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RADplus Client Update 3151-005 Acceptance Tests


Support for Incremental Barcode Scanning in Avatar eMAR
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Avatar eMAR
  • Avatar eMAR - Administration Event dialog
  • HL7 Connection Monitor
  • HL7 Connection Monitor - HL7 Outbound Transaction Log
  • HL7 Connection Monitor - HL7 Outbound Transaction Log - View HL7 Message
Scenario 1: Virtual non-Red Book Multiple Product Strengths - Administration - under-scanning - Fill Details - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "DOXEPIN 75 MG ORAL CAPSULE" that has a 'Frequency' of "Every 2 Hours".
  • The order for "DOXEPIN" has had both Order Acknowledgment and Client Education completed and has been processed with a virtual non-red book multiple strength medication in RxConnect and contains 'Fill Details' containing: Doxepin Hydrochloride et SINEquan 75 MG Oral Capsule Give 75 mg = (1 x 25 mg) + (1 x 50 MG) every 2 hours
  • Must have a barcode for DOXEPIN 50 MG ORAL CAPSULE (00904-6972-61)
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that an order for "Doxepin Hydrochloride et SINEquan 75 MG Oral Capsule" is displayed.
  6. Validate that the order has a cell under the current date that contains a green indicator, meaning that it is within the Administration window.
  7. Scan the "00904-6972-61" barcode, which is for "Doxepin 50 MG Oral Capsule".
  8. Validate that a yellow highlight is displayed on the cell that has the green indicator.
  9. Validate that the scheduled administration time remains displayed on the cell.
  10. Validate that the cell contains "50 / 75 MG" in red font with a warning icon to the right of it.
  11. Click [Administer].
  12. Validate that the 'Administration Event' dialog is displayed.
  13. Validate that "Doxepin Hydrochloride et SINEquan 75 MG Oral Capsule" is displayed in the 'Order' cell.
  14. Validate that the 'Scheduled Date' cell contains the current date.
  15. Validate that the 'Scheduled Time' cell contains the hour of administration that the administration was due for administration.
  16. Validate that the 'Med ID' cell contains "00904-6972-61" which is the NDC associated to the barcode that was scanned.
  17. Validate that the 'Qty' cell contains "50", this is the total amount that was scanned.
  18. Validate that the 'Unit' cell contains "MG".
  19. Select "Nurse Administered" in the 'Administration Event' cell.
  20. Validate that the [View] in the 'Warning' cell contains a red flag.
  21. Click [View].
  22. Validate that the 'Medication/Quantity' dialog is displayed and states: The order calls for Doxepin Hydrochloride et SINEquan 75 MG Capsule (75 mg = (1 x 25 mg) + (1 x 50 MG)). The item being administered appears to be DOXEPIN HYDROCHLORIDE 50 MG ORAL CAPSULE. The order calls for 75 mg. The quantity being administered is indicated as being 50 mg.
  23. Select any value in the 'Override Code' field and enter any value in the 'Override Text' field.
  24. Click [OK]
  25. Check the 'Accept administration information entered' checkbox.
  26. Click [Ok].
  27. Validate that the cell contains "50 MG", the 'Administration Time' and a red triangle with a white exclamation point.
  28. Close the form.
  29. Access the 'HL7 Connection Monitor' form.
  30. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  31. Click [Show Transaction Log].
  32. Validate that the 'HL7 Outbound Transaction Log' is displayed.
  33. Validate that 'Date Sent' contains the current date.
  34. Validate that 'Event Type' contains "RAS^O01".
  35. Validate that 'Name' contains Client A's name in the format of Last Name^First Name.
  36. Validate that 'Order #' contains the Order # of the order that was administered.
  37. Click [View HL7 Message].
  38. Validate that 'PID-3' contains Client A's ID#.
  39. Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
  40. Validate that 'ORC-1' contains "RE".
  41. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  42. Validate that 'ORC-3' contains the Filler Order Number' or 'Rx#' of the order that was administered. This was received when processing the order in RxConnect.
  43. Validate that 'RXA-20' contain "PA", which is for Partial Administration.
  44. Validate that there is one 'ZXA' segment. This includes information pertaining to the scanned barcode.
  45. Validate that 'ZXA-1' contains "1".
  46. Validate that 'ZXA-2.1' contains the NDC of the barcode that was scanned - "00904-6972-61".
  47. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "DOXEPIN HYDROCHLORIDE 50 MG ORAL CAPSULE".
  48. Validate that 'ZXA-2.3' contains "NDC".
  49. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned - "1000001542".
  50. Validate that 'ZXA-3' contains the amount administered - "50".
  51. Validate that 'ZXA-4' contains the administered drug units - "MG".
Scenario 2: Virtual non-Red Book Multiple Product Strengths - Fill Details - Administration - over-scanning - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" or "2" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • The '(10273) Type of Measure' extended attribute off of '(10270) Dose Unit' for 'Order Entry Tabled Files' must be set for all Dose Units. This must be completed in 'Dictionary Update' under Avatar CWS.
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "DOXEPIN 75 MG ORAL CAPSULE" that has a 'Dose' of "75", a 'Dose Unit' of "MG" and a 'Frequency' of "Every 2 Hours".
  • The order for "DOXEPIN" has had both Order Acknowledgment and Client Education completed and has been processed with a virtual non-red book multiple strength medication in RxConnect and contains 'Fill Details' containing: Virtual Doxepin 75 MG Oral Accessory - Give: 75 MG = (1 x 50 MG) + (1 x 25 MG) Every 2 Hours
  • Must have a barcode for DOXEPIN 50 MG ORAL CAPSULE.
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that an order for "Virtual Doxepin 75 MG Oral Accessory" is displayed.
  6. Validate that the order has a cell under the current date that contains a green indicator, meaning that it is within the Administration window.
  7. Scan the "00904-6972-61" barcode, which is for "Doxepin 50 MG Oral Capsule".
  8. Validate that a yellow highlight is displayed on the cell that has the green indicator.
  9. Validate that the scheduled administration time remains displayed on the cell.
  10. Validate that the cell contains "50 / 75 MG" in red font with a warning icon to the right of it.
  11. Scan the "00904-6972-61" barcode, which is for "Doxepin 50 MG Oral Capsule" a second time.
  12. Validate that an 'Error' message is displayed stating: Total dose scanned exceeds ordered dose for Virtual Doxepin 75 MG Accessory (Order #: ###) on [current date] at [administration time on cell selected]. Do you wish to continue with the selection? (ex. Total dose scanned exceeds ordered dose for Virtual Doxepin 75 MG Accessory (Order #: 3597) on 09/01/2020 at 1200. Do you wish to continue with the selection?)
  13. Click [Cancel].
  14. Validate that a yellow highlight is displayed on the cell that has the green indicator.
  15. Validate that the scheduled administration time remains displayed on the cell.
  16. Validate that the cell contains "50 / 75 MG" in red font with a warning icon to the right of it.
  17. Scan the "00904-6972-61" barcode, which is for "Doxepin 50 MG Oral Capsule" a third time
  18. Validate that an 'Error' message is displayed stating: Total dose scanned exceeds ordered dose for Virtual Doxepin 75 MG Accessory (Order #: ###) on [current date] at [administration time on cell selected]. Do you wish to continue with the selection? (ex. Total dose scanned exceeds ordered dose for Virtual Doxepin 75 MG Accessory (Order #: 3597) on 09/01/2020 at 1200. Do you wish to continue with the selection?)
  19. Click [OK].
  20. Validate that a yellow highlight is displayed on the cell that has the green indicator.
  21. Validate that the scheduled administration time remains displayed on the cell.
  22. Validate that the cell contains "100 / 75 MG" in red font with a warning icon to the right of it.
  23. Click [Administer].
  24. Validate that the 'Administration Event' dialog is displayed.
  25. Validate that "Virtual Doxepin 75 MG Accessory" is displayed in the 'Order' cell.
  26. Validate that the 'Scheduled Date' cell contains the current date.
  27. Validate that the 'Scheduled Time' cell contains the hour of administration that the administration was due for administration.
  28. Validate that the 'Med ID' cell contains "00904-6972-61" which is the NDC from the barcode that was scanned.
  29. Validate that the 'Qty' cell contains "100", this is the total amount that was scanned.
  30. Validate that the 'Unit' cell contains "MG".
  31. Select "Nurse Administered" in the 'Administration Event' cell
  32. Validate that the [View] in the 'Warning' cell contains a red flag.
  33. Click [View].
  34. Validate that the 'Medication/Quantity' dialog is displayed and contains the following: The order calls for 'Virtual Doxepin 75 MG Accessory (75 MG = (1 x 50 MG) + (1 x 25 MG))'. You appear to be administering 2 x 'DOXEPIN HYDROCHLORIDE 50 MG ORAL CAPSULE'. The order calls for 75 MG. The quantity being administered is indicated as being 100 MG.
  35. Set the 'Override Text' to any value.
  36. Click [OK].
  37. Check the 'Accept administration information entered' checkbox.
  38. Click [Ok].
  39. Validate that the cell contains "100 MG", the time administered and a red triangle with a white exclamation point in the top right corner of the cell.
  40. Close the form.
  41. Access the 'HL7 Connection Monitor' form.
  42. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  43. Click [Show Transaction Log].
