Avatar OE 2022 Update 71

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Product Requirements / Recommendations

Avatar CWS required
Avatar OE required
RADplus required

Recommended Update Level

Avatar CareFabric 2022 Update 64
Avatar CWS 2022 Update 86

Additional Requirements

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'. Also note that this functionality is available only in myAvatar NX.

Product Update Form Description

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. In addition, the following issues are resolved: 1) When placing a recurring lab order that has a 'Start Time' that is after the order's last scheduled collection time for the current day, the recurring order messages might contain an incorrect "placer order number". 2) Recurring lab order messages might not be sent to the Lab system as the result of an error ("[UNDEFINED]SendHL7Messages^OrderEntryRecurringOrders *startTime") that is not displayed to the end-user. 3) Recurring lab order discontinue messages might be sent for occurrences of orders that have already been collected. Note: Avatar CareFabric 2022 Update 19 is required for full functionality.

Included Updates

2, 3, 5, 6, 7, 8, 9, 11, 16, 23, 24, 25, 31, 33, 36, 41, 42, 43, 44, 46, 48, 52, 59, 63, 64, 66, 70

Required Updates

None

Details

NEW1 CHANGED0 FIXED0

New (1)

AV-80654 Details | User Acceptance Tests

Avatar Order Entry - Multi Lab Tests

In addition, the following issues are resolved:
1) When placing a recurring lab order that has a 'Start Time' that is after the order's last scheduled collection time for the current day, the recurring order messages might contain an incorrect "placer order number".
2) Recurring lab order messages might not be sent to the Lab system as the result of an error ("[UNDEFINED]SendHL7Messages^OrderEntryRecurringOrders *startTime") that is not displayed to the end-user.
3) Recurring lab order discontinue messages might be sent for occurrences of orders that have already been collected. Note: Avatar CareFabric 2022 Update 19 is required for full functionality.

Value Added: Avatar Order Entry is enhanced to support Multi Lab tests

Topics

• NX • Order Entry Console

Acceptance Tests

AV-80654 Summary | Details

Avatar Order Entry - Multi Lab Tests

Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:

External Lab/Radiology Definition for CareConnect
Order Code Setup
Orders This Episode
Avatar eMAR

Scenario 1: OE NX - Lab orders - Requisition Report

Specific Setup:

The following updates must be installed: Avatar CareFabric 2022 Update 64, Avatar OE 2022 Update 71 and Avatar CWS 2022 Update 86
The 'Avatar Order Entry->Interfaces->CareFabric->->->Enable Order Message Queue and Multi-Test Lab Orders' 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 episode. (Client A)

Steps

Select "Client A" and access the 'Financial Eligibility' form.
Select the 'Guarantor Selection' section.
Click [Add New Item] in the Guarantor Information grid.
Search for and select "Medicare" from the 'Guarantor #' field.
Select "(Contract) Medicare Part A" from the 'Guarantor Plan' field.
Validate a message is displayed stating "Selecting This Plan Will Over-Write Any Previous Plan Information. The Master Plan Information Will Default" and click [OK].
Select "Self" from the 'Client's Relationship To Subscriber' field.
Validate the 'Subscriber's Name' field is equal to "Client A".
Set the 'Subscriber Address - Street Line 1' field to "123 place drive circle street".
Set the 'Zip code' field to "12345".
Select "Male" from the 'Subscriber Sex' field.
Set the 'Subscriber's Social Security #' field to "222-55-8888".
Select "Full Time (32+ Hours A Week Not Including Armed Forces)" from the 'Subscriber's Employment Status' field.
Set the 'Subscriber Policy #' field to "48536843".
Select "Yes" from the 'Subscriber Assignment Of Benefits' field.
Set the 'Subscriber's Covered Days' field to "9999".
Set the 'Maximum Covered Dollars' field to "9999999.99".
Select "Yes, Provider Has Signed Statement Permitting Release" from the 'Subscriber Release Of Info' field.
Select the 'Financial Eligibility' section.
Select "Medicare" from the 'Guarantor #1' field and click [Submit].
Access the 'External Lab/Radiology Definition for CareConnect' form.
Select 'Add' from the 'Add New or Edit Existing Vendor' field.
Select 'Lab' from the 'External Application Type' field.
Select 'Yes' from the 'eVendor' field.
Select "Change Health-LabCorp" from the 'Vendor to Define' field.
Select "TA" from the 'Vendor Business Unit' field.
Select "90550015" from the 'Vendor Account Number' field.
Set the 'Vendor Name' field to "LabCorp-CHC".
Select 'LabCorp' from the 'Lab Vendor Company' field and click [Submit].
Validate a message is displayed stating "Do you wish to return to form" and click [No].
Access the 'External Lab Mapping for CareConnect' form.
Select "LabCorp-CHC" from the 'External Lab Vendor' field.
Select "Subscriber Employment Status (IN1-42)" from the 'HL7 Segment' field.
Select "Subscr. Employment Status - File: Client, Data Element #256" from the 'Avatar Dictionary to Map' field.
Select "Full Time (32+ Hours A Week Not Including Armed Forces)" from the 'Avatar Dictionary Value to Map' field.
Set the 'Mapped to Code' field to "1" and click [File].
Select "Subscriber Relationship (IN1-17)" from the 'HL7 Segment' field.
Select "Client's Relationship To Subscriber - File: Client, Data Element #247" from the 'Avatar Dictionary to Map' field.
Select "Self" from the 'Avatar Dictionary Value to Map' field.
Set the 'Mapped to Code' field to "18" and click [File] and [Discard].
Validate a message displays stating "Are you sure you want to Close without saving?" and click [Yes].
Access the 'Order Code Setup' form.
Select "Add New Code" from the 'Add/Edit Order Code' field.
Set the 'New Order Code' field to "Sars-CoV-2".
Set the 'Order Code Description' field to "Sars-CoV-2".
Select "Lab" from the 'Order Type' field.
Click [External Lab Definition].
Click [New Row].
Set the 'Lab Vendor Name' cell to "LabCorp-CHC.
Set the 'Compendium Order Code' cell to "SARS-CoV-2, NAA" and click [Save].
Validate a message displays stating "Exit Grid?" and click [Yes].
Click [Submit].
Validate a message displays stating "Order Code Setup has completed. Do you wish to return to form?" and click [No].
Select "Client A" and access the Order Entry Console.
Search for and select "SARS-CoV-2, NAA " from the 'New Order' field.
Select "Daily" from the 'Frequency' field.
Select "Lab Vendor Staff will Collect" in the 'Specimen Collection' field.
Set the 'Duration' field to "5" and click [Days] and [Add to Scratchpad].
Validate the 'Ask On Order Entry' dialog displays.
Answer all "AOE" questions and click [Save] and [Sign].
Validate the 'Order grid' contains an order for "SARS-CoV-2, NAA Daily, Lab Vendor Staff will Collect, LabCorp-CHC".
Select the order created from the 'Order grid' and click [Print].
Validate the 'Lab Print' dialog displays and click [Print Lab Requisition].
Validate the 'Requisition Report' displays successfully.

