Home Forums Discussions General Discussion AC v12 mandatory upgrade

Thank you doctheo88, this is very helpful experience. It was not mentioed in the release notes. Thank you for sharing and I do appreciate it.

From my experience so far if a particular patient does not have medications that need mapping you can e-prescribe. However if ANY of the medications need mapping you cannot e-prescribe for that patient until ALL medications and ALL allergies have been mapped. I experimented and tried to do it without matching all meds and it takes you back to the mapping screen.

There is that option to do it in bulk but in the video they recommend doing it patient by patient, probably to avoid "mis-mapping". The caution is once done cannot be undone.

Now we know why I no longer support bare-metal installs a. k. a. non-virtualized environments.

In the situation of doing the mass mapping, I would just take a snapshot of the virtual machine, try the mass mapping, and revert back if it didn't work. Same with the upgrade. Saving a snapshot takes seconds. Reverting to a snapshot takes minutes.

For you bare-metal install guys, if something goes wrong you get to spend 1.5 days restoring from backup. Maybe more.

See my post here on why you should virtualize.

https://acusersforum.com/ub/ubbthreads.php/topics/78293/why-you-must-virtualize#Post78293

JamesNT

100% agree with running AC virtually. Snapshots are the best. I keep regular backups of my VMs on different drives/hardware in case of disaster, too. VirtualBox is my preferred hypervisor. You can even image your current bare-metal server, convert that image to a VM, and run it. It's all about flexibility.

For the practices that have already done the v12 upgrade, is the current AmazingChartsV12.0.0 Build 329 the version you installed or have there been further build changes?

I asked Support if this was still the Beta version and they said it is no longer Beta. Have not seen any info about an updated version.

I just finished updating to version 12. The build I downloaded a few days ago was 329. The current build on the portal is 355. They do not work with each other....ask me how I know,

I downloaded the 329 version a few days ago and didn't install until this morning, so while it was working on the main computer I went to the portal to download for a client computer. I downloaded, opened and installed. When done went to connect and it wouldn't work. Looked at the build number and current is 355. I could not figure the best way to back up that computer to 329 and didn't have time to download the main up to 355. All of the other clients are working well on 329 but I am not seeing pt's today so have not worked on the prescribing/mapping yet.

We installed V12 on 5/14/24 our build is 329.

Hi,
We upgraded to version 12 build 355. everything is great except for a persistent inbox message that says, "LABEDI LAB: auto import failure notification - error" If anyone knows how to turn off this error message please let me know. I don't have any links/ connections set up with Quest etc. (have never had a lab connection).
Dr Mo

5/24/24 did version 12.0 build 358 Up from 355 reported on this board. No problems. Not sure why build if increasing prob fixing rare install situations? maybe wait til build # stops increasing?


Mapping is a pain and many of them are senseless.

A highlighted and pre selected suggested mapping based on what other people have chosen would be great.

Would like to have a mute/ignore button for old meds we'll never prescribe.

As of 3/25/2024 build up to 361

Would be nice to see some release notes indicating what is actually changing in each incremental build change.

Yep, I decided to just download the newest version late Thursday and get all computers on the same build. So I am now on version 358. I also am curious why the different builds. I wonder if the changes in the builds are pushed out to the users at some point? I do like that the upgrade was able to automatically see that the client computers were not the main computer. It automatically set as the main computer as, the main computer.

I have not started the mapping. I was under the impression that when I upgraded to version 12 that the escribe refills needed to be done before the change. This is not the case. I upgraded to version 12 and everything looked the same on prescribing. When you upgrade, you need to review the release notes! There is a hyperlink in the release notes that will take you to a video of how to do the mapping. You have to physically go in as admin and under tools and click on the box to activate the First Data change. Before making this change is when all refills need to be completed.

With new builds, Version still 12.0.0 so likely installer refinements?

Don't do the en-masse mapping unless you have few historical meds. I had 1200, majority old discontinued stuff. Anything ever prescribed (that doesn't have an automatch) has to be mapped. I did do all the allergy mapping in one go.

