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Free Medication Reconciliation Tool for Skilled Nursing and Post-Acute Medication List Comparison

Disclaimer

HIPAA Warning: DO NOT UPLOAD IDENTIFIABLE PATIENT INFORMATION. This app is intended for use by personnel authorized to handle Protected Health Information (PHI). While MedRec 2.0 automatically attempts to fully scrub all unintentional PHI before processing and is a HIPAA compliant application, users are still responsible for ensuring full compliance with HIPAA regulations, including safeguarding resident/patient data and restricting access to authorized personnel only. Unauthorized disclosure of PHI may result in disciplinary action and legal consequences.

For paper records, you may use your phone or computer's built-in text scan / OCR to copy medication orders and paste them into MedRec 2.0. Copy medication orders only — do not copy or paste names, DOB, MRN, address, phone, or other identifiers. Follow your facility’s HIPAA policy and only use approved devices, apps, and workflows.

Note: MedRec 2.0 is a support and screening tool and does not guarantee 100% accuracy in identifying all medication contraindications, combination cautions, or discrepancies. Final verification must be completed by qualified clinical personnel.

Enter Medications Before Hospital Stay

You can dictate or paste your medication list below.

For paper records, use your phone’s built-in text scan / OCR to copy medication orders only — no patient identifiers. Follow your facility’s HIPAA rules and approved workflows.

Dictate medication orders only. Do not dictate patient names, dates of birth, addresses, or other identifiers.

For paper records, use your phone’s built-in text scan / OCR for medication orders only — no patient identifiers.

Example: "Lisinopril 10 milligrams by mouth daily" then "Metformin 500 milligrams twice daily".

Use the keyboard microphone in the transcript box on iPhone Safari.

Say one medication order at a time. Tap Next Medication between orders.

Speech dictation is not supported in this browser. Type the medications here or use your device’s keyboard microphone if available, then tap Review in Text Box.

Enter Hospital Discharge Medications

You can dictate or paste your medication list below.

For paper records, use your phone’s built-in text scan / OCR to copy medication orders only — no patient identifiers. Follow your facility’s HIPAA rules and approved workflows.

Dictate medication orders only. Do not dictate patient names, dates of birth, addresses, or other identifiers.

For paper records, use your phone’s built-in text scan / OCR for medication orders only — no patient identifiers.

Example: "Aspirin 81 milligrams daily" then "Furosemide 20 milligrams every morning".

Use the keyboard microphone in the transcript box on iPhone Safari.

Say one medication order at a time. Tap Next Medication between orders.

Speech dictation is not supported in this browser. Type the medications here or use your device’s keyboard microphone if available, then tap Review in Text Box.

Comparison Results

Changes listed in bold red are critical medications and should be reconciled with the provider within 4 hours of discovery.

Understanding Confidence Scores:

  • High: Change detection & description likely accurate. Standard review.
  • Medium: Change likely detected. Description may have minor uncertainties (e.g., from order complexity or OCR). Confirm nature of change.
  • Low: Change likely detected. Description faced greater challenges (e.g., from order complexity or OCR). Verify item fully with originals.

On some mobile browsers, exported files may open in a new tab. Return to this tab to continue reviewing results.

Screened with MedRec 2.0 — med-reconciliation.com

How to use MedRec 2.0
  1. Start with your trusted medication list. Use the last known good medication list you believe is correct. This may be a current facility list, pharmacy list, patient portal list, discharge list already reviewed by a provider, or another list your care team trusts. This is your source of truth.
  2. Enter that list first. Paste the trusted baseline list into MedRec 2.0 as the medication list before the change.
  3. Enter the new list second. When you receive a new hospital discharge, pharmacy, portal, provider, or paper medication list, paste it as the new medication list.
  4. Review the comparison report. MedRec 2.0 highlights possible added, removed, changed, and unchanged medications, along with selected safety cautions for human review.
  5. Take changes to a trusted professional. If the report shows changes, bring or share it with your trusted provider, pharmacist, nurse, or care team before making medication decisions.
  6. Keep the reviewed report. After your care team confirms the correct medication list, save or print the report. Over time, keeping these reports can help create a history of medication changes.
  7. Use the confirmed list next time. Once a provider or care team confirms the current list, use that updated list as your new source of truth for the next comparison.

Medication orders only: do not enter names, dates of birth, medical record numbers, addresses, phone numbers, or other patient identifiers.

About MedRec 2.0

MedRec 2.0 is a browser-based medication reconciliation comparison tool for skilled nursing, long-term care, post-acute care, and transitions of care. It helps compare hospital discharge medication lists, facility orders, OCR-copied text, pasted medication lists, and dictated medication lists.

What makes an order complete? A medication order is easier to compare when it includes the medication name, dose or amount, route, frequency or schedule, and indication or purpose. If one of these medication order components is missing or unclear, the order should be clarified before it is treated as a personal medication source of truth. MedRec 2.0 can help flag possible differences, but final verification still requires clinical judgment.

The tool flags possible differences in medication name, dose, route, schedule, added medications, removed medications, duplicate orders, and selected caution categories. MedRec 2.0 is a support and screening medication reconciliation tool for human review and does not replace clinical judgment, provider verification, or facility policy.

For long-term care, skilled nursing, and post-acute transitions, MedRec can help compare a saved source-of-truth medication list with a hospital discharge medication list. See the long-term care medication reconciliation workflow.

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