Scenario 2: OE NX - 'Enable Order Message Queue and Multi-Test Lab Orders' set to "Y" - 'Group Order Message' set to "Yes"

Specific Setup:

The following updates must be installed: Avatar CareFabric 2022 Update 64, Avatar OE 2022 Update 71 and Avatar CWS 2022 Update 86
The 'Avatar Order Entry->Interfaces->CareFabric->->->Enable Order Message Queue and Multi-Test Lab Orders' 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 exist in an active episode (Client A)
A Lab Vendor (Lab Vendor A) must be configured in the 'External Lab/Radiology Definition for CareConnect' form where the 'Group Order Messages' field is set to "Yes"
Two lab-type order codes (Order Code A, Order Code B) must be configured to have "Lab Vendor A" configured in the 'External Lab Definition' grid in the 'Order Code Setup' form.

Steps

Select "Client A" and access the Order Entry Console.
Create two lab-type orders for "Order Code A" and "Order Code B" for "Lab Vendor A", with "Lab Vendor Staff will Collect" selected, and with a one time only 'Frequency Code'.
Select either order from the 'Order grid' and click [Print] and print the 'Lab Requisition report'.
Validate the 'Requisition Report' displays a 'REQ#' of "GR-#" and that both lab orders display.

Scenario 3: OE NX - 'Enable Order Message Queue and Multi-Test Lab Orders' set to "Y" - 'Send Lab Order Prior to Specimen Collection' set to "Yes"

Specific Setup:

The following updates must be installed: Avatar CareFabric 2022 Update 64, Avatar OE 2022 Update 71 and Avatar CWS 2022 Update 86
The 'Avatar Order Entry->Interfaces->CareFabric->->->Enable Order Message Queue and Multi-Test Lab Orders' 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 exist in an active inpatient episode (Client A)
A Lab Vendor (Lab Vendor A) must be configured in the 'External Lab/Radiology Definition for CareConnect' form where the 'Send Lab Order Prior to Specimen Collection' field is set to "Yes".
A lab-type order code (Order Code A) must be configured to have "Lab Vendor A" configured in the 'External Lab Definition' grid in the 'Order Code Setup' form.

Steps

Select "Client A" and access the Order Entry Console.
Create an order for "Order Code A" with "Lab Vendor A" and a one time only 'Frequency Code'.
Using Crystal Reports or any other SQL reporting tool, create a report on the 'OrderEntry.order_mesg_status' table and include all fields.
Validate a new order message is created.

Scenario 4: OE NX - 'Enable Order Message Queue and Multi-Test Lab Orders' set to "Y" - 'Send Lab Order Prior to Specimen Collection' set to "No"

Specific Setup:

The following updates must be installed: Avatar CareFabric 2022 Update 64, Avatar OE 2022 Update 71 and Avatar CWS 2022 Update 86
The 'Avatar Order Entry->Interfaces->CareFabric->->->Enable Order Message Queue and Multi-Test Lab Orders' 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 exist in an active inpatient episode (Client A)
A Lab Vendor (Lab Vendor A) must be configured in the 'External Lab/Radiology Definition for CareConnect' form where the 'Send Lab Order Prior to Specimen Collection' field is set to "No".
A lab-type order code (Order Code A) must be configured to have "Lab Vendor A" configured in the 'External Lab Definition' grid in the 'Order Code Setup' form.

