---
title: Submit or Sign the Admission Reconciliation Record in Profile
slug: portal-sub/submit-or-sign-the-admission-reconciliation-record-in-profile
docTags: 
createdAt: 2026-03-04T12:03:17.754Z
---

# Article Overview & Feature Requirements

This article is part of the Medication Management Workflow in Profile. You are currently viewing Phase 2 of the Workflow:

1. [Start Admission Medication Reconciliation in Profile](docId\:efZr4pOlC23WyWHlC6WoQ)
2. [Submit or Sign the Admission Reconciliation Record in Profile ← you are here](docId\:AP4AZBX8csbJWHvuQXozy)
3. [Review the MedChart for a Patient in Profile](docId\:AbzJD_iwqxZfNeby0K5vP)
4. [Create and Manage Medication Orders from a New Encounter in Profile](docId\:d0SJnLmfrFA8bQ7EeefN0)
5. [Create and View New Medication Orders or New Ad Hoc Medication Orders from the MedChart View in Profile](docId\:l7lXSS8mxmF9dPIoxx_5J)
6. [Document Medication Administration Using Careflow in Profile](docId\:W6JIu64bfxdfO5rVUNhMZ)

This article is written for clinical users, and provides a step-by-step walkthrough for submitting or signing the Admission Reconciliation Record in Profile. It is a continuation of the Admission Medication Reconciliation Process detailed in [Start Admission Medication Reconciliation in Profile](docId\:efZr4pOlC23WyWHlC6WoQ).

## Topics Covered in This Article

- [Step 1: Submit for Review](docId\:AP4AZBX8csbJWHvuQXozy)
- [Step 2: Sign as Reviewed Before Sending to Provider (Co-Signature)](docId\:AP4AZBX8csbJWHvuQXozy)
- [Step 3: Submit to Provider](docId\:AP4AZBX8csbJWHvuQXozy)
- [Step 4: Provider's Signature - The Final Authorisation of Medications](docId\:AP4AZBX8csbJWHvuQXozy)

For more a more detailed technical reference around the feature's functionality and workflow, please read [Technical Reference Guide: Profile's Admission Medication Reconciliation Feature](docId\:x5ygT7oTDwHuqPq2rDHAb)

## Feature Requirements

- Profile version 9.0.9 and above
- Self-hosted customers will need IIS and HTTP set up. Please contact Intrahealth for more information.
- Admission Reconciliation is a feature of the MedChart liscensed module for inpatient medication management. Please contact the Intrahealth Support team at help\@intrahealth.com to enable MedChart.

# Submit or Sign the Admission Reconciliation Record in Profile

After an Admission Reconciliation Record has been created, edited, and assessed (see [Start Admission Medication Reconciliation in Profile](docId\:efZr4pOlC23WyWHlC6WoQ)) it must be submitted or signed.

:::hint{type="info"}
**Note for customers currently integrated with Okta or MS Entra ID: **
The Admission Medication Reconciliation workflow requires a second signature at both the Review and Approval stages. During this process, users are prompted to re-enter their username and password to confirm their signature. Current Limitation: This authentication does **not **use their Okta/MS Entra ID credentials. Instead, it relies on their classic user profile credentials.

:::

## Step 1: Submit for Review

Submitting an Admission Reconciliation Record for review assumes a two-factor signature is required for approving a Medication Reconciliation Record. 

:::hint{type="info"}
**Note: **If a review signature is not required or needs to be by-passed, you can select the **Send to Provider** option.** **


:::

To submit an Admission Reconciliation Record, the following steps need to be followed:

1. Click on the **Submit **button and select **Send for review. **It's important to note that all medications need to be validated and assessed before the **Submit** button is enabled. Please read ["Step 4..."](docId\:efZr4pOlC23WyWHlC6WoQ) in the How to Start Admission Medication Reconciliation in Profile article for details.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/IVT7YOR61APaC30_Ppf-9_af3rsrr94q1hn44eyjo8rm8omi3pygppdg.png" size="76" isUploading="false" initialPath="assets/aF3RsrR94q1HN44eyjO8RM8oMI3pYgPPdg.png" githubPath="en/Medication Management/Inpatient Medications/Admission Medication Reconciliation/assets/aF3RsrR94q1HN44eyjO8RM8oMI3pYgPPdg.png" position="flex-start" showCaption="false" indent="2"}

2. A modal will appear prompting you to select the individual reviewer or reviewer group who will be performing the review. Make your selection.

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3. Click **Send for Review **and a task will automatically be created in Profile for the selected Nurse or Group. 

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/0JtrkWTzmwgDDRHbsF6UB_nf9i2ftqsfbrlhif2hydqj1-tkjsw8kbma.png" size="95" isUploading="false" initialPath="assets/nf9I2ftQsFBrlHIF2hYDqJ1-TKJsw8KBmA.png" githubPath="en/Medication Management/Inpatient Medications/Admission Medication Reconciliation/assets/nf9I2ftQsFBrlHIF2hYDqJ1-TKJsw8KBmA.png" position="flex-start" showCaption="false" indent="2"}

4. An **Admission Record Set for Review** notification will appear. Click **OK. **

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/RoKDcaId_v8u80UuX5b5g_erevxm6bv8yhfzi6vs5phe9rm7nv94rgtg.png" size="63" isUploading="false" initialPath="assets/ERevXM6bV8YHFZI6vS5phe9rm7nv94RGTg.png" githubPath="en/Medication Management/Inpatient Medications/Admission Medication Reconciliation/assets/ERevXM6bV8YHFZI6vS5phe9rm7nv94RGTg.png" position="flex-start" showCaption="false" indent="2"}

5. You will be directed to the Home table for the Medication Reconciliation feature (mentioned in ["Step 1"](docId\:efZr4pOlC23WyWHlC6WoQ) of the How to Start Admission Medication Reconciliation in Profile  article).

