Medications from the RX list are displaying as weight per volume vs percentage

YESS! MAGICAL!

Thanks Patrick [confetti]

Awesome!! Thanks Patrick. With this adjustment from the source, it's perfect.

Success!!

Hey!

Just got news from Vigilance Santé, they're going to send me the latest medications once more with all decimal notations converted to percentages. I'll try and get that done tonight during everyone's off hours so it would be all good for tomorrow. I'll keep you posted how that goes!

Finallyyyyyyyyyyyyyyyyyyyyyyy!

Similar to the RX total caps/tabs, the pharmacist could easily do this themselves. But, to make their job easier or to avoid any issues they clarify with the physician. Or reject the prescription.

Therefore, I feel like we need to find the common ground of what is commonly used so there is no confusion. We don't want our physician's prescriptions always bouncing around for more information.

Please forward me the emails you've sent them. At the end of the day, we know that doctors don't necessarily have an issue with the notation given that they prescribed it in the first place : it's the pharmacists whom we have to speak to and let them know that they don't have a reason to refuse the Rx.

To clarify my position here, I don't think it's sustainable to build custom code to change the notation of medications with specific DINs when the database is updated monthly with hundreds of new medications every month.

I've just sent emails to:

1) BC College of Pharmacists
2) Natalie at Aquarius
3) Dr. Simon Wong (Dermatologist on Plexia)

to get their input on this matter. Keep you posted.

Unfortunately, I never heard back from Dr. Harrison's office. Therefore, I didn't get the Pharmacy details.

I also asked Dr. Harrison and Danielle (his MOA) if this is a common issue. No response.

@Wesley - perhaps if you could ask Natalie at Aquarius (or a high volume clinic) to see if this is something common (volume vs percentage). I want to get ahead of this before we get to Westshore or any larger group we're planning Onboarding.

I just ran a Vigilance update and the Tretinoin still shows as currently presented in MYLE. Did we get a chance to speak to the pharmacist?

I've taken screenshots from MedAccess & Plexia:

*it appears MedAccess' drug database is: "FDB - Drug Formularies"

*Plexia uses BC Pharmacare's Downloadable Drug Data Files:
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/health-industry-professionals/downloadable-drug-data-files

Majority of Tretinoin had a % description in their name.

Are there other solutions with Vigilance to present the %?

Not really, no... I could make the manual change in the database, but it would be overwritten every month during the update. Given that this seems to be a problem for the pharmacist more than for the doctor, I strongly suggest to call the pharmacy and explain to them that that's the format they'll be receiving it from now on (it's a process that we underwent early on in Quebec and in N-B as pharmacists started receiving prescriptions in a format they were not familiar with).

Otherwise, the only other thing to do would be to create a favourite prescription for that doctor with the name typed out by hand. That would void any drug-drug interaction checking though!

Which makes sense (0.0001 is the same as 0.01%). But also on Vigilance, upon clicking for more information, it displays the medication as 0.01% multiple times. Therefore, making it misleading to what will be displayed/auto-generated on the selected medication.

Can we give the option to choose 0.0001 or 0.01%.

What we show in that list is exactly what is given to us from Vigilance Santé, our pan-Canadian partners. The pharmacist has no right to refuse that prescription as obviously 0.0001 is the same as 0.01%. The doctor should call the pharmacist and protest. See screen capture.