Steps

Select "Client A" and access the Order Entry Console.
Create an order for "Order Code A" with "Lab Vendor A" and a one time only 'Frequency Code'.
Using Crystal Reports or any other SQL reporting tool, create a report on the 'OrderEntry.order_mesg_status' table and include all fields.
Validate no new order message is created.
Access the 'eMAR' widget for "Client A" and validate an order for "Order Code A" is displayed.
Perform 'Client Education' and 'Order Acknowledgement' for the order.
Perform a 'Specimen Collection' for the order.
Refresh the report created using the 'OrderEntry.order_mesg_status' table and validate a new message was sent.

Scenario 5: OE NX - 'Enable Order Message Queue and Multi-Test Lab Orders' set to "Y" - 'Suppress Specimen Collection Message' set to "Yes"

Specific Setup:

The following updates must be installed: Avatar CareFabric 2022 Update 64, Avatar OE 2022 Update 71 and Avatar CWS 2022 Update 86
The 'Avatar Order Entry->Interfaces->CareFabric->->->Enable Order Message Queue and Multi-Test Lab Orders' registry setting must be set to "Yes".
Please log out of the application and log back in after completing the above configuration.
A client must exist in an active inpatient episode (Client A)
A Lab Vendor (Lab Vendor A) must be configured in the 'External Lab/Radiology Definition for CareConnect' form where the 'Send Order Prior to Collect' field is set to "Yes"
A lab-type order code (Order Code A) must be configured to have "Lab Vendor A" configured in the 'External Lab Definition' grid in the 'Order Code Setup' form.

Steps

Select "Client A" and access the Order Entry Console.
Create an order for "Order Code A" with "Lab Vendor A" and a one time only 'Frequency Code'.
Access the 'eMAR' widget for "Client A".
Perform 'Client Education' and 'Order Acknowledgement' on "Order A".
Perform a 'Specimen Collection' for "Order A".
Using Crystal Reports or any other SQL reporting tool, create a report on the 'OrderEntry.order_mesg_status' table and include all fields.
Validate no 'Specimen Collection' message is displayed.

Scenario 6: OE NX - 'Enable Order Message Queue and Multi-Test Lab Orders' set to "Y" - 'Suppress Cancel/Discontinue Message' set to "Yes"

Specific Setup:

The following updates must be installed: Avatar CareFabric 2022 Update 64, Avatar OE 2022 Update 71 and Avatar CWS 2022 Update 86
The 'Avatar Order Entry->Interfaces->CareFabric->->->Enable Order Message Queue and Multi-Test Lab Orders' 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 exist in an active inpatient episode (Client A)
A Lab Vendor (Lab Vendor A) must be configured in the 'External Lab/Radiology Definition for CareConnect' form where the 'Suppress Cancel/Discontinue Message' field is set to "Yes"
A lab-type order code (Order Code A) must be configured to have "Lab Vendor A" configured in the 'External Lab Definition' grid in the 'Order Code Setup' form.

Steps

Select "Client A" and access the Order Entry Console.
Create an order for "Order Code A" with "Lab Vendor A" and a one time only 'Frequency Code'.
Using Crystal Reports or any other SQL reporting tool, create a report on the 'OrderEntry.order_mesg_status' table and include all fields.
Validate the order message has been sent.
Discontinue the order created.
Refresh the 'OrderEntry.order_mesg_status' table and validate no new message was sent.

Topics

• NX • Order Entry Console

Table Changes

Table	Column	Change
OrderEntry.order_mesg_status	FACILITY	New
OrderEntry.order_mesg_status	placer_number	New
OrderEntry.order_mesg_status	event_message_id	New
OrderEntry.order_mesg_status	event_date_time	New
OrderEntry.order_mesg_status	status_code	New
OrderEntry.order_mesg_status	status_code_value	New
OrderEntry.order_mesg_status	status_message	New
OrderEntry.order_mesg_status	event_message_type	New
OrderEntry.order_mesg_status	retry_attempts	New
OrderEntry.external_lab_vendor	prevent_comm_method_value	New
OrderEntry.external_lab_vendor	prev_spec_coll_method_val	New
OrderEntry.external_lab_vendor	send_prior_to_collect	New
OrderEntry.external_lab_vendor	send_prior_to_collect_val	New
OrderEntry.external_lab_vendor	group_order_messages	New
OrderEntry.external_lab_vendor	group_order_messages_val	New
OrderEntry.external_lab_vendor	suppress_collect_msg	New
OrderEntry.external_lab_vendor	suppress_collect_val	New
OrderEntry.external_lab_vendor	suppress_cancel_msg	New
OrderEntry.external_lab_vendor	suppress_cancel_msg_val	New