Moam - Info Assyst RX S 5a2cb0591723dd229f14b69b

Pill Packaging Hardware Module
User Guide
Version 2.4.5
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Assyst RX-S Pill Packaging Hardware Module v245
TABLE OF CONTENTS
INITIAL SETUP .................................................................................................................. 5

Assyst RX-S System Preferences .......................................................................................... 5
Assyst RX-S Patient File .................................................................................................... 5
Assyst RX-S Batch Fill Module ............................................................................................. 5
Configuring the PPH Manager ............................................................................................. 6
PPH Configure Buttons .................................................................................................. 6
Manage Drugs in Device(s) ................................................................................................. 8
Export Drugs to the PPH Device ........................................................................................ 10
PRESCRIPTION FILLING ..................................................................................................... 11

How to Create a New PPH Prescription ............................................................................... 11
How to Indicate Dosing Times for a new prescription .............................................................. 12
Dose Packaging Buttons ............................................................................................... 12
Examples of Different Bag Runs ..................................................................................... 15
How to Create a Stat PPH Prescription................................................................................ 16
How to create an External PPH Prescription ......................................................................... 17
NAVIGATING THE PPH MODULE ........................................................................................... 18

Launching the PPH Manager ............................................................................................. 18
PPH Errors and Warnings ................................................................................................. 19
BATCH DISPENSE REQUESTS ............................................................................................... 20

How to Release a Batch .............................................................................................. 20
How to Release a Batch with Overriding Release Dates ........................................................ 21
How to Restore a Batch ............................................................................................... 21
Restore a Batch Buttons .............................................................................................. 22
REPORTS ....................................................................................................................... 23
Dispense Verification Report ............................................................................................ 23
Dispense Verification Chart ............................................................................................. 24
Transaction Master Packing Slip ........................................................................................ 25
VENDOR SPECIFIC INFORMATION ......................................................................................... 26

AutoMed / Pacmed........................................................................................................ 26
AutoMed2 ................................................................................................................... 27

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Assyst RX-S has an integrated Pill Packaging Hardware (PPH) Manager. This module is available to
communicate dispense requests to various PPH hardware. A Drug List is first created by the PPH Manager
and exported to the PPH hardware. The PPH hardware now has a list of the existing drugs, their associated
DIN, and where the drugs dispensed are located (Tray, Cassette or External). As PPH prescriptions are filled,
a batch is created, and when the batch is ready, it can be released to the PPH hardware to create the
packaging. Reports can be run for verification.
The steps required for using the PPH Manager are:

1. Initial configuration for PPH.
2. Create a Drug List to be used in the PPH device.
3. Export the Drug List to the PPH device.
4. Create an Institution/Wing.
5. Setup patient in Institution and external packaging.
6. Add dosing information to prescription.
7. Fill prescription through batch fill or as a “STAT” medication.
8. Release Dispense Requests (Batch) to the PPH Device.
6. Run Reports for verification.
INITIAL SETUP
Assyst RX-S System Preferences

Settings in System Preferences need to be selected in order for PPH to function. To access, launch
Assyst RX-S and select: System > Preferences
In the Modules tab,

Select the following to control what processes will update the inventory.
Update inventory for “Batch and Send to PPH”
Update inventory for “Send to PPH as PRN”
Update inventory for “Batch and Send to PPH as External”
Print Labels for PPH scripts filled as stat (cash only): When this field has been selected, a label will
be printed for any cash prescriptions that have been tagged as a stat prescription.
Assyst RX-S Patient File

The type of packaging used needs to be configured first in the patient‟s file. To access from Assyst RX-S
main window, select: Patients tab > Lifestyle tab.
In the Lifestyle tab,

Packaging Type: From the drop-down menu, select „External Hardware Packaging‟. Click on the
button to clear the packaging type, if needed.
In the Institution tab,

Wing/Group Home: Select the Wing/Group Home that the patient is to be set up in. If you have not
already configured a Wing/Group Home for user with the PPH Manager, refer to the Institutions
Module documentation for instructions.
Assyst RX-S Batch Fill Module

A Pill Packaging Device can be set as the default for a specific batch. This can be done from the Batch
Criteria Screen in the Batch Fill Module. See the Batch Fill user documentation for details.
In the General tab,

Pill Packaging Device: Using the drop-down menu, select „Specific‟. You can then use the … button
to select the required PPH device.

