Name: Prescription Appropriateness Review
Author: langcare

Overview

Perform a comprehensive prescription appropriateness review by applying AGS 2023 Beers Criteria for patients aged 65 and older, STOPP/START criteria for potentially inappropriate prescribing and prescribing omissions, renal dose adjustments based on eGFR from laboratory Observations, and hepatic dose adjustments. Flag anticholinergic burden, CNS-active polypharmacy, and prolonged PPI use.

FHIR Resources Used

Resource	Purpose	Key Fields
Patient	Age determination, demographics	birthDate, gender
MedicationRequest	Active prescriptions to review	status, medicationCodeableConcept, dosageInstruction, reasonCode
MedicationStatement	Patient-reported medications including OTC	status, medicationCodeableConcept, dosage
Condition	Active diagnoses for drug-disease interaction checks	code, clinicalStatus, onsetDateTime
Observation

Overview

FHIR Resources Used

Resource	Purpose	Key Fields
Patient	Age determination, demographics	birthDate, gender
MedicationRequest	Active prescriptions to review	status, medicationCodeableConcept, dosageInstruction, reasonCode
MedicationStatement	Patient-reported medications including OTC	status, medicationCodeableConcept, dosage
Condition	Active diagnoses for drug-disease interaction checks	code, clinicalStatus, onsetDateTime
Observation

Prescription Appropriateness Review

Overview

FHIR Resources Used

Prescription Appropriateness Review

Overview

FHIR Resources Used

Instructions

Step 1: Retrieve Patient Demographics

Healthcare Cdss Patterns

Drug Discovery

Qmd

Attack Tree Construction

Azure Ai Anomalydetector Java

Viboscope