Skip to main content

View or Change Orders

  1. Last updated
  2. Save as PDF

View orders and make changes or correct errors in original orders.

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

  • The View/Change Orders section is not intended for making significant changes to orders. If an order requires significant changes, the appropriate course of action is to discontinue the existing order and create a new order that reflects the needed changes.
  • Orders that meet any of the following conditions can be viewed but not changed:
    • The order has been renewed, validated, or discontinued.
    • The order has been acknowledged in myAvatar eMAR.
    • The order will be sent to RxConnect.
    • The number of minutes specified by the Disallow Order changes after x minutes registry setting has passed since the order was created.
  • In the For Outpatient/Partial Hosp. And Leave/Discharge Orders section:
    • The Expected Days Supply field defaults to the value entered in the Default Fill Days Supply field on the Default Settings For Processing An InboundHL7 Charge Batch form in myAvatar PM. If this value is not defined or if the myAvatar PM form is not available, a default value of "30" is used, which is the maximum allowed.
    • The Number of Refills Allowed field defaults to a value based on whether or not it is a controlled substance. Non-controlled substances will default to the value '99.' C-I and C-II controlled substances will default to a maximum value of '0', which is enforced. C-III, C-IV, and C-V controlled substances will default to a maximum value of '5', which is enforced. This field does not apply to inpatient settings; it is used to support NCPDP billing, including Medicare Part D.
  • For systems integrated with RxConnect, use the Order Category dictionary extended attributes Maximum Value Allowed for Expected Days Supply and Maximum Value for # of Refills Allowed to specify maximum values that cannot be exceeded for a specific Order Category. The intended use is to allow users to define a maximum amount for Leave and Discharge orders. For example, if the Maximum Value Allowed for Expected Days Supply extended attribute is "15" for Leave orders and the user enters "20" for the Expected Days Supply, an error message would indicate the Expected Days Supply cannot be greater than "15" for Leave orders.
  • The registry setting Require/Default Expected Days Supply and Number of Refills Allowed controls whether the Expected Days Supply and Number of Refills Allowed fields are required and populated with default values.
  • For NCPDP billing, myAvatar Order Entry sends the Expected Days Supply, Number of Refills, and DAW values for orders to RxConnect, where the information is used to generate pharmacy charges that contain NCPDP billing information sent to myAvatar PM.
  1. In the Select Client screen, enter the client name or ID and select.
  2. In the Client Profile section, select the filters used to determine the orders available for selection in the Client Profile/Physicians Orders form.

Change Information

  1. In the View/Change section, click Display Order List / Select Order To View or Change to display the Order Entry Client Profile Order List/Selection screen. Choose the order. One order at a time can be selected.
  2. Click Display Details of Selected Order to view the Client Profile - Single Order Details report for the selected order. This report includes the order type, episode, and treatment setting.
  3. Select the order entry source.
  4. 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.
  5. In the Reason For Change and Explanation of Change fields, enter a reason and explanation for the change.
  6. In the Order Changed By Practitioner field, enter the name or ID of the practitioner responsible for changing the order. The Ordering 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 form.
  7. If the practitioner is not enrolled in the facility, enter the practitioner name in the Order Changed By Practitioner Who Is Not Enrolled field. Practitioners are enrolled in the Practitioner Enrollment and Practitioner Enrollment (Brief) forms of myAvatar PM.
  8. In the Change Effective Date and Change Effective Time fields, select the date and time the changed order is to go into effect. The effective date can be a future or past date.

