• Rx Writer General FAQs
• Rx ICD-9/CPT General FAQs
• Print and Printer Related Questions

Does every Pharmacy accept BluefishRx Prescriptions?
Pharmacies will almost always accept faxed prescriptions. When a prescription is sent to a pharmacy, your contact information is made available to the pharmacist to confirm delivery.

How do I set up pharmacies in my BluefishRx application?
When registering a pharmacy in your application, you need to input the pharmacy's fax number. When the prescription is sent, it gets routed to the fax number you input.

What if I don't have a wireless handheld computer?
If you do not have a wireless handheld, such as a Palm i705, you can print prescriptions using an infrared-enabled printer. You can purchase an infrared adaptor for your printer from Bluefish. Contact us for more information.

How secure is the wireless transmission of prescriptions?
The prescription is encrypted on the handheld and wirelessly sent through our network where it is converted and faxed electronically.

What does the 'Send' button do?
The 'Send' button initiates the wireless transmission of the prescription directly to the Pharmacy. You will need to have a wireless handheld to use the 'Send' functionality. The prescription is electronically sent to our server where it is converted to a fax and sent to the Pharmacy fax number you designate. The whole process takes a few seconds. Test it out by sending a prescription to your own fax number.

Why can't I get my signature to print on the fax?
When a fax is sent to a Pharmacy the signature is not printed on the fax. If you send the prescription electronically you are not required to have an electronic signature on the fax. In fact in some states the inclusion of a signature would invalidate the prescription.

If you print the prescription you must sign it manually. Printed prescriptions require manual signatures in most states.

The signature is used purely as security to ensure that it is you that is generating the prescription.

How secure is the sending on my prescriptions wirelessly?
The prescription is encrypted on the handheld and wirelessly sent through our network where it is converted and faxed electronically.

Can I import my patient demographic data into my handheld?
Yes, we currently have two different methods for importing patient data.

• We can take a CSV data file and convert it to a file that can be hot synced to the handheld or wirelessly downloaded. This file is then added to the patient database. It is fairly easy to automate this process on a daily basis. Most patient management systems are able to export data into a CSV file.
• For practices or hospitals with HL7 interfaces to their patient management systems we can process new patients or patient updates via an HL7 interface to a server which generates the appropriate data for the handheld.

I hot synced the BluefishRx file onto my handheld and I received a memory error while it installed.
This error was probably caused by a lack of memory on your handheld. You should ensure that you have at least 1.5Mb of free memory before you hot sync the BluefishRx archive onto your Palm. The total file size after installation is much smaller than this but the Palm needs some free memory during the installation process.

To correct this error delete the BluefishRx archive and delete any other files you can until you have 1.5Mb of memory. Hot sync the archive to your Palm again and it should now install correctly.

I downloaded a new version of BluefishRx and when I installed it my patient data was deleted and replaced by demo data.
Once you have installed BluefishRx you should only install update files to your handheld. You have downloaded a demonstration archive that has overwritten your patient database and prescription log with sample data that is meant to allow customers to evaluate BluefishRx. If you haven't hot synced your Palm since installing this demo archive you can hard reset your handheld and restore it to when you last hot synced.

How do I remove the sample patients and prescriptions that are in my application?
You can purge the Patient data and prescription log by tapping 'Menu' while on BluefishRx's home page and tapping 'Purge log and patient data' under the 'Options' menu. Check the appropriate boxes and select 0 days in the various drop down lists. This will delete all previous data.

Which handhelds are compatible with Bluefish Rx?
BluefishRx is currently compatible with all Palm OS handhelds running Palm OS3.5 or above. This includes most handhelds from Palm, Sony, HandSpring, Kyocera and Samsung. We work hard to ensure that BluefishRx is compatible with all new Palm OS handhelds released. BluefishRx may run on older devices but we don't specifically test devices with Palm OS version below 3.5.

How much memory does my handheld need for BluefishRx?
You should ensure that you have at least 1.5Mb of free memory before you hot sync the BluefishRx archive onto your Palm. The total file size after installation is around 1MB but the handheld needs some free memory during the installation process.

What does my handheld need to be able to send prescriptions wirelessly?
You will need a handheld with wireless capabilities. Below are the three common wireless types and associated handhelds:

• GPRS/GSM, CDMA, PalmNet
  This type includes the so-called smart phones running the Palm OS. If your phone is capable of retrieving data from the Internet then you will be able to send prescriptions wirelessly. Compatible devices include; Palm Tungsten W, VIIx and i705, Handspring Treo (all models,) Samsung SPH i500, i330 and i300, Kyocera 7135 and QCP 6035
• 802.11b (WiFi)
  This is a medium range wireless technology that is gaining wide acceptance in the enterprise and public hot spots
• Bluetooth
  Bluetooth is a short-range wireless technology that has been built into a number of popular handheld devices. Palm's Tungsten T has Bluetooth built in. Bluetooth can be added to older handhelds via an SD card.

Can I delete the print drivers that I don't use?
The Bluefish installer adds multiple print drivers to your handheld during installation. Once you have set up your printer with the correct driver you can delete the unwanted drivers and reclaim the memory for other applications. The print driver files start with the letters BPM and then a description of the printer. E.g. BPMDeskjet. If you are not sure whether you need a particular print driver you should not delete it.

