# RC16B — Acute vs Ambulatory Medication Reconciliation

## Two medication profiles

Captured medications can now belong to:

- Home / ambulatory
- Acute / inpatient
- Unassigned

The profile is inferred from the captured screen when recognizable language is present.

Home/ambulatory indicators include:

- home medications
- prior to admission / PTA medications
- ambulatory or outpatient medications
- medication history
- patient-reported medications

Acute/inpatient indicators include:

- MAR
- medication administration record
- inpatient or active orders
- current facility medications
- pending verification
- pharmacy verification

Uncertain captures remain unassigned instead of being forced into the wrong list.

## Reconciliation classifications

The comparison engine identifies:

- present on both
- dose changed
- route changed
- frequency/SIG changed
- therapeutic substitution
- home medication omitted from the acute profile
- new acute medication

Therapeutic substitutions are always surfaced for pharmacist review. They are never silently treated as identical therapy.

## Duplicate handling

The same medication may exist once in the home profile and once in the acute profile. Deduplication occurs only within the same profile, preventing a matched medication from disappearing during reconciliation.

## Patient Workspace

The Patient Workspace now includes:

`Compare Home vs Acute`

The comparison window shows:

- classification
- home/ambulatory medication
- acute/inpatient medication
- counts for each profile
- unassigned medication count

## Visual report

The local HTML patient report now contains:

- acute versus ambulatory reconciliation
- profile labels in the medication table
- discrepancy-first ordering
- home/acute/unassigned counts

## Preservation

RC16B retains RC16A parsing and universal autofill, all owner database records, runtime bundles, patient-data bindings, backups, and the in-place installer fix.
