Avatar OE 2023 is Installed
Scenario 1: Validate Upgrading Avatar OE 2022 to 2023 is successful when 2022.04.00 is loaded
Specific Setup:
- Latest Monthly Release is installed.
Steps
- Open the "Product Updates" form.
- Select the appropriate [Namespace] from the Application dropdown list
- Click [Select Update/Customization Pack].
- Browse to the location for the updates and select the Update 1.
- Click [OK] on the "File Upload Complete" window.
- Click [Review Update/Customization Pack Contents].
- Verify Update 1 is included.
- Click [Install Update/Customization Pack].
- Click [OK] when the install completes.
- Click [Close Form].
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Topics
• Installation
• Upgrade
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OE NX - Limit Access to Medication Reconciliation
Scenario 1: OE NX - Order Entry User Definition - Prevent Entry/Update of Medication Reconciliation
Specific Setup:
- Avatar NX Release 2023.12.00 is required for full functionality.
- Two users must exist and be logged into the application at the same time ("User A", "User B")
- "User B" must have 'Admission' and 'Discharge' checked for the 'Prevent Entry/Update of Medication Reconciliation' field in the 'Order Entry User Definition' form.
- "User A" must not have the same configuration as above.
- 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 ‘Diagnosis’ form and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
- Select "Client A" and access the Order Entry Console.
- Create any pharmacy-type order.
- Click the 'Home Medications' tab and create any order.
- Access the 'Admission Med Reconciliation' tab and file the reconciliation.
- Access the 'Discharge Med Reconciliation' tab and file the reconciliation.
- Have "User B" access the 'Admission Med Reconciliation' tab for "Client A".
- Validate a message displays for "User B" - Previously saved Medication Reconciliation is displayed. Saved by "User A" on date at time
- Have "User A" access the 'Admission Med Reconciliation' tab for "Client A".
- Validate there is no message stating "Admission Medication Reconciliation for this client/episode is currently in use by another User: "User A, opened at (date at time.)
- Have "User B" access the 'Discharge Med Reconciliation' tab for "Client A".
- Validate a message displays for "User B" - Previously saved Medication Reconciliation is displayed. Saved by "User A" on date at time
- Have "User A" access the 'Discharge Med Reconciliation' tab for "Client A".
- Validate there is no message stating "Admission Medication Reconciliation for this client/episode is currently in use by another User: "User A, opened at (date at time.)
- As "User B" and access the Order Entry Console and click the 'Admission Med Reconciliation' tab for any other client in an inpatient episode.
- Validate a message is displayed "You do not have access to document Admission Reconciliation."
- Click the 'Discharge Med Reconciliation' tab.
- Validate a message is displayed "You do not have access to document Discharge Reconciliation."
eMAR NX
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- eMAR
- Order Entry User Role
Scenario 1: eMAR NX - 'Allowed Edit of Another User's Administration Event' = "Yes" - 'Allow Void of Another User's Administration Event' = "Yes"
Scenario 2: eMAR NX - 'Allow Edit of Another User's Administration Event = "No" - 'Allow Void of Another User's Administration Event' = "No"
OE NX - Edit Administration Times
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- eMAR
- Order Entry User Role
Scenario 1: eMAR NX - Allowed to Edit Administration Times - Order Entry User Definition
Scenario 2: eMAR NX - Allowed to Edit Administration Times - Order Entry User Role
eMAR NX
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Order Code Setup
- eMAR
- eMAR - Administration Details
- Order Entry User Role
Scenario 1: eMAR NX - 'Avatar eMAR->General->Settings->->->Reschedule Feature Available' Registry Setting contains no value - Order Entry User Role - Allowed to Reschedule - "Follow-Up"
eMAR NX
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: eMAR NX - Display High Alert Indicators
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Topics
• Order Entry Console
• eMAR NX
• NX
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Order Entry Console (Home Medications section) - Notify Attending Practitioner
Scenario 1: OE NX - Home Medication - Notify Attending Practitioner
Specific Setup:
- 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 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.
- Two users must exist in the application that have staff members associated to them. (User A and User B)
- Must be logged in as "User A".
Steps
- Select "Client A" and access the Order Entry Console.
- Select the 'Home Medications' tab.
- Create a 'Reported' order.
- Validate the 'Order grid' contains the 'Reported' order.
- Check the 'Medication history reviewed and completed for Episode #' checkbox and click [Notify Attending Practitioner].
- Validate the 'Notify Attending Practitioner' dialog is displayed.
- Validate "Client A" and the episode number are displayed.
- Validate the 'Practitioner' field contains the staff member associated with "User A".
- Validate the 'Communication Note' field contains "Medication history complete for "Client A" Episode # [Episode Number] - Please complete Admission Med Reconciliation."
- Add "Testing" to the end of the value in the 'Communication Note' field.
- Click [Send Notification].
- Access 'myDay'.
- Access the 'My To Do's' widget.
- Click the 'To Do' menu and validate the 'To Do's' are displayed.
- Select "Days in Queue" in the 'Sort By' field.
- Validate "Client A" is displayed at the top of the 'Entered Queue - Today' column for the current date.
- Validate the 'To Do' contains "User A", who is associated with the 'Practitioner' selected in the 'Notify Attending Practitioner' field.
- Click 'Review To Do Item'.
- Validate the 'To do information' field contains the "User A", who is associated with the 'Practitioner' selected in the 'Notify Attending Practitioner' dialog and "Medication history complete for "Client A" Episode # [Episode Number] - Please complete Admission Med Reconciliation. Testing".
- Check the 'Reviewed' checkbox.
- Click [Submit].
- Log out of the application and log back in as "User B".
- Select "Client A" and access the Order Entry Console.
- Select the 'Home Medications' tab.
- Validate the 'Medication history reviewed and completed for Episode #' checkbox is checked.
- Click [Notify Attending Practitioner].
- Validate the 'Notify Attending Practitioner' dialog is displayed.
- Validate "Client A" and the episode number are displayed.
- Validate the 'Practitioner' field contains the staff member associated with "User B".
- Validate the 'Communication Note' field contains "Medication history complete for "Client A" Episode # [Episode Number] - Please complete Admission Med Reconciliation."
- Set the 'Practitioner' field to the staff member associated with "User A".
- Click [Send Notification].
- Access 'myDay'.
- Log out of the application and log back in as "User A".
- Access the 'My To Do's' widget.
- Click the 'To Do' menu and validate the 'To Do's' are displayed.
- Select "Days in Queue" in the 'Sort By' field.
- Validate "Client A" is displayed at the top of the 'Entered Queue - Today' column for the current date.
- Validate the 'To Do' contains "User B", who is associated with the 'Practitioner' selected in the 'Notify Attending Practitioner' field.
- Click 'Review To Do Item'.
- Validate the 'To do information' field contains "User B", who is associated with the 'Practitioner' selected in the 'Notify Attending Practitioner' dialog and "Medication history complete for "Client A" Episode # [Episode Number] - Please complete Admission Med Reconciliation."
- Check the 'Reviewed' checkbox.
- Click [Submit].
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Topics
• Order Entry Console
• NX
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OE NX - Home Medications - Send to Pharmacy
Scenario 1: OE NX - Home Medications - Preferred Pharmacy - DEA Schedule associated with Order Code - Days Supply - Client Information on Final Review - 'Reason' and 'Disp. Qty' in 'Order Details' on 'Order grid'
Specific Setup:
- Validate that "Client Reported" is checked in the 'Default to Client Reported in Home Medications' field in the 'Order Entry User Definition' form.
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Do NOT require 'Days Supply' in the Order Entry Console' registry setting must be set to "HM". This is the default value. Note: This is a Netsmart staff only registry setting, please contact your Netsmart representative to have this setting configured to a different value.
- The 'Avatar PM->Client Information->Client Demographics->->->Age Display Format' registry setting must be set to "1", which is to not show a more detailed age.
- Please log out of the application and log back in after completing the above configuration.
- A frequency code must exist. (Frequency Code A)
- A client must have an active episode. (Client A)
- “Client A” must have a ‘Date of Birth’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Diagnosis’ form.
Steps
- Select "Client A" and access the 'Order Entry Console'.
- Select 'Home Medications'.
- Validate that "No selected pharmacy" and 'Change' with a search icon is displayed before the OrderConnect links.
- Click 'Change'.
- Validate that a 'Pharmacy Search' dialog is displayed.
- Set the 'Keyword' field to the name of a pharmacy that needs to be searched for.
- Ensure that the search criteria reads: Search Within "All" miles of "Patient Home".
- Click [Search]
- Validate that results are displayed.
- Select any pharmacy and click [Select & Make Preferred].
- Validate that the value selected now appears before 'Change' in the format of "Pharmacy Name - Address - Phone Number".
- Uncheck the 'Client Reported' checkbox.
- Set the 'New Order' field to "Xyrem 500 MG/1 ML Solution Oral (Schedule III)".
- Set the 'Dose' field to "1".
- Validate that the 'Dose Unit' field contains "Milliliter".
- Select 'Frequency Code A' from the 'Frequency' field.
- Select any value in the 'Diagnosis' field.
- Validate that 'Refills' contains "0".
- Validate that the 'Days Supply' field is not required and enabled.
- Set the 'Days Supply' field to "30"
- Validate that the 'Dispense Qty' field contains "30".
- Select "Milliliter" in the 'Dispense Qty Unit' field.
- Validate that the 'Start Date' contains the current date.
- Validate that the 'Stop Date' contains a date that is 30 days in the future of the 'Start Date'.
- Validate that the 'Directions' field contains "Take one (1) milliliter by mouth as needed".
- Validate that the 'Reason' field is required and enabled.
- Enter any value into the 'Reason' field. (ex. To help with withdrawal)
- Click [Add to Scratchpad]
- Validate that the 'Scratchpad' contains the new order with "ADD" in the 'Action' column.
- Validate that 'Order' contains: Xyrem 500 MG/1ML Solution Oral (Schedule III) - Take one (1) milliliter by mouth as needed (Refills: 0, Dispense Quantity: 30)
- Click [Final Review]
- Validate that the 'Final Review' dialog is displayed.
- Validate that 'Client Information' contains:
- Name: Last Name, First Name
- DOB: ##/##/####
- Age: in years
- Address: Street, Apt or Suite, City, State, Zip code
- Home Phone: ###-###-####
- Mobile Phone: ###-###-####
- Work Phone: ###-###-####
- Height: ## in (Date information was entered)
- Weight: ### lbs (Date information was entered)
- Validate that 'Order Details' contains a post-it note and that it contains: Xyrem 500 MG/1 ML Solution (Schedule III) - Take one (1) milliliter by mouth as needed - Days Supply: 30 - Number of Refills: 0 - Total # of Rx Fills Approved: 1 - Dispense Quantity: 30 Milliliter - Substitution Allowed - Written Date: [Date the order was written] - Reason: To help with withdrawal
- Click [Sign].
- Validate that the 'Order grid' contains the order for "Xyrem" with the following in 'Order Details': Xyrem 500 mg/1 ML ORAL Solution (Schedule III) - Take one (1) milliliter by mouth as needed (Refills: 0, Disp. Qty: 30 Milliliter) - Reason: To help with withdrawal.
- Click [View] from the 'History' column.
- Validate that the fields at the top of the dialog are all populated with the correct information.
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Topics
• NX
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OE NX - 'Allow Only One Active Order At A Time'
Scenario 1: Allow Only One Active Order At a Time - Dietary
Specific Setup:
- The ‘(540) Allow Only One Active Order At A Time’ extended attribute must be set to “Yes” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Dietary”.
- Please log out of the application and log back in after completing the above configuration.
- 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.
- A dietary-type order code must exist. (Full Liquid Diet)
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "Full Liquid Diet" in the 'New Order' field.
- Select "3 TIMES A DAY" from the 'Freq' field.
- Set the 'Duration' field to "6" and click [Hours].
- Validate the 'Start Date' field contains the current date.
- Validate the 'Start Time' field contains the current time.
- Validate the 'Stop Date' field contains the current date.
- Validate the 'Stop Time' field contains a time that is 6 hours from now.
- Click [Add to Scratchpad] and click [Sign].
- Validate the 'Order grid' contains the order "Full Liquid Diet 3 TIMES A DAY".
- Select the order and click [D/C].
- Take note of the 'Discontinue Time' field value.
- Click [Add to Scratchpad] and click [Sign].
- Search for and select "Full Liquid Diet" in the 'New Order' field.
- Set the 'Duration' field to "6" and click [Hours].
- Validate the 'Start Date' field contains the current date.
- Validate the 'Start Time' field contains the same time as the discontinued order's 'Discontinue Time'.
- Validate the 'Stop Date' field contains the current date.
- Validate the 'Stop Time' field contains a time that is 6 hours from now.
- Click [Add to Scratchpad] and click [Sign].
- Validate an error message is displayed stating: "The order for "Full liquid diet" has the following issue: Only one active order is allowed for the order type 'Dietary'. An order of this type exists starting on the 'Start Date' at the 'Start Time' and ending on the 'Discontinue Date' at the 'Discontinue Time'.(Order # 'Unique Number) You should DC the existing order now (if appropriate), if this new order is to replace that existing order."
- Click [Ok].
- Select the order in the 'Scratchpad'.
- Set the 'Start Time' field to be a time that is one minute in the future from the discontinued order's 'Discontinue Time'.
- Click [Update Order] and [Sign].
- Validate the 'Order grid' contains the order "Full Liquid Diet".
Scenario 2: Allow Only One Active Order At a Time - Pharmacy
Specific Setup:
- The ‘(540) Allow Only One Active Order At A Time’ extended attribute must be set to “Yes” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- Please log out of the application and log back in after completing the above configuration.
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "ADVIL 200 MG ORAL TABLET" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "Tablet" in the 'Dose Unit' field.
- Select "3 TIMES A DAY" from the 'Freq' field.
- Set the 'Duration' field to "6" and click [Hours].
- Validate the 'Start Date' field contains the current date.
- Validate the 'Start Time' field contains the current time.
- Take note of the 'Start Time' field value.
- Validate the 'Stop Date' field contains the current date.
- Validate the 'Stop Time' field contains a time that is 6 hours from now.
- Click [Add to Scratchpad] and click [Sign].
- Validate the 'Order grid' contains the order "ADVIL 200 MG ORAL TABLET, 3 TIMES A DAY".
- Select the order and click [D/C].
- Take note of the 'Discontinue Time' field value.
- Click [Add to Scratchpad] and click [Sign].
- Search for and select "ADVIL 200 MG ORAL TABLET" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "Tablet" in the 'Dose Unit' field.
- Select "3 TIMES A DAY" from the 'Freq' field.
- Set the 'Duration' field to "6" and click [Hours].
- Set the 'Start Time' field to the same value that was in the discontinued order's 'Discontinued Time' field. Note: This will happen automatically if you perform these steps all within the same minute.
- Click [Add to Scratchpad] and click [Sign].
- Validate an error message is displayed stating: "The order for "ADVIL 200 MG TABLET ORAL" has the following issue: Only one active order is allowed for the order type 'Pharmacy'. An order of this type exists starting on the 'Start date' at the 'Start Time' and ending on the 'Discontinue Date' at the 'Discontinue Time'. (Order# 'Unique Number') You should DC the existing order now (if appropriate), if this new order is to replace that existing order".
- Click [Ok].
- Select the order in the 'Scratchpad'.
- Set the 'Start Time' field to be a time that is one minute in the future from the discontinued order's 'Discontinue Time'.
- Click [Update Order] and [Sign].
- Validate the 'Order grid' contains an order for "ADVIL 200 MG ORAL TABLET, 3 TIMES A DAY".
Scenario 3: Allow Only One Active Order At a Time - Lab
Specific Setup:
- The ‘(540) Allow Only One Active Order At A Time’ extended attribute must be set to “Yes” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Lab”.
- Please log out of the application and log back in after completing the above configuration.
- 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.
- A lab-type order code must exist. (Complete Blood Count (CBC))
- Please Note: For testing purposes this scenario is occurring before 04:00 PM.
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "Complete Blood Count (CBC)" in the 'New Order' field.
- Set the 'Duration' field to "8" and click [Hours].
- Validate the 'Start Date' field contains the current date.
- Validate the 'Start Time' field contains the current time.
- Validate the 'Stop Date' field contains the current date.
- Validate the 'Stop Time' field contains a time that is 8 hours from now.
- Click [Add to Scratchpad] and click [Sign].
- Validate the 'Order grid' contains the order "Complete Blood Count (CBC)".
- Search for and select "Complete Blood Count (CBC)" in the 'New Order' field.
- Set the 'Duration' field to "8" and click [Hours].
- Validate the 'Start Date' field contains the current date.
- Validate the 'Start Time' field contains the current time.
- Validate the 'Stop Date' field contains the current date.
- Validate the 'Stop Time' field contains a time that is 8 hours from now.
- Click [Add to Scratchpad] and click [Sign].
- Validate an 'Interaction' dialog is displayed.
- Override any interactions and click [Save Override and Exit].
- Validate an error message is displayed stating: "The order for "CBC " has the following issue: Only one active order is allowed for the order type 'Lab'. An order of this type exists starting on the 'Start Date' at the 'Start Time' and ending on the 'Stop Date' at the 'Stop Time'. (Order# 'Unique Number') You should DC the existing order now (if appropriate), if this new order is to replace that existing order."
- Click [OK].
- Select the order in the 'Scratchpad' and click [Remove from Scratchpad].
- Select the order in the 'Order grid' and click [D/C].
- Take note of the 'Discontinue Time' field value.
- Click [Add to Scratchpad] and click [Sign].
- Search for and select "Complete Blood Count (CBC)" in the 'New Order' field.
- Set the 'Duration' field to "8" and click [Hours].
- Validate the 'Start Date' field contains the current date.
- Validate the 'Start Time' field contains a time in the future from the discontinued order's 'Discontinue Time'.
- Validate the 'Stop Date' field contains the current date.
- Validate the 'Stop Time' field contains a time that is 8 hours from now.
- Click [Add to Scratchpad] and click [Sign].
- Validate the 'Order grid' contains the order "Complete Blood Count (CBC)".
Client Profile / Physicians Orders - Order Group - Properly Clear Scrolling Text Fields
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Client Profile / Physicians Orders
- Select Orders From Order Group
- Auto File Order Group
Scenario 1: Client Profile/Physicians Orders form - Order Text and Reason Text fields - Cleared when changing order codes via Order Group
Specific Setup:
- An Order Group must exist that contains an order code (Order Code A) with the 'Order Text' and 'Reason Text' set to "Line 1:↳Line 2:",(Order Code B) with the 'Order Text' and 'Reason Text' set to "Line 1:↳Line 2:↳Line 3:↳Line 4:" and (Order Code C) with the 'Order Text' and 'Reason Text' set to "Line 1:↳Line 2:↳Line 3:↳Line 4:↳Line 5:↳Line 6:↳Line 7:↳Line 8:" (Order Group 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.
Steps
- Select "Client A" and access the 'Client Profile / Physicians Orders' form.
- Select the 'Create Order' section.
- Search for and select "Order Group A".
- Click [Select Order(s) From Order Group].
- Select "Order Code B" and click [OK].
- Validate a message is displayed stating : "Do you want to attempt to AUTOMATICALLY FILE the selected new order(s) from this Order Group?" and click [No].
- Validate that the 'Order Text' field and the 'Reason Text' field contain "Line 1:↳Line 2:↳Line 3:↳Line 4:↳Line 5:↳Line 6:↳Line 7:↳Line 8:".
- Click [Select Order(s) From Order Group].
- Select "Order Code A", deselect "Order Code B" and click [OK].
- Validate a message is displayed stating : "Do you want to attempt to AUTOMATICALLY FILE the selected new order(s) from this Order Group?" and click [No].
- Validate the 'Order Text' field and the 'Reason Text' contain "Line 1:↳Line 2:".
