Version 12.0 contains a Drug database switch from Lexi-Data to First Data Bank. This is mandatory version upgrade for any practice using electronic prescribing.
ePrescribing transactions can no longer contain Lexi-Data IDs as of June 30, 2024.
HIGHLIGHTED ENHANCEMENTS
In order to prepare your system for the Drug database switch from Lexi-Data to First Data Bank (FDB), you will be required to complete Drug and Allergy mapping. In some cases we are able to programmatically map a Lexi-Data drug to a First Data Bank Drug. In other cases there can be a one to many Lexi to FDB mapping. When this occurs you will need to select the FDB drug. In other cases there may not be any match and you can either search the FDB drug database for a match or you can map to a free text medication. These same conditions apply to Allergies.
Mapping can occur as you are seeing patients or there is an administrative tool that will allow you to complete all of the mapping. Once the mapping is complete you will need to migrate all the drugs and allergies. This needs to be completed so the Drug Utilization Review can be executed along with Formulary and Decision support rules that may trigger based on Medications.
As part of the migration process patient’s medication and allergy lists are updated to FDB; along with favorites and Decision support rules that have conditions for allergies and/or medications. If you have any Decision support rules with conditions for Drug class, you will need to manually update these rules. This also applies to any Saved reports that may have Drug Classes.
Prior to switching from Lexi-Data database to First Data Bank you will need to process all Renewal requests and all Rx Change requests.
Admin Tool to Map Multum to FDB Allergies and Medications AC-15237
Navigate to Administrative options and log in as the administrator. Click the Tools menu. There is a new option for Lexi-Date to First Data Bank (FDB) Conversion.
Click Lexi-Data to First Data Bank Conversion
Click the Checkbox in Step 2
Prior to switching from Lexi-Data database to First Data Bank you will need to process all Renewal requests and all Rx Change requests.
Click The Switch to FDB button.
The system will begin the migration process for any 1-1 drug mappings.
The following screen displays and lets you know the progress of the 1-1 mapping migration.
Next the Lexi-Data to First Data Bank Mapping window will display. There are 2 tabs, one for Medications and one for Allergies.
The left hand side displays Lexi-Data Medications that are not mapped. The right side displays a free text medication option and any possible matches.
Items in red text do not have a match. The system will display a list of Medications matching the first word.
The left hand side displays Lexi-Data Allergies that are not mapped. The right side displays a free text allergy option and any possible matches.
Items in red text do not have a match. The system will display a list of Allergies matching the first word.
The bottom of the screen displays allergies that are a one to one map from Lexi-Data to First Data Bank.
Once you have mapped all of the Medications and Allergies the Migrate button will be enabled. Click Migrate to update the patient’s allergies, current medications, the provider Rx favorites and Decision Support rules.
You do have the option to complete the mapping and migrating as you see patients. The window is exactly the same as the Administration tool.
OTHER ENHANCEMENTS
Display VFC Eligibility - Immunization Tab AC-12704
Add the ability to see pharmacy address from the transmission screen AC- 14352
Allow Controlled Substance to be ePrescribed before 90 days AC-15029
Removed the restriction that prevented a controlled substance to ePrescribed prior to 90 day expiration.
Add the ability to change the pharmacy from the transmission window AC-14353
By clicking the search icon you will now be able to change the pharmacy prior to transmitting the prescription.
Medications - Display Problem - Fly out and Reason Prescribed AC-15047
If you include a problem when prescribing a medication, the Problem description and ICD code will displayed in the Fly out when you hover on the medication in the Write scripts window.
Display Medication Date Started AC-15103
When adding a medication to the Current Medication List, the Date Started will be included in the Plana and will also be included in the Prescription history log.
When you hover on the medication the Last Fill Date will be displayed.
The patient’s medication history will include the Date Started.
Renewal Requests - Compound Medications AC-15325
Compound Medication Renewal Requests can now be Approved and sent to the Pharmacy.
Ability to Order Pharmacies for ePrescribing AC-14355
You now have the ability to reorder the patient’s preferred pharmacies. Highlight a row and click the Move up or Move down button to reorder the pharmacies. When writing a new prescription the first preferred pharmacy will be selected by default for the prescription. Once transmitted, the next time you prescribe the medication the system will use the pharmacy that was previously selected.
Renewal Requests Allowed Approval – EPCS AC-15265
Renewal Requests for Controlled substances can now be approved. You no longer need to right click the Replace and write a new option. The transaction that you approve will contain a replace status.
HM Rules - Conditions Allergies, Medication and Drug Class - Display FDB in the Search AC-15559
Allergy, Medication and Drug class will search First Data Bank database once you have switched over.
Reports - Search FDB Allergies, Medications, and Drug Class AC-15573
Allergy, Medication and Drug class will search First Data Bank database once you have switched over.
If you have any saved reports with Drug classes you will need to update the Drug Classes in those reports.
CCDA import Clinical Reconciliation - Import Allergy and Medications using FDB AC-15580
Allergies and Medications will import using First Data bank database once you have made the switch.
CORRECTED DEFECTS
Miscellaneous
- Rolodex creates dup entries when updating an entry AC-15020
- Refilling all active meds and closing print window inactivates all medications AC-15361
- Local backup not saving to correct locations AC- 15292
- File error when exporting a Crystal Report to a PDF file AC-15258
- Notes to Pharmacist no longer save to the Plan AC-15262
- Deleted Immunizations show on AC Reports AC-15302
- Drug history sorting showing incorrect data AC-15538
- Issue with number of additional refills when sent from refill request screen AC-15610