Configuring the PPH Manager

To launch PPH Manager, select Start Menu > Assyst RX-S > Pill Packaging Manager After launching,
you will be required to enter your PIN to continue.
The configuration screen can be accessed in two different two ways. From the main PPH screen, select
Server > Configure, or click on the CONFIGURE button.
Depending on the PPH Vendor you use, the configuration will vary. Refer to the Vendor Specific
Information at the end of this document for details on configuration specific to your PPH Vendor.
PPH Configure Buttons

Buttons are used to initiate commands. The following is a list of buttons in the PPH Configure Screen, the
corresponding command and keyboard shortcut.
KEYBOARD
BUTTON COMMAND
SHORTCUT
Exit Configuration ESCAPE
Previous PPH Device PAGE UP
Next PPH Device PAGE DOWN
Add PPH Device ALT-A
Modify PPH Device ALT-M
Save Changes ALT-S
Delete Current PPH Device ALT-D
Cancel Modifications to Current Device ALT-C
Description: Enter a description to be associated with your Packaging Hardware.
File Format: Using the down-arrow button, select the file format supported by your hardware. See the
vendor specific information at the back of this document for details on your specific hardware.
Save Path: Using the … button, select a directory. This is where the text file(s) created by the PPH
manager are to be stored. This is to be a network location that can be directly accessed by
the PPH device, as well as the PPH manager.

File Name, Drug File Name, Drug File Extension: Allows the user to select what the default file names
and extensions will be. This allows the drug export file to be readily distinguished from the Rx export
files.
Number of days to keep records: Enter the # of days that you want to keep a record of transactions.
This will determine how far back you can restore a previously released batch.
Print verification report after releasing batch? This is the default report selected on the release batch
window. Using the down-arrow button, select: „Not Print‟, „Dispense Verification Report‟ or „Dispense
Verification Chart‟.
Send unit price per pill in the unit cost field on Drug Export: If selected, will have the unit cost (i.e.
Actual Cost divided by Package Size) of the default package included in the generated text file(s).
Prefix the filename with the current TLA: If selected, allows the TLA (Three Letter Acronym) to prefix
the text file name being created. This is used when multiple stores run on one server. Each store has
a different TLA, and allows the user to decide which data to access when starting.
Options
Maximum number of pills per package: Enter the number appropriate to the bag size you are using in
the PPH Device. Refer to documentation supplied by the PPH device vendor for this information. The
default value is „8‟.
Exception Label Group: Indicate the number of the label design created in the PPH device. This is
used for all products set up with a type of External. The default value is „1‟.
Partial tablet source: The default value is „dta‟. This indicates that requests submitted for a quantity of
partial tablets is to be dispensed from the PPH Devices‟ Drug Tray, as opposed to being dispensed in
an exception bag (i.e. externally „ext‟).
Default Label Group: Indicate the number of the label design create in the PPH Device that is used by
default for all bags, unless another is specified (i.e. different label design for External or PRN
products.) The default value is „1‟.
PRN Label Group: Indicate the number of the label design created in the PPH Device that is used for
all products set up with a type of PRN. The default value is „1‟.
FTP Options
Ftp file after creation: If selected, will send files using FTP through Communications Manager to the
PPH device. Leave this field blank when saving the generated text file(s) to a network location which
can be directly accessed by the PPH device. Checking this option requires you to select the
appropriate Remote ID for Communications Manager to use.
Remote ID: Will display if the ftp file after creation option has been selected. Using the … button,
select a Remote Name from the lookup screen.
Note: Contact the support desk for assistance in creating a new Remote ID in the Communication Manager.

Manage Drugs in Device(s)

This is the section where you indicate the drugs that you wish to be in the PPH Device. You will also need
to indicate whether the drugs dispensed by the PPH device will be stored in Drug Trays, Cassettes or not
dispensed (i.e. External) by the PPH Device. Setting drugs to create the PPH drug list can be accessed in
two different ways. Select Server > Drugs setting or click on the MANAGE DRUGS IN DEVICE button. This
will display all drugs listed in the Assyst RX-S drug table. Data can be sorted by column by clicking in the
header of the desired column. Clicking the same column again will reverse the order. Arrows / will
show which column the data is being sorted by, as well as the direction of ascending ( ) or descending
( ). In this example, the arrow is in the header of the Key column, so the data is being sorted by key.
The bottom left of the screen will display the total number of drugs, along with the number of drugs added
to the PPH device.
Buttons are used to initiate commands. The following is a list of the buttons in the PPH Setup Screen, the
corresponding command and keyboard shortcut.
KEYBOARD
BUTTON COMMAND
SHORTCUT
Exit ESCAPE
Add to Cassette, Drug Tray or External ALT-C
Add to Drug Tray ALT-T
Add to External ALT-E
Set to Sent, Unsent, Delete or Not In Device ALT-S
Set to Unsent ALT-U
Set to Delete ALT-D
Set to Not In Device Alt-X
Set Canister Number for Selected Drugs ALT-N
Toggle Pack Alone for currently selected drugs ALT-P
Delete selected drugs from PPH Device DELETE
Search for drug F5
Export drugs to PPH device CTRL-E
Select all drugs in grid CTRL-A
De-select all drugs in grid CTRL-D

Device: This drop-down list allows the selection of which PPH configuration is being used. i.e. AutoMed.
Filter: This drop-down list allows you to determine which products to display in this grid. By default the
system will display All products. The options are: All products, In PPH Device or Not in PPH Device.
Exit: Closes the PPH window.
Click on the SET TYPE button to show the following choices:

