Incomplete information transfer between healthcare settings could result in discontinuity in healthcare. Discrepancies between a patient's actual medication use and the medication that is listed in a patient's record are an important example [1–5]. Ashjian et al. showed that 88% of patients have one or more discrepancies in the outpatient setting [6]. Medication reconciliation can resolve unintentional discrepancies in up to 98% of patients [7]. However, medication reconciliation is not implemented broadly in the outpatient setting.
