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Avatar OE 2024 Update 31

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Product Requirements and Recommendations

Avatar CWS required
Avatar OE required
RADplus required

Recommended Update Level

Avatar CWS 2024 Monthly Release 2024.01.02
Avatar OE 2024 Monthly Release 2024.01.02
RADplus 2024 Monthly Release 2024.01.02

Product Update Description

The Order Entry Console is enhanced to support Ad Hoc Medication Reconciliation. This functionality is enabled via the registry setting 'Enable Medication Reconciliation within the Order Entry Console', which also allows Admission and/or Discharge Medication Reconciliation to be enabled/disabled. Note: Ad Hoc Medication Reconciliation is available only in myAvatar NX and a myAvatar NX Release is also needed to make use of Ad Hoc Medication Reconciliation. In addition, an issue is resolved in the Order Entry Console (Orders This Episode section) where an order might be created with a 'Priority' that does not match the order's 'Frequency Code'.

Required Updates

None

Included Updates

2, 3, 6, 11, 14, 15, 24, 25, 30

Details
NEW1 CHANGED0 FIXED0
New (1)
OE NX - Ad Hoc Reconciliation
The Order Entry Console is enhanced to support Ad Hoc Medication Reconciliation. This functionality is enabled via the registry setting 'Enable Medication Reconciliation within the Order Entry Console', which also allows Admission and/or Discharge Medication Reconciliation to be enabled/disabled. Note: Ad Hoc Medication Reconciliation is available only in myAvatar NX and a myAvatar NX Release is also needed to make use of Ad Hoc Medication Reconciliation. In addition, an issue is resolved in the Order Entry Console (Orders This Episode section) where an order might be created with a 'Priority' that does not match the order's 'Frequency Code'.
Value Added: The Ad Hoc Reconciliation tab has been added to the Order Entry Console
Topics
• Order Entry Console
 
