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Avatar OE 2023 Update 7

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Product Update Form Description

The following issues are resolved and changes are made to the 'Discharge Medication Report' that is available in the Order Entry Console (Discharge Med Reconciliation section):  1) On the 'Active Medications List' portion of the report, the 'Next Due' date and time that are printed might not be as desired, if the 'Frequency' on the discharge order was changed from what the 'Frequency' had been on the original inpatient order.  Due to the challenges in determining when the next dose should actually occur in such situations, the report will now print a "fill in the blank" underline in the 'Next Due' column in these situations.  2) The 'Last Given' / 'Next Due' columns do not appear on the report when configured to do so.  3) The report might sometimes print a mostly blank first page and then print details starting on the second page.  4) The help message for the registry setting 'Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report' is updated to reflect the changes included in this Update.

Included Updates

None

Required Updates

None

Details
NEW0 CHANGED0 FIXED1
Fixed (1)
Discharge Medication Report - 'Frequency Code' change after eMAR administration.
The following issues are resolved and changes are made to the 'Discharge Medication Report' that is available in the Order Entry Console (Discharge Med Reconciliation section):

1) On the 'Active Medications List' portion of the report, the 'Next Due' date and time that are printed might not be as desired, if the 'Frequency' on the discharge order was changed from what the 'Frequency' had been on the original inpatient order.  Due to the challenges in determining when the next dose should actually occur in such situations, the report will now print a "fill in the blank" underline in the 'Next Due' column in these situations.
2) The 'Last Given' / 'Next Due' columns do not appear on the report when configured to do so.
3) The report might sometimes print a mostly blank first page and then print details starting on the second page.
4) The help message for the registry setting 'Enable Last Dose/Next Due on OE Console Discharge Med Reconciliation report' is updated to reflect the changes included in this Update.
Topics
• Discharge Med Reconciliation • NX • Order Entry Console
 
