A system is provided to correlate a medication package with a prescribed medication for a patient. The medication package accommodates an intended patient medication. The system includes an optical imager adapted to read an encoded symbol character comprising encoded patient information and further adapted to image an attribute of the medication package. The optical imager comprises a two-dimensional image sensor array and an imaging lens for focusing an image on the two-dimensional image sensor array. The two-dimensional image sensor array has a plurality of pixels formed in a plurality of rows and columns of pixels. The optical imager further includes a digital link to transmit a segment of data. The segment of data includes the patient information encoded in the encoded symbol character and the attribute of the medication package. The system further includes a host computer connected to the digital link to receive the segment of data from the optical imager, and a database coupled to the host computer via a digital connection. The database correlates the segment of data to (a) a patient record, and (b) a medication package attribute library.