Sounds like pharmacies are going to have to figure out a way to accommodate other compliant prescribing software or SureScripts will end up with the entire market and pharmacies will face compliance issues for being unable to accommodate providers.
Sometimes they do get lost in the aether and I have no clue how to stop that, but usually what really happens is we are 2 hours backed up (around common times that providers allocate for appointments) and your patient showed up 32 seconds after you ended their appointment looking for their adderall candies and until we’ve processed all the scripts ahead of it, it doesn’t even show up. So one of my techs says we got nothing yet, check back a little bit we are behind. Except your patients hear “call your doctors office and throw a fit and call him a liar cause I’m so entitled I have to have everything absolutely now even in an outpatient pharmacy setting”
If they're very old and/or very non-technical: An xml e-prescription is like a card in a library card catalog, or a citation in a bibliography, or the address on a postcard. Anyone can read it and anyone can write it, and it's not dependent on or specific to the brand of card catalog, or word processor/citation manager. It's not the library itself and it's not the publisher of the paper and it's not the post office.
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I think a changed microbiome is also a possibility. I have wondered how old affects someone with a healthy oral flora when they start dating someone with strong paradontosis, caries etc; couldn’t it also have a negative impact? The advice is alteady to not lick off your kids spoons and pacifiers and just put them back, because you might transfer your caries bacteria to the child. Might be a mixture of both.