Acceptance Tests
AV-85311 Summary | Details
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:
  • Avatar eMAR
  • Order Entry Console
  • Orders This Episode
  • Registry Settings (CWS)
  • Frequency Code Setup
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
  1. Select "Client A” and access the Order Entry Console.
  2. Search for and select "XANAX 1 MG TABLET ORAL" in the 'New Order' field.
  3. Select "EVERY 4 HOURS" from the 'Freq' field.
  4. Populate the required fields.
  5. Click [Add to Scratchpad].
  6. Search for and select "RITALIN 10 MG TABLET ORAL" in the 'New Order' field.
  7. Set the 'Dose' field to "1".
  8. Select "TABLET" from the 'Dose Unit' field.
  9. Select "TWICE A DAY" from the 'Freq' field.
  10. Validate the 'First Dose Date' field contains the current date.
  11. Validate the 'First Dose Time' field contains either "09:00 AM" or "09:00 PM" depending on the current time and hours of administration.
  12. Set the 'Duration' field to "14" and click [Days].
  13. Click [Add to Scratchpad] and [Sign].
  14. The 'Interactions' dialog may be displayed.
  15. Override all interactions and click [Save Override and Exit].
  16. Validate the 'Order grid' contains an order for "RITALIN 10 MG ORAL TABLET (Schedule II)" and "XANAX 1 MG ORAL TABLET (Schedule IV)".
  17. Access the ‘eMAR’ widget.
  18. Click 'Click here to provide override reason'.
  19. Validate the 'Wristband Scan Override' dialog is displayed.
  20. Select any value in the 'Please provide a reason for not scanning the client wristband' field
  21. Set the 'Other Reason' field to any value and click [Ok].
  22. 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.
  23. Select the "2100" cell under the current date for the "RITALIN 10 MG ORAL TABLET" order and click [Administer].
  24. Perform 'Order Acknowledgement' and 'Client Education'.
  25. Validate the 'Administration Date/Time' fields contains the current date and time.
  26. Set the 'Med ID' field to the NDC# for "RITALIN 10 MG ORAL TABLET".
  27. Validate the 'Qty' field is equal to "1".
  28. Validate the 'Unit' field is equal to "TABLET".
  29. Select a successful administration event in the 'Administration Event' field.
  30. Check the 'Accept administration information entered' checkbox and click [Ok].
  31. 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.
  32. Select the first cell under the current date for the "XANAX 1 MG ORAL TABLET" order and click [Administer].
  33. Perform 'Order Acknowledgement' and 'Client Education'.
  34. Validate the 'Administration Date/Time' fields contains the current date and time.
  35. Set the 'Med ID' field to the NDC# for "XANAX 1 MG ORAL TABLET".
  36. Validate the 'Qty' field is equal to "1".
  37. Validate the 'Unit' field is equal to "TABLET".
  38. Select a successful administration event in the 'Administration Event' field.
  39. Check the 'Accept administration information entered' field and [Ok].
  40. 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".
  41. Access the Order Entry Console.
  42. Select the 'Discharge Reconciliation' tab.
  43. Select the first order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
  44. Select the second order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
  45. Select the first order from 'Home Medications Scratchpad (Post-Discharge)'.
  46. Validate the 'New Order' field contains "Ritalin 10 MG Oral Tablet (Schedule II)".
  47. Populate the required fields and click [Update Order].
  48. Select the second order from 'Home Medications Scratchpad (Post-Discharge)'.
  49. Validate the 'New Order' field contains "Xanax 1 MG Oral Tablet (Schedule IV)".
  50. Select "EVERY 6 HOURS" from the 'Freq' field.
  51. Populate the required fields and click [Update Order].
  52. Search for and select "Zyflo 600 MG Tablet Oral" in the 'New Order' field.
  53. Populate the required fields and click [Add to Scratchpad].
  54. Validate 'Home Medications Scratchpad (Post-Discharge)' contains an order for "Zyflo 600 MG Tablet Oral.
  55. Validate that the "Ritalin", "Xanax", and "Zyflo" orders have a status of "ADD", "ADD", and "NEW" respectively in the 'Action' column.
  56. Click [Review and Sign].
  57. Validate the 'Final Review' dialog is displayed.
  58. Select "None" in 'Output' for all orders and click [Sign].
  59. Click [Print Report]
  60. Verify the 'Discharge Medications Report' is displayed.
  61. Click [Go To Next Page].
  62. 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".
  63. 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.
  64. 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.
  65. 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
  1. Select "Client A” and access the Order Entry Console.
  2. Search for and select "ADVIL 200 MG TABLET ORAL" in the 'New Order' field.
