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Avatar CWS 2023 Update 84

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Product Requirements and Recommendations

Avatar CWS required
RADplus required

Recommended Update Level

Avatar CWS 2023 Monthly Release 2023.03.02
RADplus 2023 Monthly Release 2023.03.02

Product Update Description

Support for uncoded allergies is added to CWS. Access to uncoded allergies is granted via the new 'Allow Access to Uncoded Allergies' registry setting.

Required Updates

None

Included Updates

5, 8, 9, 53, 62, 81

Details
NEW1 CHANGED0 FIXED0
New (1)
CWS - Uncoded allergies
The ability to enter uncoded (free text) allergies in Avatar CWS has been added to the application via the 'Allow Access to Uncoded Allergies' registry setting.
Value Added: Support for uncoded allergies is added to CWS
Topics
• Allergies and Hypersensitivities
 
Acceptance Tests
AV-75986 Summary | Details
CWS - Uncoded allergies
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Allergies and Hypersensitivities
  • BedBoard
  • CareFabric Monitor
  • Current Medication Profile
  • eMAR
  • HL7 Connection Monitor
  • Launch OrderConnect
  • Medical Note
  • Orders This Episode
Scenario 1: Uncoded Allergies
Specific Setup:
  • In order to utilize this functionality the following updates must be installed:
  • Avatar CWS 2023 Update 84
  • Avatar OE 2023 Update 41
  • Avatar eMAR 2023 Update 22
  • Avatar CareFabric 2023 Update 63
  • Avatar HL7 2023 Update 8
  • RADplus Client Update 3392.007
  • A client must be admitted to an inpatient episode with no allergies existing. (Client A)
  • "Client A" must be associated with a user role. (HomeviewCLINICIAN)
  • Two users must exist. One that is associated with a user role (User A) and one who is not. (User B)
  • The 'Avatar CWS->CWS Utilities->Set System Defaults->CWS Allergies->->Allow Access to Uncoded Allergies' registry setting must be set to "HomeviewCLINICIAN".
  • Please log out of the application and log back in after completing the above configuration.
  • Make note of the 'Unit' and 'Room' associated with "Client A".
  • "User A" must be logged into the application.
Steps
  1. Select "Client A" and access the 'Allergies and Hypersensitivities' form.
  2. Validate that no values are selected in the 'Known Medications Allergies' and 'Known Food Allergies' fields.
  3. Click [Update].
  4. Click [New Row] and add a row for "BASIC CARE IBUPROFEN" with the following 'Comment' of "do not administer ibuprofen".
  5. Click [New Row] and add a row for "Uncoded Drug (Uncoded-Drug)" with the following 'Comment' of "Uncoded Drug- Prozatec".
  6. Click [New Row] and add a row for "Uncoded Environmental (Uncoded-Envr)" with the following 'Comment' of "Uncoded Environment - Thunderstorm".
  7. Click [New Row] and add a row for "Uncoded Food (Uncoded-Food)" with the following 'Comment' of "Uncoded Food - Peanut oil".
  8. Click [Save].
  9. Validate the 'Known Medication Allergies' field is disabled and has "Yes" selected.
  10. Validate the 'Known Food Allergies' field is disabled and has "Yes" selected.
  11. Click [Submit].
  12. Access the 'Allergies and Hypersensitivities' form.
  13. Validate the 'Client Information' banner contains "Allergies (4) 1) BASIC CARE IBUPROFEN - Confirmed 2) Uncoded Drug: Uncoded Drug- Prozatec - Confirmed 3) Uncoded Environmental: Uncoded Environment - Thunderstorm - Confirmed 4) Uncoded Food: Uncoded Food - Peanut oil - Confirmed".
  14. Click [Display] in the 'Allergies and Hypersensitivities' form and validate a 'Client Allergies/Hypersensitivities' report is displayed and includes all of the information entered in the 'Allergies and Hypersensitivities' form and close the report and the form.
  15. Open the Client Dashboard and validate the 'Client Information' banner contains "Allergies (4) 1) BASIC CARE IBUPROFEN - Confirmed 2) Uncoded Drug: Uncoded Drug- Prozatec - Confirmed 3) Uncoded Environmental: Uncoded Environment - Thunderstorm - Confirmed 4) Uncoded Food: Uncoded Food - Peanut oil - Confirmed" and click [Close].
  16. Access "Med Note" and click "Allergies" on the 'Facesheet' tab.
  17. Validate the following are displayed:
  18. BASIC CARE IBUPROFEN
  19. Uncoded Drug: Uncoded Drug - Prozatec
  20. Uncoded Environmental: Uncoded Environment - Thunderstorm
  21. Uncoded Food: Uncoded Food - Peanut oil
  22. Click [Reviewed with Client].
  23. Select the 'BedBoard' widget.
  24. Click the unit associated with "Client A".
  25. Select "Client A" under the appropriate room number.
  26. Validate that under 'Allergies" that the following is displayed: "BASIC CARE IBUPROFEN (Severity);Uncoded Drug (Severity);Uncoded Environmental (Severity);Uncoded Food (Severity)" and click [Cancel].
  27. Access the Order Entry Console.
  28. Validate the 'Client Information' banner contains the following: "Allergies (4)↳Allergies Reviewed=Yes (Date Reviewed) ↳1) BASIC CARE IBUPROFEN - Status ↳2) Uncoded Drug: Uncoded Drug- Prozatec - Status ↳3) Uncoded Environmental: Uncoded Environment - Thunderstorm - Status ↳4) Uncoded Food: Uncoded Food - Peanut oil - Status".
  29. Search for and select "BASIC CARE IBUPROFEN" in the 'New Order' field.
  30. Validate a warning indicator and "At least one warning has been found with this order" appears under the 'New Order' field.
  31. Click the link and validate the following is displayed in the 'Interactions' dialog on the 'Interactions' tab:
  32. Uncoded Allergies Filed Warning: The following uncoded allergies are on file for TESTA,ALLERGY (Client ID: 1468): Uncoded Drug: Uncoded Drug- Prozatec, Uncoded Environmental: Uncoded Environment - Thunderstorm, Uncoded Food: Uncoded Food - Peanut oil. These allergies will be not be screened for drug interactions. Allergy Interaction(s) Reaction Severity Filter Level being used: # Drug: BASIC CARE IBUPROFEN 100 MG ORAL TABLET, CHEWABLE Allergen: BASIC CARE IBUPROFEN Description: BASIC CARE IBUPROFEN Screening Message: A history of hypersensitivity to the following substance has been noted for this patient: BASIC CARE IBUPROFEN. There was an experienced reaction of the reactions selected (Reaction Severity: severity selected).
  33. Click [Close].
  34. Access the 'CareFabric Monitor' form.
  35. Select the current date in the 'From Date' and 'Through Date' fields.
  36. Search for and select "Client A" in the 'Client ID' field.
  37. Search for "allergycreated" in the 'Event/Action Search' field and select "Allergy/Created Out".
  38. Validate "Allergy/Created" is displayed and checked off in the 'Select Event/Actions' field.
  39. Click [View Activity Log].
  40. Validate that 4 rows are selected
  41. Click the 1st 'Click To View Record' link and validate that "name":"BASIC CARE IBUPROFEN" is displayed and click the 'Main Report' tab.
  42. Click the 2nd 'Click To View Record' link and validate that "name":"Uncoded Drug: Uncoded Drug- Prozatec" is displayed and click the 'Main Report' tab.
  43. Click the 3rd 'Click To View Record' link and validate that "name":"Uncoded Environmental: Uncoded Environment - Thunderstorm" is displayed and click the 'Main Report' tab.
  44. Click the 4th 'Click To View Record' link and validate that "name":"Uncoded Food: Uncoded Food - Peanut oil" is displayed and click [Close Report] and close form.
  45. Access the 'Launch OrderConnect' form.
  46. Click [Launch OrderConnect Prescriptions].
  47. Validate the 'Known Allergies' section contains: "BASIC CARE IBUPROFEN, Uncoded Drug: Uncoded Drug - Prozatec, Uncoded Environmental: Uncoded Environment - Thunderstorm, and Uncoded Food: Uncoded Food - Peanut oil" and click [Close Chart] and close form.
  48. Log out of the application and log back in as "User B".
  49. Select "Client A" and access the 'Allergies and Hypersensitivities' form.
  50. Click [Update] and [New Row].
  51. In the 5th 'Allergen/Reactant' cell search for "Uncoded" and press Tab.
  52. Validate a message is displayed stating: "Allergen/Reactant Code Not Found. No Allergen/Reactant code or Allergen/Reactant code description matches 'UNCODED'." and click [OK] and [Close/Cancel].
  53. Validate a message is displayed stating "You have made changes to the table. Are you sure you want to cancel and lose these changes?" and click [Yes] and close the form.
Topics
• Allergies and Hypersensitivities
Table Changes

Table|Column|Change --|-|- SYSTEM.CWSSystemUtilities2