[thomb@bossoft.com]

Here's how that connection works:
When MeditechFocus_V2.exe starts it continuously looks for any instance of Meditech C/S  and when it sees one (as the foreground window) it will under the covers do Connect ..stWindows  -and set up a bunch of stuff to allow it to report the text and cursor position).

Then anything can use Connect "Meditech", stStream
Anything being – the BWS UI, or a C# a program referencing BostonWorkStation70.dll, etc.) and see whatever MeditechFocus_V2 is "seeing".

MeditechFocus_V2.exe also has its own UI that shows what its seeing. (the systray black B icon).

So what we need to know is, what is MeditechFocus.exe seeing.
Your original post suggested it was seeing what you were expecting? (BWS UI)  – now of course since its a different rev of Meditec, it could be connecting just fine, but your C# program is expecting different text or cursor positions.

Probably best to sort this out by calling Support!