AI Drug Selection

WoundScribe's prescription engine turns drug selection into a three-way optimization: every suggestion is matched to the wound and diagnosis, screened against allergies and renal function, and ranked by what the patient's plan will actually cover. The result is a shortlist a clinician can trust at a glance.

Finding the right drug for this patient

Open the Orders and Rx tab and WoundScribe has already surfaced a ranked set of medication chips tied to the encounter. For a patient like Dorothy with a diabetic foot ulcer, that means doxycycline and TMP-SMX marked Covered, and clindamycin marked PA for prior auth. Each chip carries a one-sentence rationale — for example, doxycycline covers MSSA and CA-MRSA, is penicillin-safe, and ties to her active diagnosis.

On the right, the panel shows exactly what the agent weighed:

• Wound status and active diagnoses
• Penicillin allergy (hard limit)
• eGFR of 48
• Care setting
• Medicare Part D coverage

Keeping every prescription safe and fillable

Allergies are treated as hard limits — cephalexin and amoxicillin-clavulanate would normally be first-line for cellulitis, but a penicillin allergy drops them silently from the list. Where a safe drug still needs caution, the rationale flags the eGFR and reminds you to monitor potassium with TMP-SMX.

Coverage tiers do the rest: tier-one generics lead, prior-auth options are flagged amber, and expensive choices like linezolid get tucked under low-priority red. Accept a suggestion and the New prescription form opens prefilled — medication, strength, route, dose, frequency, duration, quantity, and a complete sig. Status stays as Draft so the provider can review, edit, or sign. AI assistance supports the clinician; it never replaces clinical judgment.

See how this fits the broader AI-powered EMR for wound care and the diabetic foot care workflow, or read the companion walkthrough on how to add Orders and Rx to an encounter.