  44. Validate that the 'HL7 Outbound Transaction Log' is displayed.
  45. Validate that 'Date Sent' contains the current date.
  46. Validate that 'Event Type' contains "RAS^O01".
  47. Validate that 'Name' contains Client A's name in the format of Last Name^First Name.
  48. Validate that 'Order #' contains the Order # of the order that was administered.
  49. Click [View HL7 Message].
  50. Validate that 'PID-3' contains Client A's ID#.
  51. Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
  52. Validate that 'ORC-1' contains "RE".
  53. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  54. Validate that 'ORC-3' contains the Filler Order Number' or 'Rx#' of the order that was administered. This was received when processing the order in RxConnect.
  55. Validate that 'RXA-20' contain "CP", which is for Complete Administration.
  56. Validate that there is one 'ZXA' segment. This includes information pertaining to the scanned barcode.
  57. Validate that 'ZXA-2.1' contains the NDC of the barcode that was scanned - "00904-6972-61".
  58. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was administered - "DOXEPIN HYDROCHLORIDE 50 MG ORAL CAPSULE"
  59. Validate that 'ZXA-2.3' contains "NDC".
  60. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was scanned - "1000001542".
  61. Validate that 'ZXA-3' contains the amount scanned - "100"
  62. Validate that 'ZXA-4' contains the 'Unit' administered - "MG".
Scenario 3: Virtual non-Red Book Multiple Product Strengths - Administration - accumulative scanning - correct amount - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "DOXEPIN 75 MG ORAL CAPSULE" that has a 'Dose' and 'Dose Unit' of "75 MG" and a 'Frequency' of "Every 2 Hours".
  • The order for "DOXEPIN" has had both Order Acknowledgment and Client Education completed and has been processed with a virtual non-red book multiple strength medication in RxConnect and contains 'Fill Details' containing: Doxepin Hydrochloride et SINEquan 75 MG Oral Capsule Give 75 mg = (1 x 25 mg) + (1 x 50 MG) every 2 hours
  • Must have a barcode for DOXEPIN 50 MG ORAL CAPSULE and DOXEPIN 25 MG ORAL CAPSULE.
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that an order for "Doxepin Hydrochloride et SINEquan 75 MG Oral Capsule" is displayed.
  6. Validate that the order has a cell under the current date that contains a green indicator, meaning that it is within the Administration window.
  7. Scan the "00904-6972-61" barcode, which is for "Doxepin 50 MG Oral Capsule".
  8. Validate that a yellow highlight is displayed on the cell that has the green indicator.
  9. Validate that the scheduled administration time remains displayed on the cell.
  10. Validate that the cell contains "50 / 75 MG" in red font with a warning icon to the right of it.
  11. Scan the "51079-0437-20" barcode, which is for "Doxepin 50 MG Oral Capsule".
  12. Validate that the cell now contains "75 / 75 MG" in black font with no warning icon.
  13. Click [Administer].
  14. Validate that the 'Administration Event' dialog is displayed.
  15. Validate that "Doxepin Hydrochloride et SINEquan 75 MG Oral Capsule" is displayed in the 'Order' cell.
  16. Validate that the 'Scheduled Date' cell contains the current date.
  17. Validate that the 'Scheduled Time' cell contains the hour of administration that the administration was due for administration.
  18. Validate that the 'Med ID' cell contains "00904-6972-61,51079-0437-20" which are the NDC's from the barcodes that were scanned.
  19. Validate that the 'Qty' cell contains "75", this is the total amount that was scanned.
  20. Validate that the 'Unit' cell contains "mg".
  21. Select "Nurse Administered" in the 'Administration Event' cell.
  22. Check the 'Accept administration information entered' checkbox.
  23. Click [Ok].
  24. Validate that the cell contains "75 mg" and the time administered.
  25. Close the form.
  26. Access the 'HL7 Connection Monitor' form.
  27. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  28. Click [Show Transaction Log].
  29. Validate that the 'HL7 Outbound Transaction Log' is displayed.
  30. Validate that 'Date Sent' contains the current date.
  31. Validate that 'Event Type' contains "RAS^O01".
  32. Validate that 'Name' contains Client A's name in the format of Last Name^First Name.
  33. Validate that 'Order #' contains the Order # of the order that was administered.
  34. Click [View HL7 Message].
  35. Validate that 'PID-3' contains Client A's ID#.
  36. Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
  37. Validate that 'ORC-1' contains "RE".
  38. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  39. Validate that 'ORC-3' contains the Filler Order Number' or 'Rx#' of the order that was administered. This was received when processing the order in RxConnect.
  40. Validate that 'RXA-20' contain "CP", which is for Complete.
  41. Validate that there are two 'ZXA' segments. This includes information pertaining to the scanned barcodes.
  42. Validate that the first 'ZXA' segment has "1" in 'ZXA-1' field.
  43. Validate that 'ZXA-2.1' for the first ZXA segment contains the NDC of the first barcode that was scanned - "00904-6972-61".
  44. Validate that 'ZXA-2.2' for the first ZXA segment contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - "DOXEPIN HYDROCHLORIDE 50 MG ORAL CAPSULE".
  45. Validate that 'ZXA-2.3' for the first ZXA segment contains "NDC".
  46. Validate that 'ZXA-2.4' for the first ZXA segment contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned - "1000001542".
  47. Validate that 'ZXA-3' for the first ZXA segment contains the amount administered - "50".
  48. Validate that 'ZXA-4' for the first ZXA segment contains the administered units - "MG"
  49. Validate that the second 'ZXA' segment has "2" in 'ZXA-1' field.
  50. Validate that 'ZXA-2.1' for the second ZXA segment contains the NDC of the second barcode that was scanned - "51079-0437-20".
  51. Validate that 'ZXA-2.2' for the second ZXA segment contains the "Order Description", "Strength", "Route" and "Form" of the second barcode that was scanned - "DOXEPIN HYDROCHLORIDE 25 MG ORAL CAPSULE".
  52. Validate that 'ZXA-2.3' for the second ZXA segment contains "NDC".
  53. Validate that 'ZXA-2.4' for the second ZXA segment contains the "Micromedex Composite Generic ID" or (CGID) of the second medication that was scanned - "1000001337".
  54. Validate that 'ZXA-3' for the second ZXA segment contains the amount administered - "25".
  55. Validate that 'ZXA-4' for the second ZXA segment contains the administered units - "MG"


Scenario 4: Dose Range order - Administration - over-scanning - no Fill Details - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • The '(10273) Type of Measure' extended attribute off of '(10270) Dose Unit' for 'Order Entry Tabled Files' must be set for all Dose Units. This must be completed in 'Dictionary Update' under Avatar CWS.
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "CELEXA 10 MG ORAL TABLET" that has a 'Dose' and 'Dose Unit' of "1-2 Tablet" and 'Frequency' of "Twice a Day" with Scheduled hours of administration.
  • The order for "CELEXA 10 MG ORAL TABLET" has had both Order Acknowledgment and Client Education completed. There are no Fill Details for this order.
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for "CELEXA 10 MG ORAL TABLET".
  6. Validate that under the current date for this order there are 2 cells with the following hours of administration - "0900" and "2100".
  7. Validate that the cell with "0900" has a green indicator, meaning that it is within the Administration window.
  8. Scan 00456-5010-01, which is the barcode for "CELEXA 10 MG TABLET ORAL".
  9. Validate that the "0900" cell contains a yellow highlight with "1 / 1-2 TABLET" in black font.
  10. Scan the 00456-5010-01 barcode.
  11. Validate that the "0900" cell is updated to "2 / 1-2 TABLET" in black font.
  12. Scan the 00456-5010-01 barcode.
  13. Validate that an 'Error' message is displayed stating: Total dose scanned exceeds ordered dose for CELEXA 10 MG TABLET (Order #: 3522) on 08/18/2020 at 0900. Do you wish to continue with the selection?
  14. Click [OK].
  15. Validate that the "0900" cell is updated to "3 / 1-2 TABLET" in red font with a red triangle with a white exclamation point in it to the right of the value in the cell.
  16. Scan the 00456-5010-01 barcode.
  17. Validate that an 'Error' message is displayed stating: Total dose scanned exceeds ordered dose for CELEXA 10 MG TABLET (Order #: 3522) on 08/18/2020 at 0900. Do you wish to continue with the selection?
  18. Click [OK].
  19. Validate that the "0900" cell is updated to "4 / 1-2 TABLET" in red font with a red triangle with a white exclamation point in it to the right of the value in the cell.
  20. Click [Administer].
  21. Validate that the 'Administration Event' dialog is displayed.
  22. Validate that 'Order' contains "CELEXA 10 MG TABLET".
  23. Validate that 'Scheduled Date' contains the current date.
  24. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  25. Validate that 'Med ID' contains "00456-5010-01" four times separated by commas, one for each scan of the barcode.
  26. Validate that 'Qty' contains "4".
  27. Validate that 'Unit' contains "TABLET".
  28. Select "Nurse Administered" in 'Administration Event'.
  29. Validate that 'Warning' contains a red flag in [View].
  30. Click [Warning - View].
  31. Validate that the 'Medication/Quantity' dialog is displayed and contains: The order calls for 1-2 TABLET. The quantity being administered is indicated as being 4 TABLET.