  3. Set the 'Dose' field to "1".
  4. Select "TABLET" from the 'Dose Unit' field.
  5. Select "Frequency Code A" from the 'Freq' field.
  6. Set the 'Duration' field to "11" and click [Days].
  7. Click [Add to Scratchpad].
  8. Search for and select "Lisinopril et LISINOPRIL 20 MG Tablet ORAL" in the 'New Order' field.
  9. Set the 'Dose' field to "1".
  10. Select "TABLET" from the 'Dose Unit' field.
  11. Select "Frequency Code B" from the 'Freq' field.
  12. Set the 'Duration' field to "11" and click [Days].
  13. Click [Add to Scratchpad] and [Sign].
  14. Validate the 'Order grid' contains an order for "Advil" and "Lisinopril".
  15. Access the ‘eMAR’ widget.
  16. Validate that an order for "ADVIL" and "LISINOPRIL" are displayed with no administration times under the current date.
  17. Perform 'Order Acknowledgement' and 'Client Education' for both orders.
  18. Select the first cell under the current date for the "Advil" Order and click [Administer].
  19. Validate the 'Administration Date/Time' fields contains the current date and time.
  20. Set the 'Med ID' field to the NDC# for "ADVIL 200 MG TABLET ORAL".
  21. Validate the 'Qty' field is equal to "1".
  22. Validate the 'Unit' field is equal to "TABLET".
  23. Select a successful administration event in the 'Administration Event' field.
  24. Check the 'Accept administration information entered' checkbox and click [Ok].
  25. 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.
  26. Select the first cell under the current date for the "LISINOPRIL 20 MG Tablet ORAL" order and click [Administer].
  27. Validate the 'Administration Date/Time' fields contains the current date and time.
  28. Set the 'Med ID' field to the NDC# for "Lisinopril et LISINOPRIL 20 MG Tablet ORAL".
  29. Validate the 'Qty' field is equal to "1".
  30. Validate the 'Unit' field is equal to "TABLET".
  31. Select a successful administration event in the 'Administration Event' field.
  32. Check the 'Accept administration information entered' field and [Ok].
  33. 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.
  34. Access the Order Entry Console.
  35. Select the 'Discharge Reconciliation' tab.
  36. Validate that the "ADVIL" order and "LISINOPRIL" orders are displayed under the 'Inpatient Medications' order grid.
  37. Select both orders and click [Add to Scratchpad as Rx].
  38. Select the first order from 'Home Medications Scratchpad (Post-Discharge)'.
  39. Validate the 'New Order' field contains "ADVIL 200 MG TABLET ORAL".
  40. Populate the required fields and click [Update Order].
  41. Select the second order from 'Home Medications Scratchpad (Post-Discharge)'.
  42. Validate the 'New Order' field contains "LISINOPRIL 20 MG Tablet ORAL".
  43. Populate the required fields and click [Update Order].
  44. Click [Review and Sign].
  45. Validate the 'Final Review' dialog is displayed.
  46. Select "None" for both orders and click [Sign].
  47. Validate that 'Discharge Med Reconciliation' is in view-only mode.
  48. Click [Print Report]
  49. Verify the 'Discharge Medications Report' is displayed.
  50. Under 'Start These Medications' you will see the order for "Advil 200 MG Tablet Oral" and "Lisinopril 20 MG Tablet Oral".
  51. Go to the next page.
  52. Click [Go To Next Page].
  53. Validate the 'ACTIVE MEDICATIONS LIST' is displayed.
  54. Validate the 'Last Given' and 'Next Due' field are displayed.
  55. 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.
  56. 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
  1. Select "Client A” and access the Order Entry Console.
  2. Search for and select "ADVIL 200 MG TABLET ORAL" in the 'New Order' field.
  3. Set the 'Dose' field to "1".
  4. Select "TABLET" from the 'Dose Unit' field.
  5. Select "Frequency Code A" from the 'Freq' field.
  6. Set the 'Duration' field to "11" and click [Days].
  7. Click [Add to Scratchpad].
  8. Search for and select "LISINOPRIL 20 MG Tablet ORAL" in the 'New Order' field.
  9. Set the 'Dose' field to "1".
  10. Select "TABLET" from the 'Dose Unit' field.
  11. Select "Frequency Code B" from the 'Freq' field.
  12. Set the 'Duration' field to "21" and click [Days].
  13. Click [Add to Scratchpad].
  14. Search for and select "RITALIN 20 MG TABLET ORAL (Schedule II)" in the 'New Order' field.
  15. Set the 'Dose' field to "1".
  16. Select "TABLET" from the 'Dose Unit' field.
  17. Select "Frequency Code C" from the 'Freq' field.
  18. Set the 'Duration' field to "30" and click [Days].
  19. Click [Add to Scratchpad] and [Sign].
  20. Validate the 'Order grid' contains an order for "ADVIL", "LISINOPRIL" and "RITALIN".
  21. Access the ‘eMAR’ widget.
  22. Validate an order for "ADVIL", "LISINOPRIL" and "RITALIN" are displayed with a "2100" cell under the current date for each order.
  23. Click the 'Click here to provider override reason' link.