Order

  1. The Order Identification and Status field is display-only and shows client identifying information.
  2. The Order Type field displays the order type. If Pharmacy Orders is selected, complete the Pharmacy Order Types fields as appropriate.  
  3. In the Order Code field, enter the order code. If the order code was set up with an age/problem alert, a message displays notifying the user of the alert and requesting the entry of an override reason to continue with the order.
  4. In the Order Text field, enter a description of the order.
  5. In the Quantity and Quantity Unit fields, enter the order quantity and the quantity unit.
  6. In the Frequency Code field, enter the frequency code.
  7. In the Routine or PRN field, select how the order will be administered. This field is enabled when no frequency code is entered and is used for order reporting and data sorting.
  8. The Ordering Practitioner field displays the name of the practitioner who filed the order. Select a different practitioner as needed.
  9. If the practitioner is not enrolled in the facility, enter the practitioner name in the Ordering Practitioner Who Is Not Enrolled field. Practitioners are enrolled in the Practitioner Enrollment and Practitioner Enrollment (Brief) forms of myAvatar PM.
  10. If appropriate, in the Check here if this order is a FIRST DOSE of this medication field, select if the order is the first dose of a medication. An order designated as a first dose triggers a follow-up reminder in myAvatar eMAR. This allows the practitioner to record a first dose response. The First Dose field on the Avatar eMAR Administration Event screen will be selected until an administration event for the order has been filed.
  11. The Order Date field is display-only and cannot be edited.
  12. The Order Time field displays the time the order was originally written. Change the time as needed.
  13. In the Start Date field, enter the order start date. The order start date is the first date the order is given to the client; it can be set to a future or past date.
  14. In the Start Time field, enter the order start time.
  15. In the Current Stop Date and Current Stop Time fields, enter the order stop date and order stop time.
  16. If the Allow Open-Ended Orders registry setting is enabled, the Make Order(s) Open Ended field is enabled. Select Yes if the order has no duration or stop date. In the Order Code Setup form, selecting Yes for the Allow Open-Ended Orders field will also enable the Make Order(s) Open Ended field for a particular order code.
  17. For the Duration - Days field, enter the number of days for the duration of the order.
  18. If the Support Duration In Hours/Minutes registry setting is enabled, the Duration (Hours) and Duration (Minutes) fields display for specifying the order duration in any combination of days, hours, and/or minutes. Enter the durations.
  19. In the Reason Code field, enter the reason code.
  20. In the Reason Text field, enter reason text for an order without a defined reason code.
  21. If the order code has the Enable Sliding Scale Insulin Instructions option enabled, the Sliding Scale Insulin Instructions button displays. Click this button to enter sliding scale insulin instructions for the order (units may include up to one decimal), or optionally select a Sliding Scale Insulin template.
    • The instructions display in the Special/Additional Instructions field.
    • Click Clear Sliding Scale Insulin Instructions to remove the instructions from the order or enter different instructions.

Special Instructions/Comments/Outpatient Order

  1. In the Special/Additional Instructions field, enter specific order instructions to associate with a frequency code, or for an order without a frequency code.
  2. In the Comments field, enter comments about the order.
  3. In the Print Notification(s) field, select Yes if a notification should be printed when the order is filed.
  4.  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.
  5. In the For Outpatient/Partial Hosp. And Leave/Discharge Orders section:
  • In the Number of Refills Allowed field, enter the number of refills. This field is required for all pharmacy type orders (inpatient and outpatient).
  • In the Quantity To Be Dispensed field, enter the order quantity.
  • In the Dispense as Written (DAW) field, select Yes if the order is DAW. DAW orders prevent the medication from being substituted with a generic equivalent. This field is required if the client is assigned a guarantor that is defined as an NCPDP guarantor.

Customize Frequency Code

  1. In the Customize Frequency Code Attributes field, select Yes to customize the time-related attributes for the order. The time attributes can be specified even when a frequency code is not used. Then specify time attributes for the order.
  2. Specify the time attributes for the order.

Problems

  1. The Problems field displays only if the client has problems recorded in the Problem List form (Avatar CWS). This field displays all problems affiliated with the client and allows the user to associate those problems with an order. Select problems as applicable.
  2. In the Expected Days Supply field, enter the number of days the order supply is expected to cover. This field is required for all pharmacy-type orders. The system does not allow the default value for the Expected Days Supply to exceed "30".
  3. In the Fill Days Supply and Fill Quantity fields, enter the number of days and quantity for pharmacy-type orders.
  4. In the Route of Administration field, select the medication administration route for pharmacy-type orders.
  5. Click File Data or File Data And Print Order.

 

  1. Back to top
  • Was this article helpful?

Recommended articles

  1. Page type
    Reference
  2. Tags
    1. ava:oe
    2. myAvatar Client Information
    3. myAvatar Order Entry
    4. role:providingcare
    5. search:ready