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Problem with Meds being changed

Bugs, Known Issues, Open Cases

Last Post by Anonymous 1 second ago

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tcross

(@tcross)

Posts: 165

Estimable Member

Topic starter

SP 11 upgrade this weekend and now when providers are trying to refill a medication regardless of where they are doing it from (ie in a chart note, a phone note etc) they only get a partial list of the patient's meds. They have determined that it must be due to over rides being necessary for the other medications so they put in the override but when they do it causes a "change in the med on the med list" It states that it changes the med but th eonly thing I see happening is tha tthe last Rx date for the medication is not gone nfrom the medication list i nthe patient's chart. The medication is apparently removed and re-entered with the same Sig but the last Rx date is missing, the signed by changes, the entry date changes to today and the entered by changes to todays user. This is a mess and is inaccurate at best. I am also putting in an SR to GE. Has anybody else seen this?

Posted : December 14, 2015 11:59 am

swhite

(@sbrooks)

Posts: 84

Trusted Member

Did you find a way to stop the override prompt from coming up for everyone signing a document?

I tried removing the "Chart>Override Drug Interactions" privlege but then they can't override and a provider has to sign every letter, phone note, PIN generation document.....

Also...
We have a new prompt at Sign Document "recent changes by another user need to be reviewed", so documents can't be signed. That turned out to be something to do with unsigned/unsent prescriptions, so clicking the green hand 'sign and send' in the Medication window of Chart Summary 'reviews' everything and they can then sign the document.

Also....
It seems that the Add_Form_Component symbol does not obey the position or ordinal number, so all added in forms are going to the end of the form stack. (if you click one of the "Bright Futures" form or a custom form from your HPI document list, it will pop to the end of the note rather than adding into position 3 or after the HPI form.

Posted : December 14, 2015 1:07 pm

dduschel

(@dduschel)

Posts: 207

Reputable Member

The add form component was broken is SP 10. Rumor has it that it is going to be fixed in SP 12 and to my knowledge there is no work-around for it. We have not had the medication workflow issue reported to us but will keep our eye out for it.

Posted : December 15, 2015 3:09 am

gpincomb

(@gpincomb)

Posts: 278

Reputable Member

Sandy Jo, when you installed SP11, did you also install the Drug Interaction patch? I think what you are describing sounds a lot like the issue that the DI patch is supposed to fix. For it to take effect we also had to make sure that 3 .dll files were copied to all of the client machines, in our case our Citrix severs.

Posted : December 15, 2015 4:36 am

swhite

(@sbrooks)

Posts: 84

Trusted Member

I applied the DI patch last night. I used jobs.txt to deliver the 3 dll files to the clients.
The patch worked.

Posted : December 15, 2015 5:18 am

swhite

(@sbrooks)

Posts: 84

Trusted Member

I was able to create 1 text component that brings in all the forms in order. I put that 1 text component into the document template.
I used "At End" on all the Add_form_comp lines.
It actually seems to generate the encounter much quicker.

Posted : December 15, 2015 5:24 am

dduschel

(@dduschel)

Posts: 207

Reputable Member

So are all form components added to the encounter using the text component or just on that would be selected? For example We have a set encounter form with all the form components in there, but on occasion users want to pull in the diabetic foot exam after the PEX. Now of course instead of the predefined ordinal number it was supposed to pull in, it goes to the end. Would you mind sharing an example of that programing?

Posted : December 15, 2015 5:51 am

swhite

(@sbrooks)

Posts: 84

Trusted Member

I use the text component to add each form and put in the cond and if statements on custom forms that I know they need in the encounter.
From there, any other forms they add in through the HPI or Add button or favorties or if you've got buttons built to bring in other forms...they'll pop to the end.
I can't find any work around for that.

Posted : December 15, 2015 6:00 am

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