Acceptance Tests
AV-96743 Summary | Details
OE NX - Ad Hoc Reconciliation
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Entry Console
Scenario 1: OE NX - Intra-episode Ad Hoc Medication Reconciliation
Specific Setup:
  • Avatar OE 2024 Update 31 and myAvatar NX Release 2024.07.00 are required in order to utilize full functionality.
  • The 'Avatar Order Entry->Facility Defaults->Medication Reconciliation->->->Enable Medication Reconciliation within the Order Entry Console' registry setting must be set to "ADM&DIS&AD_HOC".
  • The '(10911) Type Of Reconciliation' extended attribute must be set to "Intra-episode" in the Order Entry Tabled Files '(10910) Ad Hoc Medication Reconciliation Type' for "Return From Leave".
  • Please log out of the application and log back in after completing the above configuration.
  • A client must have active inpatient episode.
  • “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. Create 2 pharmacy-type orders (Order A, Order B)
  3. Access the 'Ad Hoc Reconciliation' tab.
  4. Select "Return from leave" from the 'Type' field.
  5. Validate "Order A" and "Order B" are displayed in the 'Before Reconciliation' grid.
  6. Select "Order A" and click [Modify].
  7. Populate the required fields and make any changes to the 'Order Details' for "Order A" and click [Add to Scratchpad].
  8. Validate "Order A" displays in the 'After Reconciliation' grid with an 'Action' of "Modify".
  9. Select "Order B" and click [Continue].
  10. Validate "Order B" displays in the 'After Reconciliation' grid with an 'Action' of "CONT".
  11. Search for and select a pharmacy-type order code in the 'New Order' field.
  12. Populate all required fields and click [Add to Scratchpad].
  13. Validate the 'After Reconciliation' grid contains:
  14. "Order A" with an 'Action' of "Modify".
  15. "Order B" with an 'Action' of "CONT".
  16. The new order with an 'Action' of "NEW".
  17. Click [Hold in Pending Status].
  18. Validate the 'Load prior Reconciliation' field contains "Return From Leave - Ordering Practitioner information - Date and time (Pending)".
  19. Click [Edit Pending Reconciliation].
  20. Validate a message stating " Ad Hoc Medication Reconciliation has not been updated to reflect any changes to inpatient or discharge medications since previously saved. Please review accordingly." is displayed and click [Ok].
  21. Click [Reconcile & Sign].
  22. Validate the 'Ad Hoc Reconciliation' tab is in view-only mode.
  23. Select the 'Orders This Episode' tab.
  24. Validate that the 'Order grid' contains three orders.
Scenario 2: OE NX - Inter-episode Ad Hoc Medication Reconciliation
Specific Setup:
  • Avatar OE 2024 Update 31 and myAvatar NX Release 2024.07.00 are required in order to utilize full functionality.
  • The 'Avatar Order Entry->Facility Defaults->Medication Reconciliation->->->Enable Medication Reconciliation within the Order Entry Console' registry setting must be set to "ADM&DIS&AD_HOC".
  • The '(10911) Type Of Reconciliation' extended attribute must be set to "Inter-episode" in the Order Entry Tabled Files '(10910) Ad Hoc Medication Reconciliation Type' for "Interrupted Stay/Readmission".
  • Please log out of the application and log back in after completing the above configuration.
  • 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" must have a discharged episode where orders were D/C due to discharge (Order 1, Order 2, Order 3)
Steps
  1. Select "Client A" and access the Order Entry Console.
  2. Create 3 pharmacy-type orders (Order A, Order B, Order C).
  3. Access the 'Ad Hoc Reconciliation' tab.
  4. Select "Interrupted Stay/Readmission" from the 'Type' field.
  5. Validate the orders from the discharged episode are displayed in the 'Before Reconciliation' grid.
  6. Validate the orders created on 'Orders This Episode' for the current episode are displayed in the 'After Reconciliation' grid.
  7. Select "Order 1" under 'Before Reconciliation' and click [Do not add].
  8. Select "Order 2" and "Order 3" under 'Before Reconciliation' and click [Add to Scratchpad].
  9. Validate that "Order 2" and "Order 3" are displayed correctly in the 'After Reconciliation' grid.
  10. Select "Order A" and click [Continue].
  11. Select "Order B" and click [DC].
  12. Select "Order C" and click [Modify].
  13. Make any changes to "Order C" and click [Update Order].
  14. Click [Hold in Pending Status] and validate the 'Ad Hoc Reconciliation' tab displays in a pending status.
  15. Click [Edit Pending Reconciliation] and validate a message displays stating: "Ad Hoc Medication Reconciliation has not been updated to reflect any changes to inpatient or discharge medications since previously saved. Please review accordingly." and click [Ok].
