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OpenMedCheck: open-source AI tool flags prescriptions that conflict with patient notes

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OpenMedCheck is an open-source prescribing check designed for emergency-department doctors, presented as a concept demonstrator and not a clinical or medical device. It reviews a proposed medication order against the patient's record, including free-text notes that standard coded-data alerts often miss. The system returns a decision card marked NO_ISSUE, WARNING, or BLOCKED, along with the reasoning, the relevant quoted text, and where possible a re-checked alternative. Its creator argues that most drug alerts fail because they lack patient context rather than because there are too many of them. The project uses only invented patients for its demonstrations, and the business model it proposes, which has not yet been tested with buyers, would charge hospitals for maintained rule tables, system integration, and support.

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