  32. Set the 'Override Text' field to any value.
  33. Click [OK].
  34. Validate that [Warning - View] contains a green check mark.
  35. Check the 'Accept administration information entered' checkbox and click [Ok].
  36. Validate that the cell that was selected contains 4 TABLET and the time administered with a red triangle with a white exclamation point.
  37. Close the form.
  38. Access the 'HL7 Connection Monitor' form.
  39. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  40. Click [Show Transaction Log].
  41. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  42. Validate that the 'Date Sent' contains the current date.
  43. Validate that the 'Event Type' contains "RAS^O01".
  44. Validate that the 'Name:' contains Client A's name in the format of Last Name^First Name.
  45. Validate that the 'Order #' contains the Order # of the order that was administered.
  46. Click [View HL7 Message].
  47. Validate that the HL7 message is displayed.
  48. Validate that 'PID-3' contains Client A's ID#.
  49. Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
  50. Validate that 'ORC-1' contains "RE".
  51. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  52. Validate that 'RXA-6' contains the 'Qty' that was administered - "4".
  53. Validate that 'RXA-7.2' contains the 'Unit' given - "TABLET"
  54. Validate that 'RXA-20' contain "CP" for Complete
  55. Validate that there is one 'ZXA' segment. This includes information pertaining to the scanned barcodes.
  56. Validate that 'ZXA-2.1' contains the NDC of the barcode that was scanned - "00456-4010-01".
  57. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "CITALOPRAM HYDROBROMIDE 10 MG ORAL TABLET"
  58. Validate that 'ZXA-2.3' contains "NDC"
  59. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000010989"
  60. Validate that 'ZXA-3' contains the amount administered - "40"
  61. Validate that the 'ZXA-4' contains "MG".
  62. Validate that the 'ZXA-5' segment contains the Administered Drug Strength - "10".
  63. Validate that the 'ZXA-6' segment contains the Strength Unit - "MG".
Scenario 5: Dose Range order - Administration - under-scanning - no Fill Details - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • The '(10273) Type of Measure' extended attribute off of '(10270) Dose Unit' for 'Order Entry Tabled Files' must be set for all Dose Units. This must be completed in 'Dictionary Update' under Avatar CWS.
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "XANAX 1 MG ORAL TABLET" that has a 'Dose' and 'Dose Unit' of "2-3 MG" and 'Frequency' of "Every 8 Hours, As Needed" that started yesterday.
  • The order for "XANAX 1 MG ORAL TABLET" has had both Order Acknowledgment and Client Education completed. There are no Fill Details for this order.
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for "XANAX 1 MG ORAL TABLET".
  6. Validate that under the current date for this order there are 3 cells with the following hours of administration - "0000", "0800", and "1600".
  7. Validate that the cell with "1600" has a green indicator, meaning that it is within the Administration window.
  8. Scan 00009-0055-03, which is the barcode for "XANAX 0.5 MG TABLET ORAL".
  9. Validate that the "1600" cell contains a yellow highlight with "0.5 / 2-3 MG" in red font with a red triangle with a white exclamation point in it to the right of the value in the cell
  10. Scan the 00009-0055-03 barcode.
  11. Validate that the "1600" cell is updated to "1 / 2-3 MG" in red font with a red triangle with a white exclamation point in it to the right of the value in the cell.
  12. Scan the 00009-0055-03 barcode.
  13. Validate that the "1600" cell is updated to "1.5 / 2-3 MG" in red font with a red triangle with a white exclamation point in it to the right of the value in the cell.
  14. Click [Administer].
  15. Validate that the 'Administration Event' dialog is displayed.
  16. Validate that 'Order' contains "XANAX 1 MG TABLET".
  17. Validate that 'Scheduled Date' contains the current date.
  18. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "1600".
  19. Validate that 'Med ID' contains "00009-0055-03" three times separated by commas, one for each scan of the barcode.
  20. Validate that 'Qty' contains "1.5".
  21. Validate that 'Unit' contains "MG".
  22. Select "Nurse Administered" in 'Administration Event'.
  23. Validate that 'Warning' contains a red flag in [View].
  24. Click [Warning - View].
  25. Validate that the 'Medication/Quantity' dialog is displayed and contains: The order calls for 'ALPRAZOLAM 1 MG ORAL TABLET'. You appear to be administering 3 x 'ALPRAZOLAM 0.5 MG ORAL TABLET'. The order calls for 2 - 3 MG. The quantity being administered is indicated as being 1.5 MG.
  26. Set the 'Override Text' field to any value.
  27. Click [OK].
  28. Validate that [Warning - View] contains a green check mark.
  29. Check the 'Accept administration information entered' checkbox and click [Ok].
  30. Validate that the cell that was selected contains 1.5 MG and the time administered with a red triangle with a white exclamation point
  31. Close the form.
  32. Access the 'HL7 Connection Monitor' form.
  33. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  34. Click [Show Transaction Log].
  35. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  36. Validate that the 'Date Sent' contains the current date.
  37. Validate that the 'Event Type' contains "RAS^O01".
  38. Validate that the 'Name:' contains Client A's name in the format of Last Name^First Name.
  39. Validate that the 'Order #' contains the Order # of the order that was administered.
  40. Click [View HL7 Message].
  41. Validate that the HL7 message is displayed.
  42. Validate that 'PID-3' contains Client A's ID#.
  43. Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
  44. Validate that 'ORC-1' contains "RE".
  45. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  46. Validate that 'RXA-6' contains the 'Qty' that was administered - "1.5".
  47. Validate that 'RXA-7' contains the 'Unit' given - "MG"
  48. Validate that 'RXA-20' contain "PA" for Partial Administration
  49. Validate that there is one 'ZXA' segment.
  50. Validate that 'ZXA-2.1' contains the NDC of the barcode that was scanned - "00009-0055-03".
  51. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "ALPRAZOLAM 0.5 MG ORAL TABLET".
  52. Validate that 'ZXA-2.3' contains "NDC".
  53. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000000730".
  54. Validate that 'ZXA-3' contains the amount administered - "1.5".
  55. Validate that 'ZXA-4' contains the administered Drug Units - "MG".
  56. Validate that 'ZXA-5' contains the Administered Drug Strength - "0.5".
  57. Validate that 'ZXA-6' contains the administered Drug Strength Unit - "MG".
Scenario 6: Bulk Medication - Administration - Fill Details - 'Enable Incremental Scanning/Defaulting Medication Quantity' registry setting set to "1"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "XALATAN 0.005 % OPHTHALMIC SOLUTION" that has a 'Dose' of "1", a 'Dose Unit' of "Drop' and a 'Frequency' of "TWICE A DAY".
  • The order for "XALATAN 0.005%" has had both Order Acknowledgment and Client Education completed and has been processed in RxConnect and contains 'Fill Details' containing: Latanoprost et XALATAN 0.005% Ophthalmic Solution Give: 1 Drop TWICE A DAY
  • Must have a barcode for XALATAN 0.005 % OPHTHALMIC SOLUTION
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for " Latanoprost et XALATAN 0.005% Ophthalmic Solution".
  6. Validate that under the current date for this order there are 2 cells with the following hours of administration - "0900" and "2100".
  7. Scan the 00013-8303-01 barcode.
  8. Validate that the 'Order Selection' dialog is displayed and contains: The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  9. Double Click the "0900" cell.
  10. Validate that the "0900" cell contains a yellow highlight with "1 Drop" in black font.
  11. Scan the 00013-8303-01 barcode.
  12. Validate that the "0900" cell contains a yellow highlight with "1 Drop" in black font. This did not increase because this is a Bulk Medication.
  13. Click [Administer].
  14. Validate that the 'Administration Event' dialog is displayed.
  15. Validate that 'Order' contains "Latanoprost et XALATAN 0.005% Solution".
  16. Validate that 'Scheduled Date' contains the current date.
  17. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  18. Validate that 'Med ID' contains "00013-8303-01".
  19. Validate that 'Qty' does not contain a value.
  20. Enter "1" in 'Qty'.
  21. Validate that 'Unit' contains "Drop".
  22. Select "Nurse Administered" in 'Administration Event'.
  23. Validate that 'Warning' contains a red flag in [View].
  24. Click [Warning - View].
  25. Validate that the 'Administration Date/Time' dialog is displayed and contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for XALATAN.
  26. Set the 'Override Text' field to any value.
  27. Click [OK].
  28. Validate that [Warning - View] contains a green check mark.
  29. Check the 'Accept administration information entered' checkbox and click [Ok].
  30. Validate that the cell that was selected contains 1 Drop and the time administered with a red triangle with a white exclamation point.
  31. Close the form.
  32. Access the 'HL7 Connection Monitor' form.
  33. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  34. Click [Show Transaction Log].
  35. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  36. Validate that the 'Date Sent' contains the current date.
  37. Validate that the 'Event Type' contains "RAS^O01".
  38. Validate that the 'Name:' contains Client A's name in the format of Last Name^First Name.
  39. Validate that the 'Order #' contains the Order # of the order that was administered.
  40. Click [View HL7 Message].
  41. Validate that the HL7 message is displayed.
  42. Validate that 'PID-3' contains Client A's ID#.
  43. Validate that 'PID-5.1' contains Client A's Last Name and that PID-5.2 contains Client A's First Name.
  44. Validate that 'ORC-1' contains "RE".
  45. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  46. Validate that 'ORC-3' contains the 'Filler Order Number' or 'Rx#' of the order that was administered, that was received when processing the order.