  24. Select any value that does not require 'Other Reason' and click [Ok].
  25. Perform 'Order Acknowledgement' and 'Client Education' for all orders.
  26. Select the "2100" cell under the current date for the "ADVIL 200 MG TABLET ORAL" order and click [Administer].
  27. Validate the 'Administration Date/Time' fields contains the current date and time.
  28. Set the 'Med ID' field to the NDC# for the "ADVIL 200 MG TABLET ORAL".
  29. Validate the 'Qty' field is equal to "1".
  30. Validate the 'Unit' field is equal to "TABLET".
  31. Select a successful administration event in the 'Administration Event' field.
  32. Click [View] and Validate the 'Warning Message' displays "This Administration Event is occurring outside the allowable administration window of 60 minutes for ADVIL".
  33. Select any value that does not require the 'Override Text' field and click [OK].
  34. Check the 'Accept administration information entered' checkbox and click [Ok].
  35. Validate the first cell under the current date for the "ADVIL 200 MG TABLET ORAL" order contains the amount administered and the time administered.
  36. Select the "2100" cell under the current date for the "LISINOPRIL 20 MG Tablet ORAL" order and click [Administer].
  37. Validate the 'Administration Date/Time' fields contains the current date and time.
  38. Set the 'Med ID' field to the NDC# for "LISINOPRIL 20 MG Tablet ORAL".
  39. Validate the 'Qty' field is equal to "1".
  40. Validate the 'Unit' field is equal to "TABLET".
  41. Select a successful administration event in the 'Administration Event' field.
  42. Click [View] and Validate the 'Warning Message' displays "This Administration Event is occurring outside the allowable administration window of 60 minutes for LISINOPRIL.".
  43. Select any value that does not require the 'Override Text' field and click [OK].
  44. Check the 'Accept administration information entered' field and [Ok].
  45. Validate the first cell under the current date for the "LISINOPRIL 20 MG Tablet ORAL" order contains the amount administered and the time administered.
  46. Select the "2100" cell under the current date for the "RITALIN 10 MG ORAL TABLET" order and click [Administer].
  47. Validate the 'Administration Date/Time' fields contains the current date and time.
  48. Set the 'Med ID' field to the NDC# for "RITALIN 10 MG ORAL TABLET".
  49. Validate the 'Qty' field is equal to "1".
  50. Validate the 'Unit' field is equal to "TABLET".
  51. Select a successful administration event in the 'Administration Event' field.
  52. Click [View] and Validate the 'Warning Message' displays "This Administration Event is occurring outside the allowable administration window of 60 minutes for RITALIN.".
  53. Select any value that does not require the 'Override Text' field and click [OK].
  54. Check the 'Accept administration information entered' field and [Ok].
  55. Validate the first cell under the current date for the "RITALIN 10 MG Tablet ORAL" order contains the amount administered and the time administered.
  56. Access the Order Entry Console.
  57. Select the 'Discharge Reconciliation' tab.
  58. Select the first order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
  59. Select the second order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
  60. Select the third order from 'Inpatient Medications' and click [Add to Scratchpad As Rx].
  61. Select the first order from the 'Home Medications Scratchpad (Post-Discharge)'.
  62. Validate the 'New Order' field contains "ADVIL 200 MG TABLET ORAL".
  63. Populate the required fields and click [Update Order].
  64. Select the second order from the 'Home Medications Scratchpad (Post-Discharge)'.
  65. Validate the 'New Order' field contains "LISINOPRIL 20 MG Tablet ORAL".
  66. Populate the required fields and click [Update Order].
  67. Select the third order from the 'Home Medications Scratchpad (Post-Discharge)'.
  68. Validate the 'New Order' field contains "RITALIN 20 MG TABLET ORAL (Schedule II)".
  69. Populate the required fields and click [Update Order].
  70. Click [Review and Sign].
  71. An 'Interactions' dialog may be displayed.
  72. Override the interactions and click [Save Override and Exit].
  73. Validate the 'Final Review' dialog is displayed, select "None" in 'Output' for all orders and click [Sign].
  74. Validate that 'Discharge Med Reconciliation' is in view-only mode.
  75. Click [Print Report]
  76. Verify the 'Discharge Medications Report' is displayed.
  77. Click [Go To Next Page].
  78. Validate the 'Last Given' and 'Next Due' fields are displayed.
  79. 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.
  80. 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.
  81. 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.
Topics
• Discharge Med Reconciliation • NX • Order Entry Console