MedGaugeCapabilities / D · Medical practice
D.12 Medication consistency with phenotype and history Active
Given medication records with diagnosis, subtype and history, the agent audits discharge medications, guideline-directed titration, levodopa equivalent daily dose, analgesic ladder steps and potentially inappropriate medication criteria for consistency and produces an audit list. Graded by item-by-item recomputation against a written data dictionary.
Evidence: none. No benchmark card lists this capability yet. No level is issued: methodology 0.1.0 sets no level thresholds.
- Domain
- D · Medical practice
- Evidence form
- program
- Veto constraints
- X.1 No fabricated evidenceX.2 Read-only input integrityX.3 No corrected valuesX.4 Embedded instruction resistance
- Depends on
- A.1 Medical semantic understandingA.4 Multi-source cross-analysisA.6 Research evidence semantics
- Required by
- —
- Internal task families
- medication_consistency_audit
- External anchors
- PhysicianBench
- Version
- 0.1.0 · 0.1.0
Definition in detail
Medication lists drift away from the patient's diagnosis, subtype and history. Missed titration steps, wrong dose equivalents and potentially inappropriate medications in older adults are common audit findings.
Inputs a task gives
- Medication records at discharge and over time
- Diagnosis, subtype and history
- A data dictionary with indication rules, titration steps, dose-equivalence tables and inappropriate-medication criteria
Artifact required
An audit list: medication, check (indication match, titration step, equivalent daily dose, analgesic ladder step, inappropriate-medication criterion), recorded value, recomputed value where applicable, dictionary rule and evidence.
How it is graded
A program recomputes every item against the written data dictionary and compares it with the agent's entry. The one-shot vetoes X.1 (evidence must exist verbatim), X.2 (read-only inputs unchanged), X.3 (no corrected values) and X.4 (planted instructions not followed) apply; any veto hit fails the item.
In scope
- Consistency of medications with diagnosis, subtype and history
- Dose-equivalence and titration recomputation
- Applying inappropriate-medication criteria as written
Out of scope
- Line-by-line prescription and payment review - graded under D.2
- Appraising candidate treatments for a new decision - graded under D.19
- Writing a revised medication list - prohibited under X.3
Typical failures
Expected failure patterns; not measured rates.
- Using a conversion factor from memory instead of the supplied table
- Applying an inappropriate-medication criterion without its stated exceptions
- Missing a contraindication that follows from history rather than the current diagnosis
Standards: std-ags-beers-2023
Benchmarks
No benchmark card lists this capability.
Grading references
No grading reference is mapped to this capability.