  47. Validate that 'RXA-6' contains the administered Qty - "1".
  48. Validate that 'RXA-7' contains the administered Unit - "Drop".
  49. Validate that 'RXA-20' contains "CP", which is for Complete.
  50. Validate that there is one ZXA segment.
  51. Validate that the first ZXA segment has "1" in 'ZXA-1'.
  52. Validate that 'ZXA-2.1' for the first ZXA segment contains the NDC of the first barcode that was scanned - "00013-8303-01".
  53. Validate that 'ZXA-2.2' for the first ZXA segment contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - "LATANOPROST 0.005 % OPHTHALMIC SOLUTION".
  54. Validate that 'ZXA-2.3' for the first ZXA segment contains "NDC".
  55. Validate that 'ZXA-2.4' for the first ZXA segment contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned - "1000004032".
  56. Validate that 'ZXA-3' contains the amount administered - "0.005"
  57. Validate that 'ZXA-4' contains the administered drug units - "%"
Scenario 7: Bulk Medication - Administration - no Fill Details - 'Enable Incremental Scanning/Defaulting Medication Quantity' registry setting set to "1" - Medication always administered bulk set to "Yes"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • The '(10289) Medication always administered 'bulk'' extended attribute off of '(10270) Dose Unit' under 'Order Entry Tabled Files' for "Drop" must be set to "Yes".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "XALATAN 0.005 % OPHTHALMIC SOLUTION" that has a 'Dose' for "1", a 'Dose Unit' of "Drop" and a 'Frequency' of "TWICE A DAY".The order for "XALATAN 0.005%" has had both Order Acknowledgment and Client Education completed. This order does not have Fill Details.
  • Must have a barcode for XALATAN 0.005 % OPHTHALMIC SOLUTION
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for "XALATAN 0.005 % OPHTHALMIC SOLUTION".
  6. Validate that under the current date for this order there are 2 cells with the following hours of administration - "0900" and "2100".
  7. Scan the 00013-8303-01 barcode.
  8. Validate that the 'Order Selection' dialog is displayed and contains: The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  9. Double Click the "0900" cell.
  10. Validate that the "0900" cell contains a yellow highlight with "1 Drop" in black font.
  11. Scan the 00013-8303-01 barcode.
  12. Validate that the "0900" cell contains a yellow highlight with "1 Drop" in black font. This did not increase because this is a Bulk Medication.
  13. Click [Administer].
  14. Validate that the 'Administration Event' dialog is displayed.
  15. Validate that 'Order' contains "XALATAN 0.005% Solution".
  16. Validate that 'Scheduled Date' contains the current date.
  17. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  18. Validate that 'Med ID' contains "00013-8303-01".
  19. Validate that 'Qty' contains no value.
  20. Validate that 'Unit' contains "Drop".
  21. Select "Nurse Administered" in 'Administration Event'.
  22. Validate that 'Warning' contains a red flag in [View].
  23. Click [Warning - View].
  24. Validate that the 'Administration Date/Time' dialog is displayed and contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for XALATAN.
  25. Set the 'Override Text' field to any value.
  26. Click [OK].
  27. Validate that [Warning - View] contains a green check mark.
  28. Check the 'Accept administration information entered' checkbox and click [Ok].
  29. Validate that an 'Error' message is displayed stating: Missing Required Fields - Row 1: Quantity
  30. Click [OK].
  31. Enter "1" in 'Qty'.
  32. Click [Ok]
  33. Validate that the cell that was selected contains 1 Drop and the time administered with a red triangle with a white exclamation point.
  34. Close the form.
  35. Access the 'HL7 Connection Monitor' form.
  36. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  37. Click [Show Transaction Log].
  38. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  39. Validate that the 'Date Sent' contains the current date.
  40. Validate that the 'Event Type' contains "RAS^O01".
  41. Validate that the 'Name:' contains Client A's name in the format of Last Name^First Name.
  42. Validate that the 'Order #' contains the Order # of the order that was administered.
  43. Click [View HL7 Message].
  44. Validate that the HL7 message is displayed.
  45. Validate that 'PID-3' contains Client A's ID#.
  46. Validate that 'PID-5.1' contains Client A's Last Name and that PID-5.2 contains Client A's First Name.
  47. Validate that 'ORC-1' contains "RE".
  48. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  49. Validate that 'ORC-3' contains the 'Filler Order Number' or 'Rx#' of the order that was administered, that was received when processing the order.
  50. Validate that 'RXA-6' contains the administered Qty - "1".
  51. Validate that 'RXA-7' contains the administered Unit - "Drop".
  52. Validate that 'RXA-20' contains "CP", which is for Complete.
  53. Validate that there is one ZXA segment.
  54. Validate that the first 'ZXA-1' contains "1".
  55. Validate that 'ZXA-2.1' contains the NDC of the first barcode that was scanned - "00013-8303-01".
  56. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - "LATANOPROST 0.005 % OPHTHALMIC SOLUTION".
  57. Validate that 'ZXA-2.3' contains "NDC".
  58. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned - "1000004032".
  59. Validate that 'ZXA-3' contains the amount administered - "0.005"
  60. Validate that 'ZXA-4' contains the administered drug units - "%"
Scenario 8: Bulk Medication - Administration - Fill Details - 'Enable Incremental Scanning/Defaulting Medication Quantity' registry setting set to "2"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "XALATAN 0.005 % OPHTHALMIC SOLUTION" that has 'Dose' of "1", a 'Dose Unit' of "Drop' and a 'Frequency' of "TWICE A DAY".
  • The order for "XALATAN 0.005%" has had both Order Acknowledgment and Client Education completed and has been processed in RxConnect and contains 'Fill Details' containing: Latanoprost et XALATAN 0.005% Ophthalmic Solution Give: 1 Drop TWICE A DAY
  • Must have a barcode for XALATAN 0.005 % OPHTHALMIC SOLUTION
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for " Latanoprost et XALATAN 0.005% Ophthalmic Solution".
  6. Validate that under the current date for this order there are 2 cells with the following hours of administration - "0900" and "2100".
  7. Scan the 00013-8303-01 barcode.
  8. Validate that the 'Order Selection' dialog is displayed and contains: The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  9. Double Click the "0900" cell.
  10. Validate that the "0900" cell contains a yellow highlight with "1 Drop" in black font.
  11. Scan the 00013-8303-01 barcode.
  12. Validate that the "0900" cell contains a yellow highlight with "1 Drop" in black font. This did not increase because this is a Bulk Medication.
  13. Click [Administer].
  14. Validate that the 'Administration Event' dialog is displayed.
  15. Validate that 'Order' contains "Latanoprost et XALATAN 0.005% Solution".
  16. Validate that 'Scheduled Date' contains the current date.
  17. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  18. Validate that 'Med ID' contains "00013-8303-01".
  19. Validate that 'Qty' contains "1".
  20. Validate that 'Unit' contains "Drop".
  21. Validate that 'Warning' contains a red flag in [View].
  22. Click [Warning - View].
  23. Validate that the 'Administration Date/Time' dialog is displayed and contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for XALATAN.
  24. Set the 'Override Text' field to any value.
  25. Click [OK].
  26. Validate that [Warning - View] contains a green check mark.
  27. Select "Nurse Administered" in 'Administration Event'.
  28. Check the 'Accept administration information entered' checkbox and click [Ok].
  29. Validate that the cell that was selected contains 1 Drop and the time administered with a red triangle with a white exclamation point.
  30. Close the form.
  31. Access the 'HL7 Connection Monitor' form.
  32. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  33. Click [Show Transaction Log].
  34. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  35. Validate that the 'Date Sent' contains the current date.
  36. Validate that the 'Event Type' contains "RAS^O01".
  37. Validate that the 'Name:' contains Client A's name in the format of Last Name^First Name.
  38. Validate that the 'Order #' contains the Order # of the order that was administered.
  39. Click [View HL7 Message].
  40. Validate that the HL7 message is displayed.
  41. Validate that 'PID-3' contains Client A's ID#.
  42. Validate that 'PID-5.1' contains Client A's Last Name and that PID-5.2 contains Client A's First Name.
  43. Validate that 'ORC-1' contains "RE".
  44. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  45. Validate that 'ORC-3' contains the 'Filler Order Number' or 'Rx#' of the order that was administered, that was received when processing the order.
  46. Validate that 'RXA-6' contains the administered Qty - "1".
  47. Validate that 'RXA-7' contains the administered Unit - "Drop".
  48. Validate that 'RXA-20' contains "CP", which is for Complete.
  49. Validate that there is one ZXA segment.
  50. Validate that 'ZXA-1' contains "1".
  51. Validate that 'ZXA-2.1' contains the NDC of the first barcode that was scanned - "00013-8303-01".
  52. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - "LATANOPROST 0.005 % OPHTHALMIC SOLUTION".
  53. Validate that 'ZXA-2.3' contains "NDC".
  54. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned - "1000004032".
  55. Validate that 'ZXA-3' contains the amount administered - "0.005"
  56. Validate that 'ZXA-4' contains the administered drug units - "%"
Scenario 9: Bulk Medication - Administration - no Fill Details - 'Enable Incremental Scanning/Defaulting Medication Quantity' registry setting set to "2" - Medication always administered bulk set to "No"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • The '(10289) Medication always administered 'bulk'' extended attribute off of '(10270) Dose Unit' under 'Order Entry Tabled Files' for "Drop" must be set to "No".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "XALATAN 0.005 % OPHTHALMIC SOLUTION" that has a 'Dose' and 'Dose Unit' of "1 Drop" and a 'Frequency' of "TWICE A DAY".
