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Order Code Load Utility Via Micromedex Red Book Database
The 'Order Code Load Utility Via Micromedex Red Book Database' process is modified to better ensure that the NDCs selected for defining 'Order Codes' are recognized by CKO Server during clinical screening.
Included Updates
None
Product Update Form Description
An issue is resolved where the 'Order Code Load/Update Utility via Micromedex Red Book Database' process might sometimes define an 'Order Code' with a Micromedex 'Product Name ID' for an equivalent product rather than for the medication name used in the 'Order Code' 'Description'. This data issue could result in behavior where an order for a generic name 'Order Code' converts to a Brand name product in the Order Entry Console (Discharge Med Reconciliation section) when the inpatient order is added to the 'Home Medications Scratchpad (Post-Discharge)'. This data issue could also result in behavior where an order being placed in the Order Entry Console (Order This Episode section), when in "external pharmacy mode" to display the name of an equivalent product on the 'Final Review' dialog, rather than showing the medication name that was shown while adding the order to the Scratchpad. Also, the 'Order Code Load Utility Via Micromedex Red Book Database' process is modified to better ensure that the NDCs selected for defining 'Order Codes' are recognized by CKO Server during clinical screening.
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Topics
• NX
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OE NX - Home Medications - OrderConnect Links
In the Order Entry Console (Home Medications section), the 'External RxHx' and 'Prescriber's Queue' hyperlinks now use the 'Program' that is specified below the Scratchpad when launching to OrderConnect. The below-the-Scratchpad 'Program' is mapped to an OrderConnect 'Agency', which is then used during the authentication process when launching via these hyperlinks. Prior to this change, if a user launched to OrderConnect via either of these two hyperlinks (rather than the 'Order Labs' hyperlink), certain functions that the user might then navigate to within OrderConnect might be attributed to the wrong 'Agency' (location). The effect of this could include the printing of the wrong address on printed prescriptions. Note: RADplus middleware Update 3201-006 is required to make use of this new functionality.
Included Updates
None
Product Update Form Description
In the Order Entry Console (Home Medications section), the 'External RxHx' and 'Prescriber's Queue' hyperlinks now use the 'Program' that is specified below the Scratchpad when launching to OrderConnect. The below-the-Scratchpad 'Program' is mapped to an OrderConnect 'Agency', which is then used during the authentication process when launching via these hyperlinks. Prior to this change, if a user launched to OrderConnect via either of these two hyperlinks (rather than the 'Order Labs' hyperlink), certain functions that the user might then navigate to within OrderConnect might be attributed to the wrong 'Agency' (location). The effect of this could include the printing of the wrong address on printed prescriptions. Note: A RADplus middleware upgrade or Update is required to make use of this new functionality.
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Topics
• Order Entry Console
• NX
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NX - Default Duration of Home Meds orders with PRN frequency
The registry setting 'Default Duration for PRN prescriptions in OE Console (Home Meds)' is added. When this registry setting is set to a value greater than 0, then orders in the Home Medications section will have their 'Stop Date' calculated as the 'Start Date' plus the value of this registry setting whenever a PRN frequency is selected.
Note: This functionality is available only in myAvatar NX.
Included Updates
None
Product Update Form Description
The registry setting 'Default Duration for PRN prescriptions in OE Console (Home Meds)' is added. When this registry setting is set to a value greater than 0, then for PRN Rx orders in the Order Entry Console (Home Medications section) the 'Stop Date' will be calculated as the 'Start Date' plus the value of this registry setting, in days. Note: A myAvatar Client Update or upgrade must also be installed to enable this functionality. Also note that this functionality is available only in myAvatar NX.
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Topics
• Order Entry Console
• Home Medications
• NX
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OE NX - Order Entry Forms Printing - Alternate 7 day - Fill Details
In the 'Order Entry Forms Printing' form, an issue is resolved where the product strength for a medication order on any of the "Administration Record" forms might display the total dose to be administered rather than the actual product strength. For example, an order for "Zoloft 100 mg tablet, 200 mg twice daily" might be shown as "Zoloft 200 mg tablet, 200 mg = 2 tablets twice daily". These reports will now display the product strength within the description of the medication / product, which matches what is shown in Avatar eMAR. The actual content and format of the dosing instructions are based on what is received in the pharmacy fill details (when they are being used for these reports). Note that this issue occurs only when pharmacy fill details are being used to build the "Order Description". Also note that the format of the notation "200 mg = 2 tablets" shown in this example is the default format used in RxConnect, but that this format can be changed, resulting in less clear dosing information.
