You do it after the upgrade. However once you upgrade you cannot e-prescribe until you map medications for patients that need mapping. I have noted that not all medications or patients require mapping.

Observations after 1 week:
- It looks like it makes you map medications that are on the inactive listing.
- Some medications/supplies/glucometers etc. cannot be found in the new database and you have to select Free Text Medication.
- If you expand to full screen when mapping you can see the choices in the new database better. There may be subtle differences.
- Sometimes when I map then try to e-prescribe right after that the prescriptions do not show up on the message. For now my work around is to map, than re-select/go back to that patient/message again and do the prescriptions.

Other than that the main issue is the time it takes, therefore my suggestion if you have the time is to select the REFILL tab for patients on your daily schedule before you start seeing them and do the mapping beforehand. Awkward and frustrating being in the room with the patient with the mapping screen popping up when you are ready to prescribe.

Theo A. Stephens, MD
Internal Medicine,
Baltimore, MD