While using Rx Writer in Version 6.3.3 I've noted a new phenomena: a red warning appears when I attempt to use and save customized instructions for standard drug prescription in Rx Writer . The Warning reads in part, "Free Text Items not eligible for interaction checking and will count AGAINST meanful use measures."

For example, In Rx Writer I can pull up Prednisone 10 mg tablets, and fill in my own instructions, Dispens and refills.If I want to later write the identical script for another patient, I must again fill in all these fields manually.

As a work-around for typing the same instructions repeatedly for the same drug, I typically prepare custom instructions for frequently used drugs (ie: for prednisone "Begin six tablets daily, taper down by one tablet each day until finished" ), I then add an annotation to the Script name ( I may name "Prednisone 10mg Tabs" -> "Prednisone 10mg Tab-Six Day Taper") - the title box becomes yellow, and custom Prescription can be re-called up again for future use

Am I interpreting this new warning correctly that the mere act of having customized the instructions on a standard prescription now causes me to be penaliaced in the Meaningful Use checker in Amazing Charts?

Brue Morgenstern, MD (Neurology)
Denver, CO