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Topics
• Order Entry Console
• NX
• Client Profile/Physicians Orders
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Discharge Medication Report - 'Frequency Code' change after eMAR administration.
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: OE NX - Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report
Specific Setup:
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report' registry setting must be set to "Y".
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- The 'Avatar eMAR->General->Settings->->->Support Medication ID' registry setting must be set to "Y".
- Please log out and log back in after completing the above configuration.
- 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.
- Note: For testing purposes the time that this test occurred was after 09:00 AM and before 09:00 PM.
Steps
- Select "Client A” and access the Order Entry Console.
- Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
- Select "EVERY 4 HOURS" from the 'Freq' field.
- Populate the required fields.
- Click [Add to Scratchpad].
- Search for and select "RITALIN 10 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "TABLET" from the 'Dose Unit' field.
- Select "TWICE A DAY" from the 'Freq' field.
- Validate the 'First Dose Date' field contains the current date.
- Validate the 'First Dose Time' field contains either "09:00 AM" or "09:00 PM" depending on the current time and hours of administration.
- Set the 'Duration' field to "14" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- The 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains an order for "RITALIN 10 MG ORAL TABLET (Schedule II)" and "XANAX 1 MG ORAL TABLET (Schedule IV)".
- Access the ‘eMAR’ widget.
- Click 'Click here to provide override reason'.
- Validate the 'Wristband Scan Override' dialog is displayed.
- Select any value in the 'Please provide a reason for not scanning the client wristband' field
- Set the 'Other Reason' field to any value and click [Ok].
- Validate an order for "RITALIN 10 MG ORAL TABLET" is displayed with a dashed line in the first cell and "2100" in the second cell under the current date and an order for "XANAX 1 MG ORAL TABLET" with hours of administration under the current date starting with the time the order was created and running through the end of the day in 4 hour increments.
- Select the "2100" cell under the current date for the "RITALIN 10 MG ORAL TABLET" order and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "RITALIN 10 MG ORAL TABLET".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [Ok].
- Validate the first cell under the current date for the "RITALIN 10 MG ORAL TABLET" order contains an administration of "1 TABLET" and the time of the administration.
- Select the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "XANAX 1 MG ORAL TABLET".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' field and [Ok].
- Validate the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order contains an administration of "1 TABLET and the time of the administration".
- Access the Order Entry Console.
- Select the 'Discharge Reconciliation' tab.
- Select the first order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
- Select the second order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
- Select the first order from 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "Ritalin 10 MG Oral Tablet (Schedule II)".
- Populate the required fields and click [Update Order].
- Select the second order from 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "Xanax 1 MG Oral Tablet (Schedule IV)".
- Select "EVERY 6 HOURS" from the 'Freq' field.
- Populate the required fields and click [Update Order].
- Search for and select "Zyflo 600 MG Tablet Oral" in the 'New Order' field.
- Populate the required fields and click [Add to Scratchpad].
- Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Zyflo 600 MG Tablet Oral.
- Validate that the "Ritalin", "Xanax", and "Zyflo" orders have a status of "ADD", "ADD", and "NEW" respectively in the 'Action' column.
- Click [Review and Sign].
- Validate the 'Final Review' dialog is displayed.
- Select "None" in 'Output' for all orders and click [Sign].
- Click [Print Report]
- Verify the 'Discharge Medications Report' is displayed.
- Click [Go To Next Page].
- Validate the report contains "Ritalin 10 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' time of the current date and the administration time that the successful administration took place and a 'Next Due' date tomorrow's date at "09:00 AM".
- Validate the report contains "Xanax 1 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' time of the current date and the administration time that the successful administration took place and a 'Next Due' that contains a line that can be written on.
- Validate the report contains "Zyflo 600 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with no value in the 'Last Given' or 'Next Due' columns.
- Close the report.
Scenario 2: OE NX - Discharge Medications Report - 'Last Given' - 'Next Given' - two pharmacy-type orders, one with a Routine Frequency without admin times and one with a PRN frequency
Specific Setup:
- The 'Avatar Order Entry->Facility Defaults->Medication Reconciliation->->->Create OE Discharge Order during Discharge Medication Reconciliation' registry setting must be set to "2".
- The 'Avatar Order Entry->Facility Defaults->Medication Reconciliation->->->Internal Pharmacy Fills Discharge Orders' must be set to "Y".
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report' registry setting must be set to "Y".
- The 'Avatar eMAR->General->Settings->->->'Require client wristband scan in Avatar eMAR' registry setting must be set to "Y".
- The ‘(524) Require Hours of Administration for Routine Orders’ extended attribute must be set to “Hours of Administration are not required for Routine orders.” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- Please log out of the application and log back in after completing the above configuration.
- The following frequency codes must be configured to display on the 'Discharge Med Reconciliation' tab of the order entry console.
- A non-interval routine frequency code of "4 Times a Day" without any administration times.(Frequency Code A)
- A non-interval frequency code of "As Needed" without any administration times.(Frequency Code B)
- 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.
Steps
- Select "Client A” and access the Order Entry Console.
- Search for and select "ADVIL 200 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "TABLET" from the 'Dose Unit' field.
- Select "Frequency Code A" from the 'Freq' field.
- Set the 'Duration' field to "11" and click [Days].
- Click [Add to Scratchpad].
- Search for and select "Lisinopril et LISINOPRIL 20 MG Tablet ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "TABLET" from the 'Dose Unit' field.
- Select "Frequency Code B" from the 'Freq' field.
- Set the 'Duration' field to "11" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate the 'Order grid' contains an order for "Advil" and "Lisinopril".
- Access the ‘eMAR’ widget.
- Validate that an order for "ADVIL" and "LISINOPRIL" are displayed with no administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' for both orders.
- Select the first cell under the current date for the "Advil" Order and click [Administer].
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "ADVIL 200 MG TABLET ORAL".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [Ok].
- Validate the first cell under the current date for the "ADVIL 200 MG TABLET ORAL" order contains the amount administered and the time of administration.
- Select the first cell under the current date for the "LISINOPRIL 20 MG Tablet ORAL" order and click [Administer].
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "Lisinopril et LISINOPRIL 20 MG Tablet ORAL".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' field and [Ok].
- Validate the first cell under the current date for the "LISINOPRIL 20 MG Tablet ORAL" order contains the amount administered and the time of administration.
- Access the Order Entry Console.
- Select the 'Discharge Reconciliation' tab.
- Validate that the "ADVIL" order and "LISINOPRIL" orders are displayed under the 'Inpatient Medications' order grid.
- Select both orders and click [Add to Scratchpad as Rx].
- Select the first order from 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "ADVIL 200 MG TABLET ORAL".
- Populate the required fields and click [Update Order].
- Select the second order from 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "LISINOPRIL 20 MG Tablet ORAL".
- Populate the required fields and click [Update Order].
- Click [Review and Sign].
- Validate the 'Final Review' dialog is displayed.
- Select "None" for both orders and click [Sign].
- Validate that 'Discharge Med Reconciliation' is in view-only mode.
- Click [Print Report]
- Verify the 'Discharge Medications Report' is displayed.
- Under 'Start These Medications' you will see the order for "Advil 200 MG Tablet Oral" and "Lisinopril 20 MG Tablet Oral".
- Go to the next page.
- Click [Go To Next Page].
- Validate the 'ACTIVE MEDICATIONS LIST' is displayed.
- Validate the 'Last Given' and 'Next Due' field are displayed.
- Validate the first medication is "ADVIL 200 MG TABLET ORAL" with a 'Last Given' that is equal to the eMAR administration date and time and a 'Next Due' with a blank line for information to be manually populated.
- Validate the second medication contains "LISINOPRIL 20 MG Tablet ORAL" with a 'Last Given' that is equal to the eMAR administration date and time and a 'Next Due' that is blank.
Scenario 3: OE NX - Discharge Medications Report - 'Last Given' - 'Next Given' - utilizing every nth day frequency codes that are not interval
Specific Setup:
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report' registry setting must be set to "Y".
- Please log out of the application and log back in after completing the above configuration.
- The following non-interval frequency codes must be configured to display on the 'Discharge Med Reconciliation' tab of the order entry console.
- A non-interval frequency code of "Every 4 Days" with an administration time at 09:00 PM. (Frequency Code A)
- A non-interval frequency code of "Every 7 Days" with an administration time at 09:00 PM. (Frequency Code B)
- A non-interval frequency code of "Every 14 Days" with an administration time at 09:00 PM. (Frequency Code C)
- 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.
Steps
- Select "Client A” and access the Order Entry Console.
- Search for and select "ADVIL 200 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "TABLET" from the 'Dose Unit' field.
- Select "Frequency Code A" from the 'Freq' field.
- Set the 'Duration' field to "11" and click [Days].
- Click [Add to Scratchpad].
- Search for and select "LISINOPRIL 20 MG Tablet ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "TABLET" from the 'Dose Unit' field.
- Select "Frequency Code B" from the 'Freq' field.
- Set the 'Duration' field to "21" and click [Days].
- Click [Add to Scratchpad].
- Search for and select "RITALIN 20 MG TABLET ORAL (Schedule II)" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "TABLET" from the 'Dose Unit' field.
- Select "Frequency Code C" from the 'Freq' field.
- Set the 'Duration' field to "30" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate the 'Order grid' contains an order for "ADVIL", "LISINOPRIL" and "RITALIN".
- Access the ‘eMAR’ widget.
- Validate an order for "ADVIL", "LISINOPRIL" and "RITALIN" are displayed with a "2100" cell under the current date for each order.
- Click the 'Click here to provider override reason' link.
- Select any value that does not require 'Other Reason' and click [Ok].
- Perform 'Order Acknowledgement' and 'Client Education' for all orders.
- Select the "2100" cell under the current date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for the "ADVIL 200 MG TABLET ORAL".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Click [View] and Validate the 'Warning Message' displays "This Administration Event is occurring outside the allowable administration window of 60 minutes for ADVIL".
- Select any value that does not require the 'Override Text' field and click [OK].
- Check the 'Accept administration information entered' checkbox and click [Ok].
- Validate the first cell under the current date for the "ADVIL 200 MG TABLET ORAL" order contains the amount administered and the time administered.
- Select the "2100" cell under the current date for the "LISINOPRIL 20 MG Tablet ORAL" order and click [Administer].
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "LISINOPRIL 20 MG Tablet ORAL".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Click [View] and Validate the 'Warning Message' displays "This Administration Event is occurring outside the allowable administration window of 60 minutes for LISINOPRIL.".
- Select any value that does not require the 'Override Text' field and click [OK].
- Check the 'Accept administration information entered' field and [Ok].
- Validate the first cell under the current date for the "LISINOPRIL 20 MG Tablet ORAL" order contains the amount administered and the time administered.
- Select the "2100" cell under the current date for the "RITALIN 10 MG ORAL TABLET" order and click [Administer].
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "RITALIN 10 MG ORAL TABLET".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Click [View] and Validate the 'Warning Message' displays "This Administration Event is occurring outside the allowable administration window of 60 minutes for RITALIN.".
- Select any value that does not require the 'Override Text' field and click [OK].
- Check the 'Accept administration information entered' field and [Ok].
- Validate the first cell under the current date for the "RITALIN 10 MG Tablet ORAL" order contains the amount administered and the time administered.
- Access the Order Entry Console.
- Select the 'Discharge Reconciliation' tab.
- Select the first order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
- Select the second order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
- Select the third order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
- Select the first order from the 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "ADVIL 200 MG TABLET ORAL".
- Populate the required fields and click [Update Order].
- Select the second order from the 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "LISINOPRIL 20 MG Tablet ORAL".
- Populate the required fields and click [Update Order].
- Select the third order from the 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "RITALIN 20 MG TABLET ORAL (Schedule II)".
- Populate the required fields and click [Update Order].
- Click [Review and Sign].
- An 'Interactions' dialog may be displayed.
- Override the interactions and click [Save Override and Exit].
- Validate the 'Final Review' dialog is displayed, select "None" in 'Output' for all orders and click [Sign].
- Validate that 'Discharge Med Reconciliation' is in view-only mode.
- Click [Print Report]
- Verify the 'Discharge Medications Report' is displayed.
- Click [Go To Next Page].
- Validate the 'Last Given' and 'Next Due' fields are displayed.
- Validate the report contains "ADVIL 200 MG TABLET ORAL" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' Date/Time from the eMAR successful administration time and a 'Next Due' with an administration date of 4 days in the future at 09:00PM.
- Validate the report contains "LISINOPRIL 20 MG Tablet ORAL" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' Date/Time from the eMAR successful administration time and a 'Next Due' with an administration date of 7 days in the future at 09:00PM.
- Validate the report contains "RITALIN 20 MG TABLET ORAL (Schedule II)" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' Date/Time from the eMAR successful administration time and a 'Next Due' with an administration date of 14 days in the future at 09:00PM.
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Topics
• Order Entry Console
• NX
• Discharge Med Reconciliation
|
Order Entry Console - Enable Supplemental Diagnoses for Lab orders
Scenario 1: OE NX - Orders This Episode - Multiple Diagnosis on Lab Orders
Specific Setup:
- Avatar OE 2023 Update 8, Avatar CareFabric 2023 Update 9, and Avatar NX Release 2023.03.00 are required in order to utilize full functionality.
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Enable Supplemental Diagnoses for Lab Orders in OE Console (Orders This Episode)' registry setting must be set to "Y".
- A lab-type order code must have an external lab vendor selected in the 'External Lab Definition' portion of the 'Order Code Setup' form. (Complete Blood Count)
- 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, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
- "Client A" must have two values filed in the 'Diagnosis' form. (Diagnosis A and Diagnosis B)
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "Complete Blood Count" in the 'New Order' field.
- Validate the 'External Lab Vendor Destination' field contains a value.
- Set the 'Duration' field to any value and click [Days].
- Validate a [+] is displayed in front of the 'Diagnosis' fields.
- Validate the 'Diagnosis' fields are not required.
- Click the [+] three times.
- Validate two additional 'Diagnoses' rows were added.
- Validate that all 'Diagnoses' fields are required.
- Select "Diagnosis A" in the 1st 'Diagnosis' selection field.
- Search for and select any value in the 1st 'Diagnosis' search field and validate the 1st 'Diagnosis' selection field is cleared.
- Select "Diagnosis A" in the 1st 'Diagnosis' selection field and validate the 1st 'Diagnosis' search field is cleared.
- Click in the 2nd 'Diagnosis' selection field and validate that "Diagnosis A" is not displayed.
- Select "Diagnosis B" in the 2nd 'Diagnosis' selection field.
- Search for and select any value in the 3rd 'Diagnosis' search field.
- Validate the 4th 'Diagnoses' fields do not contain a value.
- Click [Add to Scratchpad].
- Validate the order is displayed in the 'Scratchpad' with a red flag in the 'Action' column.
- Select the order in the 'Scratchpad' and click the red [x] next to the 4th 'Diagnoses' fields and click [Update Order].
- Validate the red flag is no longer displayed and click [Sign].
- Validate the 'Order grid' contains the "Complete Blood Count" order.
- Select the order in the 'Order grid' and click [Copy].
- Validate the 'Diagnoses' fields contain the same values that were selected and that all values appear in the search fields on the right.
- Click Refresh.
- Select the order in the 'Order grid' and click [Modify].
- Validate the 'Diagnoses' fields contain the same values that were selected and that all values appear in the search fields on the right.
- Click Refresh.
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Topics
• Order Entry Console
• NX
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Order Entry Console (Orders This Episode section (when in external pharmacy mode) and Home Medications section) - Validation
Scenario 1: OE NX - Orders This Episode - Validate Order Actions - New Order, Modify, Reorder, Copy, and DC
Specific Setup:
- Two users must exist. One whose actions require validation and who is not associated with a practitioner (User A) and one whose actions do not require validation, who can validate others orders, and who is associated with a practitioner. (User B)
- A client must have an active 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
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Search for and select any pharmacy-type order code in the 'New Order' field
- Populate all required fields.
- Click [Add to Scratchpad].
- Set the 'Ordering Practitioner' field to the practitioner associated with "User B".
- Click [Final Review].
- Validate the 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Validate the new order is displayed with an 'Order Status' of "Requires Validation(User B - Create New Order)".
- Log out of the application.
- Log into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Select the order that requires validation and click [Validate].
- Validate the 'Final Review' dialog is displayed.
- Validate the 'Action' column is equal to "VALIDATE".
- Validate the 'Order Details' column contains "Action: NEW ORDER".
- Select "None" in the 'Output' field and click [Sign].
- Validate the order appears in the 'Order grid' with an 'Order Status' of "Active".
- Log out of the application.
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Select the order in the 'Order grid' and click [Modify].
- Set the 'Start Date' field to a date that is twenty six days in the past and click [Add to Scratchpad].
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Click [Final Review].
- Validate the 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Validate the new order is displayed with an 'Order Status' of "Requires Validation(User B - Create New Order)".
- Log out of the application.
- Log into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Select the order that requires validation and click [Validate].
- Validate the 'Final Review' dialog is displayed.
- Validate the 'Action' column is equal to "VALIDATE".
- Validate the 'Order Details' column contains "MODIFY ORDER".
- Select "None" in the 'Output' field and click [Sign].
- Validate the order appears in the 'Order grid' with an 'Order Status' of "Active No Renew - Use Reorder".
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Select the order in the 'Order grid' and click [Reorder] and [Add to Scratchpad].
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Click [Final Review].
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Validate two orders are displayed in the 'Order grid' one with an 'Order Status' of "Requires Validation(User B - Create New Order)" and one with an 'Order Status' of "Active Reordered".
- Log out of the application.
- Log into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Select the order that requires validation and click [Validate].
- Validate the 'Final Review' dialog is displayed.
- Validate the 'Action' column is equal to "VALIDATE".
- Validate the 'Order Details' column contains "Action: REORDER".
- Select "None" in the 'Output' field and click [Sign].
- Validate the order appears in the 'Order grid' with an 'Order Status' of "Active".
- Log out of the application.
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Select the order in the 'Order grid' with an 'Order Status' of "Active" and click [Copy].
- 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 [No].
- Click [Add to Scratchpad].
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Click [Final Review].
- Validate the 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Validate the new order is displayed with an 'Order Status' of "Requires Validation(User B - Create New Order)".
- Log out of the application.
- Log into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Select the order that requires validation and click [Validate].
- Validate the 'Final Review' dialog is displayed.
- Validate the 'Action' column is equal to "VALIDATE".
- Validate the 'Order Details' column contains "Action: NEW ORDER".
- Select "None" in the 'Output' field and click [Sign].
- Validate the order appears in the 'Order grid' with an 'Order Status' of "Active".
- Log out of the application.
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Validate there are 3 orders in the 'Order grid'. Two have an 'Order Status' of "Active" and one has an 'Order Status' of "Active Reordered".
- Select the first order in the 'Order grid' with an 'Order Status' of "Active" and click [DC] and [Add to Scratchpad].
- Select the second order in the 'Order grid' with an 'Order Status' of "Active" and click [DC] and [Add to Scratchpad].
- Select the third order in the 'Order grid' that has an 'Order Status' of "Active Reordered" and click [DC] and [Add to Scratchpad].
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Click [Final Review].
- Validate that "Pending" is selected by default in the 'Output' column for each order and click [Sign].
- Log out of the application.
- Log into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Select "Discontinued" in the 'Status' field.
- Select the first, second, and third order that requires validation while holding the Ctrl key and click [Validate].
- Validate that all orders have been validated and contain an 'Order Status' of "Discontinued".
Scenario 2: OE NX - Home Medications - Validate Order Actions - New Order, Modify, Reorder, and DC
Specific Setup:
- Two users must exist. One whose actions require validation and who is not associated with a practitioner (User A) and one whose actions do not require validation, who can validate others orders, and who is associated with a practitioner. (User B)
- A client must have an active inpatient episode.
