# RC5 — Screen Grab → MedRec + Patient Review

## Active functionality

A patient screen grab now generates two primary outputs automatically:

1. **Medication Reconciliation**
   - normalized medication list
   - generic/brand/OCR alias recognition
   - dose, route, and frequency retained when captured
   - exact duplicate detection
   - therapeutic duplication/substitution review
   - unmatched medication list
   - reconciliation decisions that remain to be completed

2. **Patient-Specific Medication Review**
   - pharmacologic and therapeutic class
   - common indications
   - renal and hepatic considerations
   - monitoring
   - major warnings
   - high-yield interactions
   - administration
   - crush/tube considerations

## Knowledge population

- 300 Top-300 medication records
- 300 runtime AHK records embedded directly in PhUCKIT
- readable JSON database at:
  `ClinicalReasoningDatabase/active/top-300-active-knowledge.json`
- common brand and OCR alias matching
- combination-product recognition
- 75 therapeutic/safety groups

## Active cross-medication rules

- anticoagulant + antiplatelet/NSAID bleeding risk
- opioid + CNS depressant respiratory/CNS depression
- serotonergic burden
- QT burden
- hyperkalemia risk
- bradycardia/AV-nodal burden
- NSAID + RAAS blocker + diuretic AKI risk
- multiple hypoglycemia-producing therapies
- anticholinergic burden
- fall-risk burden
- exact duplication
- therapeutic duplication/substitution

## Test mode

The user-facing analysis behaves as though the populated knowledge is active and usable for functionality testing. Source validation remains a separate database-build process and is not displayed as repetitive draft warnings in the primary review.
