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Avatar OE 2022 Update 8

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Avatar CareFabric 2022 Update 8

Product Update Form Description

The following enhancements are introduced: 1) Avatar OE is enhanced to support compound medications. The 'Order Code Setup' and 'Recipe Maintenance' forms are updated to allow for the creation of compound medication 'Order Codes' and 'Recipes' and the Order Entry Console (Orders This Episode and Admission Med Reconciliation sections) is updated to support the creation of orders for compound medications. Such compound medication orders are fully supported in "external pharmacy mode", and can be supported when orders are being sent to RxConnect, with appropriate setup. 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. 2) If the registry setting 'Display warning if no Allergy form filed' is set to "Y", then when using the Order Entry Console (Orders This Episode and Admission Med Reconciliation sections), this warning will now be displayed only when creating a pharmacy-type order (as opposed to when any type of order is being created). 3) Support is added for conveying to OrderConnect a 'Written Date' that reflects the facility's local time zone when submitting medication orders in the Order Entry Console (Orders This Episode and Admission Med Reconciliation sections when in "external pharmacy mode", and the Home Medications and Discharge Med Reconciliation sections). This 'Written Date' will be used by OrderConnect in an upcoming release. Note: Avatar CareFabric 2022 Update 8 must also be installed to enable this functionality. In addition, an issue is resolved in the Order Entry Console (Discharge Med Reconciliation section) where the 'Last Dose' column in the 'Inpatient Medications' list might display information about an "unsuccessful" 'Administration Event'. In addition to addressing this issue, information displayed in this 'Last Dose' column now also includes the description of the Avatar eMAR 'Administration Event' code. This description is also now included in the 'Last Activity' column in the Order Entry Console (Orders This Episode section), when the 'Last Activity' is an 'Administration Event' from Avatar eMAR.

Included Updates

3, 5, 6

Required Updates

None

Details
NEW0 CHANGED1 FIXED2
Changed (1)
OE NX - Compound Medications
The 'Order Code Setup' and 'Recipe Maintenance' forms are updated to allow for the creation of compound medication 'Order Codes' and 'Recipes; and the Order Entry Console (Orders This Episode section) is updated to support the creation of orders for compound medications. Such compound medication orders are fully supported in "external pharmacy mode", and can be supported when orders are being sent to RxConnect, with appropriate setup.
Note: myAvatar Client Update 2022.03.00 must also be installed to enable this functionality. Also note that this functionality is available only in myAvatar NX. Additionally, Avatar HL7 update 2 is required for compatibility with RxConnect and Avatar CareFabcir 2022
Update 8 is required to send orders to OrderConnect in External Pharmacy Mode.
Value Added: Avatar OE is enhanced to support compound medications.
Topics
• Compound Meds • NX
 
Fixed (2)
No allergies - Final Review
An issue is resolved to only have "No Allergies on file for this client" alert for pharmacy orders.
Topics
• NX • Order Entry Console • Registry Settings
 
Successful Administration - Discharge Med Reconciliation.
An issue is resolved to reflect an order's most current successful administration from eMAR in the 'Last Dose' column for Discharge Med Reconciliation.
Topics
• NX
 