## Step 2: Sign as Reviewed Before Sending to Provider (Co-Signature)

::::WorkflowBlock
:::WorkflowBlockItem
Navigate to the Patient's Admission Record table page and click on the ellipses icon from the **Actions ** column.
:::

:::WorkflowBlockItem
Select **Open**. 

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:::

:::WorkflowBlockItem
Edit anything if needed.
:::

:::WorkflowBlockItem
If the record is ready to be signed as reviewed, you can click on the **Sign as Reviewed **button. This action assumes that the record has been reviewed for its completion and accuracy and is now ready for final signature by the prescribing provider).

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/FukLy3C3Y7t4X9Wq-WiSY_qxvl5tsatplcrkpd4nzpiufspy7u6x1gzw.png)
:::

:::WorkflowBlockItem
Clicking the **Sign as Reviewed **button triggers a two-step process (in the following sequence)

1. Sign as Reviewed user will be prompted to enter their Profile **Username** and **Password **and click **Next**.

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/WzdD_NvL-Gf9vQ4shtSpL_fwsurydrvmuktnce22ikgx5zw4olmk2fta.png" size="100" isUploading="false" initialPath="assets/fwsuRYDRvmuktnCE22IKGx5ZW4OlMk2FtA.png" githubPath="en/Medication Management/Inpatient Medications/Admission Medication Reconciliation/assets/fwsuRYDRvmuktnCE22IKGx5ZW4OlMk2FtA.png" position="flex-start" showCaption="false" indent="2"}

2. Submit for authorisation, as show in [Step 3](docId\:AP4AZBX8csbJWHvuQXozy) below.
:::

:::WorkflowBlockItem
Once this is complete, the **Reviewed by **(and date)** **column is populated with the user's name, date and time of signing as reviewed. 
:::

:::WorkflowBlockItem
To complete this workflow,  you must go to the task that was created for you, and mark the **Status **as **Completed**. 

![](https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/fp0irdPJJl_tTk01kITQl_wbveoruxes6cntwxftow5uok3w2axgindq.png)
:::
::::

## Step 3: Submit to Provider

If the Admission Reconciliation was initially **Signed as Reviewed** or if the review was bypassed, the final step to complete this record is to submit the record to the provider for final approval.

1. Click on the drop-down list and select the appropriate provider name or group. This is the approver of the final medication reconciliation record and who will approve the medications that should be continued for inpatient care.

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2. Click on **Send to Provider**. 
3. Click **OK**

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4. A task will be created for the provider or group (group members) in Profile.
5. You'll notice that the status of the record is changed to **Ready for Provider Signature**.

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## Step 4: Provider's Signature - The Final Authorisation of Medications 

When a provider receives the task to perform a final approval of a patient's reconciliation, they can navigate to the appropriate patient's medication record manually or by clicking the link from the task. The Medication Reconciliation Record will be shown in a **Ready for Provider Signature ** status. 

::::WorkflowBlock
:::WorkflowBlockItem
When at the Medication Reconciliation Record, click on the ellipses icon from the **Actions **column and select **Open**.

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:::

:::WorkflowBlockItem
Edit the record, if needed.
:::

:::WorkflowBlockItem
Click on the first **Sign As Authorised **button. Doing so will trigger the following:

1. A modal will open, and you will be prompted to enter your Profile **Username** and **Password**.
2. Click on **Sign As Authorised **in the modal.

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:::

:::WorkflowBlockItem
If validation was successful, a confirmation window will appear. Click **OK**.

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:::

:::WorkflowBlockItem
When you return to the patient's Medication Reconciliation table,  Admission Reconciliation will be marked as **Completed**, and the continued medications will be applied to MedChart as authorised prescriptions.

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:::
::::

# What's Next?

The next step in the workflow is to review an individual's authorised medications in MedChart. Please read [Review the MedChart for a Patient in Profile](docId\:AbzJD_iwqxZfNeby0K5vP) for instructional details.

# Learn More

For more information on the Admission Medication Reconciliation feature in Profileplease read the following articles:

- [Profile's Inpatient Admission Reconciliation Feature](docId\:slyQIBTh24JMY5c__eG2m)
- [FAQs: Admission Medication Reconciliation](docId\:C3uttCinfW0EQgYiUglvg)
- [Configure and Setup the Admission Medication Reconciliation Feature in Profile](docId\:JQNuRrfMfZw4TAW-mCoAA)
- [Start Admission Medication Reconciliation in Profile](docId\:efZr4pOlC23WyWHlC6WoQ)
- [Reference Guide: Creating, Editing, and Assessing the Admission Reconciliation Record in Profile](docId\:x5ygT7oTDwHuqPq2rDHAb)
- [Review the MedChart for a Patient in Profile](docId\:AbzJD_iwqxZfNeby0K5vP)
- [Create and Manage Medication Orders from a New Encounter in Profile](docId\:d0SJnLmfrFA8bQ7EeefN0)
- [Create and View New Medication Orders or New Ad Hoc Medication Orders from the MedChart View in Profile](docId\:l7lXSS8mxmF9dPIoxx_5J)
- [Document Medication Administration Using Careflow in Profile](docId\:W6JIu64bfxdfO5rVUNhMZ)