  16. Make any changes to the current 'Ad Hoc Reconciliation'.
  17. Click [Restart Reconciliation] and validate a message displays stating: "Clicking Restart will discard all current changes. Are you sure you wish to restart?" and click [Yes].
  18. Validate the 'Ad Hoc Reconciliation' tab displays the how it did after clicking [Hold in Pending Status].
  19. Click [Discard].
  20. Validate a message is displayed stating: "This action will permanently discard the Pending Ad Hoc Reconciliation. Are you sure you wish to continue?" and click [No].
  21. Click [Reconcile and Review].
  22. Validate the 'Final Review' dialog is displayed.
  23. Select "None" in the 'Output' column for all orders and click [Sign].
  24. Validate the 'Ad Hoc Reconciliation' tabs displays in a view only status with the [Add New] button enabled and the 'Load Prior Reconciliation' field containing the details from the now filed 'Ad Hoc Reconciliation'.
  25. Select the 'Orders This Episode' tab
  26. Validate that the 'Order grid' contains four orders.
Topics
• Order Entry Console
Table Changes
Table Column Change
OrderEntry.med_rec_adhoc_before FACILITY Added
OrderEntry.med_rec_adhoc_before PATID Added
OrderEntry.med_rec_adhoc_before EPISODE_NUMBER Added
OrderEntry.med_rec_adhoc_before saved_date_time Added
OrderEntry.med_rec_adhoc_before latest_saved_date_time Added
OrderEntry.med_rec_adhoc_before latest_save_flag Added
OrderEntry.med_rec_adhoc_before saved_date Added
OrderEntry.med_rec_adhoc_before saved_time Added
OrderEntry.med_rec_adhoc_before order_unique_id Added
OrderEntry.med_rec_adhoc_before ORDERID Added
OrderEntry.med_rec_adhoc_before order_code_description Added
OrderEntry.med_rec_adhoc_before med_strength Added
OrderEntry.med_rec_adhoc_before med_strength_unit Added
OrderEntry.med_rec_adhoc_before med_dosage_form Added
OrderEntry.med_rec_adhoc_before order_code_full_descr Added
OrderEntry.med_rec_adhoc_before route_code Added
OrderEntry.med_rec_adhoc_before route_value Added
OrderEntry.med_rec_adhoc_before dose Added
OrderEntry.med_rec_adhoc_before dose_numeric Added
OrderEntry.med_rec_adhoc_before dose_unit Added
OrderEntry.med_rec_adhoc_before FREQUENCYID Added
OrderEntry.med_rec_adhoc_before frequency_description Added
OrderEntry.med_rec_adhoc_before routine_or_prn_code Added
OrderEntry.med_rec_adhoc_before routine_or_prn_value Added
OrderEntry.med_rec_adhoc_before addl_instructions Added
OrderEntry.med_rec_adhoc_before JOIN_TO_DIAGNOSIS_OBJECT Added
OrderEntry.med_rec_adhoc_before diag_icd9_code Added
OrderEntry.med_rec_adhoc_before diag_icd9_value Added
OrderEntry.med_rec_adhoc_before diag_icd10_code Added
OrderEntry.med_rec_adhoc_before diag_icd10_value Added
OrderEntry.med_rec_adhoc_before diag_imo_code Added
OrderEntry.med_rec_adhoc_before diag_imo_value Added
OrderEntry.med_rec_adhoc_before diagnosis_code Added
OrderEntry.med_rec_adhoc_before diagnosis_value Added
OrderEntry.med_rec_adhoc_before reason_code Added
OrderEntry.med_rec_adhoc_before reason_value Added
OrderEntry.med_rec_adhoc_before reason_text Added
OrderEntry.med_rec_adhoc_before start_date Added
OrderEntry.med_rec_adhoc_before start_time Added
OrderEntry.med_rec_adhoc_before dur_days Added
OrderEntry.med_rec_adhoc_before dur_hours Added
OrderEntry.med_rec_adhoc_before dur_minutes Added
OrderEntry.med_rec_adhoc_before stop_date Added
OrderEntry.med_rec_adhoc_before stop_time Added
OrderEntry.med_rec_adhoc_before disposition_code Added
OrderEntry.med_rec_adhoc_before disposition_value Added
OrderEntry.med_rec_adhoc_before user_row_access_code Added
OrderEntry.med_rec_adhoc_before user_row_access_client Added
OrderEntry.med_rec_adhoc_before adhoc_rec_type_code Added
OrderEntry.med_rec_adhoc_before adhoc_rec_type_value Added
OrderEntry.med_rec_adhoc_before adhoc_type_count Added
OrderEntry.med_rec_adhoc_hdr FACILITY Added
OrderEntry.med_rec_adhoc_hdr PATID Added
OrderEntry.med_rec_adhoc_hdr EPISODE_NUMBER Added
OrderEntry.med_rec_adhoc_hdr client_name Added
OrderEntry.med_rec_adhoc_hdr saved_date_time Added
OrderEntry.med_rec_adhoc_hdr latest_saved_date_time Added
OrderEntry.med_rec_adhoc_hdr latest_save_flag Added
OrderEntry.med_rec_adhoc_hdr saved_date Added
OrderEntry.med_rec_adhoc_hdr saved_time Added
OrderEntry.med_rec_adhoc_hdr saved_by Added
OrderEntry.med_rec_adhoc_hdr saved_by_option Added
OrderEntry.med_rec_adhoc_hdr saved_by_user_id Added
OrderEntry.med_rec_adhoc_hdr saved_by_user_name Added
OrderEntry.med_rec_adhoc_hdr signed_status_code Added
OrderEntry.med_rec_adhoc_hdr signed_status_value Added
OrderEntry.med_rec_adhoc_hdr signed_date Added
OrderEntry.med_rec_adhoc_hdr signed_time Added
OrderEntry.med_rec_adhoc_hdr signed_by Added
