Baton Rx
Every specialist visit changes the med list, and for independent and rural PCPs especially, the faxed consult note leaves them guessing who owns what while the patient keeps taking a drug nobody meant to continue.
Core trick
Parses faxed specialist consult notes and reconciles them against the FHIR medication record into a per-drug ownership ledger.
Tags
Description
Every specialist visit changes the med list, and for independent and rural PCPs especially, the faxed consult note leaves them guessing who owns what while the patient keeps taking a drug nobody meant to continue. Baton reads those notes from inside the chart the PCP already uses, reconciles them against the patient's FHIR record into a live ownership ledger, flagging orphaned drugs, catching cross prescriber interactions no single EHR can see, and drafting the messages that fix them.
README excerpt
# Baton Rx **Cross-specialist medication ownership reconciliation for independent primary care — because every med handoff needs someone holding the baton.** Independent PCPs receive consult notes from outside specialists as unstructured faxes. Specialists change medications — but nobody reconciles **who owns each medication** afterward. Substitutions go uncommunicated, titration responsibility gets assumed by both sides (or neither), and cross-prescriber interactions slip through because no single system sees the whole regimen. Baton Rx is an agentic pipeline that ingests consult notes, reconciles them against the patient's FHIR record, and maintains a live ledger: every active medication assigned to an accountable clinician, with provenance, confidence, and flags for orphaned meds and cross-specialist conflicts. It then drafts the corrective actions — specialist message, patient message, chart note — for physician approval. > Epic flags a drug–drug interaction when both scripts live in one system. Here they live in two systems connected only by a fax. That's the gap this closes. ## Demo scenario Base chart: **Isreal Howell**, 85M — richest cardiometabolic patient in the `synthetic-ambient-fhir-25` dataset (ischemic heart disease s/p NSTEMI, HTN, new T2DM, hyperlipidemia). His source chart already contains real reconciliation debt: a duplicate simvastatin entry from an old hospitalization and a stale metoprolol 50 mg order. Three synthetic consult notes arrive in sequ