Included Updates
None
Product Update Form Description
In the 'Order Entry Forms Printing' form, an issue is resolved where the product strength for a medication order on any of the "Administration Record" forms might display the total dose to be administered rather than the actual product strength. For example, an order for "Zoloft 100 mg tablet, 200 mg twice daily" might be shown as "Zoloft 200 mg tablet, 200 mg = 2 tablets twice daily". These reports will now display the product strength within the description of the medication / product, which matches what is shown in Avatar eMAR. The actual content and format of the dosing instructions are based on what is received in the pharmacy fill details (when they are being used for these reports). Note that this issue occurs only when pharmacy fill details are being used to build the "Order Description". Also note that the format of the notation "200 mg = 2 tablets" shown in this example is the default format used in RxConnect, but that this format can be changed, resulting in less clear dosing information.
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Topics
• NX
• Order Entry Forms Printing
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Change Ordering Practitioner in myAvatar updates it in RxConnect
An issue is resolved where the 'Change Ordering Practitioner' and 'Change Ordering Practitioner (My Orders)' forms do not update the corresponding order in RxConnect.
Included Updates
None
Product Update Form Description
An issue is resolved where the 'Change Ordering Practitioner' and 'Change Ordering Practitioner (My Orders)' forms do not update the corresponding order in RxConnect.
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Topics
• Change Ordering Practitioner
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Avatar OE - Med Rec - Currently In Use Restrictions
An issue is resolved where users might not be warned, and prevented, from accessing the Admission Med Reconciliation or Discharge Med Reconciliation sections for a client/episode when that Medication Reconciliation is currently in use by another user.
Included Updates
9
Product Update Form Description
In the Order Entry Console, an issue is resolved where users might not be warned and prevented from accessing the Admission Med Reconciliation or Discharge Med Reconciliation sections for a client/episode when that Medication Reconciliation is currently in use by another user.
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Topics
• Admission Med Reconciliation
• Discharge Med Reconciliation
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Avatar OE - Renew Order
An issue is resolved to ensure that an order cannot be renewed for longer than the 'Maximum Eventual Order Duration' value for the order.
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OE NX - Home Medications - Reported Order
An issue is resolved to ensure that the error, "Error: ExternalMed.Dose_Form_Abbr Exceeds Maximum Size of 30", no longer occurs when saving a reported medication.
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OE NX - Order Entry Console - Priority Filter
The Order Entry Console (Home Medications and Orders This Episode sections) is enhanced to provide a 'Priority' filter to support filtering the list of the client's medications.
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OE NX - Home Medications - No Known Medications Check Box
An issue is resolved to ensure that the 'No Known Medications' checkbox, once checked, will continue to display as checked after navigating away and returning to the 'Home Medications' section.
Included Updates
2, 3, 5, 6, 7, 8, 11, 23, 24, 25, 33, 36, 41, 42
Product Update Form Description
The following issues are resolved: 1) The 'Order Code Setup' form is modified to no longer allow the selection of "inactive" 'Dispense Quantity Units' for the 'Default Dispense Quantity Unit' prompt. If an 'Order Code' is already defined with a 'Default Dispense Quantity Unit' that is currently "inactive", that "inactive" code will not be used as the default within the Order Entry Console (Home Medications and Discharge Med Reconciliation sections, and Orders This Episode and Admission Med Reconciliation sections when in "external pharmacy mode"). 2) In the Order Entry Console (Home Medications section), the error "Error: ExternalMed.Dose_Form_Abbr Exceeds Maximum Size of 30" that might occur when saving a "Reported" medication. 3) In the Order Entry Console (Orders This Episode section), an issue where an order could be renewed for longer than the 'Maximum Eventual Order Duration' value for the order. 4) In the Order Entry Console (Home Medications section), an issue where the 'No Known Medications' checkbox, once checked, might not display as checked after navigating away and returning to the 'Home Medications' section. In addition, the Order Entry Console (Home Medications and Orders This Episode sections) is enhanced to provide a 'Priority' filter to support filtering the list of the client's Home Medications by 'Priority'. 'Reported' medications that do not have a 'Frequency' selected (and therefore have no 'Priority' attribute) will be displayed only if "All" or "Unknown" are selected in the new filter. Note: A myAvatar Client Update or upgrade must be installed in order to make use of this enhancement. Also note that this enhancement is available only in myAvatar NX.
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Topics
• Order Entry Console
• NX
• myAvatar/myAvatar NX
• Home Medications
• myAvatar NX Only
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OE NX - Order Validation
The following enhancements are introduced: 1) The 'Order Validation' form is added. This form provides another way to Validate orders placed through the Order Entry Console (Orders This Episode section) and the 'Client Profile / Physician Orders' form. 2) The 'Physician Order Validation' and 'Order Validation' forms are enhanced to support the ability to remove the 'Refills Allowed' and 'Dispense Quantity' information that displays in the 'Details of Selected Orders' field. This functionality is enabled via the registry setting 'Display Refills Allowed and Dispense Quantity in Order Validation forms'. 3) The 'Enable Team filter in 'Physician Order Validation' form' and 'Allow multiple Client selection in 'Physician Order Validation' form' registry settings have been renamed to 'Enable filters in Order Validation forms' and 'Allow multiple Client selection in Order Validation forms' to encompass the new Order Validation form. Additionally, the 'Enable filters in Order Validation forms' registry setting now supports the ability to hide/show optional Unit, Program, and Team filters. Note: Avatar RADplus 2022 Update 71 must be installed for full functionality of the 'Order Validation' form.