Set drug to cassette: Indicates the storage container type for use with this product in the PPH device.
Cassette indicates the normal operating mode. Cassettes within the PPH device that store whole
tablets or capsules of the medications dispensed through the device.
Set drug to drug tray: Indicates the storage container type for use with this product in the PPH device.
Drug tray indicates removable medication trays that allow you to dispense a quantity of partial
tablets/capsules or whole units of medications that you do not routinely dispense through the PPH
device.
Set drug to external: Indicates the storage container type for use with this product in the PPH device.
External indicates that the medication will never physically be dispensed through the PPH device. (i.e.
tubes, bottles, vials) The PPH device can be configures to print a text only exception bag to notify that
the external product should be part of the patient‟s order.
Click on the SET STATUS button to show the following choices:
Set drug to sent: This will flag the selected items that they have already been exported to the
PPH device.
Set drug to unsent: This will flag the selected items so that they will be included in the next PPH
device export.
Set drug to delete: This will flag the selected items so that they are not in the PPH device. The
next time the drug file is exported, these items will be included so that the PPH device knows to
remove them from it‟s database.
Setting Canister number for selected drugs: Indicates the Canister where the product is stored within
the PPH device. This option is only available when using the Automed2 format.
Setting Package alone: A status ‘Pack Alone’ will be assigned to the highlighted drug. This means
that the product is to be packaged separately from other products with the same administration time.
This option is only available when using the Automed2 format.
Delete drugs from PPH: This will flag the selected items that they are not in the PPH device. The next
time the drug file is exported, these items will be included so that the PPH device knows to remove
them from it‟s database. If the drug has next been exported, it will simply be removed from the PPH
device.
Search for drug: Clicking on this button will display the drug search list window for you to quickly
identify and move to a specific item in the grid.
Export drugs to PPH device: Creates a text file containing all the drugs assigned to the PPH device.
This text file can then be used as an import file by the PPH device to create it‟s drug database.
Note: Any drugs with no DIN will not be included in the export file.
Select All: Will select all listed drugs in the grid to be added to or deleted from the PPH.
Deselect All: When selected, will deselect all drugs previous selected.

Export Drugs to the PPH Device

This is the step required to move the previously managed drug list to
the PPH device. The Export Drugs feature can be accessed from the
Manage Drugs screen by clicking on the EXPORT DRUGS TO PPH
DEVICE button.
Export Location: Using the … button, select the folder or file path
where the text file(s) created by the PPH Manager are stored.
Batch Id, for operator: The Batch Reference ID applicable for this
drug export file being exported.
Note: This information is valid only when the File Format used is „AutoMed”. See the Vendor Specific Information
section of this document for details.
Batch instructions, for operator: Comments that are to be included in the header section of the drug
export file to be displayed to the operator of the PPH device.
Note: This information is valid only with the AutoMed file format. See the Vendor Specific information section of this
document for details.
Export: Creates a text file containing all the drugs assigned to the PPH device. This text file can then
be used as an import file by the PPH device to create it‟s drug database.
Note: Drugs with no DIN will not be included in the export file.
Close: Clicking on this button will save the data and closes the Export Drug window.

PRESCRIPTION FILLING
When entering a new prescription, or modifying an existing one, for a patient who is setup with External
Hardware Package as their Packaging Type, you are required to enter some additional information
in the Rx Detail window.
How to Create a New PPH Prescription

Clicking on the New Rx button, from the Assyst RX-S Rx Profile tab will display the Rx Detail window.
Enter the required information as you would when filling a prescription, making sure that the following
fields are entered:
Prescription Options
Units / Day: Enter the number of units to be used for a single day. This can also be entered in the Sig File
for the corresponding SIG code. Units per day, along with the HOA Times, are used to calculate the
quantity dispensed.
Batch Information
Using the drop-down menu, select the appropriate Batch Information: „Batch and Send to PPH‟, „Don‟t
Batch or Send to PPH‟, „Send to PPH as PRN (Don‟t Batch)‟ or „Batch and Send to PPH as External‟.
Note: See the Batch Fill user documentation for more information on setting up batch prescriptions.
„Batch and Send to PPH‟: This would be selected for a drug that is to be processed through a batch
fill cycle and also sent to the PPH device. This maintenance drug will have specific dosage
administration instructions. (i.e. Take one tablet three times a day).
„Don‟t Batch or Send to PPH‟: This would be selected for a drug that is to be processed as a regular
prescription. This drug will not be included in any regular batch fill cycle, or dispensed by the PPH
device.
„Send to PPH as PRN (Don‟t Batch)‟: This would be selected for a drug that does not have a specific
dosage administration instruction. (i.e. Take one tablet when required for pain).
„Batch and Send to PPH as External‟: This would be selected for a drug that cannot be physically
dispensed through the PPH device (i.e. Inhalers, Topical preparations) The PPH device will produce
an empty bag for these products. These requests will be released to the PPH Device in a single
batch file allowing for better control over wasted bags produced by the PPH Device.

