HI Sandi,
I discovered this when I was preparing to update an assessment CDS in ORM.
After consulting with Meditech as was enlightened I did additional testing.
I also wanted to see if the end user could get to the old CDS to edit or
complete documentation after I made the switch to the new CDS.
This is what my additional testing revealed.

I documented on an OR visit with the current version of a CDS.
I copied over the CDS and labeled it version 2. 
I deleted 2 fields at the end of the CDS.
I replaced the current CDS with the new version in the Assessment Link
screen.
I inactivated the current version CDS.
I went in and documented on the new CDS (ver 2) screen - fields of course
not there as expected.
I then accessed the visit with the old CDS. 
I was able to access it - it did tell me the CDS was inactive - I was able
to edit the old screen and filed it.
I went out and back in and see the edited info saved on the old screen.

This way all old info is still there and the end user can edit or complete
documentation after the switch.


Leah Sperbeck RN
Clinical Analyst
Clifton Springs Hospital and Clinic
Fax: 315-462-6280

-----Original Message-----
From: Wiltshire, Sandi [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, July 03, 2007 3:28 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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