I think this is a hazard in mapping meds to the new Lexi database. Perhaps I am wrong, but I am interested in opinions.
This is another one of those things it is hard to describe in words, but is obvious when you sit down to map.
This issue: sometimes the original prescription to be mapped is rather vague with regard to dosing. If you map it to the wrong dose of the medication, your prior record of prescribing will not accurately reflect what you wrote for.
I can come up with better examples now that I am looking for them, but here is a benign one that illustrates the issue. Some of my patients take garlic tablets. In the old, Lexi database, "Garlic oral capsule" or "garlic oral tablet" shows up. When I go to map it, there are multiple doses for garlic capsules and tablets, but all list a specific dose. If I pick the wrong one, it will appear that any patient that had "Garlic capsule" previously actually got that dose. If I want to renew it, I will write for the wrong dose. I know that is a weak example (it's garlic :-) ) but the same thing can easily happen with a medication with more significant implications of recording the wrong dose, perhaps with dangerous results.
This also has implications for how long it takes one to map. For example, Folbee is a multivitamin with B12. When I map "Folbee oral tablet" which was in Lexi on the left, about 30 options come up in the right hand screen. I can find one listing that has the medication dosage. But before I match it, I must scroll through all 40 possible other choices - (which are NOT in alphabetical order - another annoyance) to be sure there is only one dosing form. Because if there is more than one, I might be mapping my "Folbee oral tablet" to a specific dose I have not used. It will look like I prescribed something that I did not.
(By the way... we are now about halfway through the 3200 meds we need to migrate).