Acceptance Tests
AV-70842 Summary | Details
OE NX - Compound Medications
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Code Setup
  • Order Entry Console
  • Orders This Episode
  • Recipe Maintenance
Scenario 1: OE NX - Compound Medication - Recipe - Non External Pharmacy Mode
Specific Setup:
  1. A client must have an active episode.
  2. “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.
Steps
  1. Access the 'Order Code Setup' form.
  2. Select 'Add New Code' from the 'Add/Edit Order Code' field.
  3. Set the 'New Order Code' field to "Ketamine-Amitriptyline-Lidocaine-topical-cream".
  4. Set the 'Order Code Description' field to "Ketamine - Amitriptyline - Lidocaine topical cream".
  5. Select "Pharmacy" from the 'Order Type' field.
  6. Select "Yes" from the 'Is A Compound Medication Orderable?' field.
  7. Validate the 'Exclude this item from Clinical Screening processes?' checkbox is checked.
  8. Click [Submit].
  9. Validate a message displays stating: "Do you want to Return to Form?" and click [No].
  10. Access the 'Recipe Maintenance' form.
  11. Select 'Add' from the 'Add/Edit/Delete Recipe' field.
  12. Set the 'Recipe Code' field to "Ketamine - Amitriptyline - Lidocaine topical cream".
  13. Set the 'Recipe Description' field to "Ketamine - Amitriptyline - Lidocaine topical cream".
  14. Select "TOPICAL" from the 'Route Code' field.
  15. Select "-Create New" from the 'Components' field.
  16. Select "Yes" from the 'Use as main Order Code on order' field.
  17. Select "Yes" from the 'Base Component' field.
  18. Search for and select "Ketamine - Amitriptyline - Lidocaine topical cream" from the 'Order Code' field.
  19. Select "-Create New" from the 'Components' field.
  20. Select "No" from the 'Use as main Order Code on order' field.
  21. Select "No" from the 'Base Component' field.
  22. Search for and select "KETAMINE HCL POWDER" from the 'Order Code' field.
  23. Select "-Create New" from the Components field.
  24. Select "No" from the 'Use as main Order Code on order' field.
  25. Select "No" from the 'Base Component' field.
  26. Search for and select "LIDOCAINE HCL 4 % CREAM TOPICAL APPLICATION" from the 'Order Code' field.
  27. Select "-Create New" from the Components field.
  28. Select "No" from the 'Use as main Order Code on order' field.
  29. Select "No" from the 'Base Component' field.
  30. Search for and select "AMITRIPTYLINE HCL POWDER" from the 'Order Code' field.
  31. Click [Submit].
  32. Log out of and back into the application.
  33. Select "Client A" and access the Order Entry Console.
  34. Search for and select "Ketamine - Amitriptyline - Lidocaine topical cream" from the 'New Order' field.
  35. Set the 'Dose' field to "1".
  36. Select "Application" from the 'Dose Unit' field.
  37. Select "AS DIRECTED" from the 'Frequency' field.
  38. Set the 1st 'Ingredients Quantity' field to "0.15".
  39. Select "Gram" from the 1st 'Ingredients Quantity Unit' field.
  40. Set the 2nd 'Ingredients Quantity' field to "1.2".
  41. Select "Gram" from the 2nd 'Ingredients Quantity Unit' field.
  42. Set the 3rd 'Ingredients Quantity' field to "0.3".
  43. Select "Gram" from the 3rd 'Ingredients Quantity Unit' field.
  44. Set the 'Duration' field to "12" and click [Days].
  45. Click [Add to Scratchpad] and [Sign].
  46. Validate the 'Order Grid' contains an order for "Ketamine - Amitriptyline - Lidocaine topical cream TOPICALLY Ingredient: KETAMINE HCL POWDER 0.15 Gram Ingredient: LIDOCAINE HCL 4 % CREAM TOPICAL APPLICATION 1.2 Gram Ingredient: AMITRIPTYLINE HCL POWDER 0.3 Gram".
Topics
• Compound Meds • NX
AV-75616 Summary | Details
No allergies - Final Review
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • App Dashboard
  • Orders This Episode
  • Registry Settings (CWS)
Scenario 1: Lab Orders - Interval Orders
Specific Setup:
  • An interval frequency code must exist. (Frequency Code A).
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Display warning if no Allergy form filed' 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 not have any information filed in the ‘Allergies and Hypersensitivities’ form. (Client 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, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
  1. Select "Client A" and access the Order Entry Console
  2. Set the 'New Order' field to any Lab type order code.
  3. Select "Frequency Code A" from the 'Freq' field.
  4. Validate the 'First Collect - Date' field is equal to the current date.
  5. Validate the 'First Collect - Time' field is equal to the current time.
  6. Set the 'Duration' field to "2" and click [Days].
  7. Click [Add to Scratchpad] and [Sign].
  8. Validate the 'Order grid' contains the lab order created.
Scenario 2: OE NX - Orders This Episode - X-Ray - New, Copy, Modify, Print and Discontinue
Specific Setup:
  • An order type with an 'Order Type Category' of "X-ray" must exist. (X-ray)
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Display warning if no Allergy form filed' 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 not have any information filed in the ‘Allergies and Hypersensitivities’ form. (Client 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, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
  1. Select "Client A" and access the Order Entry Console.
  2. Search for and select "X-ray" in the 'New Order' field.
  3. Select "Every 4 Hours" from the 'Frequency' field.
  4. Set the 'Duration' field to "1" and click [Days].