- “Client A” must have a ‘Date of Birth’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Diagnosis’ form.
Steps
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Search for and select any medication in the 'New Order' field
- Populate all required fields.
- Click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed.
- Log out of the application.
- Log into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Select "Pending" in the 'Status' field.
- Select the pending order and click [Validate].
- Validate the 'Final Review' dialog is displayed.
- Validate the 'Action' column is equal to "VALIDATE".
- Validate the 'Order Details' column contains "Action: NEW ORDER".
- Select "None" in the 'Output' field and click [Sign].
- Select "Active" in the 'Status' field.
- Validate the order is displayed with a 'Order Status' of "Active".
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Select the medication in the list of current medications and click [Modify].
- Select a different value in the 'Frequency' field and click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed.
- Log out of the application.
- Log into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Select "Pending" in the 'Status' field.
- Select the pending order and click [Validate].
- Validate the 'Final Review' dialog is displayed.
- Validate the 'Action' column is equal to "VALIDATE".
- Validate the 'Order Details' column contains "Action: MODIFY ORDER".
- Select "None" in the 'Output' field and click [Sign].
- Select "Active" in the 'Status' field.
- Validate the order is displayed with a 'Order Status' of "Active".
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Select the medication in the list of current medications and click [Reorder].
- Click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed.
- Log out of the application.
- Log into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Select "Pending" in the 'Status' field.
- Select the pending order and click [Validate].
- Validate the 'Final Review' dialog is displayed.
- Validate the 'Action' column is equal to "VALIDATE".
- Validate the 'Order Details' column contains "Action: REORDER".
- Select "None" in the 'Output' field and click [Sign].
- Select "Active" in the 'Status' field.
- Validate the order is displayed with a 'Order Status' of "Active".
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Select the medication in the list of current medications and click [D/C].
- Select any value in the 'Discontinue Reason' field and click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed.
- Log out of the application.
- Log into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Select "Pending" in the 'Status' field.
- Select the pending order and click [Validate].
- Validate the 'Final Review' dialog is displayed.
- Validate the 'Action' column is equal to "VALIDATE".
- Validate the 'Order Details' column contains "Action: DISCONTINUE ORDER".
- Select "None" in the 'Output' field and click [Sign].
- Select "Active" in the 'Status' field.
- Select "Discontinue" from the 'Status' field.
- Validate the order is displayed with an 'Order Status' of "Discontinued".
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Topics
• Order Entry Console
• NX
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Order Entry Console - Preferred Description for Route of Administration
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Dynamic Form - Dictionary Update - Locked Dictionary
- eMAR
- RxConnect
- Rx Summary
- Rx Summary.Pending
- Rx Summary.Pending.Schedule
- Rx Summary.Order Details
Scenario 1: eMAR NX - Validate Preferred Description for Route of Administration is Respected with Fill Details
Specific Setup:
- The ‘(10182) Preferred Description’ extended attribute must be set to “SUB-Q” in the Order Entry Tabled Files ‘(10181) Route of Administration’ dictionary for “SUBCUTANEOUS”.
- The registry setting 'Avatar eMAR->General->Settings->->->Use Pharmacy Fill Details For Order Description' must be set to "Y".
- Avatar must be configured to communicate with RxConnect via Avatar HL7.
- Please log out of the application and log back in after completing the above configuration.
- A pharmacy type order code with a subcutaneous route of administration must exist. (Order Code A)
- A pharmacy type order code with an oral route of administration must exist. (Order Code B)
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "Order Code A" in the 'New Order' field.
- Validate the 'Route' field is equal to "SUB-Q".
- Fill out any remaining required fields and click [Add to Scratchpad] and [Sign].
- Validate "SUB-Q" is displayed in the order details.
- Search for and select "Order Code B" in the 'New Order' field.
- Validate the 'Route' field is equal to "ORAL".
- Fill out any remaining required fields and click [Add to Scratchpad] and [Sign].
- Validate "ORAL" is displayed in the order details.
- Access the 'eMAR' widget.
- Validate that an order for "Order Code A" is displayed.
- Validate "SUB-Q" is displayed in the order details.
- Validate that an order for "Order Code B" is displayed.
- Validate "ORAL" is displayed in the order details.
- Process the orders for "Order Code A" and "Order Code B" via RxConnect.
- Access the 'eMAR' widget.
- Validate that an order for "Order Code A" is displayed.
- Validate "SUB-Q" is displayed in the order details.
- Validate that an order for "Order Code B" is displayed.
- Validate "ORAL" is displayed in the order details.
Order Entry Console - Pre-Admit - Give Initial Dose Now
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: OE NX - Pre-Admit - Order Group - One Time Only Frequency - Custom Administration Time
Specific Setup:
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Allow New Orders For Pre-Admit Episodes' registry setting must be set to "Y".
- The application must not have pharmacies configured in the 'External Pharmacy Setup' form.
- The '"Avatar Order Entry->Facility Defaults->Client Profile->->->Defer Activation of Orders in a Pre-Admit Episode" must be set to "Y".
- The ‘(524) Require Hours of Administration for Routine Orders’ extended attribute must be set to “Hours of Administration are required not for Routine Orders” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- Please log out of the application and log back in after completing the above configuration.
- A frequency code must be configured in the 'Frequency Code Setup' form with the following attributes: (Frequency Code A)
- 'Routine or PRN(As Needed) = "Routine"
- 'One Time Only' = "Yes"
- 'Times/24 Hours' = "1"
- 'Interval Frequency' = "No"
- 'Daily Administration' = "Daily"
- 'Default to Give Initial Dose Now' = "Yes"
- A frequency code must be configured in the 'Frequency Code Setup' form with the following attributes: (Frequency Code B)
- 'Routine or PRN(As Needed) = "Routine"
- 'One Time Only' = "Yes"
- 'Times/24 Hours' = "1"
- 'Interval Frequency' = "No"
- 'Daily Administration' = "Daily"
- 'Default to Give Initial Dose Now' = "No"
- 'Hours of Administration' = "08:00 AM"
- Two Pharmacy-type order codes must exist. (Order Code A) (Order Code B)
- An order group (Order Group A) must be created with at least two pharmacy-type order codes where:
- "Order Code A" has a default frequency of "Frequency Code A".
- "Order Code B" has a default frequency of "Frequency Code B".
- A client must have an active pre-admit 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "Order Group A" in the 'New Order' field.
- Validate the 'Order Group' dialog is displayed.
- Click [Select All].
- Validate the 'Frequency' fields are defaulted from the 'Order Group Setup' form.
- Validate that the 'First Dose Date/Time' fields are hidden.
- Validate that the 'Stop Date/Time' fields are hidden.
- Validate that the 'Custom' button is visible for both "Order Code A" and "Order Code B".
- Click the 'Custom' button for "Order Code A".
- Set the 'Scheduled Administration Times;' field to "12:00 PM" and click [Save].
- Validate a 'Warning!' dialog appears stating "'Hours of Administration' and 'Give Initial Dose Now' cannot both be specified for an order created in "Pre-Admit mode". 'Give Initial Dose Now' will be cleared." and click [OK].
- Click the 'Custom' button for "Order Code B".
- Set the 'Scheduled Administration Times;' field to "12:00 AM" and click [Save].
- Click [Add to Scratchpad].
- Validate the 'Start Date' fields in the scratchpad for both "Order Code A" and "Order Code B" contain "01/01/2099".
- Select "Order Code A" from the 'Scratchpad'.
- Validate the 'Give Initial Dose Now - Yes' button is enabled and not pressed.
- Click [Custom], validate the 'Scheduled Administration Times:' field contains "12:00 PM" and click [Cancel].
- Click [Give Initial Dose Now - Yes].
- Validate a 'Warning!' dialog appears stating "'Hours of Administration' and 'Give Initial Dose Now' cannot both be specified for an order created in "Pre-Admit mode". 'Hours of Administration' will be cleared." and click [OK].
- Click [Custom], validate the 'Scheduled Administration Times' field contains no values and click [Cancel].
- Set the 'Duration' field to "1" and click [Days].
- Click [Update Order] and, in the 'Scratchpad', validate the 'Stop Date' field for "Order Code A" is "01/01/2099".
- Select "Order Code B" from the 'Scratchpad'.
- Click [Custom], validate the 'Scheduled Administration Times' field contains "12:00 AM" and click [Cancel].
- Set the 'Duration' field to "2" and click [Days].
- Click [Update Order] and, in the 'Scratchpad', validate the 'Stop Date' field for "Order Code B" is "01/02/2099".
- Click [Sign].
Scenario 2: OE NX - Pre-Admit - One Time Only with Default Give Initial Dose Now - Field Validation
Specific Setup:
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Allow New Orders For Pre-Admit Episodes' registry setting must be set to "Y".
- The application must not have pharmacies configured in the 'External Pharmacy Setup' form.
- The '"Avatar Order Entry->Facility Defaults->Client Profile->->->Defer Activation of Orders in a Pre-Admit Episode" must be set to "Y".
- The ‘(524) Require Hours of Administration for Routine Orders’ extended attribute must be set to “Hours of Administration are required for Routine Orders” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- Please log out of the application and log back in after completing the above configuration.
- A frequency code must be configured in the 'Frequency Code Setup' form with the following attributes: (Frequency Code A)
- 'Routine or PRN(As Needed) = "Routine"
- 'One Time Only' = "Yes"
- 'Times/24 Hours' = "1"
- 'Interval Frequency' = "No"
- 'Daily Administration' = "Daily"
- 'Default to Give Initial Dose Now' = "Yes"
- A Pharmacy-type order code must exist. (Order Code A)
- A client must have an active pre-admit 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "Order Code A" in the 'New Order' field.
- Set the 'Dose' field to "1" and select "Capsule" from the 'Dose Unit' field.
- Validate the "Start Date/Time' fields are hidden.
- Validate the 'Stop Date/Time' fields are hidden.
- Validate the 'First Dose Date/Time' fields are hidden.
- Validate that 'Give Initial Dose Now' [Yes] is disabled.
- Validate the 'Custom' button is not hidden.
- Search for and select "Frequency Code A" from the 'Freq:' field.
- Validate that 'Give Initial Dose Now' [Yes] is pressed.
- Validate that 'Give Initial Dose Now' [Yes] is enabled.
- Validate that 'Skip 1st Dose' [Yes] is disabled.
- Validate that [Custom] is not hidden.
- Click [Custom].
- Set the 1st 'Scheduled Administration Times' field to "1200" and click [Save].
- Validate a warning message is displayed stating: "Hours of Administration' and 'Give Initial Dose Now' cannot both be specified for an order created in "Pre-Admit mode". 'Give Initial Dose Now' will be cleared."
- Click [OK] and validate that 'Give Initial Dose Now' [Yes] is not pressed.
- Click 'Give Initial Dose Now' [Yes].
- Validate a warning message is displayed stating: 'Hours of Administration' and 'Give Initial Dose Now' cannot both be specified for an order created in "Pre-Admit mode". 'Hours of Administration' will be cleared."
- Click [OK].
- Click [Custom], validate there are no values listed under 'Scheduled Administration Times' and click [Cancel].
- Set the 'Duration' field to "1" and click [Days].
- Click [Add to Scratchpad].
- Validate the 'Start Date' field contains "01/01/2099".
- Validate the 'Stop Date' field contains "01/01/2099".
- Select "Order Code A" from the scratchpad.
- Validate that 'Give Initial Dose Now' [Yes] is pressed.
- Validate that 'Give Initial Dose Now' [Yes] is enabled.
- Click [Cancel] and then [Sign].
Order Entry Console - Order Validation - iButton
Scenario 1: OE NX - Orders This Episode - New Order (by Nurse who requires validation), Validation by Prescriber
Specific Setup:
- The 'RADplus->General->->->->Default Value for Console View Episodes' registry setting must be set to "1". NOTE: This is a Netsmart Staff only registry setting. Please contact your Netsmart representative to have this setting configured.
- Please log out of the application and log back in after completing the above configuration.
- Two users must exist in the application: One whose actions require validation (User A) and One whose actions do not require Validation (User B).
- A client must have an active 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.
- "User A" must be logged into the application.
Steps
- Select "Client A”.
- Validate the 'Header Episode' field contains "All Episodes".
- Select the most current episode from the 'Header Episode' field.
- Access the Order Entry Console and click 'Orders This Episode' tab.
- Make note of the number next to the "V" icon.
- Search for and select "Ritalin 5 MG Tablet Oral (Schedule II)" from the ‘New Order’ field.
- Populate all required fields and click [Add to Scratchpad].
- Search for and select the staff member associated with "User B" in the ‘Ordering Practitioner' field.
- Click [Sign].
- Validate the ‘Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Final Review' dialog is displayed.
- Select "None" in 'Output' and click [Sign].
- Validate the ‘Order grid’ contains an order for "Ritalin” with an 'Order Status' of "Requires Validation".
- Log out of the application and log back in as "User B".
- Select "Client A”.
- Validate the 'Header Episode' field contains "All Episodes".
- Select the most recent active episode from the 'Header Episode' field.
- Access the Order Entry Console and click 'Orders This Episode' tab.
- Validate the number next to the "V" icon has increased by 1.
- Select the “Ritalin” order in the ‘Order grid’ and click [Validate].
- Validate the 'Final Review' dialog is displayed.
- Select "None" in 'Output' and click [Sign].
- Validate the 'Order grid' contains an order for "Ritalin" with a 'Status' of "Active".
- Validate the number next to the "V" icon has decreased by 1.
Scenario 2: OE NX - iButton - Orders This Episode
Specific Setup:
- The 'RADplus->System Security->User Definition->->->Two-Factor Authentication Method' registry setting must be set to "iButton".
- Please log out of the application and log back in after completing the above configuration.
- The logged in user must both require validation and must be allowed to validate orders.
- 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
- Select "Client A", access the Order Entry Console, and plug in the iButton.
- Search for and select "TYLENOL (ACETAMINOPHEN) 325 MG CAPSULE, LIQUID FILLED ORAL" from the 'New Order' field.
- Populate all required fields and click [Add to Scratchpad], [Final Review], and [Sign].
- Select the "Tylenol" order created from the 'Order grid' and click [Validate].
- Validate the "Tylenol" order has been validated.
- Search for and select "PREDNISONE 1 MG TABLET ORAL" from the 'New Order' field.
- Populate all required fields and click [Add to Scratchpad], [Final Review] and [Sign].
- Unplug the iButton.
- Select the "Prednisone" order in the 'Order grid' and click [Validate]
- Validate a message is displayed stating "Two-Factor Authentication failed. This can happen if the logged-in user is not assigned a Two-Factor Authentication token or if the correct Two-Factor Authentication token is not present. Filing is canceled. Please insert your assigned Two-Factor Authentication token and try again." and click [OK].
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Topics
• RxConnect
• NX
• Order Entry Console
|
eMAR Downtime Automation - pdf reports available for printing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Order Entry Forms Definition
- FTP Setup
- eMAR Downtime Automation
Scenario 1: NX - eMAR Downtime Automation - 7 Day Administration Record
Specific Setup:
- An active definition must exist in the 'Order Entry Forms Definition' form for the "Administration Record (7 day grid)" that is configured with the following:
- 'Form Description' and 'Form Title To Be Printed' = "Administration Record - 7 day grid"
- 'Order Types To Be Included' = all values selected.
- 'Printed Time Format (Supported forms Only)' = "Military".
- 'Include Routine / PRN / STAT/ Other' = all values checked.
- 'Include Orders That Require Validation' = "Yes"
- 'Include Expired Orders' = "No".
- 'Include Future-Start Orders' = "Yes"
- 'Include Future-Discontinued Orders' = "Yes"
- An active 'SFTP - Password' configuration must exist for the server where the application resides that communicates with the FTP server.
- An active configuration must exist for the 'Administration Record - 7 day grid' in the 'eMAR Downtime Automation' form that fits the following criteria:
- 'Print A Blank Form for Clients With No Qualifying Orders' = "No"
- 'Sort Clients' = "Alphabetically by Client Name (across Units/Programs)"
- 'Create a Separate Report File for Each Selected Unit/Program' = "No"
- 'eMAR Downtime Report to Include' = "Units"
- 'Include All Units' = "Yes"
- 'File Path' = a valid directory on the server where the application resides
- 'Send File to FTP Server' = "Yes"
- 'FTP Definition' = the definition configured for "SFTP - Password" in the 'FTP Setup' form.
- Validate "Schedule Description: eMAR Downtime Automation(4) Recurrence Pattern : Daily" exists in the 'System Task Scheduler' and configure the 'Start Date' and 'Start Time'. This is the date and time that this task will run each day.
- The 'RADplus Install Configuration' form must contain an active server configuration for the cache server where the application resides that uses the 'NX URL'. This is a CSMPROG only form and will be configured by a Netsmart Representative.
- Please Note: For testing purposes, it is assumed that the 'eMAR Downtime Automation' task has run for the day.
Steps
- Access the cache server where the application resides and access the directory specified in the 'File Path' field on the 'eMAR Downtime Automation' form.
- Validate a file is displayed in the following format: YYYY-MM-DD_time in military format_Form Description name set up in 'Order Entry Forms Definition'. (ex. 2023-05-31_1036_7 day Administration Record)
- Open the pdf and validate that the 'Administration Record - 7 day grid' report is displayed and contains the following:
- Validate all clients are in one file and that they are in alphabetical order by client's last name, first name across all units selected.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was created. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date Of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read "Page 1 of # of total pages" and then for the next client it will return to "Page 1 of 1".
- Close the report and log off of the server.
- Access the FTP server and access the directory where the pdf's will be stored.
- Validate a file is displayed in the following format: YYYY-MM-DD_time in military format_Form Description name set up in 'Order Entry Forms Definition'. (ex. 2023-05-31_1036_7 day Administration Record)
- Open the pdf and validate that the 'Administration Record - 7 day grid' report is displayed and contains the following:
- Validate all clients are in one file and that they are in alphabetical order by client's last name, first name across all units selected.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was created. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date Of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read "Page 1 of # of total pages" and then for the next client it will return to "Page 1 of 1".
- Close the report and log off of the server.
Scenario 2: NX - eMAR Downtime Automation - 1 Day Administration Record
Specific Setup:
- An active definition must exist in the 'Order Entry Forms Definition' form for the "Administration Record (1 day grid)" that is configured with the following:
- 'Form Description' and 'Form Title To Be Printed' = "Administration Record - 1 day"
- 'Order Types To Be Included' = "Pharmacy"
- 'Printed Time Format (Supported forms Only)' = "AM/PM".
- 'Include Routine / PRN / STAT/ Other' = all values checked.
- 'Include Orders That Require Validation' = "Yes"
- 'Include Expired Orders' = "No".
- 'Include Future-Start Orders' = "No"
- 'Include Future-Discontinued Orders' = "No"
- An active configuration must exist for the 'Administration Record' in the 'eMAR Downtime Automation' form that fits the following criteria:
- 'Print A Blank Form for Clients With No Qualifying Orders' = "No"
- 'Sort Clients' = "Alphabetically by Client Name (across Units/Programs)"
- 'Create a Separate Report File for Each Selected Unit/Program' = "Yes"
- 'eMAR Downtime Report to Include' = "Programs"
- 'Include All Programs' = "No"
- 'Outpatient/Partial Hospitalization Programs to Include' = "(302) O.P. Adult Psych", "(303) O.P. Mature Adult Psych", and "(307) O.P. Mature Adult S.A".
- 'File Path' = a valid directory on the server where the application resides
- 'Delete Files After X Days' = "5"
- 'Send File to FTP Server' = "No"
- Validate "Schedule Description: eMAR Downtime Automation(4) Recurrence Pattern : Daily" exists in the 'System Task Scheduler' and configure the 'Start Date' and 'Start Time'. This is the date and time that this task will run each day.