  • The order for "XALATAN 0.005%" has had both Order Acknowledgment and Client Education completed. This order does not have Fill Details.
  • Must have a barcode for XALATAN 0.005 % OPHTHALMIC SOLUTION
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for "XALATAN 0.005 % OPHTHALMIC SOLUTION ".
  6. Validate that under the current date for this order there are 2 cells with the following hours of administration - "0900" and "2100".
  7. Scan the 00013-8303-01 barcode.
  8. Validate that the 'Order Selection' dialog is displayed and contains: The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  9. Double Click the "0900" cell.
  10. Validate that an 'Error' dialog is displayed and contains: Dose Units do not match. Do you wish to continue with the selection?
  11. Click [OK].
  12. Validate that the "0900" cell contains a yellow highlight.
  13. Scan the 00013-8303-01 barcode.
  14. Validate that the 'Order Selection' dialog is displayed and contains: The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  15. Double Click the "0900" cell.
  16. Validate that an 'Error' dialog is displayed and contains: Dose Units do not match. Do you wish to continue with the selection?
  17. Click [OK].
  18. Validate that the "0900" cell contains a yellow highlight.
  19. Click [Administer].
  20. Validate that the 'Administration Event' dialog is displayed.
  21. Validate that 'Order' contains "XALATAN 0.005% Solution".
  22. Validate that 'Scheduled Date' contains the current date.
  23. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  24. Validate that 'Med ID' contains "00013-8303-01".
  25. Validate that 'Qty' does not contain a value.
  26. Validate that 'Unit' contains "Drop".
  27. Select "Nurse Administered" in 'Administration Event'.
  28. Validate that 'Warning' contains a red flag in [View].
  29. Click [Warning - View].
  30. Validate that the 'Administration Date/Time' dialog is displayed and contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for XALATAN.
  31. Set the 'Override Text' field to any value.
  32. Click [OK].
  33. Validate that [Warning - View] contains a green check mark.
  34. Check the 'Accept administration information entered' checkbox and click [Ok].
  35. Validate that a message is displayed stating: Missing Required Fields - Row 1: Quantity.
  36. Click [Ok].
  37. Enter "1" in 'Qty'.
  38. Click [OK].
  39. Validate that the cell that was selected contains 1 Drop and the time administered with a red triangle with a white exclamation point.
  40. Close the form.
  41. Access the 'HL7 Connection Monitor' form.
  42. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  43. Click [Show Transaction Log].
  44. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  45. Validate that the 'Date Sent' contains the current date.
  46. Validate that the 'Event Type' contains "RAS^O01".
  47. Validate that the 'Name:' contains Client A's name in the format of Last Name^First Name.
  48. Validate that the 'Order #' contains the Order # of the order that was administered.
  49. Click [View HL7 Message].
  50. Validate that the HL7 message is displayed.
  51. Validate that 'PID-3' contains Client A's ID#.
  52. Validate that 'PID-5.1' contains Client A's Last Name and that PID-5.2 contains Client A's First Name.
  53. Validate that 'ORC-1' contains "RE".
  54. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  55. Validate that 'RXA-6' contains the administered Qty - "1".
  56. Validate that 'RXA-7' contains the administered Unit - "Drop".
  57. Validate that 'RXA-20' contains "CP", which is for Complete.
  58. Validate that there is one ZXA segment.
  59. Validate that 'ZXA-1' contains "1".
  60. Validate that 'ZXA-2.1' contains the NDC of the first barcode that was scanned - "00013-8303-01".
  61. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - "LATANOPROST 0.005 % OPHTHALMIC SOLUTION".
  62. Validate that 'ZXA-2.3' contains "NDC".
  63. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned - "1000004032".
  64. Validate that 'ZXA-3' contains the amount administered - "0.005"
  65. Validate that 'ZXA-4' contains the administered drug units - "%"
Scenario 10: Combination Medications - Administer - under-scanning - no Fill Details - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "TYLENOL WITH CODEINE NO. 3 (ACETAMINOPHEN-CODEINE PHOSPHATE) 300 MG-30 MG ORAL TABLET" that has a 'Dose' and 'Dose Unit' of "2 Tablets" and a 'Frequency' of "EVERY 6 HOURS"
  • The order for "TYLENOL WITH CODEINE NO. 3" has had both Order Acknowledgment and Client Education completed and has no Fill Details.
  • Must have a barcode for TYLENOL WITH CODEINE NO. 3 (ACETAMINOPHEN-CODEINE PHOSPHATE) 300 MG-30 MG ORAL TABLET
Steps
  1. Select "Client A" and access the 'Avatar eMAR' widget.
  2. Validate that an order for "TYLENOL WITH CODEINE NO. 3 (ACETAMINOPHEN-CODEINE PHOSPHATE) 300 MG-30 MG ORAL TABLET" is displayed.
  3. Validate that there are four cells under the current date with "0000", "0600", "1200" and "1800".
  4. Scan the bar code for "TYLENOL WITH CODEINE NO. 3 (ACETAMINOPHEN-CODEINE PHOSPHATE) 300 MG-30 MG ORAL TABLET".
  5. Validate the 'Order Selection' dialog contains The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  6. Double Click the "1200" cell.
  7. Validate that the "1200" cell is highlighted yellow and contains "1 / 2 Tablet" in red font with a red triangle with a white exclamation mark in it to the right of the value.
  8. Click [Administer].
  9. Validate the 'Med ID' cell contains the NDC associated to the barcode that was scanned.
  10. Validate the 'Qty' cell is equal to "1".
  11. Validate the 'Unit' cell is equal to "TABLET".
  12. Select any successful administration event in the 'Administration Event' field.
  13. Validate the 'Warning - View' button contains a red flag.
  14. Click [Warning - View].
  15. Validate the 'Medication/Quantity' dialog contains: The order calls for 2 Tablet. The quantity being administered is indicated as being 1 Tablet.
  16. Set the 'Override Text' field to any value.
  17. Click the 'Administration Date/Time' tab.
  18. Validate that it contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for TYLENOL WITH CODEINE NO. 3.
  19. Set the 'Override Text' field to any value.
  20. Click [Ok].
  21. Check the 'Accept administration information entered' checkbox and click [OK].
  22. Validate that the cell selected contains "1 TABLET" and the Administration time with a red triangle with a white exclamation point in the top right corner of the cell.
Scenario 11: Combination Medications - Administer - over-scanning - Fill Details - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "TYLENOL WITH CODEINE NO. 3 300 MG-30 MG ORAL TABLET" that has a 'Dose' and 'Dose Unit' of "2 Tablets" and a 'Frequency' of "EVERY 6 HOURS".
  • The order for "TYLENOL WITH CODEINE NO. 3" has had both Order Acknowledgment and Client Education completed and has been processed in RxConnect and contains 'Fill Details' containing: Acetaminophen/Codeine Phosphate et ACETAMINOPHEN 300MG/ CODEINE 30MG 300 MG-30 MG Oral Tablet - Give 2 Tablet Every 6 Hours.
  • Must have a barcode for TYLENOL WITH CODEINE NO. 3 300 MG-30 MG ORAL TABLET
Steps
  1. Select "Client A" and access the 'Avatar eMAR' widget.
  2. Validate that an order for "Acetaminophen/Codeine Phosphate et ACETAMINOPHEN 300MG/CODEINE 30MG 300 MG-30 MG Oral Tablet" is displayed.
  3. Validate that there are four cells under the current date with "0000", "0600", "1200" and "1800".
  4. Scan the bar code for "TYLENOL WITH CODEINE NO. 3 (ACETAMINOPHEN-CODEINE PHOSPHATE) 300 MG-30 MG ORAL TABLET".
  5. Validate the 'Order Selection' dialog contains "The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell."
  6. Double Click the "1200" cell.
  7. Validate that the "1200" cell is highlighted yellow and contains "1 / 2 Tablet" in red font with a red triangle with a white exclamation mark in it to the right of the value.
  8. Scan the bar code for "TYLENOL WITH CODEINE NO. 3 (ACETAMINOPHEN-CODEINE PHOSPHATE) 300 MG-30 MG ORAL TABLET".
  9. Validate that the "1200" cell is highlighted yellow and contains "2 / 2 Tablet" in black font.
  10. Scan the bar code for "TYLENOL WITH CODEINE NO. 3 (ACETAMINOPHEN-CODEINE PHOSPHATE) 300 MG-30 MG ORAL TABLET".
  11. Validate that an 'Error' message is displayed containing: Total dose scanned exceeds ordered dose for Acetaminophen/Codeine Phosphate et ACETAMINOPHEN 300MG/CODEINE 30 MG 300MG-30 MG Tablet (Order #: 3551) on 08/24/2020 at 1200. Do you wish to continue with the selection?
  12. Click [OK]
  13. Validate that the "1200" cell is highlighted yellow and contains "3 / 2 Tablet" in red font with a red triangle with a white exclamation mark in it to the right of the value.
  14. Click [Administer].
  15. Validate the 'Med ID' cell contains the NDC associated to the barcode that was scanned three times separated by commas. One for each scan.