Administration Times
Enter the Administration Times in the 6 available fields. These values will populate the Dose Packaging
Times in the Dose Packaging Screen.
Dose Packaging Times

Complete the Dose Packaging Times. To access, right click on the New Rx screen, press Alt-K or click on
the DOSE PACKAGING button to access the Dose Packaging screen. Refer to the “How to Indicate
Dosing Times” section of this document for further details.
To complete this prescription, click on the „Fill‟ button.
Note: Clicking on the Process button in the New Rx window will cause the system to process this prescription as a Non-
Batch type and will not send a request to the PPH Manager.
How to Indicate Dosing Times for a new prescription

To access, from the New Rx screen: Right-click and select Dose Packaging, press Alt-K, double click on
the memo field, or click on the DOSE PACKAGING button.
Dose Packaging Buttons

Buttons are used to initiate commands. The following is a list of buttons in the Dose Packaging screen,
the corresponding command and keyboard shortcut.
KEYBOARD
BUTTON COMMAND
SHORTCUT
Exit
Add Dose
Delete Dose
Modify Dose
Save Dose
Cancel Dose Changes
Verify Dose

Verify Dose: This will cycle through all the dosing times configured for the selected prescription and
determine if there are any discrepancies. The messages are warnings only, and will not stop the user
from continuing. These checks will include:
Units/Day: This validation will add up all the different dosing quantities (allowing for the
different formats and bag runs) for each day and compare against the unit/day entered on the
Rx. This check will not be performed if the wing does not have the option turned on to
calculate the units/day.
Dosing times vs. HOA: This validation counts the number of HOA‟s entered for the Rx and
compare against the number of different dosing times that have been entered.
End Date: This validation will check the end date of the different dosing times, and compare
them against the end date of the Rx. (including stop date and when the refills run out) and
ensure that the dosing times will not stop before the Rx does. The date comparisons will use
the % for early/late fills found in System Preferences.
Doses
This field lists all the doses for the prescription showing the quantity and the recurrence summary. A dose
is comprised of the following items:
one or more admin times
pouch quantity information. (All admin times listed will receive the quantity entered)
start date
end date (if overridden)
bag run
Note: If any one of the above items is to change for a pouch, then a new dose must be setup.
Admin Times
The admin times are populated from the Rx Detail screen. To manually add an additional admin time,
select the time by using the up/down arrows, or by typing the time in then click on the add button. To
delete an admin time, highlight and click the Delete button.
Quantity
Dose Qty: A dose quantity can be entered here. The first field is the number of units that will be added to
each pouch. The second field will be the format of the units (1- whole, 0.5-half, 0.3-one third, 0.25-one
quarter). The system will use this information to suggest how the bags should be populated to give the
user the correct amount of medication, using the best mix of formats. i.e. If a quantity of 2 was entered,
the system will calculate 2 whole tablets. The Pouch Qty would be 2 x 1.
Override Pouch Qty: if selected, would allow the Pouch Quantity to be overridden. i.e. In the previous
example, the size of a whole tablet is too large for the patient to swallow, so 4 half tablets are preferred.
The Pouch Qty would be 4 x 0.5. (Four times one/half tablet).
The second set of quantity and format allows the use to mix formats. i.e. If the user must take 1 ½ tablets.
The system would calculate out 1-1 (one whole) and 1-0.5 (one half).
Bag Run: The bag run is used to organize the various doses, into different groupings or runs. Each
separate run will result in a separate strip of meds being created for that patient. When releasing the
batch each bag run will result in its own text file being created. One use of different bag runs is if the
prescription is to be distributed to multiple locations. i.e. The patient is in a group home, but goes to
school during the day. The noon doses would be in a separate bag run from the remainder of the
medications. The default for this field is „1‟, but can contain a number between1 and 9.
Start Date: Using the drop-down menu, select a date from the calendar. The default will be the
current date.

End Date: If selected, the current dosing information will be stopped once the end date is met.
Recurrence
Recurrence is how often the scheduled task will be performed. The default for recurrence will be daily.
The options are:
Daily: Allows the entry of how many days the prescription should wait before
it is packaged again. If 1, it is every day. If 2, it is every other day.
Weekly: Allows the entry of how many weeks the script should wait before it
is packaged again. If 1, it is every week. If 2, it is every other week. The day
of the week can also been selected, so that the prescription will always be
produced on a certain day of the week. i.e. always on a Saturday.
Monthly: Allows the entry of how many months the script should wait before
it is packaged again. Two options are available for when throughout the
month the script will be packaged. The first is the actual date in the month.
rd
i.e. the 3 of the month. The second would be the timing and day of the
month. i.e. the fourth Wednesday of the month or the first Monday. Each
month can also be selected/de-selected individually or click the button to „select‟ all
twelve months, or the button to „de-select‟ all months.
Date: Calendar
The package summary on the screen will show the user an overall view of the prescription to be
dispensed. This view is in the form of a calendar, similar to the Outlook calendar. Each day will show all
the dosing times and quantity setup for that day. By default the calendar starts with the current week, but
can be switched between views by clicking on the navigation buttons or by using the drop-down button to
select a date from the calendar.
BUTTON NAVIGATION COMMAND
Show daily scheduler

