OE NX - Order Status Filter - Default Status
The registry setting 'OE Console (Home Meds section) Default Order Status Filter' is added. This registry setting is used to indicate the default value for the order 'Status' filter to be used in the Order Entry Console (Home Medications section), with the choices being "Active" or "Active + Expired + Pending". Please note that this registry setting is used only in myAvatar NX, that the "Active + Expired + Pending" 'Status' filter choice is supported only in myAvatar NX, and that a Avatar NX Release 2022.08.00 is also required to enable this functionality.
Value Added: A registry setting is added to allow a default order 'Status' filter on the 'Home Medications' tab of the Order Entry Console
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Topics
• Order Entry Console
• NX
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Avatar eMAR - Lines/Tubes/Drains/Devices
Avatar Order Entry is enhanced to support the use of 'Lines/Tubes/Drains/Devices' data in Avatar eMAR. Please note that this functionality is introduced in Avatar eMAR 2022 Update 15.
Value Added: Support Functionality for Lines/Tubes/Drains/Devices
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Topics
• Avatar eMAR
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Order Entry Console - Non-Product-Based Ordering - Non-Pharmacy-type order search
In the Order Entry Console (Orders This Episode and Admission Med Reconciliation sections), when the registry setting 'Enable Non-Product-Based Ordering in Order Entry Console (Orders This Episode)' is enabled, the 'New Order' search is enhanced to include 'Order Codes' in the search results if the actual 'Order Code' itself matches the specified search text. Note: When Non-Product-Based Ordering is enabled, including 'Order Codes' in the search results based on a match on the 'Order Code' itself is supported for non-pharmacy-type 'Order Codes', only.
Value Added: Avatar Order Entry is enhanced to allow searching non-pharmacy-type order codes
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Topics
• Order Entry Console
• NX
• Non-Product Based Ordering
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Include Ability to Prevent Admission Medication Reconciliation if Home Medications is Not Documented
The registry setting 'Prevent Admission Med Reconciliation if med history not completed on Home Meds' is added. If this setting is set to "Y", then a new checkbox prompt called 'Medication history reviewed and completed for Episode ###' will be available in the Order Entry Console (Home Medications section), and Admission Med Reconciliation will be prevented unless that new checkbox prompt is checked.
Note: Avatar NX Release 2022.09.00 must be installed to make use of this functionality. Also note that this functionality is available only in myAvatar NX.
Value Added: Starting the Admission Medication Reconciliation is prevented until Home Medications / medication history is marked as reviewed.
Notify Attending Practitioner
In the Order Entry Console (Home Medications section), a new button called 'Notify Attending Practitioner' is added when the registry setting 'Prevent Admission Med Reconciliation if med history not completed on Home Meds' is set to "Y". This button launches a dialog that allows the user to send a notification to the client's 'Attending Practitioner' (or another practitioner) to inform that practitioner that the Home Medications section is complete and ready for Admission Med Reconciliation.
Value Added: myAvatar NX is enhanced with the registry setting 'Prevent Admission Med Reconciliation if med history not completed on Home Meds' and In the Order Entry Console (Home Medications section), a new button called 'Notify Attending Practitioner'.
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Topics
• Order Entry Console
• NX
• myAvatar NX Only
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OE NX - Home Medications - PDMP
A 'PDMP' hyperlink is added to the Order Entry Console (Home Medications section), providing access to Prescription Drug Monitoring Program data for controlled substances (when available to the current user for the selected client). 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.
Value Added: The PDMP link has been added to the Home Medications section of the Order Entry Console
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Topics
• Order Entry Console
• NX
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OE NX - Discharge Reconciliation - Preferred Pharmacy
When displaying a previously-completed Discharge Med Reconciliation, the Order Entry Console now displays the client's 'Preferred Pharmacy' (if the client had a 'Preferred Pharmacy' on file at the time of the Discharge Med Reconciliation). Note that this displayed 'Preferred Pharmacy' is not necessarily the pharmacy to which any of the prescriptions were sent when the Discharge Med Reconciliation was signed.
Note: A myAvatar Client Update or upgrade must also be installed in order to enable this functionality.
Value Added: A clinician will now have the ability to see a client's preferred pharmacy at the time discharge med rec was completed.
