Sandi, I ran into this same thing, luckily we were not live yet.  Here
is what meditech told me and the DTS to fix is 4040.
"Replacing CDSs in OR is the same as in NUR.  You should not make direct
edits to an existing CDS that has been documented on in profiles.
Instead, you should make a new copy of that CDS in MIS and make edits to
the new copy.  This leaves the original CDS intact.  After you've
created the new CDS, I can link the new CDS to the parameters.
Historical Profiles should print the old CDS under the header of "old
customer defined screens"; this was coded in SCH DTS 4040."

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Deanna Ramirez
Sent: Wednesday, July 04, 2007 7:04 PM
To: Wiltshire, Sandi; [email protected]; Dawn Olson; Colleen
Conlon; Susan Lasalle
Cc: Irish, Kevin
Subject: Re: [MEDITECH-L] ORM issues

Hi Sandi, We have not gone live with clinical documentation yet, but
have had a CDS for the post-case documentation.  We previously had MSM
and I know that we had to come up with alternative ways to keep the old
values available.  I'm wondering if you have the same queries and just
add queries to a new CDS does it lose the documentation from the older
cds?  We found in MSM as long as the "queries" existed the values
existed.

I'm interested in hearing what you find out.  I'm sure we'll also
investigate this with Meditech also.

Thank you!
Dee

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Wiltshire, Sandi
Sent: Tuesday, July 03, 2007 2:28 PM
To: [email protected]
Cc: Irish, Kevin
Subject: [MEDITECH-L] ORM issues

I am looking for other users of Meditech's Magic ORM out there. We went
live Feb 6th this year and I just discovered something very disturbing
today with the module and am curious if everyone else knows and how you
work around this....In ORM you can select 5 CDS' in your parameters so
you don't have to document from the assessments part in the surgical
profile. Did you know that if you change your CDS at any time to a new
revised one in the parameters even for simple changes, you lose all of
your past documentation on that profile for that section???? 

We had to add a couple fields to one of the operative CDS' that we use.
Anything prior to that day is now blank in the surgical profile for that
section but has a user's mnemonic there to say it was documented but
guess what you can't see the results anywhere! Don't try looking in PCI
since it is not there either! Great!! Needless to say I called Meditech
since they never mentioned this "little" detail after all who needs to
see anything that was documented since Live date.... 
So does anyone else know this and if so how do you deal with this? I
just love the thought of having to use the same CDS for the next 10
years or lose all my data....

Thanks, Sandi



Sandi Wiltshire, MT(ASCP),MBA
IS Applications Manager
Heywood Hospital
242 Green Street
Gardner,Ma. 01440
978-630-6112
[EMAIL PROTECTED]


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