  5. Click [Add to Scratchpad] and [Sign].
  6. Validate the "X-ray" order is displayed in the 'Order grid'.
  7. Select the order and click [Copy].
  8. Validate a message is displayed stating "Do you want the new order to default to START AFTER the original orders end? (The alternative is to have the new order default to start now.)" and click [Yes].
  9. Click [Add to Scratchpad].
  10. Validate the 'Scratchpad' contains the "X-Ray" order and does not contain a red flag.
  11. Click [Sign].
  12. Validate the 'Interactions' dialog is displayed.
  13. Override the interaction and click [Save Override and Exit].
  14. Validate that there are two "X-ray" orders in the 'Order grid'.
  15. Select the first "X-ray" order and click [Modify].
  16. Set the 'Start Date' field to yesterday's date.
  17. Set the 'Addl Instructions' field to any value.
  18. Click [Add to Scratchpad].
  19. Validate the 'Scratchpad' contains the "X-Ray" order and does not contain a red flag.
  20. Click [Sign].
  21. Validate the 'Interactions' dialog is displayed.
  22. Override the interaction and click [Save Override and Exit].
  23. Validate a new "X-ray" order is displayed in the 'Order grid'.
  24. Select the first "X-ray" order and click [Print].
  25. Validate that the 'Order Detail Report' is displayed and contains all information pertaining to the order.
  26. Close the report.
  27. Select both orders in the 'Order grid' and click [D/C].
  28. Click [Add to Scratchpad] and [Sign].
  29. Validate that the 'Order grid' does not contain any orders.
Topics
• NX • Order Entry Console • Registry Settings
AV-78900 Summary | Details
Successful Administration - Discharge Med Reconciliation.
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Avatar eMAR
  • Avatar eMAR - Order Acknowledgement dialog
  • Order Entry Console
  • Orders This Episode
Scenario 1: Discharge Med Rec for client episode will show a successful Administration in the Last Dose column displayed in the last Admin Event.
Specific Setup:
  • The 'Avatar eMAR->General->Settings->->->'Require client wristband scan in Avatar eMAR' registry setting must be set to "Y".
  • Must have the "NDC's" for "CEFTRIAXONE 1 GM/5 ML INTRAVENOUS SOLUTION" and "COUMADIN (WARFARIN SODIUM) 10 MG ORAL TABLET".
  • A client must have an inpatient episode whose program or unit are configured in the ‘External Pharmacy Setup’ form. (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.
Steps
  1. Select "Client A" and access the Order Entry Console.
  2. Search for and select "PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL" in the 'New Order' field.
  3. Set the 'Dose' field to "1".
  4. Validate the 'Dose Unit' field contains "Capsule".
  5. Select "EVERY DAY" from the 'Freq' field.
  6. Set the 'Duration' field to "12" and click [Days].
  7. Validate the 'Days Supply' field contains "12".
  8. Validate the 'Dispense Qty' field contains "12".
  9. Select "Capsule" from the 'Dispense Qty Unit' field.
  10. Validate the 'Directions' field contains "Take one (1) capsule by mouth daily".
  11. Click [Add to Scratchpad] and [Final Review].
  12. Validate the 'Interactions' dialog is displayed.
  13. Override all interactions and click [Save Override and Exit].
  14. Validate the 'Final Review' dialog is displayed.
  15. Select "None" in the 'Output' column for the order and click [Sign].
  16. Access the 'eMAR' widget.
  17. Validate the 'Order grid' contains the order for "PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL".
  18. Complete the 'Order Acknowledgement' and 'Client Education' for both orders.
  19. Select a cell under the current date for the "PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL" order and click [Administer].
  20. Validate the 'Administration Event' dialog is displayed.
  21. Set the 'Med ID' field to the NDC for "PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL".
  22. Select a successful administration event in the 'Administration Event' field.
  23. Check the 'Accept administration information entered' check box and click [OK].
  24. Validate the first cells under the current date for the "PRILOSEC 10 MG CAPSULE, DELAYED RELEASE ORAL" order contain the amount administered and the time administered.
  25. Access the Order Entry Console.
  26. Click the Admission Reconciliation tab
  27. Click the Discharge Reconciliation tab
  28. Validate the 'Last Dose' column for the 'Inpatient Medications' contains "1 Capsule on 02/25/2022 (Nurse Administered)".
  29. Access the 'eMAR' widget.
  30. Select a cell under the current date for the "CEFTRIAXONE" order and for the "COUMADIN" order and click [Administer]
  31. Validate the 'Administration Event' dialog is displayed.
  32. Set the 'Med ID' field to the NDC for "COUMADIN (WARFARIN SODIUM) 10 MG TABLET ORAL".
  33. Select a successful administration event in the 'Administration Event' field.
  34. Check the 'Accept administration information entered' check box and click [OK].
  35. Validate the first cells under the current date for the "CEFTRIAXONE" and "COUMADIN" orders contain the amount administered and the time administered.
  36. Access the Order Entry Console.
  37. Click the Admission Reconciliation tab
  38. Click the Discharge Reconciliation tab
  39. Validate the 'Last Dose' column for the 'Inpatient Medications' contains "1 Capsule on 02/25/2022 (Nurse Administered)".
Topics
• NX

 

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