Show weekly scheduler
Show monthly scheduler
Show yearly scheduler
Scheduler time scale switch
Prior
Next

Examples of Different Bag Runs
Example of Recurrence Weekly

This is an example of Recurrence Weekly. The PPH manager will create 7 days worth of bags with ONE
dose per bag. There will be 7 bags produced. The HOA is 8 a.m. for all days.
Scenario of a One Bag Run

The patient takes one tablet daily. During the week, the
patient takes one pill daily at 8 a.m. On the weekend, the
time changes to 9 a.m.
In this scenario, as there is only one location, only one bag

needs to be created. There will be two dose entries, but both
will go into the same bag run.
Scenario of a Two Bag Run

An example of a triple bag run would be: The patient is in a
group home, and takes a prescription three times daily (8
a.m., noon and 6 p.m.) The patient is away at school during
the weekday. The 8 a.m. and 6 p.m. doses are administered
at the home, but the noon dose goes to school with the
patient. On the weekend, all three doses are administered
by the home.
In this scenario, two runs must be created. Bag One for 8

a.m. and 6 p.m. Bag Two for the noon dose.

How to Create a Stat PPH Prescription

Stat Prescriptions are used to process a prescription, bypassing Batch Fill and going directly to the PPH
Manager. Clicking on the New Rx button, from the Assyst RX-S Rx Profile tab will display the Rx Detail
window. Enter the required information as you would when filling a prescription, making sure that the
following fields are entered:
Prescription Options
Units / Day: Enter the number of units to be used for a
single day. Units per day, along with the HOA Times, are
used to calculate the quantity dispensed.
Batch Information
Select „Send to PPH as PRN (Don‟t Batch)‟.
Administration Times
HOA‟s are NOT required for STAT Prescriptions.
Dose Packaging Times

To access, right click on the New Rx screen, press Alt-K or click on the DOSE PACKAGING button to
access the Dose Packaging screen. The dose packaging screen will show:
Doses:
This field lists the doses for the prescription showing the
quantity to be dispensed followed by PRN.
Quantity:
Dose Qty: A dose quantity can be entered here. This first
field is the number of units that will be added
to each pouch. The second field will be the format of
the units i.e. 1 - whole, 0.5 - half, 0.3 – one third,
0.25 – one quarter.
Override Pouch Qty: If selected, will allow the pouch quantity to be overridden to the desired quantity.
When the required prescription information is entered, and the dose packaging has been verified, fill the
prescription by clicking on the FILL button. DO NOT process the prescription. The prescription will now be
entered in the Rx Profile screen and will be marked for fill. Next select the Processing Options.
Processing Options
Processing Priority: Select „STAT‟
Processing Date/Time: Select the Date/Time the

prescription is to be processed.
Administration Start Date/Time: This is the date/time the

prescription is to be administered to the patient.
Administration Stop Date/Time: This is the date/time the

prescription is to be stopped. The quantity that will be filled
is determined by the stop date and dose quantity.
The prescription can now be processed, by clicking on the PROCESS button. The prescription
has now bypassed Batch Fill and will be in the PPH Manager waiting to be released.
Note: It is important that the administration start/stop date/time are correct as this will be used, along
with the dose quantity to determine the fill quantity.
How to create an External PPH Prescription

External PPH Prescriptions are used for drugs that cannot be physically dispensed through the PPH
device. (i.e. Inhalers, Topical preparations, Liquids) The PPH device will produce an empty bag for these
products. These requests will be released to the PPH device in a single batch file to control wasted bags.
Enter the required information as you would when filling a stat prescription, making sure that the following
fields are entered:
Batch Information
Select: „Batch and Send to PPH as External‟
When the required prescription information is entered, and the dose packaging has been verified, fill the
prescription by clicking on the FILL button. DO NOT process the prescription. The prescription will now be
entered in the Rx Profile screen and will be marked for fill. An entry will be placed in the PPH Manager,
but no Tx will be created.
Next select the Processing Options.
Processing Options
Processing Priority: Select „STAT‟
Processing Date/Time: Select the Date/Time the

prescription is to be processed.
Administration Start Date/Time: This is the date/time

the prescription is to be administered to the patient.
Administration Stop Date/Time: This is the date/time

the prescription is to be stopped. The quantity that will
be filled is determined by the stop date and dose
quantity.
The prescription can now be processed, by clicking on the PROCESS button. A transaction will be created
with the transaction fill quantity equalling the prescription fill quantity. The prescription is now in the PPH
Manager waiting to be released.

