Home Forums Discussions Problems PROBLEM w/ E-Rx Transmission and Problem List

I have discovered and reported a bug that prevents you from transmitting your E-Rx's to the pharmacy if you patient has too many active problems that have accumulated in the SUMMARY SHEET. Apparently there is a limit of 30 active Diagnoses, If you exceed that, the Rx's will not transmit and you will have to print them. This is a real pain esp when working w/ kids, because every vaccination I give has a ICD assoc w/ it and they amass many useless Diagnoses in the SUMMARY SHEET. So for now, you have to "Inactivate" the diagnoses that are no longer current. Apparently Version 5.1 which will be released in Oct will solve this problem.

Thanks for sharing.....that explains why one of my patient's scripts didn't go through earlier this week. It was a curious thing and I kept trying because there was no reason they wouldn't go through but this is clearly the reason.

The best work-around is to get easier patients. No more than 5 problems allowed. That is how we specialists handle this.

LOL. I must be either non-compliant or losing revenue, but we don't use ICD-9 codes for shots. But, then we only use VFC shots.

Bert,

Don't you bill for administration of the shots?
If you only use VFC shots, what do you do with your insured patients?

Maybe not allowing so many diagnoses is the governments way of just getting rid of these patients.

One of the other problems is that the problem list is housed on the computer, so even thought it may be cleaned up on one laptop, it will need to be done for that patient each time it is sent from a different computer.

??? I don't think so. The problem list is on the database of the server. About the only things that are computer specific are the dictionary file and the last note text file.

Would it APPEAR that it is hosted on the local computer if:
The MA opens the chart, enters the vitals and sends it to me.
I open the chart and complete an encounter including the Inactivation of the obsolete problems.
Then I forward the chart to the MA for an immunization and she opens it on the same computer where it was open for the vitals.
And this is of course all the same day, without turning any computer off and then on again

I checked after I posted that, and it does not work. The changes made on one computer appear on the second computer immediatly.

The only way it will appear differently on two computers or more would be if AC is open to THE SUMMARY page and the other computer deletes a problem. That same problem will still appear on the other computer. As soon as a user changes from the summary screen to another screen such as demographics, that computer is now querying demographics from the server. When you move back to the summary sheet and query that part of SQL (basically refreshing), it will be gone, because it is no longer in the database.

I seem to have to change it every time I see a complicated (>5 dx, LOL) pt in a different room or back in my office. I don't usually have the summary page open so I'm not sure what the problem is. It doesn't take that much time to just hold down the inactivate button.

Yes, that is correct. Every time an entry is made and the chart is closed or forwarded, or reopened, the changes are then made immediately to the server. This is regardless of where the file changes took place.

Vicki,

The problem shouldn't exist after the diagnoses (it should be around 30) are deleted.

I haven't tried the theory, but are you removing them or inactivating them? I think for this issue, there is a difference.

Yes, I have tried it, and inactivating the extra diagnoses only or remove them (if you wish) , allowed me to go back to the RX writer and send them electronically immediately, w/o any problem.

I prefer not to remove a diagnosis , only inactivate it. Many times there are multiple same dx present spanning years and I like a record of these.