URGENT: MEDICAL DEVICE CORRECTION

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4 30 October 2017 The issues described in the attached letter only occur during an import of a drug library. If you have performed an import of a Plum 360 drug library or there is a need to perform an import of a Plum 360 drug library, performing a comparison of the drug library pre- and postimport is required to determine if the drug library is affected by the issues described in the attached letter. If you have not performed an import of a Plum 360 drug library or there is no need to perform an import of a Plum 360 drug library, then no action is required. Performing a pre-/post-import drug library comparison will require comparing the Comma Separated Files (.csv) export of the drug library prior to importing into MedNet Meds with the Comma Separated Files (.csv) export of the drug library after importing into MedNet Meds. The comparison instructions provided in this document utilize Microsoft Excel version 2010 to perform the comparison of the pre- and post-imported drug libraries. Export Steps: Step 1) Export the Plum 360 drug library to csv file. a. Within MedNet Meds select the Plum 360 drug library from the Library Directory tab and click the Export button. b. In the Export Library dialog click the Browse button. c. In the Open file dialog box select Comma Separated Files (*.csv) and enter a name and location to save the file. In this example the file name used was Pre-Export. d. Click the Select button in the Open dialog and click OK in the Export Library dialog. Page 1 of 11 MA (1)

5 Step 2) Export the Plum 360 drug library to xml file. a. Perform the same steps defined in Step 1, except select XML Files (*.xml) for the file type. b. Click the Select button in the Open dialog and click OK in the Export Library dialog. There should be two files that were exported from MedNet Meds: one with the.csv extension and the other with.xml extension. Step 3) Import the Plum 360 xml file back into MedNet Meds. a. Within MedNet Meds click the Import button. b. Within the Import Library dialog, choose Plum X or Plum X option of the drug library that was exported during Step 2 for the Import From and Import To sections. c. Select the exported xml file that was created during Step 2 to import the drug library and name the drug library that will be imported. It is recommended to choose a filename that indicates the file will be used for comparison only. Page 2 of 11 MA (1)

6 Step 4) Export the Plum 360 drug library to csv file. a. Repeat Step 1 and export a.csv file of the drug library that was imported via Step 3. After performing the Export Steps described above, there should be two.csv files to be compared with one another to determine if there are any differences in the Allow piggyback to interrupt this infusion and Piggyback delivery allowed columns. As mentioned above, the following comparison instructions will use Microsoft Excel version 2010 to perform the comparison, but any comparison tool will suffice in determining if MedNet Meds changed the piggyback options during the import process. Page 3 of 11 MA (1)

7 Comparison Steps: Step 1) Open the two csv files in Microsoft Excel. a. In this example the two files are Pre-Export.csv and Post-Export.csv files. b. Move/Copy the one of the sheets from one Excel file to the other Excel file so that both the Pre- Export and Post-Export sheets are in the same Excel Workbook. Page 4 of 11 MA (1)

8 c. Use the Save As command to save the file into a separate Excel Workbook.xlsx file, with a filename that will delineate a comparison. An example filename is Compare Drug Libraries.xlsx. Page 5 of 11 MA (1)

9 Step 2) Compare the two csv sheets by highlighting the cells that have different values in the two sheets. a. Select the Post-Export sheet (tab) from the Compare Drug Libraries.xlsx file and select cell A1. b. Select all the cells that have content by pressing Ctrl + Shift + End keys. Page 6 of 11 MA (1)

10 c. On the Home tab, in the Styles group, click Conditional Formatting and select New rule. d. Within the New Formatting Rule dialog select Use a formula to determine which cells to format. In the Edit the Rule Description section enter the formula =A1<>'Pre-Export'!A1. Note: change the name in the formula to the name used for your sheet name if is it different than Pre- Export. Page 7 of 11 MA (1)

11 e. Click the Format button to open the Format Cells dialog and select the Fill tab. Select a color that will be used to highlight the cells that are different and click OK. Now any cells that are different between the two sheets (Pre-Export & Post-Export) will be highlighted. Page 8 of 11 MA (1)

12 The Excel Filter feature can be used to further aid in viewing highlighted cells if they exist. Filter Steps: Step 1) Select the cells to be filtered. a. Select cell A2, which will contain the header label Generic Name and press the keys Ctrl + Shift + End to select all cells to the end of the spreadsheet. b. On the Home tab, in the Editing group, click Sort & Filter and select Filter. Page 9 of 11 MA (1)

13 Step 2) Filter on highlighted cells a. On cell Q2 (Allow piggyback to interrupt this infusion) click the down arrow and select Filter by Color and choose the color used to highlight differences. Only rows that were highlighted by differences will be visible. The same steps can be applied to column R (Piggyback delivery allowed) to view differences as well. Page 10 of 11 MA (1)

14 If there were differences found between the two.csv files, the drug library was changed during the import process into MedNet Meds. Use the information learned from this comparison to update the post-import drug library worksheet within the MedNet Meds program as needed by following the steps to edit a medication entry in a CCA found in Chapter 9: Plum A+ and Plum 360 Medication Entries of the MedNet Meds User Guide. Page 11 of 11 MA (1)