  16. Validate the 'Qty' cell is equal to "3".
  17. Validate the 'Unit' cell is equal to "TABLET".
  18. Select any successful administration event from the 'Administration Event' field.
  19. Validate the 'Warning - View' button contains a red flag.
  20. Click [Warning - View].
  21. Validate the 'Medication/Quantity' dialog contains: The order calls for 2 Tablet(s) 'ACETAMINOPHEN 300 MG - CODEINE PHOSPHATE 30 MG ORAL TABLET'. You appear to be administering 3 x 'ACETAMINOPHEN 300 MG - CODEINE PHOSPHATE 30 MG ORAL TABLET'. The order calls for 2 Tablet. The quantity being administered is indicated as being 3 TABLET.
  22. Set the 'Override Text' field to any value.
  23. Click the 'Administration Date/Time' tab.
  24. Validate that it contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for TYLENOL WITH CODEINE NO. 3.
  25. Set the 'Override Text' field to any value.
  26. Click [OK].
  27. Validate that the [Warning-View] contains a green check mark.
  28. Check the 'Accept administration information entered' checkbox and click [OK].
  29. Validate that the cell selected contains "3 TABLET" and the Administration time with a red triangle with a white exclamation point in the top right corner of the cell.
Scenario 12: Bulk Medication - Administration - no Fill Details - 'Enable Incremental Scanning/Defaulting Medication Quantity' registry setting set to "2" - Medication always administered bulk set to "Yes"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • The '(10289) Medication always administered 'bulk'' extended attribute off of '(10270) Dose Unit' under 'Order Entry Tabled Files' for "Drop" must be set to "Yes".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "XALATAN 0.005 % OPHTHALMIC SOLUTION" that has a 'Dose' of "1", a 'Dose Unit' of "Drop' and a 'Frequency' of "TWICE A DAY".
  • The order for "XALATAN 0.005%" has had both Order Acknowledgment and Client Education completed. This order does not have Fill Details.
  • Must have a barcode for XALATAN 0.005 % OPHTHALMIC SOLUTION
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for "XALATAN 0.005 % OPHTHALMIC SOLUTION ".
  6. Validate that under the current date for this order there are 2 cells with the following hours of administration - "0900" and "2100".
  7. Scan the 00013-8303-01 barcode.
  8. Validate that the 'Order Selection' dialog is displayed and contains: The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  9. Double Click the "0900" cell.
  10. Validate that the "0900" cell contains a yellow highlight with "1 Drop" in black font.
  11. Scan the 00013-8303-01 barcode.
  12. Validate that the "0900" cell contains a yellow highlight with "1 Drop" in black font. Notice that the value did not increase, this is because this is a bulk medication.
  13. Click [Administer].
  14. Validate that the 'Administration Event' dialog is displayed.
  15. Validate that 'Order' contains "XALATAN 0.005% Solution".
  16. Validate that 'Scheduled Date' contains the current date.
  17. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  18. Validate that 'Med ID' contains "00013-8303-01".
  19. Validate that 'Qty' contains "1".
  20. Validate that 'Unit' contains "Drop".
  21. Select "Nurse Administered" in 'Administration Event'.
  22. Validate that 'Warning' contains a red flag in [View].
  23. Click [Warning - View].
  24. Validate that the 'Administration Date/Time' dialog is displayed and contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for XALATAN.
  25. Set the 'Override Text' field to any value.
  26. Click [OK].
  27. Validate that [Warning - View] contains a green check mark.
  28. Check the 'Accept administration information entered' checkbox and click [Ok].
  29. Validate that the cell that was selected contains "1 Drop" and the time administered with a red triangle with a white exclamation point.
  30. Close the form.
  31. Access the 'HL7 Connection Monitor' form.
  32. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  33. Click [Show Transaction Log].
  34. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  35. Validate that the 'Date Sent' contains the current date.
  36. Validate that the 'Event Type' contains "RAS^O01".
  37. Validate that the 'Name:' contains Client A's name in the format of Last Name^First Name.
  38. Validate that the 'Order #' contains the Order # of the order that was administered.
  39. Click [View HL7 Message].
  40. Validate that the HL7 message is displayed.
  41. Validate that 'PID-3' contains Client A's ID#.
  42. Validate that 'PID-5.1' contains Client A's Last Name and that PID-5.2 contains Client A's First Name.
  43. Validate that 'ORC-1' contains "RE".
  44. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  45. Validate that 'RXA-6' contains the administered Qty - "1".
  46. Validate that 'RXA-7' contains the administered Unit - "Drop".
  47. Validate that 'RXA-20' contains "CP", which is for Complete.
  48. Validate that there is one ZXA segment.
  49. Validate that the first 'ZXA-1' contains "1".
  50. Validate that 'ZXA-2.1' contains the NDC of the first barcode that was scanned - "00013-8303-01".
  51. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - "LATANOPROST 0.005 % OPHTHALMIC SOLUTION".
  52. Validate that 'ZXA-2.3' contains "NDC".
  53. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned - "1000004032".
  54. Validate that 'ZXA-3' contains the amount administered - "0.005"
  55. Validate that 'ZXA-4' contains the administered drug units - "%"
Scenario 13: Bulk Medication - Administration - no Fill Details - 'Enable Incremental Scanning/Defaulting Medication Quantity' registry setting set to "1" - Medication always administered bulk set to "No"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • The '(10289) Medication always administered 'bulk'' extended attribute off of '(10270) Dose Unit' under 'Order Entry Tabled Files' for "Drop" must be set to "No".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "XALATAN 0.005 % OPHTHALMIC SOLUTION" that has a 'Dose' for "1", a 'Dose Unit' of "Drop" and a 'Frequency' of "TWICE A DAY".
  • The order for "XALATAN 0.005%" has had both Order Acknowledgment and Client Education completed. This order does not have Fill Details.
  • Must have a barcode for XALATAN 0.005 % OPHTHALMIC SOLUTION
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for "XALATAN 0.005 % OPHTHALMIC SOLUTION ".
  6. Validate that under the current date for this order there are 2 cells with the following hours of administration - "0900" and "2100".
  7. Scan the 00013-8303-01 barcode.
  8. Validate that the 'Order Selection' dialog is displayed and contains: The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  9. Double Click the "0900" cell.
  10. Validate that an 'Error' dialog is displayed and contains: Dose Units do not match. Do you wish to continue with the selection?
  11. Click [OK].
  12. Validate that the "0900" cell contains a yellow highlight.
  13. Scan the 00013-8303-01 barcode.
  14. Validate that an 'Error' dialog is displayed and contains: Dose Units do not match. Do you wish to continue with the selection?
  15. Click [OK].
  16. Validate that the "0900" cell contains a yellow highlight.
  17. Validate that the [Administer] contains "1".
  18. Click [Administer].
  19. Validate that the 'Administration Event' dialog is displayed.
  20. Validate that 'Order' contains "XALATAN 0.005% SOLUTION".
  21. Validate that 'Scheduled Date' contains the current date.
  22. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  23. Validate that 'Med ID' contains "00013-8303-01".
  24. Validate that 'Qty' does not contain a value.
  25. Enter "1" in 'Qty'.
  26. Validate that 'Unit' contains "Drop".
  27. Select "Nurse Administered" in 'Administration Event'.
  28. Validate that 'Warning' contains a red flag in [View].
  29. Click [Warning - View].
  30. Validate that the 'Administration Date/Time' dialog is displayed and contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for XALATAN.
  31. Set the 'Override Text' field to any value.
  32. Click [OK].
  33. Validate that [Warning - View] contains a green check mark.
  34. Check the 'Accept administration information entered' checkbox and click [Ok].
  35. Validate that the cell that was selected contains 1 Drop and the time administered with a red triangle with a white exclamation point.
  36. Close the form.
  37. Access the 'HL7 Connection Monitor' form.
  38. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  39. Click [Show Transaction Log].
  40. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  41. Validate that the 'Date Sent' contains the current date.
  42. Validate that the 'Event Type' contains "RAS^O01".
  43. Validate that the 'Name:' contains Client A's name in the format of Last Name^First Name.
  44. Validate that the 'Order #' contains the Order # of the order that was administered.
  45. Click [View HL7 Message].
  46. Validate that the HL7 message is displayed.
  47. Validate that 'PID-3' contains Client A's ID#.
  48. Validate that 'PID-5.1' contains Client A's Last Name and that PID-5.2 contains Client A's First Name.
  49. Validate that 'ORC-1' contains "RE".
  50. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  51. Validate that 'RXA-6' contains the administered Qty - "1".
  52. Validate that 'RXA-7' contains the administered Unit - "Drop".
  53. Validate that 'RXA-20' contains "CP", which is for Complete.
  54. Validate that there is one ZXA segment.
  55. Validate that 'ZXA-1' contains "1".
  56. Validate that 'ZXA-2.1' contains the NDC of the first barcode that was scanned - "00013-8303-01".
  57. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - "LATANOPROST 0.005 % OPHTHALMIC SOLUTION".
  58. Validate that 'ZXA-2.3' contains "NDC".
  59. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned - "1000004032".
