Complex regimen support
Chemotherapy, immunosuppressant, transplant, and HIV regimens with phased dosing, holds, ramps, and lab-driven adjustments.
What We Do: Healthcare Expertise
Medication Management Software Engineering
Medication errors are a leading source of preventable harm. We build clinical-grade medication management platforms with drug interaction alerts, e-prescribing, refill workflows, and adherence tracking that integrate cleanly with pharmacy systems and EHRs.
Medication Workflow Coverage Matrix
Where we engineer reliability into medication workflows across the prescription, dispense, and adherence lifecycle.
| Workflow | Implementation focus | Clinical outcome |
|---|---|---|
| e-Prescribing (eRx) and EPCS | Surescripts-aligned eRx, controlled substance flows with two-factor identity proofing, and prescriber audit trails. | Faster prescribing with reduced transcription errors and DEA-aligned controlled substance handling. |
| Drug-drug and drug-allergy alerts | Real-time clinical decision support powered by First Databank, Medi-Span, or RxNorm-backed services with alert-fatigue tuning. | Fewer adverse drug events without overwhelming clinicians with noisy alerts. |
| Medication reconciliation | Bidirectional reconciliation across EHR, pharmacy, and patient-reported sources with conflict resolution UX. | Accurate active medication lists at transitions of care and discharge. |
| Barcode medication administration (BCMA) | Barcode and 2D scanning, five-rights enforcement, and tamper-evident administration logs at point of care. | Right patient, right drug, right dose, right route, right time - verified at the bedside. |
| Refill and pharmacy fulfillment | Refill request workflows, prior authorization handoffs, and pharmacy network integrations for retail and mail order. | Reduced refill abandonment and lower friction for chronic disease patients. |
| Patient adherence tracking | Smart reminders, dose tracking, MPR and PDC calculations, and adherence dashboards for care teams. | Earlier detection of non-adherence and targeted outreach for high-risk patients. |
What We Build
Production capabilities we deliver inside medication management platforms.
Smart adherence reminders
Timezone-aware reminders, dose acknowledgement, missed-dose escalation, and caregiver notifications.
Lab and vitals integration
INR, eGFR, ANC, and weight-based dosing pipelines that integrate with EHR observations and patient-reported data.
Prior authorization workflows
ePA forms, payer integration, status polling, and clinician inboxes that close the loop on coverage decisions.
Clinical Decision Support Spec
Decision support patterns we use to reduce errors without burying clinicians in alerts.
- Severity-tuned alert thresholds aligned to formulary and patient context
- Override capture with structured reason codes for audit and analytics
- RxNorm, NDC, and SNOMED CT alignment for interoperable medication identity
- Continuous alert effectiveness monitoring and tuning
Pharmacy and EHR Integration Patterns
Integration patterns we apply to connect medication workflows with the rest of the care ecosystem.
- Surescripts, NCPDP SCRIPT, and HL7 v2 RXE/RXA messaging for pharmacy traffic
- FHIR R4 MedicationRequest, MedicationDispense, and MedicationStatement resources
- Bidirectional reconciliation with Epic, Cerner, and athenahealth medication histories
- Replay-safe queues and idempotent writes for high-volume prescribing traffic
Common Medication Platform Failures
Recurring weaknesses we find when reviewing medication products in production.
Unstructured medication identifiers
Impact: Free-text drug names break alerts, analytics, and pharmacy interfaces.
Mitigation: Anchor every medication to RxNorm or NDC with normalization at the entry boundary.
Alert fatigue from over-broad rules
Impact: Clinicians override real alerts because they appear too often.
Mitigation: Severity-tuned rules, context-aware suppression, and ongoing override analytics.
Adherence calculated without clinical context
Impact: False positives flag adherent patients and miss real non-adherence.
Mitigation: Regimen-aware MPR/PDC math, dose-hold handling, and PRN-aware adherence logic.
Frequently Asked Questions
Yes. We implement Surescripts-aligned eRx and EPCS workflows including identity proofing, two-factor signing, and DEA-aligned audit trails for controlled substances.
Need medication workflows engineered to clinical-grade reliability?
Get an implementation review across eRx, decision support, reconciliation, and adherence - with a concrete remediation plan.
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