OrderEntry.med_rec_adhoc_hdr signed_by_option Added
OrderEntry.med_rec_adhoc_hdr signed_by_user_id Added
OrderEntry.med_rec_adhoc_hdr signed_by_user_name Added
OrderEntry.med_rec_adhoc_hdr activated_status_code Added
OrderEntry.med_rec_adhoc_hdr activated_status_value Added
OrderEntry.med_rec_adhoc_hdr activated_date Added
OrderEntry.med_rec_adhoc_hdr activated_time Added
OrderEntry.med_rec_adhoc_hdr activated_by Added
OrderEntry.med_rec_adhoc_hdr activated_by_option Added
OrderEntry.med_rec_adhoc_hdr activated_by_user_id Added
OrderEntry.med_rec_adhoc_hdr activated_by_user_name Added
OrderEntry.med_rec_adhoc_hdr ordering_pract_id Added
OrderEntry.med_rec_adhoc_hdr ordering_pract_name Added
OrderEntry.med_rec_adhoc_hdr order_entry_source_code Added
OrderEntry.med_rec_adhoc_hdr order_entry_source_value Added
OrderEntry.med_rec_adhoc_hdr user_row_access_code Added
OrderEntry.med_rec_adhoc_hdr user_row_access_client Added
OrderEntry.med_rec_adhoc_hdr adhoc_rec_type_code Added
OrderEntry.med_rec_adhoc_hdr adhoc_rec_type_value Added
OrderEntry.med_rec_adhoc_hdr discarded_status_code Added
OrderEntry.med_rec_adhoc_hdr discarded_status_value Added
OrderEntry.med_rec_adhoc_hdr adhoc_type_count Added
OrderEntry.med_rec_adhoc_scrpad_aftr FACILITY Added
OrderEntry.med_rec_adhoc_scrpad_aftr PATID Added
OrderEntry.med_rec_adhoc_scrpad_aftr EPISODE_NUMBER Added
OrderEntry.med_rec_adhoc_scrpad_aftr client_name Added
OrderEntry.med_rec_adhoc_scrpad_aftr saved_date_time Added
OrderEntry.med_rec_adhoc_scrpad_aftr latest_saved_date_time Added
OrderEntry.med_rec_adhoc_scrpad_aftr latest_save_flag Added
OrderEntry.med_rec_adhoc_scrpad_aftr saved_date Added
OrderEntry.med_rec_adhoc_scrpad_aftr saved_time Added
OrderEntry.med_rec_adhoc_scrpad_aftr scratchpad_order_uid Added
OrderEntry.med_rec_adhoc_scrpad_aftr scratchpad_action_code Added
OrderEntry.med_rec_adhoc_scrpad_aftr scratchpad_action_value Added
OrderEntry.med_rec_adhoc_scrpad_aftr order_unique_id Added
OrderEntry.med_rec_adhoc_scrpad_aftr ORDuniqueID Added
OrderEntry.med_rec_adhoc_scrpad_aftr ORDERID Added
OrderEntry.med_rec_adhoc_scrpad_aftr order_code_description Added
OrderEntry.med_rec_adhoc_scrpad_aftr med_strength Added
OrderEntry.med_rec_adhoc_scrpad_aftr med_strength_unit Added
OrderEntry.med_rec_adhoc_scrpad_aftr med_dosage_form Added
OrderEntry.med_rec_adhoc_scrpad_aftr order_code_full_descr Added
OrderEntry.med_rec_adhoc_scrpad_aftr route_code Added
OrderEntry.med_rec_adhoc_scrpad_aftr route_value Added
OrderEntry.med_rec_adhoc_scrpad_aftr dose Added
OrderEntry.med_rec_adhoc_scrpad_aftr dose_numeric Added
OrderEntry.med_rec_adhoc_scrpad_aftr dose_unit Added
OrderEntry.med_rec_adhoc_scrpad_aftr FREQUENCYID Added
OrderEntry.med_rec_adhoc_scrpad_aftr frequency_description Added
OrderEntry.med_rec_adhoc_scrpad_aftr routine_or_prn_code Added
OrderEntry.med_rec_adhoc_scrpad_aftr routine_or_prn_value Added
OrderEntry.med_rec_adhoc_scrpad_aftr additional_instructions Added
OrderEntry.med_rec_adhoc_scrpad_aftr JOIN_TO_DIAGNOSIS_OBJECT Added
OrderEntry.med_rec_adhoc_scrpad_aftr diag_icd9_code Added
OrderEntry.med_rec_adhoc_scrpad_aftr diag_icd9_value Added
OrderEntry.med_rec_adhoc_scrpad_aftr diag_icd10_code Added
OrderEntry.med_rec_adhoc_scrpad_aftr diag_icd10_value Added
OrderEntry.med_rec_adhoc_scrpad_aftr diag_imo_code Added
OrderEntry.med_rec_adhoc_scrpad_aftr diag_imo_value Added
OrderEntry.med_rec_adhoc_scrpad_aftr diagnosis_code Added
OrderEntry.med_rec_adhoc_scrpad_aftr diagnosis_value Added
OrderEntry.med_rec_adhoc_scrpad_aftr reason_code Added
OrderEntry.med_rec_adhoc_scrpad_aftr reason_value Added
OrderEntry.med_rec_adhoc_scrpad_aftr reason_text Added
OrderEntry.med_rec_adhoc_scrpad_aftr start_date Added
OrderEntry.med_rec_adhoc_scrpad_aftr start_time Added
OrderEntry.med_rec_adhoc_scrpad_aftr dur_days Added
OrderEntry.med_rec_adhoc_scrpad_aftr dur_hours Added
OrderEntry.med_rec_adhoc_scrpad_aftr dur_minutes Added
OrderEntry.med_rec_adhoc_scrpad_aftr stop_date Added
OrderEntry.med_rec_adhoc_scrpad_aftr stop_time Added
OrderEntry.med_rec_adhoc_scrpad_aftr user_row_access_code Added
OrderEntry.med_rec_adhoc_scrpad_aftr user_row_access_client Added
OrderEntry.med_rec_adhoc_scrpad_aftr adhoc_rec_type_code Added
OrderEntry.med_rec_adhoc_scrpad_aftr adhoc_rec_type_value Added
OrderEntry.med_rec_adhoc_scrpad_aftr adhoc_type_count Added
OrderEntry.med_rec_audit adhoc_rec_type_code Added
OrderEntry.med_rec_audit adhoc_rec_type_value Added
OrderEntry.med_rec_audit adhoc_type_count Added

 

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  2. Tags
    1. Avatar OE 2024 Update 31
    2. content:release
    3. llm-no-index
    4. Order Entry Console
    5. role:sysadmin