NAVIGATING THE PPH MODULE
Launching the PPH Manager

To launch PPH Manager, select: Start Menu > Assyst RX-S > Pill Packaging Manager. After launching,
you will be required to enter your PIN to continue.
Buttons are used to initiate commands. The following is a list of the buttons in the PPH Manager
Screen, the corresponding command and keyboard shortcut.
KEYBOARD
BUTTON COMMAND
SHORTCUT
Exit CTRL-X
Configure Pill Packaging Manager ALT-C
Manage Drugs in Device(s) ALT-D
Release Batch ALT-B
Restore previously process PPH entries ALT-T
Delete from Queue DELETE
Refresh Queue F5
Ready for Release ALT-R
On Hold ALT-O
Select All CTRL-A
Deselect All CTRL-D
Sort: This drop-down list allows you to determine the order in which the entries are sorted in this grid.
By default the system will display the Request Date/Time. The options are: Batch Name, Days
Supply, Fill Quantity, Filled Quantity, Next Admin Date/Time, Patient Name, PPH Device, Request
Date/Time, RX Number, or Status.
Note: You can also click on the column headers to change the sort. If you click on the same column twice, the
direction of the sort will change between ascending and descending.

Filter: This drop-down list allows you to determine which entries to display in this grid. By default the
system will be „Show All‟. The options are: Show All, Ready To Go Only, On Hold, Rx‟s With
Warnings or Rx‟s With Errors.
Exit PPH: Clicking on this button will exit the PPH Manager. You can also exit the program by
selecting Server > Exit or by pressing CTRL-X.
Configure Pill Packaging Manager: Choosing this option display a window to allow configuration
of parameters under which your PPH device will operate with Assyst RX-S.
Manage Drugs In Device(s): Allows you to choose the drugs that you will be dispensing from the
PPH device.
Release Batch: Clicking on this button will display the Release Batch window. Refer to the
“Release a Batch” section of this document for details.
Restore previously process PPH entries: Will display the Restore PPH Batch window, allowing
PPH prescriptions to be restored.
Delete from Queue: Choosing this option removes the highlighted record from the PPH queue.
Refresh Queue: Clicking on this button causes the window to refresh and display the most current
information for the records listed in the queue. When Mercury is running, this should be done
automatically.
Ready for Release: Choosing this option will make the status of this record “Ready for Release.”
The record will be included when the batch is released to the PPH device.
On Hold: Choosing this option will make the status of this record “On Hold”. The record will NOT
be included when the batch is released to the PPH device.
Select All: Will select all listed drugs in the grid to be added to or deleted from the PPH.
Deselect All: When selected, will deselect all drugs previous selected.
PPH Errors and Warnings

All warnings and/or errors must be handled prior to releasing a PPH batch. Otherwise these prescriptions
will not be processed with this PPH Batch release. Any prescriptions with errors or those set to ON HOLD
will not be released. Any prescriptions with warnings will be released after the user agrees to the warning
message. These warnings/error are:
Ready to Go – Indicates the prescriptions that have passed the PPH criteria and are ready for
processing.
Warnings – Indicates that the prescription has an associated warning, such as “Dose Qty does
not match Fill Qty” or “Patient has warning(s) on one or more prescription(s)”.
Errors – Indicates that the prescription has an associated error, such as „PPH Device is not
specified” or “Drug has not be defined in PPH Device”.

BATCH DISPENSE REQUESTS
Batch Dispense Requests include releasing batches and restoring them back to their original state. A
validation will be performed before the batch is released. This allows for fixes before releasing
to the PPH device.
How to Release a Batch

The Release Batch screen can be accessed by clicking on
the RELEASE BATCH button or by selecting Server >
Release Batch.
Select Batch to release by clicking on the batch name, and

then on the Release button.
PPH Device: Using the drop-down menu, select the

appropriate PPH configuration.
File Name: This is the name of the text file that will be
created by the PPH Manager.
Print report after releasing: Using the drop-down menu select „No Report Selected‟, ‟Dispense
Verification Report‟ or „Dispense Verification Chart‟. This will print no report at all, or print the
Verification Report or Chart. The report criteria will default to include all batches that were released in
this session.
Override Release Dates: If selected, will allow the option to override the Rotation Days. This option
will not be available for a STAT batch.
See the section in this document on „How to Release a Batch with Overriding Release Dates‟ for
more detailed information.
Rotation Days: The PPH Manager allows rotation days to be entered. The prescription could be filled
(billed) for a quantity of 14, but only 7 will dispensed in this PPH run. See the section in this document
on „How to Release a Batch with Overriding Release Dates‟ for more detailed information.
Stop Date/Time: When adjusting the number of rotation days, the Stop Date/Time will automatically
be adjusted.
Release: Clicking on this button causes the system to display a validation window. This validation will
cycle through all the dosing times configured for the selected prescriptions and determine if all the
available data has any discrepancies in it. Next a text file is created containing all the prescription
information needed by the PPH device to create the packages. This text file will later be used by the
PPH device software as an import file.
Note: STAT Prescriptions cannot be released individually. If there are multiple STAT prescriptions for the same
Nursing Home and Wing they will all be released together. STAT batches do not have the option to Override Release
Dates.

