How to use MedRec 2.0
- 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.
- Enter that list first. Paste the trusted baseline list into MedRec 2.0 as the medication list before the change.
- 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.
- Review the comparison report. MedRec 2.0 highlights possible added, removed, changed, and unchanged medications, along with selected safety cautions for human review.
- 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.
- 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.
- 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.
Questions and answers
What is MedRec 2.0?
MedRec 2.0 is a browser-based medication reconciliation comparison tool. It helps users compare two medication lists and flags possible differences for human review.
Who is MedRec 2.0 designed for?
MedRec 2.0 is designed for medication reconciliation workflows in skilled nursing, long-term care, post-acute care, and transitions of care where staff need to compare hospital discharge medications, facility orders, pasted lists, OCR-copied text, or dictated medication lists.
Can MedRec 2.0 compare medication lists from different systems?
Yes. MedRec 2.0 is designed to compare lists that may use different wording or formatting. It attempts to normalize medication name, dose, route, schedule, and related details before comparison, but users should still verify any flagged results.
Can MedRec be used for long-term care or skilled nursing medication reconciliation?
Yes. MedRec is designed to support the comparison step when long-term care, skilled nursing, or post-acute teams compare a hospital discharge medication list against current facility medication orders. It helps organize likely added, removed, changed, unchanged, duplicate-review, and therapeutic-caution items for human review. It does not replace provider verification, pharmacist review, or facility policy.
How should a facility use MedRec in the medication reconciliation workflow?
A facility should first identify the best available source-of-truth medication list. For a transfer to the hospital, this may be a copy of the current facility medication list at the time of transfer, stored according to facility policy with the resident name and date created. When the resident returns, the team can compare the hospital discharge medication list against that saved list. Any added, removed, changed, duplicate-review, or therapeutic-caution items should be reviewed through the appropriate provider, pharmacist, or facility process before final orders are signed.
Does MedRec store the source-of-truth medication list?
No. MedRec does not store medication lists. If a facility stores a source-of-truth list with resident identifiers, that storage happens outside MedRec and should follow facility policy, privacy requirements, and applicable agreements.
Can MedRec 2.0 use OCR text?
Yes. Users can copy medication text from paper or electronic records using OCR and paste that text into the app. OCR text should be checked before use because OCR can misread letters, numbers, drug names, and dose information.
Can MedRec 2.0 use dictated medication lists?
Yes. Users can dictate medication orders into the app, then review or compare the resulting list. Dictation works best when each medication order is spoken clearly and separately.
Does MedRec 2.0 replace clinical medication reconciliation?
No. MedRec 2.0 supports medication reconciliation by flagging possible differences. It does not make final medication decisions, replace clinical judgment, or replace facility policy.
What kinds of discrepancies can MedRec 2.0 flag?
MedRec 2.0 can flag possible drug, dose, route, schedule, added-medication, removed-medication, duplicate-order, and selected caution differences. It may also ask the user to check OCR text when a dose or quantity is unclear.
Why does MedRec 2.0 sometimes say "Check OCR text"?
This means the app could not clearly resolve part of an order, often because OCR may have misread or dropped a dose, quantity, or medication detail. The user should check the original medication record.
Does MedRec 2.0 store patient information?
MedRec is free to use, requires no login or account, does not request patient identifiers, and does not store medication lists. The app is designed to process pasted or dictated medication text in the browser workflow. Users should not paste patient identifiers unless permitted by their facility policy and workflow.
What information should a medication order include?
For medication reconciliation, a useful complete medication order should include the medication name, dose or amount, route, frequency or schedule, and indication or purpose when available. If any of those pieces are missing or unclear, the order should be questioned or clarified before it is accepted as a source of truth for medication list comparison.
Should I use a medication list if the dose, route, or schedule is missing?
No. A medication list with missing or unclear dose, route, or schedule should be clarified before it is used for comparison or saved as a trusted list. MedRec 2.0 can help organize possible differences, but it does not replace review by a clinician or pharmacist. Whether an order is a valid medication order for legal or prescribing requirements must be determined by licensed clinicians and local policy, not by this medication reconciliation tool.
What should staff do after a difference is flagged?
A clinician or facility-defined reviewer should verify the source records, decide whether the medication should be continued, stopped, changed, or clarified, and document the final reconciliation decision according to local policy.
Can individuals or caregivers keep a personal medication source of truth?
Yes. See Personal Medication List Comparison Tool for a practical guide to compare medication lists over time.