunizations": 2, "documents": 10 }, "allergyState": "recorded", "labs": { "total": 24, "checked": 2, "pct": 8, "patterns": [], "unitMismatch": 0 }, "coverage": { "total": 8, "full": 0, "partial": 2, "context": 1, "blocked": 0, "none": 5, "performed": 2 }, "classes": [ { "id": "drug-allergy", "module": "Drug Allergy Screening", "what": "An ordered medication against a recorded allergen.", "level": "partial", "blockedBy": null, "findings": 0, "basis": "Substring match of allergen words longer than five characters against the product name on every order in scope, drafts included." }, { "id": "drug-interaction", "module": "Drug Interaction Screening", "what": "Drug against drug, food and alcohol.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "duplicate-therapy", "module": "Duplicate Therapy Screening", "what": "Two orders that do the same job by different names.", "level": "partial", "blockedBy": null, "findings": 0, "basis": "Product-name collision among orders in scope, after stripping strength, dose form and brand. Cannot see therapeutic duplication between two different drugs of the same class." }, { "id": "dose-screening", "module": "Dose Screening + Drug Orders", "what": "Dose, frequency and duration against the accepted range.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "drug-disease", "module": "Drug Disease Contraindications", "what": "A medication against a disease state the patient has. Renal and hepatic adjustment live here.", "level": "context", "blockedBy": null, "findings": 0, "basis": "Surfaces renal function from the laboratory results and counts the orders in scope. Does not map any drug to any disease state." }, { "id": "pregnancy-age-gender", "module": "Pregnancy, Lactation, Age, and Gender Screening", "what": "Patient attributes that change whether a drug is appropriate at all.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "route-contraindication", "module": "Route Contraindications", "what": "A route that is contraindicated for this product.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "controlled-substance", "module": "US Controlled Substances", "what": "DEA and state schedule status.", "level": "none", "blockedBy": null, "findings": 0, "basis": null } ], "findings": [], "activeMeds": [ "Furosemide", "Lisinopril", "Isosorbide Mononitrate", "Nitroglycerin", "Metoprolol Succinate" ] }, "cole": { "name": "Cole Dario Corwin", "age": 81, "sex": "male", "source": "Synthea synthetic record, Cole117_Corwin846_bca1691f-8839-1d66-ed01-471134d55738.json", "live": false, "vendor": "Synthea", "intake": [ { "resource": "encounters", "n": 453, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "conditions", "n": 273, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "allergies", "n": 0, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "medicationRequests", "n": 1113, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "medicationAdministrations", "n": 171, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "vitals", "n": 1126, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "labs", "n": 7766, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "procedures", "n": 1421, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "immunizations", "n": 14, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "documents", "n": 0, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null } ], "totals": { "encounters": 453, "conditions": 273, "allergies": 0, "medicationRequests": 1113, "medicationAdministrations": 171, "vitals": 1126, "labs": 7766, "procedures": 1421, "immunizations": 14, "documents": 0 }, "allergyState": "empty", "labs": { "total": 5445, "checked": 5399, "pct": 99, "patterns": [ { "code": "10834-0", "note": "globulin. Note the unit: 2 to 3.5 would be g/dL, not g/L", "n": 45, "of": 45, "min": 2.0189, "max": 3.4257, "lo": 10, "hi": 60, "unit": "g/L", "worst": 2.0189 }, { "code": "38483-4", "note": "creatinine, blood", "n": 8, "of": 164, "min": 26.48, "max": 52.51, "lo": 0.1, "hi": 25, "unit": "mg/dL", "worst": 52.51 } ], "unitMismatch": 46 }, "coverage": { "total": 8, "full": 0, "partial": 1, "context": 1, "blocked": 1, "none": 5, "performed": 1 }, "classes": [ { "id": "drug-allergy", "module": "Drug Allergy Screening", "what": "An ordered medication against a recorded allergen.", "level": "blocked", "blockedBy": "a search returned no allergen, which cannot distinguish a patient with no allergies from a patient nobody has asked", "findings": 0, "basis": "Substring match of allergen words longer than five characters against the product name on every order in scope, drafts included." }, { "id": "drug-interaction", "module": "Drug Interaction Screening", "what": "Drug against drug, food and alcohol.