How to Release a Batch with Overriding Release Dates

Overriding Release Dates allows the PPH dispensed quantity to be a portion of the actual prescription
filled (billed) quantity. In this example, a prescription will be initially filled (billed) for a quantity of 56, but
will be dispensed weekly (for two weeks) through PPH with a quantity of 28.
In this example, you can see that is shows a Fill

Quantity of 56 and a Days Supply of 14 days.
Select Batch to release by clicking on the batch name.
Override Release Dates: Select this field to allow the

option of overriding Rotation Days. When changing
the Rotations days (7 in this example) the Stop Date
automatically populates with the new Stop Date and
Time.
Then click on the RELEASE button.
The Release quantity field is now populated with the

quantity dispensed (28). When the Released Quantity
matches the Fill Quantity, this batch will be cleared
from the PPH Manager Queue.
How to Restore a Batch

The restore a batch option allows a batch to be brought back to the PPH queue so that it can be released
again. Two examples of how this feature could be used are when the wrong days supply was released or
the PPH device could not locate the text file created. The billing for these prescriptions will not be
affected.

Restore a Batch Buttons

Buttons are used to initiate commands. The following is a list of the buttons in the Restore a Batch
Screen, the corresponding command and keyboard shortcut.
KEYBOARD
BUTTON COMMAND
SHORTCUT
Exit ESCAPE
Restore PPH Prescriptions ALT-R
Select All CTRL-A
Deselect All CTRL-D
Sort: The Sort drop-down menu offers the ability to filter what displays in the Restore a PPH batch screen
according to the following options:
„Batch Name‟: Groups the screen alphabetically by batch name.

„Days Supply‟: Groups the screen numerically by the days supply.
„Fill Quantity‟: Groups the screen by the „Fill‟ quantity from the prescription.
„Filled or Released Quantity‟: Groups the screen numerically by the actual „Released‟ quantity.
„Next Admin Time‟: Groups the screen numerically by the next admin time.
„Patient‟: Groups the screen alphabetically by the patient‟s name.
„Request Time‟: Groups the screen numerically by the request time.
„RX Number‟: Groups the screen numerically by the prescription number.
Note: You can also click on the column headers to change the sort. If you click on the same column twice, the direction of
the sort will change between ascending and descending.

REPORTS
Reports can be run on request from the PPH Module. These reports are the Dispense Verification Report and
the Dispense Verification Chart. These two reports can be also be generated automatically when releasing
the PPH batch. From Assyst RX-S, the Transaction Master Report can be used as a packing slip for shipping
purposes.
Dispense Verification Report

To access, launch PPH Manager and select: Reports > Dispense Verification Report
Filter
Institution/Wing: Using the drop-down menu, select „All‟,
„Institution‟ or „Wing‟. If the „Institution‟ option is selected,
then the Institution window will display allowing you to
select specific Institutions to report on. If the „Wing‟
option is selected, then the Wing window will display
allowing you to select specific Wings to report on.
Batch Fill: Using the drop-down menu, select „All‟ or

„Selected‟. If the „Selected‟ option is used, then the
Select Batch window will display allowing you to select
specific batches to report on.
Release Date: Using the drop-down menu, select „All‟ or „Selected‟. If the „Selected‟ option is used,
then the Select Release Date/Time window will display allowing you to select specific release
date/times to report on.
PPH/Batch Information: Using the drop-down menu, select „All‟ or „Selected‟. If the „Selected‟ option is
used, then the Select PPH/Batch Information window will display allowing you to select specific
PPH/Batch Criteria.
Bag Run: Using the drop-down menu, select „All‟ or „Specific. If the „Selected‟ option is used, then
select a bag runs from 1 to 9.
Patient Last Name: Using the drop-down menu, select “All‟, „Range‟, „Contains‟ or „Starts With‟.
Print Options
Report Language: Using the drop-down menu, select „English‟ or „French‟.
Print: Clicking on this button allows the report to be printed.
Sample of PPH Dispense Verification Report

Dispense Verification Chart

To access, launch PPH Manager, and select Reports > Dispense Verification Chart
Filter
Institution/Wing: Using the drop-down menu, select „All‟,
„Institution‟ or „Wing‟. If the „Institution‟ option is selected,
then the Institution window will display allowing you to
select specific Institutions to report on. If the „Wing‟
option is selected, then the Wing window will display
allowing you to select specific Wings to report on.
Batch Fill: Using the drop-down menu, select „All‟ or

Select
Batch window will display allowing you to select specific
batches to report on.
Release Date: Using the drop-down menu, select „All‟ or

Select Release Date and Time window will display allowing you to select specific release date/times
to report on.
PPH/Batch Information: Using the drop-down menu, select „All‟ or „Selected‟. If the “Selected option is
used, then the Select PPH/Batch Information window will display allowing you to select specific
PPH/Batch Criteria.
Bag Run: Using the drop-down menu, select „All‟ or „Specific. If the „Selected‟ option is used, then
select a bag runs from 1 to 9.
Patient Last Name: Using the drop-down menu, select “All‟, „Range‟, „Contains‟ or „Starts With‟
Print Options
Report Language: Using the drop-down menu, select „English‟ or „French‟.
Print: Clicking on this button allows the report to be printed.
Close: Clicking on this button closes the Report Verification window.
Sample of PPH Dispense Verification Chart