- The 'RADplus Install Configuration' form must contain an active server configuration for the cache server where the application resides that uses the 'NX URL'. This is a CSMPROG only form and will be configured by a Netsmart Representative.
- The user logged into the application must have their action require validation. (User A)
- Three clients must have active episodes for the following programs with qualifying orders:
- "(302) O.P. Adult Psych" (Client A)
- "(303) O.P. Mature Adult Psych" (Client B)
- "(307) O.P. Mature Adult S.A" (Client C)
- Please Note: For testing purposes, it is assumed that the 'eMAR Downtime Automation' task has run for the day.
Steps
- Access the cache server where the application resides and access the directory specified in the 'File Path' field on the 'eMAR Downtime Automation' form.
- Validate there are 3 files, one for every Outpatient and Partial Hospitalization program that was selected that contains clients with qualifying orders in the following format "Program_YYYY-MM-DD_time in military format_Form Description name set up in 'Order Entry Forms Definition'." (ex. O.P. Adult Psych_2023-06-06_1638_1 Day Administration Record).
- Open one of the pdf's and validate that the 'Administration Record - 1 Day' report is displayed and contains the following:
- Validate that the pdf will contain all clients in that program sorted in alphabetical order by client's last name, first name.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was created. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date Of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read "Page 1 of # of total pages" and then for the next client it will return to "Page 1 of 1".
- Close the report and log off of the server.
Scenario 3: NX - eMAR Downtime Automation - Administration Record
Specific Setup:
- An active definition must exist in the 'Order Entry Forms Definition' form for the "Administration Record" that is configured with the following:
- 'Form Description' and 'Form Title To Be Printed' = "Administration Record"
- 'Order Types To Be Included' = all values selected.
- 'Printed Time Format (Supported forms Only)' = "24-Hr (colon)".
- 'Include Routine / PRN / STAT/ Other' = all values checked.
- 'Include Orders That Require Validation' = "Yes"
- 'Include Expired Orders' = "No".
- 'Include Future-Start Orders' = "Yes"
- 'Include Future-Discontinued Orders' = "No"
- An active configuration must exist for the 'Administration Record' in the 'eMAR Downtime Automation' form that fits the following criteria:
- 'Print A Blank Form for Clients With No Qualifying Orders' = "No"
- 'Sort Clients' = "By Unit or Program, then by Room/Bed (for Units) or alphabetically by Client Name (for Programs)"
- 'Create a Separate Report File for Each Selected Unit/Program' = "Yes"
- 'eMAR Downtime Report to Include' = "Both"
- 'Include All Units' = "Yes"
- 'Include All Programs' = "Yes"
- 'File Path' = a valid directory on the server where the application resides
- 'Delete Files After X Days' = "1"
- 'Send File to FTP Server' = "No"
- Validate "Schedule Description: eMAR Downtime Automation(4) Recurrence Pattern : Daily" exists in the 'System Task Scheduler' and configure the 'Start Date' and 'Start Time'. This is the date and time that this task will run each day.
- The 'RADplus Install Configuration' form must contain an active server configuration for the cache server where the application resides that uses the 'NX URL'. This is a CSMPROG only form and will be configured by a Netsmart Representative.
- Please Note: For testing purposes, it is assumed that the 'eMAR Downtime Automation' task has run for the day.
Steps
- Access the cache server where the application resides and access the directory specified in the 'File Path' field on the 'eMAR Downtime Automation' form.
- Validate there are files for every unit that contains clients with qualifying orders in the following format "Unit_YYYY-MM-DD_time in military format_Form Description name set up in 'Order Entry Forms Definition'." (ex.1East_2023-06-01_1038_Administration Record).
- Validate there are files for every Outpatient and Partial Hospitalization program that contains clients with qualifying orders in the following format "Program_YYYY-MM-DD_time in military format_Form Description name set up in 'Order Entry Forms Definition'." (ex. O.P. Adult Psych_2023-06-01_1038_Administration Record).
- Open one of the pdf's and validate that the 'Administration Record' report is displayed and contains the following:
- Validate that the pdf for units will contain all clients in that unit and then sorted in Room/Bed order.
- Validate that the pdf for programs will contain all client in that program sorted in alphabetical order by client's last name, first name.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was created. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date Of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read "Page 1 of # of total pages" and then for the next client it will return to "Page 1 of 1".
- Close the report and log off of the server.
Scenario 4: NX - eMAR Downtime Automation - 1 Day Alt Administration Record
Specific Setup:
- An active definition must exist in the 'Order Entry Forms Definition' form for the "Administration Record (1 day grid Alternate Format 1)" that is configured with the following:
- 'Form Description' and 'Form Title To Be Printed' = "Administration Record - 1 Day Alternate"
- 'Order Types To Be Included' = "Pharmacy"
- 'Printed Time Format (Supported forms Only)' = "AM/PM".
- 'Include Routine / PRN / STAT/ Other' = all values checked.
- 'Include Orders That Require Validation' = "Yes"
- 'Include Expired Orders' = "Yes"
- 'Incl. Exp. Orders For How Many Days Past Order's Stop Date' = "5"
- 'Include Future-Start Orders' = "No"
- 'Include Future-Discontinued Orders' = "No"
- An active configuration must exist for the 'Administration Record' in the 'eMAR Downtime Automation' form that fits the following criteria:
- 'Print A Blank Form for Clients With No Qualifying Orders' = "Yes"
- 'Sort Clients' = "By Unit or Program, then alphabetically by Client Name"
- 'Create a Separate Report File for Each Selected Unit/Program' = "No"
- 'eMAR Downtime Report to Include' = "Units"
- 'Include All Units' = "No"
- 'Units to Include' = "(1E) 1East" and "(1N) 1North"
- 'File Path' = a valid directory on the server where the application resides
- 'Delete Files After X Days' = "1"
- 'Send File to FTP Server' = "No"
- Validate "Schedule Description: eMAR Downtime Automation(4) Recurrence Pattern : Daily" exists in the 'System Task Scheduler' and configure the 'Start Date' and 'Start Time'. This is the date and time that this task will run each day.
- The 'RADplus Install Configuration' form must contain an active server configuration for the cache server where the application resides that uses the 'NX URL'. This is a CSMPROG only form and will be configured by a Netsmart Representative.
- Please Note: For testing purposes, it is assumed that the 'eMAR Downtime Automation' task has run for the day.
Steps
- Access the cache server where the application resides and access the directory specified in the 'File Path' field on the 'eMAR Downtime Automation' form.
- Validate there is one pdf that contains clients with qualifying orders in the following format "YYYY-MM-DD_time in military format_Form Description name set up in 'Order Entry Forms Definition'." (ex. 2023-06-06_1638_1 Day Administration Record - Alternate).
- Open the pdf and validate that the 'Administration Record - 1 Day Alternate' report is displayed and contains the following:
- Validate that the pdf will contain all clients in the two units selected, sorted in alphabetical order by client's last name, first name.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was created. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date Of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read "Page 1 of # of total pages" and then for the next client it will return to "Page 1 of 1".
- Close the report and log off of the server.
Scenario 5: eMAR Downtime Automation - 7 Day Alt Administration Record
Specific Setup:
- An active definition must exist in the 'Order Entry Forms Definition' form for the "Administration Record (7 day grid Alternate Format 1)" that is configured with the following:
- 'Form Description' and 'Form Title To Be Printed' = "Administration Record - 7 Day Alt"
- 'Order Types To Be Included' = "Pharmacy"
- 'Printed Time Format (Supported forms Only)' = "Military"
- 'Include Routine / PRN / STAT/ Other' = all values checked
- 'Include Orders That Require Validation' = "Yes"
- 'Include Expired Orders' = "Yes"
- 'Incl. Exp. Orders For How Many Days Past Order's Stop Date' = "5"
- 'Include Future-Start Orders' = "No"
- 'Include Future-Discontinued Orders' = "No"
- An active 'SFTP - Key Pair' configuration must exist for the server where the application resides that communicates with the FTP server.
- An active configuration must exist for 'Administration Record - 7 Day Alt' in the 'eMAR Downtime Automation' form that fits the following criteria:
- 'Print A Blank Form for Clients With No Qualifying Orders' = "Yes"
- 'Sort Clients' = "Alphabetically by Client Name (across Units/Programs)"
- 'Create a Separate Report File for Each Selected Unit/Program' = "Yes"
- 'eMAR Downtime Report to Include' = "Units"
- 'Include All Units' = "No"
- 'Units to Include' = "1North"
- 'File Path' = a valid directory on the server where the application resides
- 'Send File to FTP Server' = "Yes"
- 'FTP Definition' = the definition configured for "SFTP - Key Pair" in the 'FTP Setup' form.
- Validate "Schedule Description: eMAR Downtime Automation(4) Recurrence Pattern : Daily" exists in the 'System Task Scheduler' and configure the 'Start Date' and 'Start Time'. This is the date and time that this task will run each day.
- The 'RADplus Install Configuration' form must contain an active server configuration for the cache server where the application resides that uses the 'NX URL'. This is a CSMPROG only form and will be configured by a Netsmart Representative.
- Please Note: For testing purposes, it is assumed that the 'eMAR Downtime Automation' task has run for the day.
Steps
- Access the cache server where the application resides and access the directory specified in the 'File Path' field on the 'eMAR Downtime Automation' form.
- Validate a file is displayed in the following format: "Units selected_YYYY-MM-DD_time in military format_Form Description name" set up in 'Order Entry Forms Definition'. (ex.1North_2023-05-31_1651_Administration Record - 7 Day Alternate)
- Open the pdf and validate that the 'Administration Record - 7 Day Alt' report is displayed and contains the following:
- Validate all clients are in one file and that they are in alphabetical order by client's last name, first name across all units selected.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was created. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date Of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read "Page 1 of # of total pages" and then for the next client it will return to "Page 1 of 1".
- Close the report and log off of the server.
- Access the FTP server and access the directory where the pdf's will be stored.
- Validate a file is displayed in the following format: "Units selected_YYYY-MM-DD_time in military format_Form Description name" set up in 'Order Entry Forms Definition'. (ex.1North_2023-05-31_1651_Administration Record - 7 Day Alternate)
- Open the pdf and validate that the 'Administration Record - 7 Day Alt' report is displayed and contains the following:
- Validate all clients are in one file and that they are in alphabetical order by client's last name, first name across all units selected.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was created. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date Of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read "Page 1 of # of total pages" and then for the next client it will return to "Page 1 of 1".
- Close the report and log off of the server.
Scenario 6: NX - eMAR Downtime Automation - Administration Record Alternate
Specific Setup:
- An active definition must exist in the 'Order Entry Forms Definition' form for the "Administration Record (Alternate Format 1)" that is configured with the following:
- 'Form Description' and 'Form Title To Be Printed' = "Administration Record - Alternate"
- 'Order Types To Be Included' = all values selected.
- 'Printed Time Format (Supported forms Only)' = "Military".
- 'Include Routine / PRN / STAT/ Other' = all values checked.
- 'Include Orders That Require Validation' = "Yes"
- 'Include Expired Orders' = "No".
- 'Include Future-Start Orders' = "No"
- 'Include Future-Discontinued Orders' = "No"
- An active configuration must exist for the 'Administration Record' in the 'eMAR Downtime Automation' form that fits the following criteria:
- 'Print A Blank Form for Clients With No Qualifying Orders' = "Yes"
- 'Sort Clients' = "Alphabetically by Client Name (across Units/Programs)"
- 'Create a Separate Report File for Each Selected Unit/Program' = "Yes"
- 'eMAR Downtime Report to Include' = "Both"
- 'Include All Units' = "No"
- 'Units to Include' = "(1N) 1North"
- 'Include All Programs' = "No"
- 'Programs to Include' = "(306) O.P. Adult S.A."
- 'File Path' = a valid directory on the server where the application resides
- 'Delete Files After X Days' = "1"
- 'Send File to FTP Server' = "No"
- Validate "Schedule Description: eMAR Downtime Automation(4) Recurrence Pattern : Daily" exists in the 'System Task Scheduler' and configure the 'Start Date' and 'Start Time'. This is the date and time that this task will run each day.
- The 'RADplus Install Configuration' form must contain an active server configuration for the cache server where the application resides that uses the 'NX URL'. This is a CSMPROG only form and will be configured by a Netsmart Representative.
- Please Note: For testing purposes, it is assumed that the 'eMAR Downtime Automation' task has run for the day.
Steps
- Access the cache server where the application resides and access the directory specified in the 'File Path' field on the 'eMAR Downtime Automation' form.
- Validate there is a file for the unit selected (1North) that contains clients with qualifying orders in the following format "Unit_YYYY-MM-DD_time in military format_Form Description name set up in 'Order Entry Forms Definition'." (ex. 1North_2023-05-30_1039_Administration Record - Alternate).
- Validate there is a file for every the program selected (O.P. Adult S.A.) that contains clients with qualifying orders in the following format "Program_YYYY-MM-DD_time in military format_Form Description name set up in 'Order Entry Forms Definition'." (ex. O.P. Adult S.A._2023-05-30_1039_Administration Record - Alternate).
- Open one of the pdf's and validate that the 'Administration Record - Alternate' report is displayed and contains the following:
- Validate that the pdf for units will contain all clients in that unit and then sorted in Room/Bed order.
- Validate that the pdf for programs will contain all client in that program sorted in alphabetical order by client's last name, first name.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was created. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date Of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read "Page 1 of # of total pages" and then for the next client it will return to "Page 1 of 1".
- Close the report and log off of the server.
- After 2 days and after the 'eMAR Downtime Automation' task has run for the day,
- Access the cache server where the application resides and access the directory specified in the 'File Path' field on the 'eMAR Downtime Automation' form.
- Validate the "1North_2023-06-01_1039_Administration Record - Alternate" and "O.P. Adult S.A._2023-06-01_1039_Administration Record - Alternate" files are no longer displayed.
- Validate there is a new file for the unit selected (1North) that contains clients with qualifying orders in the following format "Unit_YYYY-MM-DD_time in military format_Form Description name set up in 'Order Entry Forms Definition'." (ex. 1North_2023-06-01_1039_Administration Record - Alternate)
- Validate there is a file for every the program selected (O.P. Adult S.A.) that contains clients with qualifying orders in the following format "Program_YYYY-MM-DD_time in military format_Form Description name set up in 'Order Entry Forms Definition'." (ex. O.P. Adult S.A._2023-06-01_1039_Administration Record - Alternate)
Order Entry Forms Printing
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Order Entry Forms Definition
- Order Entry Forms Printing
Scenario 1: OE NX - Order Entry Forms Printing - Administration Record
Specific Setup:
- Multiple clients must have multiple active orders.
Steps
- Access the 'Order Entry Forms Definition' form.
- Create a form for the 'Administration Record'.
- Access the 'Order Entry Forms Printing' form.
- Select the 'Administration Record' form created above and select to sort clients alphabetically by client name and click [Print Forms].
- Validate the 'Administration Record' report is printed with clients listed in alphabetical order by last name and includes separate pages for each client.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was run. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read 'Page 1 of # of total pages' and then for the next client is will return to "Page 1 of 1".
Scenario 2: OE NX - Order Entry Forms Printing - 7 Day Administration Record
Specific Setup:
- Multiple clients must have multiple active orders.
- A client must have an active inpatient episode. (Client A)
Steps
- Access the 'Order Entry Forms Definition' form.
- Create a form for the 'Administration Record - 7 Day'.
- Select "Client A" and access the Order Entry Console.
- Search for and select a pharmacy-type order code.
- Populate all required fields.
- Populate the 'Reason Text' field with text that has over 48 characters, hit enter and proceed with the same text for six lines.
- Populate the 'Addl Instructions' field with text that has over 48 characters, hit enter and proceed with the same text for nine lines.
- Access the 'Order Entry Forms Printing' form.
- Select the 'Administration Record - 7 Day' form created above and select to sort clients alphabetically by client name and click [Print Forms].
- Validate the 'Administration Record - 7 Day' report is printed with clients listed in alphabetical order by last name and includes separate pages for each client.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was run. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read 'Page 1 of # of total pages' and then for the next client is will return to "Page 1 of 1".
- Select "Client A" from the list of clients on the left.
- Validate that the order created above is displayed with an ellipsis after the first five lines of the 'Addl Instructions' and after the first five lines of the 'Reason Text'.
Scenario 3: OE NX - Order Entry Forms Printing - 1 day Administration Record - Alternate format
Specific Setup:
- Multiple clients must have multiple active orders.
Steps
- Access the 'Order Entry Forms Definition' form.
- Create a form for the 'Alternate Record (1 day grid Alternate Format 1)'.
- Access the 'Order Entry Forms Printing' form.
- Select the form created above and select to sort clients alphabetically by client name and click [Print Forms].
- Validate the 'Administration Record - 1 Day Alternate' report is printed with clients listed in alphabetical order by last name and includes separate pages for each client.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was run. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read 'Page 1 of # of total pages' and then for the next client is will return to "Page 1 of 1".
Scenario 4: OE NX - Order Entry Forms Printing - 7 Day Administration Record - Alternate format with Fill Details
Specific Setup:
- The application must be configured to communicate with RxConnect via Avatar HL7.
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Create an order for "ADVIL 200 MG ORAL TABLET" for "2 Tablets, Twice A Day".
- Access the 'Launch RxConnect' form and click [Launch RxConnect].
- Process the order that was created for "Client A".
- Access the 'Order Entry Forms Definition' form.
- Create a form for the 'Alternate Record (7 Day grid Alternate Format)'.
- Access the 'Order Entry Forms Printing' form.
- Select the form created above, select the unit that "Client A" is associated with and select "Client A" and click [Print Forms].
- Validate the 'Administration Record - 7 Day Alternate' report is displayed and validate the following:
- The correct strength displayed in the 'Order Description' (Ibuprofen 200 mg Tablet Oral Take 400 mg = 2 Tablet by mouth Twice A Day).
- The 'PRINTED DATE/TIME' field contains the date and time the report was run. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- The 'D.O.B' field contains the Client's Date of Birth.
- The 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read 'Page 1 of # of total pages' and then for the next client is will return to "Page 1 of 1".
Scenario 5: OE NX - Order Entry Forms Printing - 1 Day Administration Record
Steps
- Access the 'Order Entry Forms Definition' form.
- Create a form for the 'Administration Record - 1 Day'.
- Access the 'Order Entry Forms Printing' form.
- Select the 'Administration Record - 1 Day' form created above and select to sort clients alphabetically by client name and click [Print Forms].
- Validate the 'Administration Record - 1 Day' report is printed with clients listed in alphabetical order by last name and includes separate pages for each client.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was run. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read 'Page 1 of # of total pages' and then for the next client is will return to "Page 1 of 1".
Scenario 6: OE NX - Order Entry Forms Printing - Administration Record Alternate
Specific Setup:
- Multiple clients must have multiple active orders.
- A client must have an active inpatient episode. (Client A)
Steps
- Access the 'Order Entry Forms Definition' form.
- Create a form for the 'Administration Record - Alternate'.
- Select "Client A" and access the Order Entry Console.
- Search for and select a pharmacy-type order code.
- Populate all required fields.
- Populate the 'Reason Text' field with text that has over 48 characters, hit enter and proceed with the same text for six lines.
- Populate the 'Addl Instructions' field with text that has over 48 characters, hit enter and proceed with the same text for nine lines.
- Access the 'Order Entry Forms Printing' form.
- Select the 'Administration Record - Alternate' form created above and select to sort clients alphabetically by client name and click [Print Forms].
- Validate the 'Administration Record - Alternate' report is printed with clients listed in alphabetical order by last name and includes separate pages for each client.
- Validate the 'PRINTED DATE/TIME' field contains the date and time the report was run. The time will be in whichever format was selected in the 'Printed Time Format (Supported forms Only)' field on the 'Order Entry Forms Definition' form.
