Avatar - Order Entry Notification Report
An issue is resolved to ensure that the 'Order Entry Notification' report can be processed in a timely manner.
Value Added: Enhanced Order Entry Notification report
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Topics
• Order Entry Notifications
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Avatar OE - Specimen Collection
Two new extended attributes are added to Order Entry Client Information dictionary #10245 ('Specimen Type'): 'Specimen Site - eMAR' and 'Disable Specimen Site if Included in Order'. 'Specimen Site - eMAR' allows a facility to indicate whether the 'Collection Site' field on the Avatar eMAR 'Specimen Collection' dialog is enabled, disabled, or required. 'Disable Specimen Site if Included in Order' will disable the 'Collection Site' field on the Avatar eMAR 'Specimen Collection' dialog if the order being administered already includes a 'Specimen Site'. Please note that Avatar eMAR 2022 Update 2 and a myAvatar Client Update 3201-006 are required to take advantage of this new functionality.
Value Added: Extended Attributes have been added for additional functionality within eMAR
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Topics
• Avatar eMAR
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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.
Value Added: Orders in the Home Meds section can be configured to expire at a later date if a patient is taking a medication on an "As Needed" basis.
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Topics
• Order Entry Console
• Home Medications
• NX
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Home Medications - Client Reported
In the Order Entry Console (Home Medications, Admission Med Reconciliation, and Discharge Med Reconciliation sections), the phrase "Client Reported" and the abbreviation "CR" are replaced with "Reported".
Value Added: The phrase "Client Reported" and the abbreviation "CR" being replaced with "Reported" will allow more generic details for orders.
Home Medications - Reported Source Text
The 'Reported Source Text' field is added to the Order Entry Console (Home Medications section) for use with "Reported" medications. The value from the 'Reported Source Text' field is displayed in the 'Order Details' column of the lists of a client's existing Home Medications in the Order Entry Console (Home Medications, Admission Med Reconciliation, and Discharge Med Reconciliation sections).
Value Added: The 'Reported Source Text' field is added to document a reported source in more detail.
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Topics
• Order Entry Console
• Discharge Med Reconciliation
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OE NX - Lab Orders Outbound
Support is added for displaying and printing lab order requisition forms and ABN documents (Advance Beneficiary Notice of Noncoverage for Medicare beneficiaries).
Value Added: REQ and ABN documents have been added to the Order Entry Console when printing a lab-type order
OE NX - Lab Orders Outbound
Support is added for multi-select and date types of responses for Compendium AOEs for external lab vendors.
Value Added: Ask On Order Entry Date-type questions have been added
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Topics
• NX
• Ask on Order Entry questions
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OE NX - NPO (Nothing by Mouth) after Midnight to Discontinue Orders
A change is made to allow NPO orders to start at a specified future hour via the 'Future Start Time' field in the 'Order Code Setup' form. Additionally, any Order Types set to automatically discontinue via an NPO will have their 'DC Effective Date/Time' set to the NPO order's 'Start Date/Time'.
Value Added: Dietary Orders can be more easily discontinued when an NPO is ordered.
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Topics
• Order Entry Console
• NX
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Order Entry Console - Client Merge - OrderEntry.history_client_order
The 'OrderEntry.history_client_order' SQL table is enhanced for better performance, especially when running reports or queries that span clients. Note: A background process will be launched upon installation of this Update to finalize the optimization of this SQL table. This background process might take some time to complete (depending on the number of rows in this table), and any performance improvement will not be evident until this background process completes.
Value Added: The 'OrderEntry.history_client_order' SQL table is enhanced for better performance
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Topics
• Order Entry Console
• Order Fulfillment
• Client Merge
• NX
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Suppress Printing Of Order Notifications For Discontinued Orders
The 'Order Entry Notifications Routing Table', 'Order Entry Notifications Unit Routing Table', and 'Order Entry Notifications Program Routing Table' forms are enhanced by the addition of a 'Suppress Printing Of Order Notifications For Discontinued Orders On Modify Actions' prompt. These prompts, in conjunction with a new 'Suppress Notification print if Discontinued on Modify' registry setting, allow the application to be configured to suppress the automatic printing of Order Entry Notifications for the Discontinue portion of a Modify action. In addition, when Order Entry Notifications are printed for an automatic Discontinue upon discharge, the client's location prior to discharge is shown (instead of no location being shown).
Value Added: Added ability to suppress printing for discontinued orders during a modify.
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Topics
• Order Entry Notifications
• NX
• myAvatar/myAvatar NX
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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.
Value Added: Allows the ability to filter medications based on their priority.
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Topics
• NX
• 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.
Value Added: The 'Order Validation' form has been added to application to make it easier to validate existing orders.
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Topics
• Physician Order Validation
• NX
• Order Validation
• Forms
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Multiple Reasons - Home Medications
In the Order Entry Console (Home Medications section), an issue is resolved to display orders if any of the client's Home Medications contain multiple 'Reason Codes'. The order originates in the 'Orders This Episode' section with multiple 'Reason Codes' and is then "added to the Scratchpad" during Discharge Med Reconciliation.
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Topics
• NX
• Order Entry Console
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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.
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Topics
• 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.
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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.
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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.
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Topics
• Admission Med Reconciliation
• Discharge Med Reconciliation
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OE NX - HL7 Connection Monitor
In the Order Entry Console (Orders This Episode section), an issue is resolved where an HL7 message to convey an order to a pharmacy, lab, or other system might not be generated when the 'Activate' button is used for "Pre-Admit Orders". This issue occurs when a "Pre-Admit Order" required Validation and was Validated before being "activated".
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Topics
• Order Entry Console
• NX
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OE NX - Order Group Setup With Line Break
An issue is resolved in the Order Entry Console (Orders This Episode section) where the error "[SUBSCRIPT] GetOrderSets+62^OrderEntryConsoleDataAPIGetOrderSets *orderTypeAllowed" might occur when selecting an 'Order Group'.
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Topics
• Order Entry Console
• NX
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Diagnosis mapping for multiple Orders during Order Entry
A change is made to ensure that Diagnosis information entered during Order Entry is saved correctly when multiple orders are added to the Scratchpad before signing.
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Topics
• Order Entry Console
• NX
• Diagnosis
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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.
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.
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.
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Topics
• Order Entry Console
• NX
• myAvatar/myAvatar NX
• Home Medications
• myAvatar NX Only
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Avatar OE - OTE - Last Activity
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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Order Entry Console - Client Reported to Reported
Additional modifications are included to support the change from "Client Reported" to "Reported" in the Order Entry Console (Home Medications, Admission Med Reconciliation, and Discharge Med Reconciliation sections). The change from "Client Reported" to "Reported" was introduced via Avatar OE 2022 Update 23, along with an associated myAvatar Client Update or upgrade.
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Topics
• Order Entry Console
• 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).
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.
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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.
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Topics
• Sliding Scale Insulin
• NX
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