Then I think it's more reasonable to just click on each patient for the next week's schedule and hit meds. Reconcile 1 pt at a time. After I did 3 weeks of schedule in ~1.5 hrs it becomes less and less onerous as your most common unmatched items get matched.

Worst for me is the many old glucometer models and insulin needle types. I wish I could automap them to "glucometer, strip, pen needle, lancet of choice".

Did v12.0.0 build 361 today.

Seems fine. I'll do the medication mapping with each individual patient, but I did the allergy mapping in bulk since there were not very many. Medication is 2250 to do....ugh.

I get an error in "Messages" inbox and would like to turn off the error notification if anyone knows how. See below. I don't use lab interfaces.

LAB: auto-import failure notification - 1 error

Import failure: no active interfaces were found. Please turn on your desired interface in the Admin section of Amazing Charts (under the Interfaces tab).

This error keeps appearing after it fails. It is annoying.

I've has a couple of error messages with the labs as well. I haven't looked to see what the problem is to fix.

I have 3915 medications so will be doing it pt by pt. Plan on working on some charts tomorrow to match. I think the match is for the entire practice which if that is the case a lot of the things are probably not used or are just similar. We have had 4 total providers over the years of using AC. I know the first chart it matched both active and inactive medications.

Medication drops for the eye is eye and not ophthalmic, just FYI, in case anyone else goes looking.

NICE THAT THE PHARMACY CAN BE CHANGED AFTER HITTING THE PRESCRIBE BUTTON!!!!!! And yes Bert, here you can see the full address, still can not at the prepare script screen.

Glucose supplies are horrible, I usually put the most generic I can find. I agree that it should just be supplies of choice. We never seem to get it right with the insurance company coverage.

To reduce clicks when matching multiple patients in schedule:

Select pt from schedule.

Ctrl-M to bring up meds.

Thanks for that tip!

If someone in programming would have noticed the old version had "oral tablet" on a lot of the medications, the new database only has "tablet". The "oral" throws the system off and it did not automatically match so now it has to be mapped.

The system matched Diflucan 150mg but you can't use it due to the NDC is invalid so has to be changed to fluconazole 150mg. Took me a minute to figure out what happened.

Just got a map request for Byetta, don't this that is even around anymore! I sure haven't used it in several years.

I have noticed that the "oral" problem is not universal because some meds did map over automatically.

I too see a lot of "oral" not matching automatically. That would have saved a lot of time.

Paging AC (Brothe Jon?) please adjust automatch to match "oral tablet" with "tablet".

Will save us all countless clicks.

Anyone else spot any other obvious ones?

Thus the reason for longer Beta testing, I just hadn't had time to update until last week. So far I am ok with everything but the mapping is time consuming. This slight difference would have saved a lot of time. I also see that "topical" can have a similar issue. I have also found where the spelling would be the same except for capitalization in the middle of the drug name and this was not automatically matched.

Tell me about it. I now get an unhandled exemption error when trying to print demographics. Doesn't matter the printer or workstation, happens every time.

Tech support called back after I sent email. It is a know bug and sounds like a new build is coming.

Does v12 include the new G2211 primary care code?

Not in my build v12.0.0 build 361, but I think you can add CPT codes.

Looks like as of today 5/59/2024 AC has rolled back the build to 358 on the support site download.

I wish I would have waited longer before doing the upgrade until all the bugs were worked out.

Does anyone know if rolling back AC from a higher build to a lower build is possible, i.e. dirty install vs uninstall then reinstall?

Not being able to print demographic directly without a workaround is a huge pain.

fflac, it provides little satisfaction, but you should know that many of us appreciate those of you who took the plunge to work out these bugs. Even though the update has been released, we know that you are acting as beta testers and we appreciate it. We are aiming to upgrade about 6/6, but may push that back if you pioneers continue to suffer through these fixable bugs.

And, no, you can't go backwards.

Thanks, JBS, I was willing to beta test for longer, guess AC is getting nervous not everyone will make the cut off. I do feel the mapping is a big step for the providers. You may want a nurse to help with this if you have someone competent to trust. Pulling the schedule ahead of time is a great idea. The only problem with doing it off of the schedule is the time away from other tasks.

