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Hi All, It's been a little while now and we had a similar issue happen to us. We upgraded to the Meditech NMI interface and are at 5.4 SR2 Magic. It involves how your NMI messaging is occurring. There are two possible message codes NW for new order and XO for update RX data that play a role. If I can remember the XO message was being sent to Pyxis after an FDC and because we had lead/lag parameters set the RX history was still there. To complicate matters we have a discharge delay built into Pyxis. Long story short, the FDC by UNDO NMI message XO was sending a nil stop date change order to Pyxis and Pyxis was not updating that time to a full year as it would for a new order (NW). It was retaining the DC Date and time of the bogus discharge. This was a "passive DC" issue. I recreated the problem by limited editing the stop time to now for any given med order and then waited for Meditech to DC the order. Then FDC and wiped out the stop date and saw the problem in Pyxis. See if that's the case for you. The Pyxis engineer wrote some code that if an XO order is sent with a nil stop date from Meditech to put in the standard 1 year expiration date as it would if it were a new order. The problem was solved after that. HTH, Ed Edward Lanoue, RPh Pharmacy Information Systems Southwestern Vt Medical Center 100 Hospital Drive East Bennington, VT 05201 phone: 802-447-5370 mailto:[EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alan Miller Sent: Tuesday, August 22, 2006 12:15 PM To: [email protected]; [EMAIL PROTECTED]; Charlie Downs Subject: Re: [MEDITECH-L] Pharmacy - Pyxis and fix DC function All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== I doubt if anything is being blocked by Pyxis. I'll bet Meditech is simply not sending anything to Pyxis for FDC's. (Pyxis can only catch something if it's thrown.) Alan >>> "Charlie Downs" <[EMAIL PROTECTED]> 08/21/2006 12:00 >>> All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Kevin - I haven't had a chance to do this, but plan to see if there is a way to do it. Where this comes into play a lot is when someone is discharged in error and the order is fixed by undo. Charlie ----- Original Message ----- From: <[EMAIL PROTECTED]> To: "'Charlie Downs'" <[EMAIL PROTECTED]>; <[email protected]> Sent: Friday, August 18, 2006 12:42 PM Subject: RE: [MEDITECH-L] Pharmacy - Pyxis and fix DC function > Hey Charlie- > Great stuff - thanks for the info. Curious...have you talked to your > Pyxis > Engineer to see if something is getting "blocked" in the PROCAR and/or > status of Fix DC? Might be something there. In the meanwhile, take the > Fix > DC off of your Access Group...they'll never know! > > Hope all is well - Kevin. > > > > Kevin McConnell, PharmD. > Clinical Consultant > (713)480-6810 > [EMAIL PROTECTED] > www.RPhInformatics.com <http://www.rphinformatics.com/> > > > > > ________________________________ > > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] > On Behalf Of Charlie Downs > Sent: Thursday, August 17, 2006 8:43 AM > To: [email protected] > Subject: [MEDITECH-L] Pharmacy - Pyxis and fix DC function > > > I ran into an interesting scenario yesterday. Had an order that showed up > as > active on the Pyxis console, yet didn't show up on the Pyxis machine on > the > floor. Came to find out that a pharmacist had used the fix DC function and > the order originally had a stop date that had kicked in to DC the Rx. > Number > one, a fix DC does not throw an order back on the profile in the console > or > on the machine on the floor, You have to do a limited edit (don't have to > really change anything) first. Then, if the item had a stop date, you have > to go to the console, pull up the patient date, click on the order, and > click edit. You'll notice that Pyxis gives every order a stop date of one > year unless the order was given a stop date in Meditech. A fix DC does not > change the stop date on the console - you'll have to change it to a year > yourself. Then the order will show up on the machine on the floor. > Evidently, changing a stop date in Meditech does not change it on the > Pyxis > console. > Has anyone run into this problem and is there a way to keep this from > happening? If there isn't, I thought it would be good to make everyone > aware > of the potential problem. > Charlie > Charles Downs Pharm.D > Washington County Hospital > > > > ***** CONFIDENTIALITY NOTICE ***** This message contains confidential > information and is intended only for the individual named. If you are not > the named addressee you should not disseminate, distribute or copy this > e-mail. Please notify the sender immediately by e-mail if you have > received > this e-mail by mistake and delete this e-mail from your system. > > > ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l DISCLAIMER: The information contained in this electronic message is legally privileged and confidential under applicable law and is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. 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