Included Updates
2, 3, 5, 6, 7, 8, 11, 16, 23, 24, 25, 33, 36, 41, 42, 43
Product Update Form Description
The following enhancements are introduced: 1) The 'Order Validation' form is added. This form provides another way to Validate orders placed through the Order Entry Console (Orders This Episode section) and the 'Client Profile / Physicians Orders' form. 2) The 'Physician Order Validation' and 'Order Validation' forms are enhanced to support the ability to remove the 'Refills Allowed' and 'Dispense Quantity' information that displays in the 'Details of Selected Orders' field. This functionality is enabled via the registry setting 'Display Refills Allowed and Dispense Quantity in Order Validation forms'. 3) The 'Enable Team filter in 'Physician Order Validation' form' and 'Allow multiple Client selection in 'Physician Order Validation' form' registry settings are renamed to 'Enable filters in Order Validation forms' and 'Allow multiple Client selection in Order Validation forms', respectively, to encompass the new 'Order Validation' form. Additionally, the 'Enable filters in Order Validation forms' registry setting now supports the ability to hide/show 'Unit', 'Program', and 'Team' filters. Note: Avatar RADplus 2022 Update 71 must be installed for full functionality of the new 'Order Validation' form. Also a myAvatar Client Update or upgrade should be installed for optimal performance. In addition, the following issues are resolved: 1) The 'Physician Order Validation' form allows the original (now-DC'd) order that was acted on with a Modify action to be selected and Validated while the new order that was created via the Modify action still has an 'Order Status' of 'Validation Required' from when it was first created. 2) The 'Physician Order Validation' form does not also Validate the original (now-DC'd) order from a Modify action when Validating the order that was created via the Modify action. 3) The Order Entry Orders Web Service allows the original order that was acted on with a Modify action to be Validated while the new order that was created via the Modify action still has an 'Order Status' of 'Validation Required' from when it was first created. 4) The Order Entry Orders Web Service does not also Validate the original (now-DC'd) order from a Modify action when Validating the order that was created via the Modify action. Note: These changes bring the behavior of the 'Physician Order Validation' form into alignment with the Order Entry Console (Order This Episode section).
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Topics
• Physician Order Validation
• NX
• Order Validation
• Forms
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Included Updates
None
Product Update Form Description
An issue is resolved where the 'Last Activity' column in the Order Entry Console (Orders This Episode section) might not show the latest activity.
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Topics
• Order Entry Console
• myAvatar/myAvatar NX
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Avatar OE - Allergy Screening Warning - Incomplete Screening
An issue is resolved to ensure when using Micromedex CKO Server for clinical screening, a message is displayed that alerts the user when the client has an active allergy that cannot be screened because the 'Allergen Code' is defined for use with FDB (and therefore cannot be screened by CKO Server).
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Avatar OE - Drug Interaction - NDC Not In Micromedex
An issue is resolved to ensure when using Micromedex CKO Server via "direct connection" for clinical screening, if an 'Order Code' is defined with an 'NDC' that is not recognized by CKO Server, the messages displayed to the user will show a description of the item that cannot be processed for clinical screening.
Included Updates
2, 3, 5, 6, 7, 8, 9, 11, 16, 23, 24, 25, 31, 33, 36, 41, 42, 43, 44, 46
Product Update Form Description
The following issues are resolved in the Order Entry Console (Orders This Episode and Admission Med Reconciliation sections): 1) When using Micromedex CKO Server via "direct connection" for clinical screening, if an 'Order Code' is defined with an 'NDC' that is not recognized by CKO Server, the messages displayed to the user show only the invalid NDC, and do not show a description of the item that cannot be processed for clinical screening. 2) When using Micromedex CKO Server for clinical screening, a message might not be displayed that alerts the user when the client has an active allergy that cannot be screened because the 'Allergen Code' is defined for use with FDB (and therefore cannot be screened by CKO Server).
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Topics
• Order Entry Console
• NX
• myAvatar/myAvatar NX
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Avatar OE - SSI functionality
In the Order Entry Console (Orders This Episode section), the 'Sliding Scale Instructions' dialog is enhanced to allow the user to removed all saved rows.
Included Updates
None
Product Update Form Description
In the Order Entry Console (Orders This Episode section), the 'Sliding Scale Instructions' dialog is enhanced to allow the user to removed all saved rows.
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Topics
• Sliding Scale Insulin
• NX
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