Yes, I feel your pain.
My work flow is quite different than yours I suspect, as I actually still use a paper chart for my visit notes (I know, crazy), but use AC mainly for prescribing and filing reports in Imported Items.
But the paper chart does create a fairly reliable record.
I just upgraded to 11.1.4 last night.
This morning, I received a pharmacy request for atorvastatin #90 with 3 refills.
Knowing that my previous problem revolved around the amount of refills in pharmacy requests, for fun I approved #90 with 0 refills.
That seemed to work OK, as the prescription was indeed transmitted with 0 refills, as I had transmitted it (confirmed by pharmacy).
However,
In double checking the prescription in the transaction logs I found:
1) That the transaction log in the PRESCRIBING module reflected the transmission to the specified pharmacy, but the transaction log in the PATIENT MED LIST was missing the pharmacy info.
2) ALSO, somehow, the transaction log in both the prescribing module and the med list showed a renewal of a 2nd medicaton (Tadalafil) that we had not authorized! We called the pharmacy, and they confirmed receipt of the atorvastatin and that there was no Rx received for Tadalafil eventhough the transaction logs and med list show it as being prescribed.....
My plan going forward is to review the automated pharmacy request, then prescribe them from the med list, then "deny" them with "prescribed by other means" until a future fix.
I sent an e-mail to AC to provide them with this info, but my contact acknowledges ongoing bugs, and did not reach out for details.
So, I am posting this as a public service to anyone who may not be aware, and hope that Mark will see this post also.
I'm off to Ireland for 2 weeks, and may not come back (insert smiley face here, but don't know how to do that).
Best,
Ton Zwaan,
Fam Med,
Exeter, NH
Last edited by ACZ; 04/26/2022 8:04 PM.
