Hi all, I received a similar message yesterday. I don't get it either....
-----Original Message----- From: Alan Miller [mailto:[EMAIL PROTECTED] Sent: Tuesday, October 31, 2006 7:54 AM To: Griffin, Paul; [email protected]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; 'Carole Weinstein' Subject: RE: [MEDITECH-L] Medi-Span Problem I got an interesting e-mail from Mark Donovan, Meditech's pharmacy supervisor. I'm sure all of the other Medispan customers will get it as well. In his letter, he admits that Meditech only uses the first 9 digits of the Medispan NDC number to match up with Meditech's dictionaries. As NDC numbers have been "reused" over time (OTC's seem to be the biggest culprits), these first nine digits may now be part of a whole different drug entity. He also states we should be expecting notification of a DTS to address this shortcoming, and that Medispan is working on a new file layout for their files. That's the really interesting part, as the Medispan NDC numbers are already 11 characters long. Sounds like a spin job to me... Alan >>> <[EMAIL PROTECTED]> 10/29/2006 10:11 >>> Any of the FSV's and MT do the "he-said, she-said" real well. But I think I'll listen to what Medi-Span is saying here...I've heard this same thing from FDB in the past too. NDC is the link - that's it. Easier said then done, but validating the NDC number for each drug entry is the task. I'm certainly not says that the data could be the issue or that the handling of the data when loading is the issue, but how many times do NDC numbers change? Knowing the format though, it SHOULDN'T be an issue...right? I'd like to hear from a site that is utilizing MM.PHA and has the NDC on file for the actual drug on the shelf - you know, perpetual (or is that perceptual) inventory at it craziest! The theory is that if they are certain the NDC's are right, and if there is still wrong data on wrong drugs...that blows up the whole thing once again. I've also heard that this is one of the reasons MT is "recommending" the 11 digit format NDC in the main field, with the 10 digit format moved to the alternate field...but don't you need BMV to access that field? And how about those Canadian DIN's - are those an issue in this whole deal? Just food for thought on a Sunday morning...later. Kevin McConnell, PharmD. Clinical Consultant (713)480-6810 [EMAIL PROTECTED] www.RPhInformatics.com Proud Sponsor and Site Admin of www.MeditechTalk.com -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Alan Miller Sent: Saturday, October 28, 2006 6:37 AM To: Paul Griffin; [email protected]; [EMAIL PROTECTED]; Carole Weinstein Subject: RE: [MEDITECH-L] Medi-Span Problem I wouldn't call it a "non-response". What he is saying is, after checking with the people who maintain the data, there is nothing wrong with the data as Medi-Span presents it. It appears we have a finger pointing "he said, she said" situation here. From past experience, I have more faith in what Medi-Span says than I do with Meditech.... >>> "Griffin, Paul" <[EMAIL PROTECTED]> 10/26/2006 7:45 AM >>> Hi all, I received this "non-response" from Medi-Span today (after two weeks of waiting): Paul, My apologies for the delay in my turn around response to you. I sent this to the Aller-chek Product Editor. He reviewed your screen prints and Aller-chek data within our maintenenace system and confirmed: Maintenance system data reviewed in AC and there is no linkage between acetaminophen or aspirin with the related ingredient allergies noted in the user screen prints. Aspirin is set up with a number of cross-reactor classes, none of which are Codeine, Dimenhydrinate, or Diphenhydramine. Acetaminophen is not set up with any cross-reactors in the AC maintenance system. Could their system be deriving this information from some combination products or other source within their system? It does not appear to be data-related. Does anyone using Medi-Span NOT have this problem? I'm looking for some common denominator here. I'm not filing my latest update from them until I get this mess cleared up. We are MG 5.4 SR2. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Carole Weinstein Sent: Tuesday, October 24, 2006 12:01 PM To: Griffin, Paul; [email protected]; [EMAIL PROTECTED] Subject: RE: [MEDITECH-L] Medi-Span Problem Hi all, This is the answer from MT from my task today: I have just spoken with another specialist that is in contact with Medi-Span. These DTSs do not fix this issue. As far as the allergy information, please know that the system uses the information in the drug dictionary for allergy checking (this would be the information in the "Ingredient Allergies" field on page 5 of the Drug Dictionary. The related ingredients associated in the Generic Name dictionary are used only as a reference when coding a patient with a genericallergy to ask the user "Do you want to code the patient with these related ingredient allergies as well?" Also, we are in contact with Medi-Span about this issue. The specialist at Medi-Span is out for the day but will return tomorrow. I will give you an update as soon as I have more information from Medi-Span regarding this issue. >>> "Lehl, Jim" <[EMAIL PROTECTED]> 10/23/06 10:29AM >>> Please respond to L. Thanks for alerting the List Paul. We checked the results or are recent Medispan FSV update and have found the same problems you mentioned. We've only opened an issue with Meditech thus far. We've yet to asses what our corrective actions -- because of patient safety, it doesn't seem like something we can wait for either Meditech or Medispan to resolve with programming....... Jim -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Griffin, Paul Sent: Thursday, October 19, 2006 7:11 AM To: [email protected] Subject: [MEDITECH-L] Medi-Span Problem Hi all, Recently I have experienced a problem with our latest FSV (Medi-Span) File. Quite a few Generic Names have the Related Ingredient Allergy fields populated by Medi-Span with incorrect Related Ingredients. For example, Acetaminophen has Docusate, Morphine, Ipratroprium, Fish-Derived Products, Guaifenesin, Codeine, among others. I reported this to MEDITECH and they asked me to contact Medi-Span. I have not received any responses, despite multiple calls/emails. In any case, I called MEDITECH back a few days later and my Apps Specialist now states that three more of her sites are experiencing the same problem. Is anyone out there in L-Land noticed this issue? Thanks and have a great day. Paul E. Griffin R.Ph. 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