Transaction Master Packing Slip

This report can be used as a packing slip for shipping purposes. Launch Assyst RX-S and select:
Reports > Miscellaneous > Transaction Master.
General Tab
Report Format: Using the drop-down menu select: 'Packing List' from the list. You will notice that
some selections have been greyed out, and others have been automatically filled in for you. This is
the Packing List default selection.
Report Title: Enter a report title that makes sense for this report.
Tx Tab
Tx Date: Using the drop-down menu, select the required date range.
Batch Type: Using the + button, select the type of the batch (External) to be printed.
Sample of Transaction Packing Slip

VENDOR SPECIFIC INFORMATION
The following section deals with the configuration details relevant to each PPH vendor supported in the
Assyst RX-S PPH Manager. To access, launch the PPH Manager and select Server > Configure Pill Packaging
Manager or click on the CONFIGURE PILL PACKAGING MANGER button.
AutoMed / Pacmed
For both the AutoMed and Pacmed devices, the configuration is as follows:
Description: Enter an appropriate description.
File Format: Using the down-arrow button, select „AutoMed‟.
manager are to be stored. This is to be a network location that can be directly accessed by the PPH
device.
This will determine how long the prescriptions can be restored.
Print verification report after releasing batch? Using the down-arrow button, select: „Not Print‟,
„Dispense Verification Report‟ or „Dispense Verification Chart‟.
Options
the PPH Device. Refer to documentation supplied by the PPH device vendor for this information.
used for all products set up with a type of External.
Partial tablet source: Enter „dta‟ in this field. This indicates that requests submitted for a quantity of
Default Label Group: Indicate the number of the label design created in the PPH device. This is used
by default for all bags, unless another is specified (i.e. different label design for External or PRN
products.)
all products set up with a type of PRN.
FTP Options

AutoMed2
For the AutoMed2 device, the configuration is as follows:
Description: Enter an appropriate description.
File Format: Using the down-arrow button, select „AutoMed2‟. Choosing AutoMed2 will display two
additional fields. In the File Name field enter „ATCFILE.DAT‟. In the Drug File Name field, enter
„ATCMED.DAT‟.
manager are to be stored. This is to be a network location that can be directly accessed by the PPH
device.
Print verification report after releasing batch? Using the down-arrow button, select: „Not Print‟,
„Dispense Verification Report‟ or „Dispense Verification Chart‟.
Options
the PPH Device. Refer to documentation supplied by the PPH device vendor for this information.
used for all products set up with a type of External.
Partial tablet source: Enter „dta‟ in this field. This indicates that requests submitted for a quantity of
Default Label Group: Indicate the number of the label design created in the PPH device. This is used
by default for all bags, unless another is specified (i.e. different label design for External or PRN
products.)
all products set up with a type of PRN.
FTP Options

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Pill Packaging Hardware Module

Emergis Inc. – Restricted Use Page 2 of 27

INITIAL SETUP .................................................................................................................. 5

PRESCRIPTION FILLING ..................................................................................................... 11

NAVIGATING THE PPH MODULE ........................................................................................... 18

BATCH DISPENSE REQUESTS ............................................................................................... 20

VENDOR SPECIFIC INFORMATION ......................................................................................... 26

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The steps required for using the PPH Manager are:

Assyst RX-S System Preferences

In the Modules tab,

Assyst RX-S Patient File

In the Lifestyle tab,

In the Institution tab,

Assyst RX-S Batch Fill Module

In the General tab,

Emergis Inc. – Restricted Use Page 5 of 27

Configuring the PPH Manager

PPH Configure Buttons

Previous PPH Device PAGE UP

Next PPH Device PAGE DOWN

Add PPH Device ALT-A

Modify PPH Device ALT-M

Save Changes ALT-S

Delete Current PPH Device ALT-D

Cancel Modifications to Current Device ALT-C

Description: Enter a description to be associated with your Packaging Hardware.

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Manage Drugs in Device(s)

Add to Cassette, Drug Tray or External ALT-C

Add to Drug Tray ALT-T

Add to External ALT-E

Set to Sent, Unsent, Delete or Not In Device ALT-S

Set to Unsent ALT-U

Set to Delete ALT-D

Set to Not In Device Alt-X

Set Canister Number for Selected Drugs ALT-N

Toggle Pack Alone for currently selected drugs ALT-P

Delete selected drugs from PPH Device DELETE

Search for drug F5

Export drugs to PPH device CTRL-E

Select all drugs in grid CTRL-A

De-select all drugs in grid CTRL-D

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Exit: Closes the PPH window.

Click on the SET TYPE button to show the following choices:

Click on the SET STATUS button to show the following choices:

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Export Drugs to the PPH Device

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How to Create a New PPH Prescription

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Dose Packaging Times

To complete this prescription, click on the „Fill‟ button.

How to Indicate Dosing Times for a new prescription

Dose Packaging Buttons

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BUTTON NAVIGATION COMMAND

Show daily scheduler