med-and-problem-reconciliation

name	med-and-problem-reconciliation
description	List a patient's active problem list and current medications, grouped by indication, for quick reconciliation
enabled	true

Instructions

Use this skill when the user asks for the active problem list, current medications, or a med-reconciliation view (e.g. "Pull the problem list for Sofia", "What's Eleanor on right now?", "Med rec for PAT-100001").

1. Resolve the patient

epic_search_patients_by_name → epic_get_patient if needed.

2. Pull both

In parallel:

• epic_list_conditions(patient_id) — active problems
• epic_list_medications(patient_id, status: 'active') — current meds
• epic_list_allergies(patient_id) — for context (don't reconcile, just show)

3. Render

Group medications by indication:

# Eleanor Hsu (PAT-100001) — Active Problems & Medications

## ⚠️ Allergies
- Penicillin — moderate (rash)

## Active problems (3)
- Essential hypertension (I10) — since 2014
- Type 2 diabetes mellitus (E11.9) — since 2017
- ASCVD (I25.10) — since Aug 2025 *(post-MI)*

## Active medications (5)

### Hypertension
- Lisinopril 20 mg PO daily — since 2014 *(prescribed by Dr. Solomon)*
- Metoprolol succinate 50 mg PO daily — since Aug 2025 *(Dr. Mendez)*

### Type 2 diabetes
- Metformin 1000 mg PO BID — since 2017 *(Dr. Solomon)*

### Post-MI secondary prevention
- Atorvastatin 40 mg PO QHS — since Aug 2025 *(Dr. Mendez)*
- Aspirin 81 mg PO daily — since Aug 2025 *(Dr. Mendez)*

## Reconciliation notes
- All five active medications are matched to an active problem on the problem list — no orphans.
- Prescriber split is appropriate: PCP owns chronic management, Cardiology owns post-MI regimen.

Constraints

• Resolve prescriber_id to the practitioner's name in parens (call epic_get_practitioner if you don't have it cached from another call).
• Group meds strictly by indication field; alphabetise within group.
• If a medication has no matching problem on the list, surface it as an "Orphan medication" entry — that's clinically significant.
• If a problem has no matching medication, note it as "On the list, no active therapy" — also clinically significant.
• Don't make clinical recommendations here — this is reconciliation only.