The mapping can be a little time consuming. Seems like some things are obvious (oral tablet vs tablet, topical cream vs topical, capital letters vs not capitalized, diabetes supplies in general) and others are very difficult to find. Some meds seem hard to find a map. Hard to explain, sorry so vague but just sometimes the map should be there and isn't.

Interestingly, I have not found any medications in the electronic refill requests (Pending Pharmacy Requests, Renewals) screen that required a mapping. Not sure why you have to map in the chart but able to push thru in refill requests.

Other than the few bugs and the tedious mapping it has been stable. I am on peer to peer with and and 6 workstations. I have one workstation that will not load AC. Support nor the local IT guy can figure out why? We are going to wipe and reboot that machine and start over.

ffac: I do not think you can roll back, Version 358 is able to print demographics, sorry.

AmazingDave: G2211 is not in the program at this time. You can add CPT codes yourself and there are posts her with that information. I have had to do it as well. That is an interesting code. Will talk to my billing staff about that one!

What version of Windows are you running on the computer where AC can't load?

Unfortunately, yes. Can't go back. Support emailed me to say the same. I hate being a beta tester.

Well, you don't have to be a beta tester, lol. No I am glad that some go before us.

This is a thought. Those that want to be beta testers could actually sign up for it and be given the beta version early. Those testers should get something in return. Maybe a full year of support would be too much but even 10% to 15% off would be a good overture.

True, I don't have to be, but I feel like I got suckered into being one by threat of no ePrescribe at end of June. I should have waited longer. I will remember this for future reference. If AC wants more beta testers, then pay up.

I agree Bert some discount would be nice. I did the Beta for V11 because I needed to move database to the new server and they offered to do it for free.

I am glad to try it and find problemsas long as it doesn't all go up in smoke!

I will have to look at that computer and get back with ya.

See I put them all in one post to not run up my count..........

I am sure it is at least Windows 10 Pro. Probably Windows 11. Either way, if you are wanting to save some time before reformatting, you can always fire up a VM and run the program there. You don't have to activate it will just lose a few fetures, but it will work fine. You can just keep it running all the time and run AC from there.

thanks Bert, right now just trying to map all these medications and make sense of things

AC changes: testosterone intramuscular vs (new)testosterone intramuscular oil; nasal spray did not match because the new one as aerosol at the end, injectable suspension vs suspension for injection

The favorites are not saving, this was also a known problem in V11, guess it did not get fixed.

The old favorites are present but some are no longer active after mapping. I found they can be codified and then will be reactivated, I think, need to play with it some more.

Controlled substances have to have the "days supply" on the prescription (according to Texas law) the problem with this is AC is automatically marking the "course days" the same amount thus at the end of the "days supply, course supply" AC is automatically inactivating the medication. You have to go to inactive medications and reactivate. This is unnecessary and time consuming.

I second the "oral" problem with mapping. I cannot believe AC could not code their software to map better than this. So time consuming. At least only have to do it once...

Not to get off track here but we were specifically told by support that in V12, we can control the favorites. In other words, whereas now the favorites are saved by some opaque algorithm known only to AC (so we end up with a slew of favorites we do not want) that we can actually pick and save favorites.
I was very happy to hear this - I view it as a worthwhile improvement to erx.

Perhaps I was mislead by support...

JBS: I don't think you were misled it is something that was supposed to be in V11 and 12. It was supposed to be fixed in V11 but couldn't get it to work. I reported that it wasn't working. They were trying to figure out why it was not saving. I thought V12 would fix but it hasn't. I think I see a pattern for saving the favorites multiple times for the same medication but need time to play with the issue. This is frustrating. The "add to favorites" box is automatically check when prescribing but the program is not saving the prescription as a favorite. I believe it is only saving a 'favorite' ones the program sees that medication as one that is in the top 100 prescribed. This was how the favorites started a few years back, or at least that is my understanding. I see no way to remove a medication from favorites which was also an issue this version was supposed to fix.

The main tech support person I have been working with has not been available so when he gets back I will try and get with him and fill him in on all of the happenings. Poor guy!!!!!

Well at least we all agree on how it is supposed to work!