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Topics
• Order Entry Console
• Discharge Med Reconciliation
• NX
• Admission Med Reconciliation
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Medication Education
The 'Education' button is added to the Order Entry Console (Orders This Episode section). The 'Education' button provides users the ability to indicate (at the time that the order is placed) that client education was already provided, in which case this information will be passed along to Avatar eMAR, thereby satisfying the requirement to perform 'Client Education' in Avatar eMAR (if that functionality is enabled in Avatar eMAR).
Value Added: The 'Education' button provides users the ability to give client education at the time the order is created.
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Topics
• NX
• myAvatar/myAvatar NX
• eMAR
• Order Entry Console
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OE NX - NADEAN
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") is enhanced to support recent changes to NADEAN regulatory requirements. Until recently, some medications (those containing buprenorphine) could be prescribed only by practitioners who had a NADEAN. (The NADEAN for the 'Ordering Practitioner' is stored within and supplied by OrderConnect during the ordering process.) Recent regulatory changes now allow buprenorphine-containing medications to be prescribed by practitioners who do not have a NADEAN, if the medication is being prescribed for pain rather than for addiction treatment or detox. In the Order Entry Console, all such medications now require the user to indicate a 'Reason' for the order. The prescriber does not need to have a NADEAN in order to use "eRx" for such medications if the 'Reason' ('Reason Code' or 'Reason Text') contains the word "pain" (case-insensitive). Note: A myAvatar Client Update or upgrade must also be installed to fully enable these changes.
Value Added: Order Entry has been enhanced to support recent NADEAN regulatory requirements
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Topics
• Order Entry Console
• NX
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OE NX - Order Entry Console - Copy SSI Instr. into 'Directions' field.
The registry setting 'Copy SSI Instr. into 'Directions' in OE Console (OTE in external pharmacy mode)' is added. If this registry setting is set to "Y", then the Sliding Scale Insulin instructions formatted text will be copied into the 'Directions' field when creating a new order in "external pharmacy mode" in the Order Entry Console (Orders This Episode section). These SSI instructions will utilize the newly-added 'Period X Short Column Name' fields from the 'Sliding Scale Insulin Template Setup' form (when populated), in preference to the 'Period X Column Name' fields from that form.
Value Added: Allows the Sliding Scale Instructions to be copied into the 'Directions' field in the Order Entry Console (Orders This Episode and Admission Reconciliation sections) when in external pharmacy mode.
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Topics
• Order Entry Console
• NX
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Avatar OE - No Known Allergy/No Known Drug Allergy - Interaction Warnings
Avatar OE is enhanced so that when clinical screening is performed via Micromedex CKO Server for a client who has either "No Known Allergies" or "No Known Drug Allergies" recorded as an allergy, the warning "Currently this patient has reported no known allergies. No allergy screens were conducted" (which must be overridden) is no longer presented for every pharmacy-type order.
Value Added: An unnecessary, repetitive warning that must be overridden is no longer shown when a client has either "No Known Allergies" or "No Known Drug Allergies" recorded as an allergy.
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Topics
• NX
• myAvatar/myAvatar NX
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Order Entry Console - 'Prevent Entry of Auto-DC Order Types When Active Order Exists'
The field 'Prevent Entry of Auto-DC Order Types When Active Order Exists?' is added to the 'Order Code Setup' form. Previous development provided functionality in the Order Entry Console (Orders This Episode section) to automatically discontinue existing active client orders when a new order is placed, based on the 'Automatic Discontinuation of Order Types' attribute of the 'Order Code' being used for the new order. Now, when the new 'Order Code' attribute 'Prevent Entry of Auto-DC Order Types When Active Order Exists?' is set to "Yes", users will be warned when placing an order that would conflict with a prior order, when the prior order's 'Order Code' is defined to automatically discontinue the orders that have the new order's 'Order Type' (based on the 'Order Code' attribute 'Automatic Discontinuation of Order Types').
Value Added: Enhances the Order Entry Console to warn a user prior to automatically discontinuing an order.
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Topics
• NX
• myAvatar/myAvatar NX
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Avatar Order Entry - Multi Lab Tests
Avatar OE is enhanced in the following ways:
1) Support is added for sending multiple laboratory orders in a single requisition for laboratory vendors who support it (for example: Labcorp and Quest). Note: This feature requires Avatar CareFabric 2022 Update 64, Avatar CWS 2022 Update 86 and must be enabled via the new registry setting 'Enable Order Message Queue and Multi-Test Lab Orders'.
