Skip to main content

Avatar OE 2022 Update 47

  1. Last updated
  2. Save as PDF

Product Requirements / Recommendations

Avatar CWS required
Avatar OE required
RADplus required

Recommended Update Level

RADplus 2022 Update 79

Additional Requirements

Note: Avatar NX Release 2022.09.00 must also be installed to make use of these enhancements. Also note that this functionality is available only in myAvatar NX.

Product Update Form Description

The following enhancements are introduced: 1) 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. 2) 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. Note: Avatar RADplus 2022 update 79 is required for full functionality. Also note that a myAvatar Client Update or upgrade must also be installed to make use of these enhancements. Also note that this functionality is available only in myAvatar NX.

Included Updates

2, 3, 5, 6, 7, 8, 9, 11, 16, 23, 24, 25, 31, 33, 36, 41, 42, 43, 44, 46

Required Updates

None

Details
NEW2 CHANGED0 FIXED0
New (2)
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.
Topics
• myAvatar NX Only • NX • Order Entry Console
 
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.
Avatar RADplus 2022 update 79 is required for full functionality. Also note that an Avatar NX Release 2022.09.00 must also be installed to make use of this functionality. Also note that this functionality is available only in myAvatar NX.
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'.
Topics
• NX • Order Entry Console
 
Acceptance Tests
AV-78981 Summary | Details
Include Ability to Prevent Admission Medication Reconciliation if Home Medications is Not Documented
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Entry Console
Scenario 1: OE NX - Admission Med Reconciliation - Ability to reconcile when client has no active orders
Specific Setup:
  • Avatar OE 2022 Update 47 and Avatar NX Release 2022.09.00 are required in order to utilize full functionality.
  • The 'Avatar Order Entry->Facility Defaults->Medication Reconciliation->->->Prevent Admission Med Reconciliation if med history not completed on Home Meds' registry setting must be set to "N".
  • Please log out of the application and log back in after completing the above configuration.
  • A client must have an active inpatient episode. (Client A)
  • “Client A” must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
  • "Client A" must not have any active orders in the Order Entry Console (Orders This Episode or Home Medications sections).
Steps
  1. Select "Client A" and access the Order Entry Console.
  2. Select the 'Admission Reconciliation' tab.
  3. Validate that there are no orders displayed.
  4. Validate [Hold in Pending Status] and [Reconcile & Sign] are enabled.
  5. Click [Hold in Pending Status]
  6. Validate that [Restart Reconciliation], [Edit Pending Reconciliation], and [Activate for Reconciliation] are enabled.
  7. Click the 'Orders This Episode' tab and then the 'Admission Reconciliation' tab.
  8. Validate that "Previously saved Medication Reconciliation is displayed. Saved by User who completed the reconciliation on Date and time that the reconciliation took place." is displayed in the top left corner of the tab.
  9. Click [Edit Pending Reconciliation].
  10. Validate that a Warning message is displayed stating "Admission Medication Reconciliation has not been updated to reflect any changes to inpatient or discharge medications since previously saved. Please review accordingly." and click [Ok]
  11. Validate that [Restart Reconciliation] and [Edit Pending Reconciliation] are disabled.
  12. Validate that [Hold in Pending Status] and [Reconcile & Sign] are enabled.
  13. Click [Reconcile & Sign].
  14. Validate that the tab is in view-only mode.
  15. Click the 'Orders This Episode' tab and then the 'Admission Reconciliation' tab.
  16. Validate that "Previously saved Medication Reconciliation is displayed. Saved by User who completed the reconciliation on Date and time that the reconciliation took place." is displayed in the top left corner of the tab.
Scenario 2: OE NX - 'No Known Medications' = Checked - 'Prevent Admission Med Reconciliation if Med History Not Completed on Home Meds' = "Y"
Specific Setup:
  • Avatar OE 2022 Update 47 and Avatar NX Release 2022.09.00 are required in order to utilize full functionality.
  • The 'Avatar Order Entry->Facility Defaults->Medication Reconciliation->->->Prevent Admission Med Reconciliation if med history not completed on Home Meds' registry setting must be set to "Y".
  • Please log out of the application and log back in after completing the above configuration.
  • A client must have an active inpatient episode. (Client A)
  • “Client A” must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
  • "Client A" must not have any active orders in the Order Entry Console (Orders This Episode or Home Medications sections).
Steps
  1. Select "Client A" and access the Order Entry Console.
  2. Select the 'Admission Reconciliation' tab.
  3. Validate text stating "Home Medications / medication history must be marked as reviewed before Admission Med Reconciliation can be started." is present above the 'Home Medications (Pre-Admission)' order grid and that the 'Admission Reconciliation' tab is in view-only mode.
  4. Select the 'Home Medications' tab.
  5. Validate that the 'Medication history reviewed and completed for Episode #' checkbox is disabled and unchecked.