What BluefishRx files are installed on my handheld?
The BluefishRx files are mainly grouped under the heading BluefishRx in the 'Info' section of your handheld.

Bluefish uses signature verification software from a CIC. The two files associated with this software are InktoolsLib and InktoolsDB.

BluefishRx uses PrintBoy as its print engine software. Bachmann Software supplies this software. The PrintBoy files include PrintSetup, PrintMgr, IRMgr and various print drivers for the supported printers. These print driver files are prefixed by the letters BPM.

ICD-9/CPT GENERAL FAQS

How will I receive my quarterly updates?
Bluefish will send your quarterly updates to your email address provided when you purchased Bluefish Rx ICD-9/CPT. Updates will be received as a Palm .pdb file. All you will need to do it sync it to your Palm and your database will be overwritten with the most current codes.

How do I search for an ICD-9/CPT by the code number?
If you enter a word or numbers in the ICD-9/CPT search field, it will search by the indexed keywords. If you know the number of the code you would like to view, simply:

• Tap the 'Find' button in the bottom left of the screen. It will change to 'Code.'
• Enter the code number to display the appropriate codes.
• To switch back to keyword search or drill down tap the 'Code' button and it will switch to 'Find'.

What will happen after my year subscription is up?
After your year has expired, you will need to sign up for a quarterly subscription for the ICD-9/CPT updates. You can continue using your ICD-9/CPT software without the updates. However, this is not advisable since ICD-9/CPT codes do change.

How do I know the information contained in Bluefish Rx ICD-9/CPT is accurate?
Bluefish licenses the ICD-9/CPT information from Hypercereus Medical, which provides high-level medical informatics consulting, custom application development, and data management solutions for healthcare providers and organizations. Information on Hypercereus can be found at www.cereusmed.com.

PRINT AND PRINTER RELATED QUESTIONS

I am trying to send a prescription to my printer via the IR port and it won't connect. Why?
There are two possible reasons for your prescriptions not printing.

Your print manager is not setup correctly.

• From the Pam application screen, tap the "Print Setup" application logo.
  
• Select from the provided list of printers.
  
• Tap the bottom middle button that says "Set As Default"
  
• Tap the 'Edit' button and check the port is set to IrDA
  

Your Printer isn't set up to send via infrared.

• From the main menu, tap "Print Setup".
  
• If your printer has not been selected, go to the previous troubleshooting tip. If it has, select the "Edit" button in the bottom right hand corner of the screen.
  
• In the "Port" field, make sure the "IrDa" is selected and then tap "OK"
  
• BluefishRx uses Bachmanns PrintBoy software. You can check your printer's compatibility with the PrintBoy software here.

How can I tell if my printer is IR equipped?
Simply look at your printer to see if it has an IR port. It will look like a shiny, reddish-black square someplace on the front of the printer. If you are not sure, check your printer user guide, the printer manufacturer's website or the printer manufacturer directly. If you do not have an IR equipped printer, you can easily add IR functionality by purchasing an IR adapter from Actisys. See the next question for more details.

My printer doesn't have built in IR. How can I print prescriptions?
Your Printer can be converted to accept the IR from your handheld by attaching an IR printer adapter. The IR adapter simply plugs into the Centronics port on your printer. You can still have the printer connected to your computer or the network as the adapter has a pass through plug. To print you simply sit the adapter on top of your printer and point your Palms IR port at the adapter while tapping the print button in BluefishRx.

Check your printer's compatibility with PrintBoy here.

IR adapters are available from Actisys.

The recommended device is the ACT-IR100M, which sell for $68.00.You may need a different model for your particular printer so make sure you check its compatibility.

My printer is connected to my computer and I can't get the printer to print when it is sitting in the cradle and I tap the 'Print' button. Why?
You cannot print through your handheld's cradle. BluefishRx doesn't use the cradle to pass information back to the computer for printing. You can either print wirelessly via 802.11b (WiFi) or Bluetooth if your handheld supports this (Palm Tungsten C, T, T2) or via your handhelds IR port.

I have a printer on our network but it doesn't have a static IP address. What can I do?
You can still print to this printer, but you will need to install the PrintBoy proxy server onto a PC attached to your network.

My printer is connected to my computer, which is on a wireless network. Can I print wirelessly to my printer?
Yes, if you install the PrintBoy proxy server. This needs to be running on a PC attached to the network. It will listen for the print job to be sent to the network and then route it to the selected printer.

What printers does BluefishRx support?
BluefishRx uses the PrintBoy print engine from Bachmann Software. You can check your printer's compatibility here.

I am trying to print using IR and nothing happens. I used to be able to print fine before?
Sometimes the IR port on your handheld may lock up. This is a fairly common problem and is rectified by doing a soft reset on your device. You can test to see if your IR port is locked up by trying to beam an application to another handheld or by trying to send your business card to another handheld. If the other handheld doesn't respond your IR port is probably locked.

Can I print using my handheld's Bluetooth wireless capabilities?
Yes but you will need to purchase a Bluetooth wireless adapter for your printer. Adapters are available from www.anycom.com.

Will you have Rx paper available from a 3rd party supplier? I prefer shaded or watermarked or "safety" paper for my Rx's.
Bluefish has worked with a prescription security paper vendor to ensure that our software produces correctly formatted print outs for the various US state laws. Security paper can be obtained here.