2) Additional configuration options are available for laboratory order interfaces via the 'External Lab/Radiology Definition For CareConnect' form.
3) Laboratory orders that are configured for recurring orders interface processing will produce new order messages for scheduled collections in scenarios where the order's 'Start Date/Time' is prior to the current date/time.
Value Added: Avatar Order Entry is enhanced to support Multi Lab tests
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Topics
• Order Entry Console
• NX
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'Avatar eMAR - Administration Follow-Ups Generated By Reason Code'
Avatar OE is enhanced to support 'Follow-Up Reminders' for an 'Administration Event' within Avatar eMAR being generated based upon an order's 'Reason Code'. This is achieved via three new extended attributes off of the 'Reason Code Setup' dictionary (Order Entry Tabled Files, data element 504): 'Generate eMAR Follow-Up Reminders', 'Time Interval For eMAR Follow-Up Reminder (Minutes)', and 'eMAR Follow-Up Reminder Heading'.
Note: Avatar eMAR 2022 Update 16 must also be installed in order to make use of this functionality.
Value Added: Allows the ability to define Reason Codes for which a follow-up should be generated after an administration.
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Topics
• NX
• myAvatar/myAvatar NX
• Avatar eMAR
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Avatar OE - Eggs and Pork - Food Allergies
The 'OrderEntry.history_client_allergies' SQL table is updated so that the columns 'allergy_type_code' and 'allergy_type_value' take into account the 'Treat as Allergy Type' field from the 'Allergen Code'. Support for the 'Treat as Allergy Type' field in the 'Allergen/Reactant Code Setup' form is added with Avatar CWS 2022 Update 92.
Value Added: The 'OrderEntry.history_client_allergies' SQL table has been updated.
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Topics
• Allergies and Hypersensitivities
• NX
• myAvatar/myAvatar NX
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Discharged - Team Assigned Client
An issue is resolved to allow a client assigned to a team to be discharged using the 'Discharge' form.
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Topics
• Order Entry Console
• NX
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Maximum Duration - Maximum Eventual Order Duration Defined
An issue is resolved where a 'Maximum Duration (Hours)' or 'Maximum Duration (Minutes)' is enforced for order codes with a 'Maximum Eventual Order Duration' defined.
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Topics
• Order Entry Console
• NX
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Order Code Load/Update Utility Via Micromedex Red Book Database - Create/Update Order Codes
An issue is resolved to ensure no errors are received when running the 'Create/Update Order Codes' process via the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form.
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Topics
• Forms
• NX
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OrderConnect - Dictionary Codes
An issue is resolved where OrderConnect-related dictionaries in myAvatar might (rarely) have all codes inactivated as a result of an attempt to automatically synchronize these dictionaries with OrderConnect.
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Topics
• NX
• myAvatar/myAvatar NX
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Avatar OE - OTE - Order Group Dialog
An issue is resolved to ensure that the frequencies set up in the 'Order Group Setup' form will be the defaulted frequency when looking at the 'Order Group' dialog in OTE.
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Topics
• NX
• myAvatar/myAvatar NX
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Avatar OE - Orders This Episode - Order Groups with NADEAN Required Orders
In the Order Entry Console (Orders This Episode section), the following issues are resolved:
1) In myAvatar, the 'Order Group' dialog does not launch when selecting an 'Order Group' that contains 'Order Codes' for medications that might require a NADEAN for prescribing.
2) In myAvatar NX, medications that might require a NADEAN for prescribing might not require a 'Reason' and/or the 'Note to Pharmacist' when using the 'Order Group' dialog.
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Topics
• NX
• myAvatar/myAvatar NX
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Order Validation - Multiple Clients - Order Details
An issue is resolved in the 'Physician Order Validation' and 'Order Validation' forms to ensure that when multiple clients' orders are selected together, the details shown in the 'Details of Selected Orders' box displays the correct information.
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Topics
• Physician Order Validation
• NX
• Order Validation
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Order Entry User Role - Order Entry User Role Definition
An issue is resolved to ensure that no errors are received in Cache 2010 environments when querying the 'OrderEntry.OrderEntry_user' or 'OrderEntry.OrderEntry_user_role' table and including the field 'dflt_to_client_rpt_value'.
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Topics
• Order Entry User Definition
• Order Entry User Role
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