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "duplicate-therapy", "module": "Duplicate Therapy Screening", "what": "Two orders that do the same job by different names.", "level": "partial", "blockedBy": null, "findings": 1, "basis": "Product-name collision among orders in scope, after stripping strength, dose form and brand. Cannot see therapeutic duplication between two different drugs of the same class." }, { "id": "dose-screening", "module": "Dose Screening + Drug Orders", "what": "Dose, frequency and duration against the accepted range.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "drug-disease", "module": "Drug Disease Contraindications", "what": "A medication against a disease state the patient has. Renal and hepatic adjustment live here.", "level": "context", "blockedBy": null, "findings": 1, "basis": "Surfaces renal function from the laboratory results and counts the orders in scope. Does not map any drug to any disease state." }, { "id": "pregnancy-age-gender", "module": "Pregnancy, Lactation, Age, and Gender Screening", "what": "Patient attributes that change whether a drug is appropriate at all.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "route-contraindication", "module": "Route Contraindications", "what": "A route that is contraindicated for this product.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "controlled-substance", "module": "US Controlled Substances", "what": "DEA and state schedule status.", "level": "none", "blockedBy": null, "findings": 0, "basis": null } ], "findings": [ { "check": "duplicate-therapy", "severity": "record-defect", "headline": "2 active orders are the same drug at different strengths", "detail": [ "ingredient simvastatin", "order Simvastatin 20 MG Oral Tablet authored 2005-01-26", "order Simvastatin 10 MG Oral Tablet authored 2025-07-30", "Nothing in the record says one supersedes the other. Both are active." ], "evidence": [ "MedicationRequest/bca1691f-8839-1d66-ee03-fde3b4558a3d", "MedicationRequest/bca1691f-8839-1d66-6bb8-155f114417da" ], "confidence": "name collision after stripping strength and dose form. Still text. Two different drugs of the same class under different names are not found by this at all" }, { "check": "drug-disease", "severity": "context", "headline": "Renal function is impaired and this source cannot say which orders are affected", "detail": [ "Glomerular filtration rate [Volume Rate/Area] 24.154 mL/min/{1.73_m2} measured 2026-08-12", "14 active medication orders are on file.", "Determining which of those require dose adjustment, or are contraindicated at this level of renal function, requires a maintained drug knowledge base. No such source is connected. The question is open, not answered." ], "evidence": [ "Observation/bca1691f-8839-1d66-1c6c-fcffddd5e933" ], "confidence": "laboratory value read directly from the record. No drug was assessed against it." } ], "activeMeds": [ "Clopidogrel 75 MG Oral Tablet", "Simvastatin 20 MG Oral Tablet", "24 HR metoprolol succinate 100 MG Extended Release Oral Tablet", "Nitroglycerin 0.4 MG/ACTUAT Mucosal Spray", "Galantamine 4 MG Oral Tablet", "Simvastatin 10 MG Oral Tablet", "insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Injectable Suspension [Humulin]", "verapamil hydrochloride 80 MG Oral Tablet [Calan]", "Digoxin 0.125 MG Oral Tablet", "Hydrochlorothiazide 25 MG Oral Tablet", "Acetaminophen 325 MG Oral Tablet [Tylenol]", "Warfarin Sodium 5 MG Oral Tablet", "24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet", "lisinopril 10 MG Oral Tablet" ], "stageConflicts": [ { "stem": "chronic kidney disease", "entries": [ { "text": "Chronic kidney disease stage 1", "onset": "2006-01-25" }, { "text": "Chronic kidney disease stage 2", "onset": "2011-02-02" }, { "text": "Chronic kidney disease stage 3", "onset": "2017-02-22" }, { "text": "Chronic kidney disease stage 4", "onset": "2022-07-06" } ] } ], "egfr": { "value": 24.2, "unit": "mL/min/{1.73_m2}", "date": "2026-08-12" } }, "jordan": { "name": "Jordan Abbott", "age": 26, "sex": "female", "source": "Synthea synthetic record, Jordan900_Abbott774_82623afe-e51c-e02e-1dd7-15a4394d0e92.json", "live": false, "vendor": "Synthea", "intake": [ { "resource": "encounters", "n": 74, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "conditions", "n": 38, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "allergies", "n": 10, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "medicationRequests", "n": 41, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "medicationAdministrations", "n": 4, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "vitals", "n": 76, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "labs", "n": 37, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "procedures", "n": 236, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "immunizations", "n": 17, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "documents", "n": 0, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null } ], "totals": { "encounters": 74, "conditions": 38, "allergies": 10, "medicationRequests": 41, "medicationAdministrations": 4, "vitals": 76, "labs": 37, "procedures": 236, "immunizations": 17, "documents": 0 }, "allergyState": "recorded", "labs": { "total": 37, "checked": 22, "pct": 59, "patterns": [], "unitMismatch": 0 }, "coverage": { "total": 8, "full": 0, "partial": 2, "context": 1, "blocked": 0, "none": 5, "performed": 2 }, "classes": [ { "id": "drug-allergy", "module": "Drug Allergy Screening", "what": "An ordered medication against a recorded allergen.", "level": "partial", "blockedBy": null, "findings": 0, "basis": "Substring match of allergen words longer than five characters against the product name on every order in scope, drafts included." }, { "id": "drug-interaction", "module": "Drug Interaction Screening", "what": "Drug against drug, food and alcohol.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "duplicate-therapy", "module": "Duplicate Therapy Screening", "what": "Two orders that do the same job by different names.", "level": "partial", "blockedBy": null, "findings": 0, "basis": "Product-name collision among orders in scope, after stripping strength, dose form and brand. Cannot see therapeutic duplication between two different drugs of the same class." }, { "id": "dose-screening", "module": "Dose Screening + Drug Orders", "what": "Dose, frequency and duration against the accepted range.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "drug-disease", "module": "Drug Disease Contraindications", "what": "A medication against a disease state the patient has. Renal and hepatic adjustment live here.", "level": "context", "blockedBy": null, "findings": 0, "basis": "Surfaces renal function from the laboratory results and counts the orders in scope. Does not map any drug to any disease state." }, { "id": "pregnancy-age-gender", "module": "Pregnancy, Lactation, Age, and Gender Screening", "what": "Patient attributes that change whether a drug is appropriate at all.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "route-contraindication", "module": "Route Contraindications", "what": "A route that is contraindicated for this product.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "controlled-substance", "module": "US Controlled Substances", "what": "DEA and state schedule status.", "level": "none", "blockedBy": null, "findings": 0, "basis": null } ], "findings": [], "activeMeds": [ "Fexofenadine hydrochloride 30 MG Oral Tablet", "NDA020800 0.3 ML Epinephrine 1 MG/ML Auto-Injector", "budesonide 0.25 MG/ML Inhalation Suspension", "Hydrochlorothiazide 25 MG Oral Tablet", "lisinopril 10 MG Oral Tablet", "amLODIPine 2.5 MG Oral Tablet", "albuterol 0.21 MG/ML Inhalation Solution" ] }, "shaun": { "name": "Shaun Javier Cormier", "age": 73, "sex": "male", "source": "Synthea synthetic record, Shaun461_Cormier289_f6745f8a-8107-443e-8946-3e6329d20408.json", "live": false, "vendor": "Synthea", "intake": [ { "resource": "encounters", "n": 54, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "conditions", "n": 39, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "allergies", "n": 3, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "medicationRequests", "n": 23, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "medicationAdministrations", "n": 1, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "vitals", "n": 77, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "labs", "n": 313, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "procedures", "n": 111, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "immunizations", "n": 14, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null }, { "resource": "documents", "n": 0, "denied": false, "notRequested": false, "scopeHeld": false, "skipped": false, "truncated": false, "errored": false, "note": null } ], "totals": { "encounters": 54, "conditions": 39, "allergies": 3, "medicationRequests": 23, "medicationAdministrations": 1, "vitals": 77, "labs": 313, "procedures": 111, "immunizations": 14, "documents": 0 }, "allergyState": "recorded", "labs": { "total": 313, "checked": 304, "pct": 97, "patterns": [ { "code": "10834-0", "note": "globulin. Note the unit: 2 to 3.5 would be g/dL, not g/L", "n": 9, "of": 9, "min": 2.1548, "max": 3.4883, "lo": 10, "hi": 60, "unit": "g/L", "worst": 2.1548 } ], "unitMismatch": 9 }, "coverage": { "total": 8, "full": 0, "partial": 2, "context": 1, "blocked": 0, "none": 5, "performed": 2 }, "classes": [ { "id": "drug-allergy", "module": "Drug Allergy Screening", "what": "An ordered medication against a recorded allergen.", "level": "partial", "blockedBy": null, "findings": 0, "basis": "Substring match of allergen words longer than five characters against the product name on every order in scope, drafts included." }, { "id": "drug-interaction", "module": "Drug Interaction Screening", "what": "Drug against drug, food and alcohol.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "duplicate-therapy", "module": "Duplicate Therapy Screening", "what": "Two orders that do the same job by different names.", "level": "partial", "blockedBy": null, "findings": 0, "basis": "Product-name collision among orders in scope, after stripping strength, dose form and brand. Cannot see therapeutic duplication between two different drugs of the same class." }, { "id": "dose-screening", "module": "Dose Screening + Drug Orders", "what": "Dose, frequency and duration against the accepted range.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "drug-disease", "module": "Drug Disease Contraindications", "what": "A medication against a disease state the patient has. Renal and hepatic adjustment live here.", "level": "context", "blockedBy": null, "findings": 0, "basis": "Surfaces renal function from the laboratory results and counts the orders in scope. Does not map any drug to any disease state." }, { "id": "pregnancy-age-gender", "module": "Pregnancy, Lactation, Age, and Gender Screening", "what": "Patient attributes that change whether a drug is appropriate at all.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "route-contraindication", "module": "Route Contraindications", "what": "A route that is contraindicated for this product.", "level": "none", "blockedBy": null, "findings": 0, "basis": null }, { "id": "controlled-substance", "module": "US Controlled Substances", "what": "DEA and state schedule status.", "level": "none", "blockedBy": null, "findings": 0, "basis": null } ], "findings": [], "activeMeds": [ "diphenhydrAMINE Hydrochloride 25 MG Oral Tablet", "Vitamin B12 5 MG/ML Injectable Solution", "aspirin 81 MG Oral Tablet", "24 HR metoprolol succinate 100 MG Extended Release Oral Tablet", "rosuvastatin calcium 10 MG Oral Tablet", "losartan potassium 50 MG Oral Tablet", "prasugrel 10 MG Oral Tablet", "Simvastatin 10 MG Oral Tablet" ] } }, "vendors": [ { "id": "oracle", "name": "Oracle Health", "sub": "Millennium, open sandbox", "auth": "None. No registration, no key, no assertion.", "status": "full", "verdict": "Serves everything, unauthenticated" }, { "id": "epic", "name": "Epic", "sub": "FHIR R4 sandbox", "auth": "App registration, RS384 key pair, published JWK Set, signed JWT.", "status": "partial", "verdict": "Connects, then refuses two resources whose scopes it granted" }, { "id": "meditech", "name": "MEDITECH", "sub": "Greenfield Workspace", "auth": "Registration, then OAuth 2.0 authorization code in a browser. No client credentials grant, so no unattended access.", "status": "full", "verdict": "Serves all four resources Epic answers with 403. Interactive login only" }, { "id": "athena", "name": "athenahealth", "sub": "Marketplace Partners Program", "auth": "No sandbox URL, cost or access path published.", "status": "unknown", "verdict": "Could not be evaluated from public sources" } ], "regulation": { "cite": "45 CFR 170.315(g)(10)", "what": "Standardized API for patient and population services", "deadline": "31 December 2022", "compliance": "more than 95 percent of certified developers, 646 product listings from 411 developers" } }