- Validate the 'D.O.B' field contains the Client's Date of Birth.
- Validate the 'PAGE' field contains "Page # of #", and that it will reset for each client. If a client has multiple pages of orders it will read 'Page 1 of # of total pages' and then for the next client is will return to "Page 1 of 1".
- Select "Client A" from the list of clients on the left.
- Validate that the order created above is displayed with an ellipsis after the first five lines of the 'Addl Instructions' and after the first five lines of the 'Reason Text'.
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Topics
• NX
• eMAR Downtime Automation
• Order Entry Forms Printing
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Orders This Episode - Pre-Admit Orders
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Frequency Code Setup
- Pre Admit
- eMAR
Scenario 1: Orders This Episode - Pre Admit mode - Activation of one time only orders with and without Give Initial Dose Now
Specific Setup:
- There must be no configuration in the 'External Pharmacy Setup' form.
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Defer Activation of Orders in a Pre-Admit Episode' must be set to "Y".
- Please log out of the application and log back in after completing the above configuration.
- The following frequency codes must exist:
- Frequency Code A = "One Time Only with Give Initial Dose Now"
- 'Routine or PRN(As Needed)' = "Routine"
- 'One Time Only' = "Yes"
- 'Default Give Initial Dose Now' = "Yes"
- 'Interval Frequency' = "No"
- 'Daily Administration' = "Daily"
- 'Times/24 Hours' = "1"
- Frequency Code B - "One Time Only at 08:00 AM"
- 'Routine or PRN(As Needed)' = "Routine"
- 'One Time Only' = "Yes"
- 'Default Give Initial Dose Now' = "No", will default to this selection
- 'Interval Frequency' = "No"
- 'Daily Administration' = "Daily"
- 'Times/24 Hours' = "1"
- 'Hours of Administration' = "08:00 AM(06:00-11:30 AM)"
- Frequency Code C - "One Time Only at 09:00 PM"
- 'Routine or PRN(As Needed)' = "Routine"
- 'One Time Only' = "Yes"
- 'Default Give Initial Dose Now' = "No", will default to this selection
- 'Interval Frequency' = "No"
- 'Daily Administration' = "Daily"
- 'Times/24 Hours' = "1"
- 'Hours of Administration' = "09:00 PM(06:00-11:30 PM)"
- Frequency Code D - "One Time Only at 09:00 AM and 09:00 PM"
- 'Routine or PRN(As Needed)' = "Routine"
- 'One Time Only' = "Yes"
- 'Default Give Initial Dose Now' = "No", will default to this selection
- 'Interval Frequency' = "No"
- 'Daily Administration' = "Daily"
- 'Times/24 Hours' = "2"
- 'Hours of Administration' = "09:00 AM(06:00-11:30 AM)" and "09:00 PM(06:00-11:30 PM)"
- Frequency Code E - "One Time Only"
- 'Routine or PRN(As Needed)' = "Routine"
- 'One Time Only' = "Yes"
- 'Default Give Initial Dose Now' = "No", will default to this selection
- 'Interval Frequency' = "No"
- 'Daily Administration' = "Daily"
- 'Times/24 Hours' = "1"
- A client must be admitted into a pre-admit 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.
- Please Note: For testing purposes you do NOT have to use the same pharmacy-type order codes as were used in the test case.
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select "LISINOPRIL 30 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "Tablet" in the 'Dose Unit' field.
- Select "One Time Only with Give Initial Dose Now" in the 'Freq' field.
- Set the 'Duration' field to "10" and click [Days].
- Click [Add to Scratchpad].
- Search for and select "FUROSEMIDE 20 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "Tablet" in the 'Dose Unit' field.
- Select "One Time Only at 08:00 AM" in the 'Freq' field.
- Set the 'Duration' field to "10" and click [Days].
- Click [Add to Scratchpad].
- Search for and select "TYLENOL 325 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "Tablet" in the 'Dose Unit' field.
- Select "One Time Only" in the 'Freq' field.
- Set the 'Duration' field to "10" and click [Days].
- Click [Add to Scratchpad].
- Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "Tablet" in the 'Dose Unit' field.
- Select "One Time Only at 09:00 PM" in the 'Freq' field.
- Set the 'Duration' field to "10" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- Validate the 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the following:
- The "XANAX" order with a 'Start Date' of "01/01/2099" and a 'Stop Date' of "01/11/2099" in NX and "01/10/2099" in myAvatar. (The correct value is "01/10/2099" and this will be fixed with a future update for NX.)
- The "TYLENOL" order with a 'Start Date' of "01/01/2099" and a 'Stop Date' of "01/10/2099".
- The "FUROSEMIDE" order with a 'Start Date' of "01/01/2099" and a 'Stop Date' of "01/11/2099" in NX and "01/10/2099" in myAvatar. (The correct value is "01/10/2099" and this will be fixed with a future update for NX.)
- The "LISINOPRIL" order with a 'Start Date' of the current date and a 'Stop Date' that is 10 days in the future of the current date. (This will be fixed with Avatar OE 2023 Update 11, which will be released in the near future.)
- Access the 'Admission' form for "Client A".
- Select the existing episode and click [Edit].
- Select an inpatient program in the 'Program' field.
- Populate all required fields and click [Submit].
- Access the Order Entry Console.
- Select any other existing client and wait for their orders to display.
- Select "Client A".
- Validate that [Activate] is displayed.
- Click [Activate].
- Validate the 'Order grid' contains the following:
- The "XANAX" order with a 'Start Date' that is equal to the current date (activation date) and a 'Stop Date' that is 10 days in the future of the 'Start Date'.
- The "TYLENOL" order with a 'Start Date' that is equal to the current date (activation date) and a 'Stop Date' that is 10 days in the future of the 'Start Date'.
- The "FUROSEMIDE" order with a 'Start Date' that is equal to tomorrow's date (the day after the activation date) and a 'Stop Date' that is 10 days in the future of the 'Start Date'.
- The "LISINOPRIL" order with a 'Start Date' that is equal to the current date and a 'Stop Date' that is 10 days in the future of the 'Start Date'. (This order will not be activated due to the issue described in step 8d.)
- Access the 'eMAR' widget.
- Validate the 'LISINOPRIL' order has a 'Start Date' of the current date and a 'Start Time' that is the time the order was created rounded up to the nearest half hour/hour.
- Validate the 'FUROSEMIDE' order has a 'Start Date' of the tomorrow's date (the day after the activation date) with a 'Start Time' of "0800", which is the next administration time.
- Validate the 'TYLENOL' order has a 'Start Date' of the current date (activation date) with a 'Start Time' of the activation time.
- Validate the 'XANAX' order has a 'Start Date' of the current date (activation date) with a 'Start Time' of "2100", which is the next administration time.
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Topics
• Order Entry Console
• NX
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eMAR NX - 'Results' text for follow-ups
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: eMAR - Follow-Up 'Result' field when extended attribute off of 'Order Type' is set to "Yes".
Specific Setup:
- The ‘(570) Require Result Text / Comment on Avatar eMAR Follow-up’ extended attribute must be set to “Yes” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- The following extended attributes must be set in the Order Entry Tabled Files ‘(504) Reason Code Setup’ dictionary for dictionary code "2 - For pain or fever”:
- The '(537) Time Interval For eMAR Follow-Up Reminder (Minutes)' extended attribute must not contain a value.
- The '(571) Require Result Text / Comment on Avatar eMAR Follow-up' extended attribute must be set to "No" or "No, but allow exceptions based on the 'Order Code'"
- The 'Require Result Text/Comment on Avatar eMAR Follow-up' field in the 'Order Code Setup' form must be set to "No" for a pharmacy-type order code. (Order Code A)
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Create an order for "Order Code A" using a 'Frequency Code' with no administration times associated with it and no 'Reason Code' selected.
- Access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with no administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is required.
- Access the Order Entry Console.
- Create a second order for "Order Code A" using a 'Frequency Code with no administration times associated with it and select a 'Reason' of "For pain or fever".
- Access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with no administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is required.
Scenario 2: eMAR - Follow-Up 'Result' field when extended attribute off of 'Order Type' is set to "No".
Specific Setup:
- The ‘(570) Require Result Text / Comment on Avatar eMAR Follow-up’ extended attribute must be set to “No” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- The following extended attributes must be set in the Order Entry Tabled Files ‘(504) Reason Code Setup’ dictionary for dictionary code "2 - For pain or fever”:
- The '(537) Time Interval For eMAR Follow-Up Reminder (Minutes)' extended attribute must not contain a value.
- The '(571) Require Result Text / Comment on Avatar eMAR Follow-up' extended attribute must be set to "Yes" or "Yes, but allow exceptions based on the 'Order Code'"
- The 'Require Result Text/Comment on Avatar eMAR Follow-up' field in the 'Order Code Setup' form must be set to "Yes" for a pharmacy-type order code. (Order Code A)
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Create an order for "Order Code A" using a 'Frequency Code' with no administration times associated with it and no 'Reason Code' selected.
- Access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with no administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is not required.
- Access the Order Entry Console.
- Create a second order for "Order Code A" using a 'Frequency Code with no administration times associated with it and select a 'Reason' of "For pain or fever".
- Access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with no administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is not required.
Scenario 3: eMAR - Follow-Up 'Result' field when extended attribute off of 'Reason Code Setup' is set to "Yes".
Specific Setup:
- The ‘(570) Require Result Text / Comment on Avatar eMAR Follow-up’ extended attribute must be set to “No, but allow exceptions based on 'Reason Code' and/or 'Order Code'” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- The following extended attributes must be set in the Order Entry Tabled Files ‘(504) Reason Code Setup’ dictionary for dictionary code "2 - For pain or fever”:
- The '(537) Time Interval For eMAR Follow-Up Reminder (Minutes)' extended attribute must not contain a value.
- The '(571) Require Result Text / Comment on Avatar eMAR Follow-up' extended attribute must be set to "Yes".
- The 'Require Result Text/Comment on Avatar eMAR Follow-up' field in the 'Order Code Setup' form must be set to "No" for a pharmacy-type order code. (Order Code A)
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Create an order for "Order Code A" using a 'Frequency Code' with administration times associated with it and select a 'Reason' of "For pain or fever"
- Access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is required.
- Access the Order Entry Console.
- Create a second order for "Order Code A" using a 'Frequency Code with no administration times associated with it and no 'Reason Code' selected.
- Access the 'eMAR' widget.
- Validate a second order for "Order Code A" is displayed with administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is not required.
Scenario 4: eMAR - Follow-Up 'Result' field when extended attribute off of 'Reason Code Setup' is set to "No".
Specific Setup:
- The ‘(570) Require Result Text / Comment on Avatar eMAR Follow-up’ extended attribute must be set to “Yes, but allow exceptions based on 'Reason Code' and/or 'Order Code'” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- The following extended attributes must be set in the Order Entry Tabled Files ‘(504) Reason Code Setup’ dictionary for dictionary code "2 - For pain or fever”:
- The '(537) Time Interval For eMAR Follow-Up Reminder (Minutes)' extended attribute must not contain a value.
- The '(571) Require Result Text / Comment on Avatar eMAR Follow-up' extended attribute must be set to "No".
- The 'Require Result Text/Comment on Avatar eMAR Follow-up' field in the 'Order Code Setup' form must be set to "Yes" for a pharmacy-type order code. (Order Code A)
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Create an order for "Order Code A" using a 'Frequency Code' with no administration times associated with it and no 'Reason Code' selected.
- Access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with no administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is required.
- Access the Order Entry Console.
- Select the order created for "Order Code A" and click [Modify].
- Select "For pain or fever" in the 'Reason' field and enter any value in the 'Reason Text' field and click [Add to Scratchpad] and [Sign].
- Access the 'eMAR' widget.
- Validate a second order for "Order Code A" is displayed with no administration times under the current date and that the original order is discontinued.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is not required.
Scenario 5: eMAR - Follow-Up 'Result' field when 'Require Result Text/Comment on Avatar eMAR Follow-up' is set to "No".
Specific Setup:
- The ‘(570) Require Result Text / Comment on Avatar eMAR Follow-up’ extended attribute must be set to “Yes, but allow exceptions based on 'Reason Code' and/or 'Order Code'” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- The following extended attributes must be set in the Order Entry Tabled Files ‘(504) Reason Code Setup’ dictionary for dictionary code "2 - For pain or fever”:
- The '(537) Time Interval For eMAR Follow-Up Reminder (Minutes)' extended attribute must not contain a value.
- The '(571) Require Result Text / Comment on Avatar eMAR Follow-up' extended attribute must be set to "Yes, but allow exceptions based on the 'Order Code'".
- The 'Require Result Text/Comment on Avatar eMAR Follow-up' field in the 'Order Code Setup' form must be set to "No" for a pharmacy-type order code. (Order Code A)
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Create an order for "Order Code A" using a 'Frequency Code' with no administration times associated with it and no 'Reason Code' selected.
- Access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with no administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is not required.
- Access the Order Entry Console.
- Select the order created for "Order Code A" and click [Modify].
- Select "For pain or fever" in the 'Reason' field and enter any value in the 'Reason Text' field and click [Add to Scratchpad] and [Sign].
- Access the 'eMAR' widget.
- Validate a second order for "Order Code A" is displayed with no administration times under the current date and that the original order is discontinued.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is not required.
Scenario 6: eMAR - Follow-Up 'Result' field when 'Require Result Text/Comment on Avatar eMAR Follow-up' is set to "Yes".
Specific Setup:
- The ‘(570) Require Result Text / Comment on Avatar eMAR Follow-up’ extended attribute must be set to “No, but allow exceptions based on 'Reason Code' and/or 'Order Code'” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Pharmacy”.
- The following extended attributes must be set in the Order Entry Tabled Files ‘(504) Reason Code Setup’ dictionary for dictionary code "2 - For pain or fever”:
- The '(537) Time Interval For eMAR Follow-Up Reminder (Minutes)' extended attribute must not contain a value.
- The '(571) Require Result Text / Comment on Avatar eMAR Follow-up' extended attribute must be set to "No, but allow exceptions based on the 'Order Code'".
- The 'Require Result Text/Comment on Avatar eMAR Follow-up' field in the 'Order Code Setup' form must be set to "Yes" for a pharmacy-type order code. (Order Code A)
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Create an order for "Order Code A" using a 'Frequency Code' with no administration times associated with it and no 'Reason Code' selected.
- Access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with no administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is required.
- Access the Order Entry Console.
- Select the order created for "Order Code A" and click [Modify].
- Select "For pain or fever" in the 'Reason' field and enter any value in the 'Reason Text' field and click [Add to Scratchpad] and [Sign].
- Access the 'eMAR' widget.
- Validate a second order for "Order Code A" is displayed with no administration times under the current date and that the original order is discontinued.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is required.
Scenario 7: eMAR - Follow-Up 'Result' field is required when extended attribute off of 'Reason Code Setup' is set to "No" for one reason code and "Yes" for another - Multiple Reasons
Specific Setup:
- The following extended attributes must be set in Order Entry Tabled Files '(500) Order Types' dictionary for "Pharmacy":
- The '(548) Enable Multiple Reasons at Order Entry' extended attribute must be set to "Yes".
- The ‘(570) Require Result Text / Comment on Avatar eMAR Follow-up’ extended attribute must be set to “Yes, but allow exceptions based on 'Reason Code'".
- The following extended attributes must be set in the Order Entry Tabled Files ‘(504) Reason Code Setup’ dictionary for dictionary code "1 - agitation”:
- The '(537) Time Interval For eMAR Follow-Up Reminder (Minutes)' extended attribute must not contain a value.
- The '(571) Require Result Text / Comment on Avatar eMAR Follow-up' extended attribute must be set to "Yes".
- The following extended attributes must be set in the Order Entry Tabled Files ‘(504) Reason Code Setup’ dictionary for dictionary code "2 - For pain or fever”:
- The '(537) Time Interval For eMAR Follow-Up Reminder (Minutes)' extended attribute must not contain a value.
- The '(571) Require Result Text / Comment on Avatar eMAR Follow-up' extended attribute must be set to "No".
- The 'Require Result Text/Comment on Avatar eMAR Follow-up' field in the 'Order Code Setup' form does not have a value selected for a pharmacy-type order code. (Order Code A)
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Create an order for "Order Code A" using a 'Frequency Code' with no administration times associated with it and selecting "For agitation" and "For pain or fever" in the 'Multiple Reasons' dialog.
- Access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with no administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Click 'Click here to provide override reason' and select a value in the 'Please provide a reason for not scanning the client wristband' field and click [Ok].
- Administer the order with a successful administration event.
- Validate a follow-up row for "Order Code A" exists.
- Double click the 'Follow-up' cell under the current date.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is required.
Scenario 8: eMAR - Dietary order - Follow-Up 'Results' field
Specific Setup:
- The ‘(570) Require Result Text / Comment on Avatar eMAR Follow-up’ extended attribute must be set to “No, but allow exceptions based on 'Reason Code' and/or 'Order Code'” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Dietary”.
- The following extended attributes must be set in the Order Entry Tabled Files ‘(504) Reason Code Setup’ dictionary for dictionary code "2 - For pain or fever”:
- The '(537) Time Interval For eMAR Follow-Up Reminder (Minutes)' extended attribute must not contain a value.
- The '(571) Require Result Text / Comment on Avatar eMAR Follow-up' extended attribute must be set to "No".
- The 'Require Result Text/Comment on Avatar eMAR Follow-up' field in the 'Order Code Setup' form must be set to "Yes" for a dietary-type order code. (Order Code A)
- 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Create an order for "Order Code A" using a 'Frequency Code' without administration times associated with it and do not select a value in the 'Reason' field.
- Access the 'eMAR' widget.
- Validate an order for "Order Code A" is displayed with no administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Administer the order with a successful administration event.
- Double click the administered cell.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is required.
- Access the Order Entry Console.
- Create a second order for "Order Code A" using a 'Frequency Code with no administration times associated with it and select "For pain or fever" in the 'Reason' field and enter 'Reason Text'.
- Access the 'eMAR' widget.
- Validate a second order for "Order Code A" is displayed with administration times under the current date.
- Perform 'Order Acknowledgement' and 'Client Education' on the order.
- Administer the order with a successful administration event.
- Double click the administered cell.
- Validate the 'Administration Record - Results' dialog is displayed and that the 'Result' field is not required.
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Topics
• Avatar eMAR
• NX
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Medication Regimen Review Due
Scenario 1: NX - Medication Regimen Review Due To Do's
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Topics
• NX
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OE - Client Doctor Orders Report - Client Problems section
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Problem List
- Client Doctor Orders Report
Scenario 1: Client Doctor Orders Report - Validate problems
Specific Setup:
- A client must have an active episode and have an order filed (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
- Select "Client A" and access the 'Problem List' form.
- Click [View/Enter Problems].
- Enter and select the desired value in the 'Problem' field.
- Select the desired value from the 'Problem Classification' field.
- Select the desired value from the 'Status' field.
- Populate any required or desired fields.
- Click [Save].
- Validate a dialog stating: "All row(s) are valid."
- Click [Yes] and [Submit].
- With "Client A" selected, access the 'Problem List' form.
- Click [Problem List Report].
- Validate the report displays as expected.
- Access the 'Client Doctor Orders Report' form.
- Select "Client A" from the 'Select Client' field.
- Select the dates associated with the order in the 'From date of period during which orders were active' and 'Through date of period during which orders were active' fields.
- Click [Launch Client Doctor Orders Report].
- Validate the report displays as expected and the 'Problem' descriptions match those from the 'Problem List' report.
- Close both of the reports.
- Click [Discard] and [Yes].
- Access the open 'Problem List' form for "Client A".
- Click [View/Enter Problems].
- Make the desired edits.
- Click [Save].
