Allergies and Hypersensitivities - No Known Drug Allergy
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Allergies and Hypersensitivities
- HL7 Connection Monitor
- Orders This Episode
Scenario 1: 'Known Medication Allergies' and 'Known Food Allergies' in ADT Outbound messages
Specific Setup:
- An ADT-Outbound connection must be configured for HL7.
- Three clients must exist that each have an active episode. (Client A) (Client B) (Client C)
- “Client A”, "Client B", and "Client C" must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
- Select "Client A" and access the 'Allergies and Hypersensitivities' form.
- Click [Update], validate there are no rows in the grid, and click [Close/cancel].
- Select "No" in the 'Known Medication Allergies' field.
- Select "No" in the 'Known Food Allergies' field.
- Click [Submit].
- Access the 'HL7 Connection Monitor' form and select the "ADT Outbound" connection.
- Validate that the 'Last Message Processed' contains an 'AL1-3.2' segment = "NKDA - NO KNOWN DRUG ALLERGIES".
- Create a report using the ‘cw_client_clinical_info’ table and validate that the row for "Client A" has an "N" for the 'known_med_allergies_code', and for the 'known_allergies_code'.
- Access the 'Allergies and Hypersensitivities' form and click [Update].
- Add a new row for any medicine (for example, Penciclovir) with a "Confirmed" status and click [Save].
- Validate 'Known Medication Allergies' field is disabled and has "Yes" selected.
- Exit the form without submitting.
- Access the 'HL7 Connection Monitor' form, click [Refresh Monitor], and select and select the "ADT Outbound" connection.
- Validate that the 'Last Message Processed' contains an 'AL1-3.2' segment = "PENCICLOVIR".
- Refresh the report and validate that the row for "Client A" has a "Y" for the 'known_med_allergies_code' and for the 'known_allergies_code'.
- Close the 'HL7 Connection Monitor' form and clear "Client A".
- Select "Client B" and access the 'Allergies and Hypersensitivities' form.
- Click [Update].
- Add a new row for any food allergy (for example, SHELLFISH) with a "Confirmed" status and click [Save].
- Validate 'Known Food Allergies' is set to "Yes" and is disabled.
- Exit the form without submitting.
- Access the 'HL7 Connection Monitor' form and select the "ADT Outbound" connection.
- Validate that the 'Last Message Processed' contains 2 'AL1' segments.
- The 1st 'AL1-3.2' segment = "SHELLFISH".
- The 2nd 'AL1-3.2' segment = "NO KNOWN DRUG ALLERGIES - NKDA".
- Refresh the report and validate that the row for "Client B" has a "Y" for the 'known_food_allergies_code' and for the 'known_allergies_code'.
- Close the 'HL7 Connection Monitor' form and clear "Client B".
- Select "Client C" and access the 'Allergies and Hypersensitivities' form.
- Click [Update], validate that there is no row in the grid.
- Add a new row for any food allergy (for example, SHELLFISH) with a "Confirmed" status.
- Add a new row for any medicine allergy (for example, Penciclovir) with "Confirmed" status and click [Save].
- Validate the 'Known Medication Allergies' field is disabled and has "Yes" selected.
- Validate the 'Known Food Allergies' field is disabled and has "Yes" selected.
- Click [Submit].
- Click 'myDay'.
- Access the 'HL7 Connection Monitor' form and select the "ADT Outbound" connection.
- Validate that the 'Last Message Processed' contains 2 'AL1' segments.
- The 1st 'AL1-3.2' segment = "SHELLFISH".
- The 2nd 'AL1-3.2' segment = "PENCICLOVIR".
- Refresh the report and validate that the row for 'Client C' has a "Y" for the 'known_food_allergies_code', 'known_med_allergies_code', and for the 'known_allergies_code'.
- Access the 'Allergies and Hypersensitivities' form click [Update].
- Edit the row for the medication allergy and set the 'Status to "Invalid" and click [Save].
- Select "No" in the 'Known Medication Allergies' field and click [Submit].
- Access the 'HL7 Connection Monitor' form.
- Click [Refresh Monitor].
- Select the "ADT Outbound" connection.
- Validate that the 'Last Message Processed' contains 3 'AL1' segments.
- The 1st 'AL1-3.2' segment = "SHELLFISH".
- The 2nd 'AL1-3.2' segment = "PENCICLOVIR".
- The 3rd 'AL1-3.2' segment = "NO KNOWN DRUG ALLERGIES - NKDA".
- Refresh the report and validate that the row for "Client C" has a "Y" for the 'known_food_allergies_code' and 'known_allergies_code', and has an "N" for 'known_med_allergies_code'.
- Access the 'Allergies and Hypersensitivities' form click [Update].
- Edit the row for the food allergy, set the 'Status' to "Invalid", and click [Save].
- Select "No" in the 'Known Food Allergies' field and click [Submit].
- Access the 'HL7 Connection Monitor' form.
- Click [Refresh Monitors].
- Select the "ADT Outbound" connection.
- Validate that the 'Last Message Processed' contains 3 'AL1' segments.
- The 1st 'AL1-3.2' segment = "SHELLFISH".
- The 2nd 'AL1-3.2' segment = "PENCICLOVIR".
- The 3rd 'AL1-3.2' segment = "NO KNOWN DRUG ALLERGIES - NKDA".
- Refresh the report and validate that the row for "Client C" has an "N" for the 'known_food_allergies_code', the 'known_allergies_code', and the 'known_med_allergies_code'.
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Topics
• Allergies and Hypersensitivities
• HL7
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