  60. Validate that 'ZXA-3' contains the amount administered - "0.005"
  61. Validate that 'ZXA-4' contains the administered drug units - "%"
Scenario 14: Concentration Medication - Administration - no Fill Details - 'Enable Incremental Scanning/Defaulting Medication Quantity' registry setting set to "1" - Medication always administered bulk set to "No"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use, if applicable.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • The '(10289) Medication always administered 'bulk'' extended attribute off of '(10270) Dose Unit' under 'Order Entry Tabled Files' for "Drop" must be set to "No".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION" that has a 'Frequency' of "TWICE A DAY".
  • The order for "CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION" has had both Order Acknowledgment and Client Education completed. This order does not have Fill Details.
  • Must have a barcode for CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION
Steps
  1. Access 'Avatar eMAR' for "Client A"
  2. Validate the 'Administration Date' field contains the current date
  3. Validate the 'Enable Multiple Administration Selection' checkbox properties equal "disabled"
  4. Validate the 'Enable Multiple Administration Selection' checkbox properties equal "checked"
  5. Select "Client A" from the Client field
  6. Validate the 'Order Description Column' item contains the order for CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION
  7. Validate the 'Administration Date/Time Selection' table contains a cell for 0900 and a cell for 2100 under the current date
  8. Scan the 50580-0424-01 barcode.
  9. Verify the 'Order Selection' dialog exists
  10. Validate the 'Order Selection' dialog contains "The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell."
  11. Double Click the 0900 cell
  12. Validate the 'Administration Date/Time Selection' table contains a yellow highlight on the cell
  13. Validate the 'Administration Date/Time Selection' table contains the scheduled administration time in the cell with the yellow highlight - 0900
  14. Validate the 'Administration Date/Time Selection' table contains 160 MG in black font in the cell with the yellow highlight
  15. Scan the 50580-0424-01 barcode.
  16. Validate the 'Administration Date/Time Selection' table contains a yellow highlight on the cell.
  17. Validate the 'Administration Date/Time Selection' table contains the Administration Hour in the cell with the yellow highlight - 0900
  18. Validate the 'Administration Date/Time Selection' table contains 160 MG in black font in the cell with the yellow highlight. This did not increase because it is a bulk med.
  19. Click [Administer]
  20. Verify the 'Administration Event' dialog exists
  21. Validate the Order cell contains "CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION"
  22. Validate the 'Scheduled Date' cell contains the current date
  23. Validate the 'Scheduled Time' cell contains the scheduled hour of administration - 0900
  24. Validate the 'Med ID' cell contains "50580-0424-01 which is the NDC from the barcode that was scanned"
  25. Validate the 'Qty' cell is blank
  26. Set the 'Qty' cell to "160"
  27. Validate the 'Unit' cell contains "MG"
  28. Select "Nurse Administered" from the Administration Event field
  29. Validate the Warning - View button contains a red flag
  30. Click [Warning - View]
  31. Verify the 'Administration Date/Time' dialog exists
  32. Validate the 'Administration Date/Time' dialog contains "This Administration Event is occurring outside the allowable administration window of 60 minutes for CHILDRENS TYLENOL."
  33. Set the 'Override Text' field to any value
  34. Click [Ok]
  35. Check the 'Accept administration information entered' checkbox
  36. Click [Ok]
  37. Verify the 'Administration Event' dialog does not exist
  38. Validate the 'Administration Date/Time Selection' table contains "160 MG and the time administered."
  39. Validate the 'Administration Date/Time Selection' table contains a red triangle with a white exclamation point in the top right corner of the cell
  40. Click [Close Form]
  41. Open the 'HL7 Connection Monitor' form
  42. Select "(Outbound) ORDERS-RXCONNECT" from the 'Select Row' field
  43. Click [Show Transaction Log]
  44. Verify the 'HL7 Outbound Transaction Log' page exists
  45. Validate the 'Date Sent' item contains the current date
  46. Validate the 'Event Type' item contains "RAS^O01"
  47. Validate the Name: item contains "Client A's name in the format of Last Name^First Name"
  48. Validate the 'Order #' item contains the Order # of the order that was administered.
  49. Click [View HL7 Message]
  50. Verify the 'View HL7 Message' page exists
  51. Validate that 'PID-3' contains Client A's ID#
  52. Validate that 'PID-5.1' contains Client A's Last Name and that PID-5.2 contains Client A's First Name
  53. Validate that 'ORC-1' contains "RE"
  54. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  55. Validate that 'ORC-3' contains the 'Filler Order Number' or 'Rx#' of the order that was administered, that was received when processing the order.
  56. Validate that 'RXA-6' contains the administered Qty - 160
  57. Validate that 'RXA-7' contains the administered Unit - mg
  58. Validate that 'RXA-20' contains "CP", which is for Complete
  59. Validate that there is one ZXA segment.
  60. Validate that the first 'ZXA-1' contains "1".
  61. Validate that 'ZXA-2.1' contains the NDC of the first barcode that was scanned - "50580-0424-01".
  62. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION
  63. Validate that 'ZXA-2.3' contains "NDC"
  64. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned. (ex. 50580042401)
  65. Validate that 'ZXA-3' contains the amount administered - "160"
  66. Validate that 'ZXA-4' contains the administered drug units - "MG"
Scenario 15: Concentration Medication - Administration - no Fill Details - 'Enable Incremental Scanning/Defaulting Medication Quantity' registry setting set to "2" -Medication always administered bulk set to "Yes"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use, if applicable.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • The '(10289) Medication always administered 'bulk' extended attribute off of 'Order Entry Tabled Files (10270) Dose Unit' must be set to "Yes" form "MG".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION" that has a 'Dose' and 'Dose Unit' of "160 MG" and a 'Frequency' of "TWICE A DAY".
  • The order for "CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION" has had both Order Acknowledgment and Client Education completed. This order does not have Fill Details.
  • Must have a barcode for CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION
Steps
  1. Access 'Avatar eMAR' for "Client A"
  2. Validate the 'Administration Date' field contains "the current date"
  3. Validate the 'Enable Multiple Administration Selection' checkbox properties equal "disabled"
  4. Validate the 'Enable Multiple Administration Selection' checkbox properties equal "checked"
  5. Select "Client A" from the Client field
  6. Validate the 'Order Description Column' item contains the order for CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION
  7. Validate the 'Administration Date/Time Selection' table contains a cell for 0900 and a cell for 2100 under the current date
  8. Scan the 50580-0424-01 barcode.
  9. Verify the 'Order Selection' dialog exists
  10. Validate the 'Order Selection' dialog contains "The system identified 1 order that matches the selected medication. Please select the order and administration time by double-clicking on the appropriate cell."
  11. Double Click the 0900 cell
  12. Validate the 'Administration Date/Time Selection' table contains a yellow highlight on the cell
  13. Validate the 'Administration Date/Time Selection' table contains the scheduled administration time in the cell with the yellow highlight - 0900
  14. Validate the 'Administration Date/Time Selection' table contains 160 MG in black font in the cell with the yellow highlight
  15. Scan the 50580-0424-01 barcode.
  16. Validate the 'Administration Date/Time Selection' table contains a yellow highlight on the cell.
  17. Validate the 'Administration Date/Time Selection' table contains the Administration Hour in the cell with the yellow highlight - 0900
  18. Validate the 'Administration Date/Time Selection' table contains 160 MG in black font in the cell with the yellow highlight. This did not increase because it is a bulk med.
  19. Click [Administer]
  20. Verify the 'Administration Event' dialog exists
  21. Validate the Order cell contains "CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION"
  22. Validate the 'Scheduled Date' cell contains the current date
  23. Validate the 'Scheduled Time' cell contains the scheduled hour of administration - 0900
  24. Validate the 'Med ID' cell contains "50580-0424-01 which is the NDC from the barcode that was scanned"
  25. Validate the 'Qty' cell is equal to "160"
  26. Validate the 'Unit' cell contains "MG"
  27. Select "Nurse Administered" from the Administration Event field
  28. Validate the 'Warning - View' button contains a red flag
  29. Click [Warning - View]
  30. Verify the 'Administration Date/Time' dialog exists
  31. Validate the 'Administration Date/Time' dialog contains "This Administration Event is occurring outside the allowable administration window of 60 minutes for CHILDRENS TYLENOL."
  32. Set the 'Override Text' field to any value
  33. Click [Ok]
  34. Check the 'Accept administration information entered' checkbox
  35. Click [Ok]
  36. Verify the 'Administration Event' dialog does not exist
  37. Validate the 'Administration Date/Time Selection' table contains "160 MG and the time administered."
  38. Validate the 'Administration Date/Time Selection' table contains a red triangle with a white exclamation point in the top right corner of the cell
  39. Click [Close Form]
  40. Open the 'HL7 Connection Monitor' form
  41. Select "(Outbound) ORDERS-RXCONNECT" from the 'Select Row' field
  42. Click [Show Transaction Log]
  43. Verify the 'HL7 Outbound Transaction Log' page exists
  44. Validate the 'Date Sent' item contains the current date
  45. Validate the 'Event Type' item contains "RAS^O01"
  46. Validate the Name: item contains "Client A's name in the format of Last Name^First Name"
  47. Validate the 'Order #' item contains the Order # of the order that was administered.
  48. Click [View HL7 Message]
  49. Verify the 'View HL7 Message' page exists
  50. Validate that 'PID-3' contains Client A's ID#
  51. Validate that 'PID-5.1' contains Client A's Last Name and that PID-5.2 contains Client A's First Name
  52. Validate that 'ORC-1' contains "RE"
  53. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  54. Validate that 'ORC-3' contains the 'Filler Order Number' or 'Rx#' of the order that was administered, that was received when processing the order.