- Validate a dialog stating: "All row(s) are valid."
- Click [Yes] and [Submit].
- With "Client A" selected, access the 'Problem List' form.
- Click [Problem List Report].
- Validate the report displays as expected.
- Access the 'Client Doctor Orders Report' form.
- Select "Client A" from the 'Select Client' field.
- Select the dates associated with the order in the 'From date of period during which orders were active' and 'Through date of period during which orders were active' fields.
- Click [Launch Client Doctor Orders Report].
- Validate the report displays as expected and the 'Problem' descriptions match those from the 'Problem List' report.
- Close both of the reports and all forms.
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Topics
• Problem List
• NX
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OE NX - Admission / Discharge Medication Reconciliation
Scenario 1: OE NX - Discharge Med Reconciliation - Validate the correct 'Ordering Practitioner' is displayed
Specific Setup:
- The logged in user must contain an apostrophe in the 'User Description'
- Two practitioners must exist. (Practitioner A and Practitioner B)
- "Practitioner A" is associated with the user who is logged into the application.
- Two clients must have active inpatient episodes and no active orders. (Client A and Client B).
- “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
- Search for and select "Client A".
- Access the Order Entry Console and select the 'Discharge Med Reconciliation' tab.
- Click the 'No Prescription Required' checkbox.
- Search for and select "Zubsolv 11.4 MG-2.9 MG Tablet Sublingual (Schedule III)" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Validate the 'Dose Unit' field contains "Tablet".
- Select "As Needed" in the 'Freq' field.
- Set the 'Days Supply' field to "15" and press Tab.
- Validate the 'Dispense Qty' field contains "15".
- Validate the 'Dispense Qty Unit' field contains "Tablet".
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains "Practitioner A".
- Search for and select "Practitioner B" in the 'Ordering Practitioner' field, click [Hold in Pending Status].
- Validate that the 'Discharge Med Reconciliation' tab is in view-only mode aside from the following being enabled: [Restart Reconciliation], [Edit Pending Reconciliation], and [Activate & Reconcile].
- Validate the 'Ordering Practitioner' field contains "Practitioner B".
- Select "Client B" in the 'My Clients' widget
- Access the 'Discharge Med Reconciliation' tab and validate the 'Ordering Practitioner' field contains "Practitioner A".
- Select "Client A" in the 'My Clients' widget
- Access the 'Discharge Med Reconciliation' tab and validate the 'Ordering Practitioner' field contains "Practitioner B".
- Click [Activate & Reconcile] and [Sign].
- Validate that the 'Discharge Med Reconciliation' tab is in view-only mode.
- Validate the 'Ordering Practitioner' field contains "Practitioner B".
- Select "Client B" in the 'My Clients' widget
- Access the 'Discharge Med Reconciliation' tab and validate the 'Ordering Practitioner' field contains "Practitioner A".
Scenario 2: OE NX - Admission Med Reconciliation - Validate the correct 'Ordering Practitioner' is displayed
Specific Setup:
- The logged in user must contain an apostrophe in the 'User Description'
- Two practitioners must exist. (Practitioner A and Practitioner B)
- "Practitioner A" is associated with the user who is logged into the application.
- Two clients must have active inpatient episodes and no active orders. (Client A and Client B).
- “Client A” must have two episodes of which the second is the inpatient episode and 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 B" should only have one episode.
Steps
- Search for and select "Client A".
- Access the Order Entry Console and select the 'Admission Med Reconciliation' tab.
- Search for and select " AMBIEN 10 MG TABLET ORAL (Schedule IV)" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Validate the 'Dose Unit' field contains "Tablet".
- Select "Every Day" in the 'Freq' field.
- Set the 'Duration' field to "10" and click [Days].
- Validate the 'Days Supply' field contains "10".
- Validate the 'Dispense Qty' field contains "10".
- Select "Tablet" in the 'Dispense Qty Unit' field.
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains "Practitioner A".
- Search for and select "Practitioner B" in the 'Ordering Practitioner' field, click [Reconcile & Sign].
- Validate that the 'Admission Med Reconciliation' tab is in view-only mode.
- Validate that the 'Ordering Practitioner' field contains "Practitioner B".
- Select "Client B" in the 'My Clients' widget
- Validate the 'Ordering Practitioner' field contains "Practitioner A".
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Topics
• Order Entry Console
• NX
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OE NX - Home Medications and Discharge Med Reconciliation
Scenario 1: OE NX - Home Medications - Create new prescription with long wait in Scratchpad
Specific Setup:
- A client must have two episodes. Episode 1 whose program or unit are configured in the 'External Pharmacy Setup' form and Episode 2 in a program which is not mapped to an OrderConnect Agency in the 'OrderConnect Facility/Agency Definition' 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
- Select "Client A" and access the Order Entry Console.
- Select "Episode #1" in the 'Episode Header'.
- Select a value in the 'Program' field, which is below the 'Scratchpad'.
- Uncheck the 'Reported' checkbox.
- Search for and select a medication.
- Populate all required fields and click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Select "None" in the 'Output' column and click [Sign].
- Validate the medication appears in the list of current medications.
- Select the order and click [Reorder]
- Click [Add to Scratchpad].
- Do not touch this instance of Avatar for over 20 minutes.
- Once the 20 minutes is up click [Final Review]
- Validate the 'Final Review' dialog is displayed.
- Select "None" in the 'Output' column and click [Sign].
- Validate the order displays in the 'Order grid'.
OE NX - Admission Med Reconciliation
Scenario 1: OE NX - Admission Med Reconciliation - Pre-admit episode to Inpatient episode - Finalize for Admission
Specific Setup:
- A client must be admitted into a pre-admit 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Select the 'Orders This Episode' tab.
- Search for and select any pharmacy-type order code in the 'New Order' field.
- Populate all required fields and click [Add to Scratchpad].
- Search for and select any other pharmacy-type order code in the 'New Order' field.
- Populate all required fields and click [Add to Scratchpad] and [Sign].
- Validate an 'Interaction' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Select the 'Home Medications' tab.
- Select any value in the 'Program' field.
- Validate the 'Reported' checkbox is checked.
- Search for and select any non-controlled medication in the 'New Order' field.
- Populate the 'Dose' and 'Frequency' fields and click [Save].
- Click the 'Medication history reviewed and completed for Episode #1' checkbox.
- Select the 'Admission Reconciliation' tab.
- Select the order in the 'Home Medications (Pre-Admission)' grid and click [Add to Scratchpad].
- Select the new order in the 'Inpatient Medications Scratchpad'.
- Set the 'Dose' field to "1".
- Select "Tablet" in the 'Dose Unit' field.
- Set the 'Duration' field to "28" and click [Days].
- Click [Update Order] and [Hold In Pending Status].
- Validate an 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Select the 'Orders This Episode' tab.
- Click 'myDay'.
- Access the 'Admission' form and select "episode 1" for "Client A" and click [Edit].
- Select an inpatient program that is configured in the 'External Pharmacy Setup' form.
- Click the 'Inpatient/Partial/Day Treatment' section and select a value in the 'Unit', 'Room', 'Bed', and 'Room and Board Billing Code' field.
- Click [Submit].
- Access the Order Entry Console.
- Select the 'Admission Reconciliation' tab.
- Select any other client in the 'My Clients' widget.
- Select "Client A".
- Select the 'Admission Reconciliation' tab.
- Click [Edit Pending Reconciliation].
- Validate a warning message is displayed and click [OK].
- Select the order in the 'Inpatient Medications Scratchpad' that has an action of "ADD".
- Populate any required fields and click [Update Order] and [Hold in Pending Status].
- Validate an 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Click [Activate for Reconciliation]
- Validate that all values in the 'Output' field are enabled.
- Validate that "eRX" is selected by default.
- Click [Sign]
- Validate that 'Admission Reconciliation' is in view-only mode.
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Topics
• Order Entry Console
• NX
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OE NX - Order Entry Console (Admission Med Reconciliation section) - Composite Order Codes Carry Forward to 'Inpatient Medications Scratchpad'
Scenario 1: Order Entry Console - Admission Med Reconciliation - Composite Order Codes Carry Forward to Inpatient Medications Scratchpad
Specific Setup:
- The user logged into the application must have the 'Client Reported' checkbox checked in the 'Default to Client Reported in Home Medications' field in 'Order Entry User Definition'.
- Please log out of and back into the application after the above configuration has been completed.
- 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’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Diagnosis’ form.
Steps
- Select "Client A" and access the Order Entry Console.
- Access the 'Home Medications' tab.
- Uncheck the 'Client Reported' checkbox.
- Search for and select "sodium benzoate-sodium phenylacetate 10%-10% Solution Intravenous" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "3 TIMES A DAY" in the 'Frequency' field.
- Set the 'Days Supply' field to "25".
- Set the 'Dispense Qty' field to "75".
- Select "Gram" from the 'Dispense Qty Unit' field.
- Validate the 'Directions' field contains "Inject one (1) gram intravenously three times a day".
- Click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed and click [Sign].
- Validate the 'Order grid' contains the order "sodium benzoate-sodium phenylacetate 10%-10% INTRAVENOUS Solution Inject one (1) gram intravenously three times a day".
- Check the 'Medication history reviewed and completed for Episode #1' checkbox.
- Access the 'Admission Reconciliation' tab.
- Validate the 'Home Medications (Pre-Admission)' grid contains the order for "sodium benzoate-sodium phenylacetate 10%-10% INTRAVENOUS Solution Inject one (1) gram intravenously three times a day".
- Select the order and click [Add to Scratchpad].
- Validate the 'Inpatient Medications Scratchpad' contains the order for "sodium benzoate-sodium phenylacetate 10%-10% INTRAVENOUS Solution".
- Select the order in the 'Inpatient Medications Scratchpad'.
- Validate the 'Dose' field contains "1".
- Validate the 'Dose Unit' field contains "Gram".
- Validate the ‘Freq’ field contains "3 TIMES A DAY".
- Set the ’Duration’ field to "28" and click [Days].
- Validate the 'Days Supply' field contains "28".
- Validate the 'Dispense Qty' field contains "84".
- Select "Gram" from the 'Dispense Quantity Unit' field.
- Validate the 'Directions' field contains "Inject one (1) gram intravenously three times a day".
- Click [Update Order] and [Reconcile & Review].
- Validate the 'Interactions' dialog is displayed.
- Override all interactions and click [Sign]
- Validate the 'Admission Reconciliation' tab is in view-only mode.
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Topics
• Order Entry Console
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OE NX - Discharge Medication Reconciliation
Scenario 1: OE NX - Discharge Med Reconciliation - 12 orders in Orders This Episode, 12 Orders in Home Medications, order actions and Review and Sign
Specific Setup:
- 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.
- "Client A" has 12 active orders on the 'Orders This Episode' section and 12 active orders on the 'Home Medications' section.
- A few of the orders on the 'Orders This Episode' tab must have a large order description (Can use the 'Reason Text' with a large amount of text, and/or 'Ask on Order Entry' questions with a large amount of text.)
Steps
- Select "Client A" and access the Order Entry console.
- Click the 'Discharge Medication Reconciliation' tab.
- Validate all orders are displayed correctly on both the 'Inpatient Medications' list and the 'Home Medications Scratchpad (Post-Discharge)'.
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Topics
• Order Entry Console
• NX
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OE NX - Discharge Med Reconciliation - Discharge Medications Report
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: OE NX - Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report
Specific Setup:
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report' registry setting must be set to "Y".
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- The 'Avatar eMAR->General->Settings->->->Support Medication ID' registry setting must be set to "Y".
- Please log out and log back in after completing the above configuration.
- 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.
- Note: For testing purposes the time that this test occurred was after 09:00 AM and before 09:00 PM.
Steps
- Select "Client A” and access the Order Entry Console.
- Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
- Select "EVERY 4 HOURS" from the 'Freq' field.
- Populate the required fields.
- Click [Add to Scratchpad].
- Search for and select "RITALIN 10 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Select "TABLET" from the 'Dose Unit' field.
- Select "TWICE A DAY" from the 'Freq' field.
- Validate the 'First Dose Date' field contains the current date.
- Validate the 'First Dose Time' field contains either "09:00 AM" or "09:00 PM" depending on the current time and hours of administration.
- Set the 'Duration' field to "14" and click [Days].
- Click [Add to Scratchpad] and [Sign].
- The 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains an order for "RITALIN 10 MG ORAL TABLET (Schedule II)" and "XANAX 1 MG ORAL TABLET (Schedule IV)".
- Access the ‘eMAR’ widget.
- Click 'Click here to provide override reason'.
- Validate the 'Wristband Scan Override' dialog is displayed.
- Select any value in the 'Please provide a reason for not scanning the client wristband' field
- Set the 'Other Reason' field to any value and click [Ok].
- Validate an order for "RITALIN 10 MG ORAL TABLET" is displayed with a dashed line in the first cell and "2100" in the second cell under the current date and an order for "XANAX 1 MG ORAL TABLET" with hours of administration under the current date starting with the time the order was created and running through the end of the day in 4 hour increments.
- Select the "2100" cell under the current date for the "RITALIN 10 MG ORAL TABLET" order and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "RITALIN 10 MG ORAL TABLET".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and click [Ok].
- Validate the first cell under the current date for the "RITALIN 10 MG ORAL TABLET" order contains an administration of "1 TABLET" and the time of the administration.
- Select the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC# for "XANAX 1 MG ORAL TABLET".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event in the 'Administration Event' field.
- Check the 'Accept administration information entered' field and [Ok].
- Validate the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order contains an administration of "1 TABLET and the time of the administration".
- Access the Order Entry Console.
- Select the 'Discharge Reconciliation' tab.
- Select the first order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
- Select the second order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
- Select the first order from 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "Ritalin 10 MG Oral Tablet (Schedule II)".
- Populate the required fields and click [Update Order].
- Select the second order from 'Home Medications Scratchpad (Post-Discharge)'.
- Validate the 'New Order' field contains "Xanax 1 MG Oral Tablet (Schedule IV)".
- Select "EVERY 6 HOURS" from the 'Freq' field.
- Populate the required fields and click [Update Order].
- Search for and select "Zyflo 600 MG Tablet Oral" in the 'New Order' field.
- Populate the required fields and click [Add to Scratchpad].
- Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Zyflo 600 MG Tablet Oral.
- Validate that the "Ritalin", "Xanax", and "Zyflo" orders have a status of "ADD", "ADD", and "NEW" respectively in the 'Action' column.
- Click [Review and Sign].
- Validate the 'Final Review' dialog is displayed.
- Select "None" in 'Output' for all orders and click [Sign].
- Click [Print Report]
- Verify the 'Discharge Medications Report' is displayed.
- Click [Go To Next Page].
- Validate the report contains "Ritalin 10 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' time of the current date and the administration time that the successful administration took place and a 'Next Due' date tomorrow's date at "09:00 AM".
- Validate the report contains "Xanax 1 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with a 'Last Given' time of the current date and the administration time that the successful administration took place and a 'Next Due' that contains a line that can be written on.
- Validate the report contains "Zyflo 600 MG Tablet Oral" in the 'ACTIVE MEDICATIONS LIST' with no value in the 'Last Given' or 'Next Due' columns.
- Close the report.
Scenario 2: OE NX - Discharge Med Reconciliation - Discharge Reconciliation report after Editing a Pending Reconciliation
Specific Setup:
- Two clients must exist who have their program or unit configured in the 'External Pharmacy Setup' form. (Client A and Client B)
- “Client A” and "Client B" 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
- Select "Client A” and access the Order Entry Console.
- Create any pharmacy-type order.
- Click the 'Home Medications' tab.
- Validate the 'Reported' checkbox is checked.
- Search for and select "Lisinopril 10 MG Tablet Oral" in the 'New Order' field.
- Set the 'Dose' field to "1".
- Validate the 'Dose Unit' field contains "Tablet".
- Select "3 TIMES A DAY" in the 'Frequency' field and click [Save].
- Select "Client B” and access the Order Entry Console.
- Create any pharmacy-type order.
- Click the 'Home Medications' tab.
- Validate the 'Reported' checkbox is checked.
- Create a 'Reported' medication.
- Uncheck the 'Reported' checkbox.
- Create any medication.
- Select "Client A” and click the 'Discharge Reconciliation' tab.
- Click [Do Not Add Remaining].
- Validate the 'Home Medications Scratchpad (Post-Discharge)' contains "Lisinopril - 10 MG, TAB, PO Take one (1) tablet by mouth three times a day".
- Select the order and click [Continue].
- Click [Hold in Pending Status] and [Print Report].
- Validate that "Lisinopril - 10 MG, TAB, PO" appears on both pages of the report.
- Close the report.
- Select "Client B” and click the 'Discharge Reconciliation' tab.
- Select "Client A” and click the 'Discharge Reconciliation' tab.
- Click [Edit Pending Reconciliation].
- Validate warning message is displayed and click [Ok].
- Click [Hold in Pending Status] and [Print Report].
- Validate that "Lisinopril - 10 MG, TAB, PO" appears on both pages of the report.
- Close the report.
Scenario 3: OE NX - Discharge Medications Report
Specific Setup:
- The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report' registry setting must be set to "N".
- The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
- The 'Avatar eMAR->General->Settings->->->Support Medication ID' registry setting must be set to "Y".
- The user logged into the application must have the 'Client Reported' checkbox checked in the 'Default to Client Reported in Home Medications' field in 'Order Entry User Definition'.
- Please log out and log back in after completing the above configuration.
- 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.
- Note: Avatar OE 2022 Update 91, NX Release 2022.10.00.02, or NX Release 2022.11.00.01 are required for full functionality.
Steps
- Select “Client A” and access the Order Entry Console.
- Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
- Set the 'Dose' field to "1" and the 'Dose Unit' field to "TABLET".
- Select a 'PRN' frequency code from the 'Freq:' field.
- Populate any remaining required fields.
- Validate the 'Order grid' contains an order for "XANAX ORAL TABLET".
- Select the 'Home Medications' tab.
- Search for and select "RITALIN 10 MG TABLET ORAL" in the 'New Order' field.
- Populate the required fields.
- Click [Add to Scratchpad], [Final Review], and [Sign].
- Validate the 'Order grid' contains an order for "Ritalin 10 MG ORAL Tablet"
- Access the ‘eMAR’ widget.
- Validate an order for "XANAX 1 MG ORAL TABLET" is displayed with no hours of administration in the cells under the current date.
- Select the first cell under the current date and click [Administer].
- Perform 'Order Acknowledgement' and 'Client Education'.
- Verify the 'Administration Event' dialog exists and contains an order for "XANAX 1 MG ORAL TABLET".
- Validate the 'Administration Date/Time' fields contains the current date and time.
- Set the 'Med ID' field to the NDC for "XANAX 1 MG ORAL".
- Validate the 'Qty' field is equal to "1".
- Validate the 'Unit' field is equal to "TABLET".
- Select a successful administration event from the 'Administration Event' field.
- Check the 'Accept administration information entered' checkbox and [Ok].
- Validate the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order contains "1 TABLET" and the time administered.
- Validate "Client A" is selected and access the Order Entry Console.
- Select the 'Discharge Reconciliation' tab.
- Validate 'Inpatient Medications' contains an order for "XANAX ORAL TABLET".
- Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Ritalin 10 MG ORAL.
- Select the order for "XANAX ORAL TABLET 1 TABLET, EVERY DAY" from 'Inpatient Medications' and click [Add to Scratchpad].
- Select the order for "XANAX ORAL TABLET 1 TABLET, EVERY DAY" from 'Home Medications Scratchpad (Post-Discharge)'.
- Populate the required fields and click [Update Order].
- Search for and select "Zyflo 600 MG Tablet Oral" in the 'New Order' field.
- Populate the required fields and click [Add to Scratchpad].
- Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Zyflo 600 MG Tablet Ora"
- Select the order for "Ritalin 10 MG ORAL Tablet" from 'Home Medications Scratchpad (Post-Discharge)' and click [Continue].
- Validate that the "Ritalin", "Xanax", and "Zyflo" orders have a status of "CONT", "ADD", and "NEW" respectively in the 'Action' column.
- Click [Review and Sign].
- Validate the 'Final Review' dialog is displayed and click [Sign].
- Validate that 'Discharge Med Reconciliation' is in view-only mode.
- Click [Print Report].
- Verify the 'Discharge Medications Report' is displayed.
- Validate the 'Continue These Medications' section contains "Ritalin 10 MG TAB Start: {the current date} Take one (1) tablet by mouth daily Dispense Quantity: 14 Tablet Days Supply: 14 Refills: 0".
- Validate the 'Start These Medications' section contains "Xanax 1 MG Tablet Oral Start: {the current date} Take one (1) tablet by mouth daily Dispense Quantity: 14 Tablet Days Supply: 14 Refills: 0".
- Validate the 'Start These Medications' section contains "Zyflo 600 MG Tablet Oral Start: {the current date} Take one (1) tablet by mouth daily Dispense Quantity: 14 Tablet Days Supply: 14 Refills: 0".
- Click [Go To Next Page].
- Validate the 'Active Medications List' section contains "Ritalin 10 MG TAB Take one (1) tablet by mouth daily Start: {the current date}", "Xanax 1 MG Tablet Oral Take one (1) tablet by mouth daily Start: {the current date}", and "Zyflo 600 MG Tablet Oral Take one (1) tablet by mouth daily Start: {the current date}".
- Close the report.
Scenario 4: OE NX - Med Rec Full Workflow
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Topics
• Order Entry Console
• NX
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OE NX - Home Medications - PDMP
Scenario 1: OE NX - HM - PDMP
Specific Setup:
- A client must have an active episode. (Client A)
Steps
- Select "Client A" and access the Order Entry Console.
- Select the 'Home Medications' tab.
- Click the 'PDMP' link.
- Validate the information displays correctly.
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Topics
• Order Entry Console
• NX
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Lab Orders - automatically discontinued upon receiving results
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
Scenario 1: OE NX - Create multiple Lab orders, enter results for all orders in one message via Results Importing, and ensure all orders are Discontinued
Specific Setup:
- The ‘(546) DC One-Time-Only Orders Upon Receipt of Final Result' extended attribute must be set to “Yes” in the Order Entry Tabled Files ‘(500) Order Types’ dictionary for “Lab”.
- Please log out of the application and log back in after completing the above configuration.
- Must have an Inbound Lab Results file with 3 OBR segments with the following information:
- MSH-10 = unique number
- PID-2 and PID-3 = PATID
- OBR-2 = Order # for order 1
- OBR-2 = Order # for order 2
- OBR-2 = Order # for order 3
- The above file must be placed on the server where the database resides.
- A client must have an active inpatient episode. (Client A)
Steps
- Select "Client A" and access the Order Entry Console.
- Create 3 lab-type orders all with one-time-only 'Frequency Codes'.
- Validate they show in the 'Order grid' with an 'Order Status' of "Active".
- Please make note of the "Order #" for each order.
- Ensure the Inbound Lab Results file has the appropriate segments populated.
- Access 'Results Importing' and enter a file path that points to the location of the file that will be imported.
- Click [Import], receive an 'Import Complete' message and click [OK].
- Validate a 'Results Importing' report is displayed with "Successfully Filed: 1".
- Click [Close Report] and close the form.
- Access the Order Entry Console and validate there are no orders in the 'Order grid'.
- Change the 'Order Status' to "Discontinued" and validate that all 3 lab orders are displayed with an 'Order Status' of "Completed(Completed automatically upon receipt of results)".
- Click [View] in the 'Last Activity' column for each order and validate it includes the results for each order.
Scenario 2: OE NX - Create a lab order, create a result with multiple details, delete one detail and delete header
Specific Setup:
- A client must have an active episode. (Client A)
Steps
- Select "Client A" and access the Order Entry Console.
- Create a lab order.
- Access the 'Results Entry' form and select the order created.
- Create a header for the order.
- Click the 'Result Details' tab and create two details associated with the header.
- Remain on the 'Result Details' tab and delete one of the details created.
- Click on the 'Result Main' tab and delete the header associated with the order.
- Validate all results are deleted.
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Topics
• Order Entry Console
• NX
• Results
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OE NX - Orders This Episode - Last Renew Practitioner
Scenario 1: OE NX - Orders This Episode - Renew
Specific Setup:
- Two users must exist. Both users must have assigned Practitioners. (User A and User B)
- 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.
- "User A" must be logged into the application.
Steps
- Select "Client A" and access the Order Entry Console.
- Create a pharmacy-type order with a duration of "7 Days", and an 'Ordering Physician' of the practitioner associated with "User A". (Order A)
- Select "Order A" from the 'Order grid' and click [Renew].
- Set the 'Renew' field to "58" and click [Days].
- Validate the 'Current Stop Date' field contains the current date.
- Validate the 'New Stop Date' contains a date that is 58 days in the future of the current date.
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the practitioner associated with "User A" and click [Sign].
- An 'Interactions' dialog maybe displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the order for "Order A" with a 'Stop Date' that is 58 days in the future from current date, and an 'Ordering Physician' that is associated with "User A".
- Log out of the application and log back in as "User B".
- Select "Client A" and access the Order Entry Console.
- Select the order in the 'Order grid' and click [Renew].
- Set the 'Renew' field to "60" and validate that [Days] is selected.
- Validate the 'New Stop Date' contains a date that is 60 days in the future of the current date.
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the practitioner associated with "User B" and click [Sign].
- An 'Interactions' dialog maybe displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the order for "Order A" with a 'Stop Date' that is 60 days in the future from current date, and an 'Ordering Physician' that is associated with "User A" and a 'Last Renew:' that is associated with 'User B'.
NX - Renew Due To Do's - Send Renew/Reorder Notification To
Scenario 1: OE NX - Orders This Episode - 'Send Renew/Reorder Notification To' registry setting = "O", order created by a user whose actions require validation
Specific Setup:
- Must have "To Do" selected in the 'Notification Method' field on the 'Notifications Setup' form for 'Notification Types' of "Order Entry (Renewal Due)" and "Order Entry (Reorder Due)".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Send Renew/Reorder Notification To' registry setting must be set to "O".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Number of Days Before Order Expiration to Send Renew To Do' registry setting must be set to "5".
- Two users must exist.One whose actions require validation and is not associated with a staff member. (User A) One whose actions do not require validation and is associated with a staff member. (User B)
- Must have the 'My TO DO's' widget on the HomeView.
- 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.
- Must be logged into the application as "User A".
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select a pharmacy-type order code.
- Ensure the 'Freq' is "Every Day", the 'Duration' field is "28 Days", and the 'Start Date' is 26 days in the past of the current date.
- Click [Add to Scratchpad]
- Validate the 'Ordering Practitioner' field contains no value.
- Set the 'Ordering Practitioner' field to the staff member associated with "User B" and click [Sign].
- Validate the 'Order grid' contains the new order with an 'Order Status' of "Requires Validation(staff associated with "User B" - Create New Order)", and the staff member associated with "User B" as the 'Ordering Physician'.
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Log into the application as "User B".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is a 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Hover over the i icon and validate it states: "Requires Validation", which was set up in the 'Notifications Setup' form.
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh].
- Validate the 'Renew' dialog does not contain a row for "Client A" and click [Cancel].
- Select the order in the 'Order grid' and click [Validate].
- Validate the order in the 'Order grid' now has an 'Order Status' of "Active".
- Click HomeView.
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is no 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is a 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Hover over the i icon and validate it states: "Order needs to be renewed", which was set up in the 'Notifications Setup' form.
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh].
- Validate the 'Renew' dialog contains a row for "Client A" and click [Cancel].
- Search for and select a different pharmacy-type order code.
- Ensure the 'Freq' is "Every Day", the 'Duration' field is "28 Days", and the 'Start Date' is 24 days in the past of the current date.
- Click [Add to Scratchpad] and [Sign].
- Validate the 'Order grid' contains the new order with an 'Order Status' of "Active" and the staff member associated with "User B" as the 'Ordering Physician'.
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is a 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Hover over the i icon and validate it states: "Order needs to be renewed", which was set up in the 'Notifications Setup' form.
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh].
- Validate the 'Renew' dialog contains a row for "Client A" and click [Cancel].
- Log out of the application and log back in as "User A".
- Select "Client A" and access the Order Entry Console.
- Select the 1st order in the 'Order grid' and click [Renew].
- Validate the 'Effective Renew Date' field contains the current date.
- Validate the 'New Stop Date' contains a date that is 28 days in the future of the current date.
- Click [Add to Scratchpad].
- Set the 'Ordering Practitioner' field to the staff member associated with "User B".
- Select the 2nd order in the 'Order grid' and click [Renew].
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the staff member associated with "User B".
- Click [Sign].
- Validate the 'Order grid' contains both orders with an 'Order Status' of "Requires Validation(staff associated with "User B" - Renew)", and the staff member associated with "User B" as the 'Ordering Physician'.
- Log out of the application and log back in as "User B".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is a 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Hover over the i icon and validate it states: "Requires Validation", which was set up in the 'Notifications Setup' form.
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh].
- Validate the 'Renew' dialog does not contain a row for "Client A" and click [Cancel].
- Select both rows in the 'Order grid' and click [Validate].
- Validate that both orders appear in the 'Order grid' with an 'Order Status' of "Active".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is no 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
Scenario 2: OE NX - Orders This Episode - 'Send Renew/Reorder Notification to' registry setting set to "L".
Specific Setup:
- Must have "To Do" selected in the 'Notification Method' field on the 'Notifications Setup' form for 'Notification Types' of "Order Entry (Renewal Due)" and "Order Entry (Reorder Due)".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Send Renew/Reorder Notification To' registry setting must be set to "L".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Number of Days Before Order Expiration to Send Renew To Do' registry setting must be set to "5".
- A user must exist whose actions do not require validation and who is associated with a staff member. (User A)
- Must have the 'My TO DO's' widget on the HomeView.
- 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.
- Must be logged into the application as "User A".
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select a pharmacy-type order code in the 'New Order' field.
- Populate all required fields ensuring that the 'Duration' field is "28" and [Days] is selected, that the 'Stop Date' is less than 5 days in the future of the current date.
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the staff member associated with "User A".
- Click [Sign].
- Validate an 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the new order and that the 'Ordering Physician' contains the staff member associated with "User A".
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is a 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate "Client A" is displayed with a "1" in the 'Number to Renew' field.
- Please note that the 'To Do' item was sent to the 'Ordering Practitioner' because this order has not yet been renewed.
- Select the row for "Client A" and click [Renew].
- Validate the 'Status' field contains "Renew Due".
- Validate the 'Order grid' contains the order to be renewed.
- Select the order in the 'Order grid' and click [Renew].
- Validate the 'Effective Renew Date/Time' fields contain the current date and time.
- Validate the 'Renew' field contains "28" and that [Days] is selected.
- Validate the 'New Stop Date' field contains a date that is 28 days in the future of the 'Effective Renew Date' field.
- Validate the 'New Stop Time' field contains a time that is 1 minute prior to the 'Effective Renew Time'.
- Set the 'Effective Renew Date' field to a date that is 26 days in the past of the current date.
- Validate the 'New Stop Date' field contains a date that is 28 days in the future of the 'Effective Renew Date' and 2 days in the future of the current date.
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the staff member associated with "User A" and click [Sign].
- Validate an 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is no 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is a 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Please note that the 'To Do' item was sent to the staff member associated with "User A" because this order was renewed by the same individual who created the order.
- Validate that "Client A" is selected and access the Order Entry Console.
- Select the order in the 'Order grid' and click [Renew].
- Set the 'Effective Renew Date' field to a date that is 27 days in the past of the current date and press Tab.
- Validate the 'New Stop Date' field contains a date that is one day in the future of the current date.
- Click [Add to Scratchpad].
- Set the 'Ordering Practitioner' field to the staff member associated with "User B" and click [Sign].
- Validate an 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the order with the staff member associated with "User A" and "Last Renew: staff member associated with "User B""
- Access the 'HomeView'.
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is no 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Access the Order Entry Console and click [R].
- Validate the 'Renew' dialog does not contain a row for "Client A" and click [Cancel].
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is no 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Access the Order Entry Console and click [R].
- Validate the 'Renew' dialog does not contain a row for "Client A" and click [Cancel].
- Please note that the To Do Item and the row in the 'Renew' dialog no longer exist because they were satisfied for the staff member associated with "User A".
- Log out of the application and log back in as "User B".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is a 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console and click [R].
- Validate the 'Renew' dialog contains a row for "Client A".
- Please note that the To Do was sent to the 'Last Renewing Practitioner'.
- Select the row and click [Renew].
- Validate the 'Status' field contains "Renew Due".
- Validate the 'Order grid' contains the order to be renewed.
- Select the order and click [Renew] and [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the staff member associated with "User B" and click [Sign].
- Validate an 'Interactions' dialog is displayed.
- Override all interactions and click [Save Override and Exit].
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is no 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Access the Order Entry Console and click [R].
- Validate the 'Renew' dialog does not contain a row for "Client A" and click [Cancel].
Scenario 3: OE NX - Orders This Episode - 'Send Renew/Reorder Notification to' registry setting set to "O".
Specific Setup:
- Must have "To Do" selected in the 'Notification Method' field on the 'Notifications Setup' form for 'Notification Types' of "Order Entry (Renewal Due)" and "Order Entry (Reorder Due)".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Send Renew/Reorder Notification To' registry setting must be set to "O".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Number of Days Before Order Expiration to Send Renew To Do' registry setting must be set to "5".
- Two users must exist, both associated with staff members.(User A and User B)
- Must have the 'My TO DO's' widget on the HomeView.
- 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.
- Must be logged into the application as "User A".
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select a pharmacy-type order code.
- Ensure the 'Freq' is "Twice A Day", the 'Duration' field is "28 Days", 'Start Date' is 25 days in the past of the current date, and the 'Start Time' is "12:00 AM".
- Click [Add to Scratchpad]
- Validate the 'Ordering Practitioner' field contains the staff member associated with "User A".
- Set the 'Ordering Practitioner' field to the staff member associated with "User B" and click [Sign].
- Validate the 'Order grid' contains the order with the staff member associated with "User B".
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is no 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh].
- Validate the 'Renew' dialog does not contain a row for "Client A" and click [Cancel].
- Log out of the application and log back in as "User B".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is a 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed and contains a row for "Client A".
- Please Note that the 'Ordering Practitioner' is receiving the To Do item and the row for "Client A" in the 'Renew' dialog.
Scenario 4: OE NX - Orders This Episode - 'Send Renew/Reorder Notification to' registry setting set to "A" - Client does not have an Attending Practitioner
Specific Setup:
- Must have "To Do" selected in the 'Notification Method' field on the 'Notifications Setup' form for 'Notification Types' of "Order Entry (Renewal Due)" and "Order Entry (Reorder Due)".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Send Renew/Reorder Notification To' registry setting must be set to "A".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Number of Days Before Order Expiration to Send Renew To Do' registry setting must be set to "5".
- A user must have a staff member associated with them. (User A)
- Must have the 'My TO DO's' widget on the HomeView.
- Please log out of the application and log back in after completing the above configuration.
- A client must have an active outpatient episode.(Client A)
- "Client A" must not have an 'Attending Practitioner' associated with them.
- “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.
- Must be logged into the application as "User A".
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select a pharmacy-type order code.
- Populate all required fields setting the 'Start Date' field that is 24 days in the past, validating the 'Stop Date' field contains a date that is 4 days in the future, ensuring the 'Duration' is "28 Days" and that the 'Ordering Practitioner' field contains the staff member associated with the user who is logged into the application.
- Click [Add to Scratchpad] and [Sign].
- An 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the new order with the staff member associated with the user who is logged into the application in the 'Ordering Physician' column.
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Log into the application as "User A".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is a 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate "Client A" is displayed with a "1" in the 'Number to Renew' field.
- Please note that the 'To Do' item was sent to the 'Ordering Practitioner' due to the fact that an 'Attending Practitioner' did not exist for this client and episode.
Scenario 5: OE NX - Orders This Episode - 'Send Renew/Reorder Notification to' registry setting set to "A" - Client has an Attending Practitioner
Scenario 6: OE NX - Orders This Episode - 'Send Renew/Reorder Notification to' registry setting set to "None"
Specific Setup:
- Must have "To Do" selected in the 'Notification Method' field on the 'Notifications Setup' form for 'Notification Types' of "Order Entry (Renewal Due)" and "Order Entry (Reorder Due)".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Send Renew/Reorder Notification To' registry setting must be set to "NONE".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Number of Days Before Order Expiration to Send Renew To Do' registry setting must be set to "5".
- A user must exist that is associated with a staff member. (User A)
- Must have the 'My TO DO's' widget on the HomeView.
- Please log out of the application and log back in after completing the above configuration.
- 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.
- Must be logged into the application as "User A".
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select a pharmacy-type order code
- Populate all required fields ensuring that the 'Duration' field is "28" and [Days] is selected, that the 'Stop Date' is less than 5 days in the future of the current date.
- Click [Add to Scratchpad].
- Set the 'Ordering Practitioner' field to the staff member associated with "User A".
- Click [Sign].
- An 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the new order and that the 'Ordering Physician' contains the staff member associated with "User A".
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Log into the application as "User A".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is no 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate "Client A" is not displayed.
- Please note that the 'To Do' item was not sent.
Scenario 7: OE NX - Orders This Episode - 'Send Renew/Reorder Notification to' registry setting contains no value - Client has a different 'Attending Practitioner' and a different 'Ordering Practitioner'
Specific Setup:
- Must have "To Do" selected in the 'Notification Method' field on the 'Notifications Setup' form for 'Notification Types' of "Order Entry (Renewal Due)" and "Order Entry (Reorder Due)".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Send Renew/Reorder Notification To' registry setting must not contain a value.
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Number of Days Before Order Expiration to Send Renew To Do' registry setting must be set to "5".
- Two users must exist whose actions do not require validation. (User A and User B)
- "User A" and "User B" must both have staff members associated with them.
- Must have the 'My TO DO's' widget on the HomeView.
- 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 an 'Attending Practitioner' who is the staff member associated with "User 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.
- Must be logged into the application as "User B".
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select a pharmacy-type order code in the 'New Order' field.
- Populate all required fields ensuring that the 'Duration' field is "28" and [Days] is selected, that the 'Stop Date' is less than 5 days in the future of the current date.
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the staff member associated with "User B".
- Click [Sign].
- An 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the new order and that the 'Ordering Physician' contains the staff member associated with "User B".
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Log into the application as "User B".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is a 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate "Client A" is displayed with a "1" in the 'Number to Renew' field.
- Please note that the 'To Do' item was sent to the 'Ordering Practitioner'.
- Log out of the application and log in as "User A".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is no 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate "Client A" is displayed with a "1" in the 'Number to Renew' field.
- Please note that the 'To Do' item was sent to the 'Ordering Practitioner' and that both the 'Ordering Practitioner' and the 'Attending Practitioner' have values in the 'Renew' dialog.
Scenario 8: OE NX - Orders This Episode - 'Send Renew/Reorder Notification to' registry setting set to "O&L&A" - 'Attending Practitioner', 'Ordering Practitioner', and 'Last Renew Practitioner' are all the same
Specific Setup:
- Must have "To Do" selected in the 'Notification Method' field on the 'Notifications Setup' form for 'Notification Types' of "Order Entry (Renewal Due)" and "Order Entry (Reorder Due)".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Send Renew/Reorder Notification To' registry setting must be set to "A&L&O".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Number of Days Before Order Expiration to Send Renew To Do' registry setting must be set to "5".
