Twinome AI
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Live demo

Show how a medication passport helps in the moment.

A simple guided story: add the pass, see what Twinome noticed, update Wallet, scan with a clinician, and close the loop.

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Recommendation examples

Useful context, never a guess dressed up as certainty.

Each example shows the source, the safety boundary, and the next patient-owned action.
supported

Review clopidogrel with a clinician

A current antiplatelet medication intersects with a verified clinical CYP2C19 result.

What Twinome used
Medication-relevant markers from a consumer genomic upload · Payer fill for clopidogrel
What it did not assume
Twinome flags a review need; the clinician decides whether any therapy change is appropriate.
Next action
Prepare for a care conversation
needs confirmation

Confirm whether codeine is still active

A historical medication entry is uncertain and would matter in an emergency medication review.

What Twinome used
User-entered codeine record · Medication episode is unresolved
What it did not assume
This is a reconciliation task, not a medication recommendation.
Next action
Confirm with a clinician
provisional

Consumer genomic data confirmation may be useful for unresolved genes

The consumer genotype upload has a CYP2D6 copy-number gap while medication history contains possible opioid exposure.

What Twinome used
Consumer genotype callability requires copy-number information · Consumer genomic data source is present for core demo genes
What it did not assume
Twinome can route to clinical testing when a real medication decision depends on missing PGx.
Next action
Confirm with a clinician
supported

Find a lower-cost way to fill metformin

Jordan reported missed doses and cost friction, so the problem is confirmed rather than inferred from claims.

What Twinome used
User-reported cost barrier · Medication episode remains active
What it did not assume
This is access support; Twinome does not interpret medication failure from refill data alone.
Next action
Prepare for a care conversation
needs confirmation

Discuss sleep changes in medication context

A recent medication change overlaps with user-reported sleep difficulty and permitted Oura readiness context, but Twinome does not infer causation.

What Twinome used
User-reported sleep difficulty after a medication change · Oura contributes limited context and receives no Passport data
What it did not assume
Twinome can suggest a medication-context discussion; it does not diagnose insomnia or attribute it to a drug.
Next action
Confirm with a clinician
supported

Review migraine-treatment pattern with a clinician

Jordan has confirmed migraine context and reports increasing acute-medication use, making a clinician-led treatment review timely.

What Twinome used
Migraine context is confirmed, not inferred from medication alone · Patient-reported increase in acute-medication frequency
What it did not assume
Twinome surfaces a care-navigation opportunity; the clinician decides diagnosis and treatment.
Next action
Prepare for a care conversation
provisional

Optional trial prescreen requires separate permission

A confirmed post-stent context and active medication history could make research screening worth asking about.

What Twinome used
Confirmed condition from source-supported record · Medication history
What it did not assume
A prescreen is not eligibility and is never sent without a separate user approval.
Next action
Confirm with a clinician
needs confirmation

Explore clinician-led weight-management care

Jordan explicitly stated a weight-management goal; Twinome does not infer it from metformin alone.

What Twinome used
User goal explicitly reported · Medication list is available for intake
What it did not assume
Twinome may surface a care option, but the partner clinician performs assessment and treatment decisions.
Next action
Confirm with a clinician

Why some ideas stay quiet

Twinome should be able to explain why it did not interrupt the patient.

Incomplete genomic dataA consumer upload cannot fully resolve a medication-relevant gene. Ask about confirmation instead of presenting a treatment conclusion.
Source unavailableA pharmacy feed missed its latest sync window. Do not turn an absent record into an adherence judgment.
Permission not grantedResearch screening has no separate patient permission. Keep trial prescreening out of the feed.
Already resolvedA patient has completed the relevant conversation. Suppress the old prompt and retain it in Passport history.
Not urgent enoughA useful insight does not always need to interrupt someone. Keep it in the app rather than send a Wallet or phone update.

What to do now

Ask attendees to add J. Smith's demo Medication Passport to Apple Wallet.

Install on iPhoneWait for WalletScan QRSee outcome

Wallet update proof

Waiting for the phone to check in.

    Outcome learning

    Twinome remembers what happened next.

    evidence_fda_pgx@2026-08context_jordan_20260822Aug 22, 8:03 PM
    evidence_twinome_staleness@rulebook-0.1context_jordan_20260822Aug 22, 8:05 PM
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