  6. Validate that there are no active orders and check off the 'No Known Medications' checkbox and then the 'Medication history reviewed and completed for Episode #' checkbox.
  7. Toggle between the 'Orders this Episode' tab and then back to the 'Home Medications' tab.
  8. Validate that the 'Medication history reviewed and completed for Episode #' checkbox is still checked.
  9. Select the 'Admission Reconciliation' tab.
  10. Validate that the 'Admission Reconciliation' tab is no longer in a view-only mode and is able to be reconciled.
Scenario 3: OE NX - 'No Known Medications' = Unchecked - 'Prevent Admission Med Reconciliation if Med History Not Completed on Home Meds' = "Y"
Specific Setup:
  • Avatar OE 2022 Update 47 and Avatar NX Release 2022.09.00 are required in order to utilize full functionality.
  • The 'Avatar Order Entry->Facility Defaults->Medication Reconciliation->->->Prevent Admission Med Reconciliation if med history not completed on Home Meds' registry setting must be set to "Y".
  • Please log out of the application and log back in after completing the above configuration.
  • A client must have an active inpatient episode. (Client A)
  • “Client A” must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
  • "Client A" must not have any active orders in the Order Entry Console (Orders This Episode or Home Medications sections).
Steps
  1. Select "Client A" and access the Order Entry Console.
  2. Select the 'Admission Reconciliation' tab.
  3. Validate text stating "Home Medications / medication history must be marked as reviewed before Admission Med Reconciliation can be started." is present above the 'Home Medications (Pre-Admission)' order grid and that the 'Admission Reconciliation' tab is in view-only mode.
  4. Select the 'Home Medications' tab.
  5. Validate the 'Medication history reviewed and completed for Episode #' checkbox is disabled and unchecked.
  6. Create a prescription for any medication.
  7. Validate the 'Medication history reviewed and completed for Episode #' checkbox is now enabled and check it off.
  8. Select the 'Admission Reconciliation' tab.
  9. Validate that the 'Admission Reconciliation' tab is no longer in a view-only mode.
  10. Select the order in the 'Home Medications (Pre-Admission)' order grid and click [Hold].
  11. Validate that [Hold in Pending Status] and [Reconcile & Sign] are enabled.
  12. Click [Reconcile & Sign].
Topics
• myAvatar NX Only • NX • Order Entry Console
AV-78985 Summary | Details
Notify Attending Practitioner
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Home Medications
Scenario 1: OE NX - Home Medication - Notify Attending Practitioner
Specific Setup:
  • Avatar OE 2022 Update 47, RADplus 2022 Update 79, and Avatar NX Release 2022.09.00 are required in order to utilize full functionality.
  • The 'Avatar Order Entry->Facility Defaults->Medication Reconciliation->->->Prevent Admission Med Reconciliation if med history not completed on Home Meds' registry setting must be set to "Y".
  • The 'Default to Client Reported in Home Medications' field in the 'Order Entry User Definition' form or the 'Order Entry User Role' form must have "Client Reported" checked.
  • Please log out of the application and log back in after completing the above configuration.
  • A pharmacy type order code must exist. (Order Code A)
  • A client must have an active episode. (Client A)
  • “Client A” must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
  • Make note of the 'Attending Practitioner' associated with "Client A".
Steps
  1. Select "Client A" and access the Order Entry Console.
  2. Select the 'Home Medications' tab.
  3. Create an order for "Order Code A".
  4. Populate all required fields and click [Save].
  5. Validate the 'Order grid' contains an order for "Order Code A".
  6. Check the 'Medication history reviewed and completed for Episode #' checkbox.
  7. Click [Notify Attending Practitioner].
  8. Validate the 'Notify Attending Practitioner' dialog is displayed.
  9. Validate "Client A" and the episode number is displayed.
  10. Validate the 'Practitioner' field contains the 'Attending Practitioner'.
  11. Validate the 'Communication Note' field contains "Medication history complete for "Client A" Episode # [Episode Number] - Please complete Admission Med Reconciliation."
  12. Set the 'Communication Note' field to "Medication history complete for "Client A" Episode # [Episode Number] - Please complete Admission Med Reconciliation. Testing"
  13. Click [Send Notification].
  14. Access the 'Home View'.
  15. Access the 'To do's' and select 'Days in Queue' from the 'To do's' sort by field.
  16. Validate "Client A" is displayed at the top for the current date.
  17. Click 'Review To Do Item'.
  18. Validate the 'To do information' field contains "Medication history complete for "Client A" Episode # [Episode Number] - Please complete Admission Med Reconciliation. Testing".
  19. Check the 'Reviewed' checkbox.
  20. Click [Submit].
Topics
• NX • Order Entry Console
Table Changes
Table Column Change
OrderEntry.homemedsepisodedata EPISODE_NUMBER added
OrderEntry.homemedsepisodedata FACILITY added
OrderEntry.homemedsepisodedata PATID added
OrderEntry.homemedsepisodedata change_by_user_id added
OrderEntry.homemedsepisodedata file_date added
OrderEntry.homemedsepisodedata file_time added
OrderEntry.homemedsepisodedata med_hx_review_complete added
OrderEntry.homemedsepisodedata practitioner_id added
OrderEntry.homemedsepisodedata practitioner_name added
OrderEntry.homemedsepisodedata version added