- A user must exist who is associated with a staff member. (User A)
- Must have the 'My TO DO's' widget on the HomeView.
- 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 an 'Attending Practitioner' who is the staff member associated with "User 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.
- Must be logged into the application as "User A".
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select any pharmacy-type order code in the 'New Order' field.
- Populate all required fields ensuring that the 'Duration' field is "28" and [Days] is selected, that the 'Stop Date' is less than 5 days in the future of the current date.
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the staff member associated with "User A".
- Click [Sign].
- An 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the new order and that the 'Ordering Physician' contains the staff member associated with "User A".
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Log into the application as "User A".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is one 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate "Client A" is displayed with a "1" in the 'Number to Renew' field.
- Please note that only one 'To Do' item was sent to the staff member associated with "User A".
- Select the row and click [Renew].
- Validate the 'Status' field contains "Renew Due".
- Select the order in the 'Order grid' and click [Renew] and [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the staff member associated with "User A".
- Click [Sign].
- An 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the new order and that the 'Ordering Physician' contains the staff member associated with "User A".
- Select "Active" in the 'Status' field.
- Access the 'HomeView'.
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there are no 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Validate "Client A" is selected and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate that there is no row for "Client A".
- Click [Cancel].
- Select the order in the 'Order grid' and click [Renew].
- Set the 'Effective Renew Date' field to a date that is 27 days in the past.
- Validate the 'New Stop Date' field contains a date that is one day in the future.
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the staff member associated with "User A".
- Click [Sign].
- An 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the renewed order and that the 'Ordering Physician' contains the staff member associated with "User A".
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Log into the application as "User A".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is one 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate "Client A" is displayed with a "1" in the 'Number to Renew' field.
- Please note that only one 'To Do' item was sent to the staff member associated with "User A".
Scenario 9: OE NX - Orders This Episode - 'Send Renew/Reorder Notification to' registry setting set to "O&L&A" - 'Attending Practitioner', 'Ordering Practitioner', and 'Last Renew Practitioner' are all different
Specific Setup:
- Must have "To Do" selected in the 'Notification Method' field on the 'Notifications Setup' form for 'Notification Types' of "Order Entry (Renewal Due)" and "Order Entry (Reorder Due)".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Send Renew/Reorder Notification To' registry setting must be set to "A&L&O".
- The 'Avatar Order Entry->Facility Defaults->To Do Items->->->Number of Days Before Order Expiration to Send Renew To Do' registry setting must be set to "5".
- 3 users must exist that are associated with staff members. (User A, User B, and User C)
- Must have the 'My TO DO's' widget on the HomeView.
- 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 an 'Attending Practitioner' who is the staff member associated with "User 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.
- Must be logged into the application as "User A".
Steps
- Select "Client A" and access the Order Entry Console.
- Search for and select any pharmacy-type order code in the 'New Order' field.
- Populate all required fields ensuring that the 'Duration' field is "28" and [Days] is selected, and that the 'Stop Date' is less than 5 days in the future of the current date.
- Click [Add to Scratchpad].
- Validate the 'Ordering Practitioner' field contains the staff member associated with "User A".
- Set the 'Ordering Physician' field to the staff member associated with "User B".
- Click [Sign].
- An 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the new order and that the 'Ordering Physician' contains the staff member associated with "User B".
- Select the order in the 'Order grid' and click [Renew].
- Set the 'Effective Renew Date' field to a date that is 27 days in the past.
- Validate the 'New Stop Date' field contains a date that is one day in the future.
- Click [Add to Scratchpad].
- Set the 'Ordering Practitioner' field to the staff member associated with "User C".
- Click [Sign].
- An 'Interactions' dialog may be displayed.
- Override all interactions and click [Save Override and Exit].
- Validate the 'Order grid' contains the new order and that 'Ordering Physician' contains the staff member associated with "User B" Last Renew: Staff Member associated with "User C".
- Click 'HomeView'.
- Wait until the nightly process runs. Usually occurs at the same time every night and can be configured via the 'System Task Scheduler' form.
- Log into the application as "User A".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is one 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate "Client A" is displayed with a "1" in the 'Number to Renew' field.
- Please note that only one 'To Do' item was sent to the the staff member associated with "User A", who is the "Attending Practitioner".
- Log out of the application and log back in as "User B".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is one 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate "Client A" is displayed with a "1" in the 'Number to Renew' field.
- Please note that only one 'To Do' item was sent to the staff member associated with "User B", who is the "Ordering Practitioner".
- Log out of the application and log back in as "User C".
- Access the 'My TO DO's' widget and click the button in the top left hand corner in order to view all To Do's.
- Validate there is one 'Renew/Validate Orders' To Do under 'Orders' for "Client A".
- Click [Close].
- Select "Client A" and access the Order Entry Console.
- Click [R].
- Validate the 'Renew' dialog is displayed.
- Click [Refresh] and validate "Client A" is displayed with a "1" in the 'Number to Renew' field.
- Please note that only one 'To Do' item was sent to the the staff member associated with "User C", who is the "Renewing Practitioner".
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Topics
• Order Entry Console
• NX
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OE - Support for uncoded allergies
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- CareFabric Monitor
- HL7 Connection Monitor
- Medical Note
- BedBoard
- eMAR
- Launch OrderConnect
- Current Medication Profile
Scenario 1: Uncoded Allergies
Specific Setup:
- In order to utilize this functionality the following updates must be installed:
- Avatar CWS 2023 Update 84
- Avatar OE 2023 Update 41
- Avatar eMAR 2023 Update 22
- Avatar CareFabric 2023 Update 63
- Avatar HL7 2023 Update 8
- RADplus Client Update 3392.007
- A client must be admitted to an inpatient episode with no allergies existing. (Client A)
- "Client A" must be associated with a user role. (HomeviewCLINICIAN)
- Two users must exist. One that is associated with a user role (User A) and one who is not. (User B)
- The 'Avatar CWS->CWS Utilities->Set System Defaults->CWS Allergies->->Allow Access to Uncoded Allergies' registry setting must be set to "HomeviewCLINICIAN".
- Please log out of the application and log back in after completing the above configuration.
- Make note of the 'Unit' and 'Room' associated with "Client A".
- "User A" must be logged into the application.
Steps
- Select "Client A" and access the 'Allergies and Hypersensitivities' form.
- Validate that no values are selected in the 'Known Medications Allergies' and 'Known Food Allergies' fields.
- Click [Update].
- Click [New Row] and add a row for "BASIC CARE IBUPROFEN" with the following 'Comment' of "do not administer ibuprofen".
- Click [New Row] and add a row for "Uncoded Drug (Uncoded-Drug)" with the following 'Comment' of "Uncoded Drug- Prozatec".
- Click [New Row] and add a row for "Uncoded Environmental (Uncoded-Envr)" with the following 'Comment' of "Uncoded Environment - Thunderstorm".
- Click [New Row] and add a row for "Uncoded Food (Uncoded-Food)" with the following 'Comment' of "Uncoded Food - Peanut oil".
- Click [Save].
- Validate the 'Known Medication Allergies' field is disabled and has "Yes" selected.
- Validate the 'Known Food Allergies' field is disabled and has "Yes" selected.
- Click [Submit].
- Access the 'Allergies and Hypersensitivities' form.
- Validate the 'Client Information' banner contains "Allergies (4) 1) BASIC CARE IBUPROFEN - Confirmed 2) Uncoded Drug: Uncoded Drug- Prozatec - Confirmed 3) Uncoded Environmental: Uncoded Environment - Thunderstorm - Confirmed 4) Uncoded Food: Uncoded Food - Peanut oil - Confirmed".
- Click [Display] in the 'Allergies and Hypersensitivities' form and validate a 'Client Allergies/Hypersensitivities' report is displayed and includes all of the information entered in the 'Allergies and Hypersensitivities' form and close the report and the form.
- Open the Client Dashboard and validate the 'Client Information' banner contains "Allergies (4) 1) BASIC CARE IBUPROFEN - Confirmed 2) Uncoded Drug: Uncoded Drug- Prozatec - Confirmed 3) Uncoded Environmental: Uncoded Environment - Thunderstorm - Confirmed 4) Uncoded Food: Uncoded Food - Peanut oil - Confirmed" and click [Close].
- Access "Med Note" and click "Allergies" on the 'Facesheet' tab.
- Validate the following are displayed:
- BASIC CARE IBUPROFEN
- Uncoded Drug: Uncoded Drug - Prozatec
- Uncoded Environmental: Uncoded Environment - Thunderstorm
- Uncoded Food: Uncoded Food - Peanut oil
- Click [Reviewed with Client].
- Select the 'BedBoard' widget.
- Click the unit associated with "Client A".
- Select "Client A" under the appropriate room number.
- Validate that under 'Allergies" that the following is displayed: "BASIC CARE IBUPROFEN (Severity);Uncoded Drug (Severity);Uncoded Environmental (Severity);Uncoded Food (Severity)" and click [Cancel].
- Access the Order Entry Console.
- Validate the 'Client Information' banner contains the following: "Allergies (4)↳Allergies Reviewed=Yes (Date Reviewed) ↳1) BASIC CARE IBUPROFEN - Status ↳2) Uncoded Drug: Uncoded Drug- Prozatec - Status ↳3) Uncoded Environmental: Uncoded Environment - Thunderstorm - Status ↳4) Uncoded Food: Uncoded Food - Peanut oil - Status".
- Search for and select "BASIC CARE IBUPROFEN" in the 'New Order' field.
- Validate a warning indicator and "At least one warning has been found with this order" appears under the 'New Order' field.
- Click the link and validate the following is displayed in the 'Interactions' dialog on the 'Interactions' tab:
- Uncoded Allergies Filed Warning: The following uncoded allergies are on file for TESTA,ALLERGY (Client ID: 1468): Uncoded Drug: Uncoded Drug- Prozatec, Uncoded Environmental: Uncoded Environment - Thunderstorm, Uncoded Food: Uncoded Food - Peanut oil. These allergies will be not be screened for drug interactions. Allergy Interaction(s) Reaction Severity Filter Level being used: # Drug: BASIC CARE IBUPROFEN 100 MG ORAL TABLET, CHEWABLE Allergen: BASIC CARE IBUPROFEN Description: BASIC CARE IBUPROFEN Screening Message: A history of hypersensitivity to the following substance has been noted for this patient: BASIC CARE IBUPROFEN. There was an experienced reaction of the reactions selected (Reaction Severity: severity selected).
- Click [Close].
- Access the 'CareFabric Monitor' form.
- Select the current date in the 'From Date' and 'Through Date' fields.
- Search for and select "Client A" in the 'Client ID' field.
- Search for "allergycreated" in the 'Event/Action Search' field and select "Allergy/Created Out".
- Validate "Allergy/Created" is displayed and checked off in the 'Select Event/Actions' field.
- Click [View Activity Log].
- Validate that 4 rows are selected
- Click the 1st 'Click To View Record' link and validate that "name":"BASIC CARE IBUPROFEN" is displayed and click the 'Main Report' tab.
- Click the 2nd 'Click To View Record' link and validate that "name":"Uncoded Drug: Uncoded Drug- Prozatec" is displayed and click the 'Main Report' tab.
- Click the 3rd 'Click To View Record' link and validate that "name":"Uncoded Environmental: Uncoded Environment - Thunderstorm" is displayed and click the 'Main Report' tab.
- Click the 4th 'Click To View Record' link and validate that "name":"Uncoded Food: Uncoded Food - Peanut oil" is displayed and click [Close Report] and close form.
- Access the 'Launch OrderConnect' form.
- Click [Launch OrderConnect Prescriptions].
- Validate the 'Known Allergies' section contains: "BASIC CARE IBUPROFEN, Uncoded Drug: Uncoded Drug - Prozatec, Uncoded Environmental: Uncoded Environment - Thunderstorm, and Uncoded Food: Uncoded Food - Peanut oil" and click [Close Chart] and close form.
- Log out of the application and log back in as "User B".
- Select "Client A" and access the 'Allergies and Hypersensitivities' form.
- Click [Update] and [New Row].
- In the 5th 'Allergen/Reactant' cell search for "Uncoded" and press Tab.
- Validate a message is displayed stating: "Allergen/Reactant Code Not Found. No Allergen/Reactant code or Allergen/Reactant code description matches 'UNCODED'." and click [OK] and [Close/Cancel].
- Validate a message is displayed stating "You have made changes to the table. Are you sure you want to cancel and lose these changes?" and click [Yes] and close the form.
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Topics
• Allergies and Hypersensitivities
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OE NX - View 'Last Activity' - Results Document Upload
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- Results Document Upload
- Order Fulfillment
Scenario 1: Results can be viewed from the 'Last Activity' dialog in the 'Order Entry Console'
Specific Setup:
- An x-ray-type order code must have "Vital Signs (21)" select in the 'Fulfillment Form' field on the 'Order Code Setup' form. (Order Code A)
- The ‘(40126) Result Status does not include actual results"’ extended attribute must be set to “No” in the Results File ‘(40123) Test Results/Observations - Result Status (HL-7 Table 0123)’ dictionary for “P - Preliminary: A verified early result is available, final results not yet obtained”.
- The '(31000) Fulfillment Status' dictionary must contains the following values:
- 1 = Initial
- 2 = Results Received
- 3 = Results Reviewed
- 4 = Complete
- The ‘(31005) Complete’ extended attribute must be set to “Yes” in the Order Entry Tabled Files ‘(31000) Fulfillment Status’ dictionary for “3 - Results Reviewed”.
- The ‘(31005) Complete’ extended attribute must be set to “Yes” in the Order Entry Tabled Files ‘(31000) Fulfillment Status’ dictionary for “4 - Complete”.
- The 'Order Fulfillment Configuration' form must be configured in the following way:
- Fulfillment Configuration section
- Initial Status = Initial
- Results Entry Status = Results Received
- Results Reviewed Status = Results Reviewed
- Discontinued Status = Complete
- Status Rules section
- Row 1 - Order Type = 9 for x-ray, Urgent = No, Current Order Status = Initial, Number of Hours in Status = 1, New Order Status = Results Received.
- Row 2 - Order Type = 9 for x-ray, Urgent = No, Current Order Status = Results Received, Number of Hours in Status = 24, New Order Status = Results Reviewed.
- Report Configuration section
- Order Type = x-ray (9), Order Code = Order Code A, Crystal Report = CWSClientAllergiesList
- Form Configuration section
- Select "Vital Signs (21) in the 'Select Form' field.
- "Order Code A" must be configured for 'Order Fulfillment' and must have results filed for it.
- Please log out of and back into the application after this configuration has been done.
- A client must be in 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.
Steps
- Select "Client A" and access the Order Entry Console.
- Validate the 'Order grid' contains an order for "Order Code A".
- Click [View] in the 'Last Activity' column.
- Verify the 'Administration History' dialog is displayed and contains order information pertaining to "Order Code A".
- Click [Close].
- Access 'Results Document Upload' form.
- Search for and select "Client A" in the 'Patient ID' field.
- Select "Yes" in the 'Associate with OE Order' field.
- Click [Select Order] and select "Order Code A".
- Click [Upload File] and upload any file.
- Select "Preliminary" in the 'Results Status' field and click [Submit].
- Access the Order Entry Console.
- Click [View] in the 'Last Activity' column.
- Verify the 'Administration History' dialog is displayed and contains order information pertaining to "Order Code A".
OE NX - Home Medications - Reported medications
Scenario 1: OE NX - Home Medications - Reported - order description only - New Order and Edit - program not associated with an agency
Specific Setup:
- 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.
- "Client A's" program must not be mapped to an OrderConnect Agency in the 'OrderConnect Facility/Agency Definition' form.
Steps
- Select "Client A" and access the Order Entry Console.
- Access the 'Home Medications' tab.
- Create any 'Reported' medication.
- Click [View] in the 'History' column for row 1.
- Validate the 'Pharmacy Details' information is not displayed.
- Click [Close].
OE NX - Home Medications - Validate Order Actions - Pending in Order Status - New Order, Modify, Reorder, and DC
Scenario 1: OE NX - Home Medications - Validate Order Actions - New Order, Modify, Reorder, and DC
Specific Setup:
- Avatar OE 2023 Update 43 and Avatar NX Release 2023.12.00 are required in order to utilize full functionality.
- Two users must exist. One whose actions require validation and who is not associated with a practitioner (User A) and one whose actions do not require validation, who can validate others orders, and who is associated with a practitioner. (User B)
- A client must have an active inpatient episode.
- “Client A” must have a ‘Date of Birth’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Diagnosis’ form.
Steps
- Log into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Search for and select any medication in the 'New Order' field
- Populate all required fields.
- Click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed in the list of current orders with an 'Order Status' for "Pending (New Order)".
- Log out of the application and log back into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab and validate the pending order.
- Log out of the application and log back into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Select the medication in the list of current medications and click [Modify].
- Select a different value in the 'Frequency' field and click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed in the list of current orders with an 'Order Status' of "Pending (Modify Order)".
- Log out of the application and log back into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab and validate the pending order.
- Log out of the application and log back into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Select the medication in the list of current medications and click [Reorder].
- Click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed in the list of current medications with an 'Order Status' of "Pending (Reorder)".
- Log out of the application and log back into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab and validate the pending order.
- Log out of the application and log back into the application as "User A".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab.
- Set the 'Ordering Practitioner' to the practitioner associated with "User B".
- Select the medication in the list of current medications and click [D/C].
- Validate the 'Discontinue Date' and 'Discontinue Time' fields are disabled and contain the current date and time.
- Select any value in the 'Discontinue Reason' field and click [Add to Scratchpad] and [Final Review].
- Validate the 'Final Review' dialog is displayed.
- Validate that "Pending" is selected by default in the 'Output' column and click [Sign].
- Select "Pending" in the 'Status' field.
- Validate the new order is displayed in the list of current medications with an 'Order Status' of "Pending (Discontinue Order)".
- Log out of the application and log back into the application as "User B".
- Select "Client A" and access the Order Entry Console.
- Click the 'Home Medications' tab and validate the pending order.
OE NX - Order This Episode - View Last Activity - Reason and Comment
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
- eMAR
- Frequency Code Setup
- Nutrition Orders
Scenario 1: OE NX - Order This Episode - View Last Activity - include eMAR Administration Event Reason and Comment
Specific Setup:
- The following extended attributes must be set in the eMAR Tabled Files ‘(10000) Administration Event’ dictionary: (Admin Event A)
- ‘(10002) Successful Administration’ = “Yes”
- ‘(10009) Client Refusal’ = “No”
- ‘(10018) Add Reason Dictionary To Comments’ = “Yes”
- ‘(10019) Require Comments’ = “No”
- 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
- Select "Client A" and access the Order Entry Console.
- Search for and select any pharmacy-type order code in the 'New Order' field.
- Populate all required field and click [Add to Scratchpad] and [Sign].
- Access 'eMAR' and click 'Scan Client'
- Select any value in the 'Please provide a reason for not scanning the Client wristband' field that does not require an additional override and click [OK].
- Select any cell under the current date and click [Administer].
- Complete the 'Order Acknowledgement' and 'Client Education'.
- Validate the 'Administration Event' dialog is displayed.
- Select "Admin Event A" in the 'Administration Event' field.
- Click [View] in the 'Comment' field.
- Select any value in the 'Reason' field, enter any value in the 'Text' field and click [Ok].
- Set the 'Med Id' to any value.
- Click [View] in the 'Warning' field and override all interactions, click [OK].
- Check the 'Accept administration information entered' checkbox and click [Ok].
- Access the Order Entry Console.
- Click [View] in the 'Last Activity' column.
- Validate the 'Activity History' dialog is displayed and contains the Reason and Comment that was entered when administering the order.
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Topics
• Order Entry Console
• NX
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