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Discontinue Orders

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Discontinue orders to stop the orders from being administered.

Avatar Order Entry > Order Entry Client Information > Client Profile / Physicians Orders

An order will not be discontinued if any of the following conditions exist:

  • The user has not been given permission in the Order Entry User Definition form to discontinue orders.
  • The order has already been discontinued.
  • The order has expired. The 'Allow DC of Expired Orders For # of Mins' registry setting determines whether expired orders can be discontinued.

Active orders are automatically discontinued upon leave if the Type of Leave From (757) dictionary in myAvatar PM has the extended dictionary data element 772 (Discontinue Orders Upon Leave) set to Yes and the active orders for the episode do not have an order category of 'History-Only Order' or 'Leave Order'. This functionality is available when myAvatar PM Enhancement 653 (Update (1532) or equivalent is installed.

For orders automatically discontinued at discharge:

  • Orders that had a pre-existing status of 'Validation Required' will be changed to 'Discharge Discontinued While Validation Required' to indicate the client was discharged before the order could be validated.
  • Orders will be flagged as acknowledged and verified in the Nursing Order Acknowledgement and Nursing Order Verification forms to eliminate the need for manual acknowledgement and verification.
  • If the discontinued order required validation immediately prior to being discontinued, the order will be flagged automatically as requiring validation.
  • The orders will not be flagged as requiring validation based on the Order Entry security settings for the user.
  • The 'DC Entered By' field displays the text DISCHARGED FILED BY and the user's name to clearly indicate that the user filed the discharge that resulted in the discontinuation of the order and did not actually discontinue the order.  
  • If the user who filed the discharge is not defined as a CWS user, the 'DC Entered By' field will contain the user's ID.

When myAvatar Order Entry is integrated with RxConnect, the Reviewing Practitioner Who Is Not Enrolled field is hidden. This change supersedes any registry settings that might otherwise control these fields.

Prerequisites:

  • Give the user access to discontinue orders (Order Entry User Definition form).
  • Install myAvatar PM 2008 Enhancement 653 (Update 1532) or equivalent to utilize the functionality to automatically discontinue orders upon leave.
  1. In the Select Client screen, enter the client name or ID and select. Click Select.
  2. In the Renew/DC/Val section, select the order entry source.
  3. In the Delayed Entry field, select if the order is delayed. If the client has been discharged it is recommended the order be delayed. Delayed orders are filed after the order has been given to a client.
  4. In the Review Decision/Order Action field select Discontinue. Fields associated with discontinuing an order display.
  5. Click Display Order List/Select Order(s) to Review to display the Order Entry Client Profile Order List/Selection screen. Choose the orders and click Ok. Multiple orders can be selected.
  6. Click Display Details of Selected Order(s) to view the Client Profile - Order Details report for the selected orders. This report includes the order type, episode, and treatment setting for each order.
  7. If appropriate, click Re-Screen Order to perform clinical screening on the order. The order is screened against active orders for the client. If potential problems are detected a message displays. The Re-Screen Order button is enabled when the Clinical Screening Feature Available registry setting is enabled, and at least one of the selected orders is a pharmacy order type.
  8. In the Reviewing Practitioner field, enter the reviewing practitioner name or ID and select.
    The Reviewing Practitioner field is populated with the staff member associated with the user if Yes was selected for the Use Staff Member As Ordering Practitioner field in the Order Entry User Definition section of the Order Entry User Definition form. Staff member associations are made in the RADplus User Definition form.
  9. If the practitioner is not enrolled in the facility, enter the practitioner name in the Reviewing Practitioner Who Is Not Enrolled field. Practitioners are enrolled in the Practitioner Enrollment and Practitioner Enrollment (Brief) forms of myAvatar PM.
  10. In the Review Date and Review Time fields, enter the date and time the order was reviewed.
  11. In the Effective Date and Effective Time fields, enter the effective date and time for discontinuing the order. The effective date can be set to a future or past date, but it cannot be prior to the original order's start date.
  12. For the Renew/DC/Val. Reason Code field, select the discontinue reason code.
  13. For the Renew/DC/Val. Reason Text field, enter an explanation of the reason for discontinuing the order.
  14. In the Print Notification(s) field, select Yes to print a notification when the order is filed.
  15. If the order entry source has the Require Read-Back Confirmation extended dictionary set to Yes, the Confirmation: This Order Was Read Back To The Ordering Practitioner field displays. Select Yes if the order was read back to the ordering practitioner.
  16. Click File Data or File Data and Print Order.

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