  55. Validate that 'RXA-6' contains the administered Qty - 160
  56. Validate that 'RXA-7' contains the administered Unit - MG
  57. Validate that 'RXA-20' contains "CP", which is for Complete
  58. Validate that there is one ZXA segment.
  59. Validate that the first 'ZXA-1' contains "1".
  60. Validate that 'ZXA-2.1' contains the NDC of the first barcode that was scanned - "50580-0424-01".
  61. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - CHILDREN'S TYLENOL 160 MG/5 ML ORAL SUSPENSION
  62. Validate that 'ZXA-2.3' contains "NDC"
  63. Validate that 'ZXA-2.4'contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned. (ex. 1000000083)
  64. Validate that 'ZXA-3' contains the amount administered - "160"
  65. Validate that 'ZXA-4' contains the administered drug units - "MG"
Scenario 16: Dose Given as Multiples of a Single Strength Product - Administration - no Fill Details - scanning barcode with a different strength for correct amount - eMAR_barcode_audit validation
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use, if applicable.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "WARFARIN SODIUM 10 MG TABLET ORAL" that has a 'Dose' and 'Dose Unit' of "10 MG", a 'Frequency' of "Daily", and that has an administration time of "0900".
  • The order for "WARFARIN SODIUM 10 MG TABLET ORAL" has had both Order Acknowledgment and Client Education completed. This order does not have Fill Details.
  • Must have a barcode for WARFARIN SODIUM 2 MG TABLET ORAL
  • Must have a report created using the 'eMAR.eMAR_barcode_audit' table that includes all fields.
Steps
  1. Access 'Avatar eMAR'
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for "WARFARIN SODIUM 10 MG TABLET ORAL".
  6. Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
  7. Scan the 55154-4695-00, which is the barcode for "WARFARIN 2 MG TABLET ORAL".
  8. Validate that an 'Order Selection' dialog is displayed stating: The system identified 1 order that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  9. Double Click the "0900" cell.
  10. Validate that the "0900" cell is highlighted yellow and contains "2 / 10 MG" in red font with a red triangle with a white exclamation point in it to the right of the value in the cell.
  11. Scan the 55154-4695-00 barcode.
  12. Validate that the "0900" cell is highlighted yellow and contains "4 / 10 MG" in red font with a red triangle with a white exclamation point in it to the right of the value in the cell.
  13. Scan the 55154-4695-00 barcode.
  14. Validate that the "0900" cell is highlighted yellow and contains "6 / 10 MG" in red font with a red triangle with a white exclamation point in it to the right of the value in the cell.
  15. Scan the 55154-4695-00 barcode.
  16. Validate that the "0900" cell is highlighted yellow and contains "8 / 10 MG" in red font with a red triangle with a white exclamation point in it to the right of the value in the cell.
  17. Scan the 55154-4695-00 barcode.
  18. Validate that the "0900" cell is highlighted yellow and contains "10 / 10 MG" in black font.
  19. Click [Administer].
  20. Validate that the 'Administration Event' dialog is displayed.
  21. Validate that 'Order' contains "WARFARIN SODIUM 10 MG TABLET".
  22. Validate that 'Scheduled Date' contains the current date.
  23. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  24. Validate that 'Med ID' contains "55154-4695-00" five times separated by commas, one for each scan of the barcode.
  25. Validate that 'Qty' contains "10".
  26. Validate that 'Unit' contains "MG".
  27. Select "Nurse Administered" in 'Administration Event'.
  28. Validate that [Warning - View] contains a red flag.
  29. Click [Warning - View]
  30. Validate that 'Medication/Quantity' contains: The order calls for 'WARFARIN SODIUM 10 MG ORAL TABLET'. The medication being administered appears to be 'WARFARIN SODIUM 2 MG ORAL TABLET'.
  31. Enter any value in the 'Override Text' field
  32. Click the 'Administration Date/Time' tab.
  33. Validate that it contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for WARFARIN SODIUM.
  34. Set the 'Override Text' to any value.
  35. Click [OK]
  36. Validate that [Warning - View] contains a green check mark.
  37. Check the 'Accept administration information entered' checkbox and click [OK].
  38. Validate that the "0900" cell contains "10 MG" and the time administered with a red triangle with a white exclamation point in the top right corner.
  39. Close the form.
  40. Access the 'HL7 Connection Monitor' form.
  41. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  42. Click [Show Transaction Log].
  43. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  44. Validate that 'Date Sent' contains the current date.
  45. Validate that 'Event Type' contains "RAS^O01".
  46. Validate that 'Name:' contains Client A's name in the format of Last Name^First Name.
  47. Validate that 'Order #' contains the Order # of the order that was administered.
  48. Click [View HL7 Message]
  49. Validate that the HL7 Message is displayed.
  50. Validate that 'PID-3' contains Client A's ID#.
  51. Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
  52. Validate that 'ORC-1' contains "RE".
  53. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  54. Validate that 'RXA-6' contains the 'Qty' that was administered - "10".
  55. Validate that 'RXA-7' contains the 'Unit' given - "MG".
  56. Validate that 'RXA-20' contain "CP" for Complete Administration.
  57. Validate that there is one 'ZXA' segment.
  58. Validate that 'ZXA-2.1' contains the NDC of the barcode that was scanned - "55154-4695-00".
  59. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "WARFARIN SODIUM 2 MG ORAL TABLET".
  60. Validate that 'ZXA-2.3' contains "NDC".
  61. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000002614".
  62. Validate that 'ZXA-3' contains the amount administered - "10".
  63. Validate that 'ZXA-4' contains the administered Drug Units - "MG".
  64. Validate that 'ZXA-5' contains the Administered Drug Strength - "2".
  65. Validate that 'ZXA-6' contains the administered Drug Strength Unit - "MG".
  66. Refresh the report created using the 'eMAR.eMAR_barcode_audit' table.
  67. Filter the report using the 'PATID' column by only selecting Client A's PATID.
  68. Filter the report a second time using the 'order_number' field and select the order # that was just administered. This can be found in the 'Order Description' in Avatar eMAR.
  69. Validate that 5 rows of data exist, one for each barcode scan.
  70. Validate that the 'barcode' field for each row contains the NDC scanned - "555154-4695-00".
  71. Validate that the 'order_matched_count' field contains "1" for all 5 rows. This means that only one order was found that could be associated with the barcode scanned.
Scenario 17: Incremental Scanning - no Fill Details - scanning expected strength - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" - eMAR_barcode_audit validation
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use, if applicable.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for "WARFARIN SODIUM 10 MG TABLET ORAL" that has a 'Frequency' of "Daily", a 'Dose' and 'Dose Unit' of "10 MG" and that has an administration time of "0900".
  • The order for "WARFARIN SODIUM 10 MG TABLET ORAL" has had both Order Acknowledgment and Client Education completed. This order does not have Fill Details.
  • Must have a barcode for WARFARIN SODIUM 10 MG TABLET ORAL
  • Must have a report created using the 'eMAR.eMAR_barcode_audit' table that includes all fields.
Steps
  1. Access 'Avatar eMAR'
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for "WARFARIN SODIUM 10 MG TABLET ORAL".
  6. Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
  7. Scan the 00093-1720-01, which is the barcode for "WARFARIN 10 MG TABLET ORAL".
  8. Validate that an 'Order Selection' dialog is displayed stating: The system identified 1 order that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  9. Double Click the "0900" cell.
  10. Validate that the "0900" cell is highlighted yellow and contains "10 / 10 MG" in black font.
  11. Click [Administer].
  12. Validate that the 'Administration Event' dialog is displayed.
  13. Validate that 'Order' contains "WARFARIN SODIUM 10 MG TABLET".
  14. Validate that 'Scheduled Date' contains the current date.
  15. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  16. Validate that 'Med ID' contains "00093-1720-01".
  17. Validate that 'Qty' contains "10".
  18. Validate that 'Unit' contains "MG".
  19. Select "Nurse Administered" in 'Administration Event'.
  20. Validate that [Warning - View] contains a red flag.
  21. Click [Warning - View]
  22. Validate that 'Administration Date/Time' dialog contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for WARFARIN SODIUM.
  23. Set the 'Override Text' to any value.
  24. Click [OK]
  25. Validate that [Warning - View] contains a green checkmark.
  26. Check the 'Accept administration information entered' checkbox and click [OK].
  27. Validate that the "0900" cell contains "10 MG" and the time administered with a red triangle with a white exclamation point in the top right corner.
  28. Close the form.
  29. Access the 'HL7 Connection Monitor' form.
  30. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  31. Click [Show Transaction Log].
  32. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  33. Validate that 'Date Sent' contains the current date.
  34. Validate that 'Event Type' contains "RAS^O01".
  35. Validate that 'Name:' contains Client A's name in the format of Last Name^First Name.
  36. Validate that 'Order #' contains the Order # of the order that was administered.
  37. Click [View HL7 Message]
  38. Validate that the HL7 Message is displayed.
  39. Validate that 'PID-3' contains Client A's ID#.
  40. Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
  41. Validate that 'ORC-1' contains "RE".
  42. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  43. Validate that 'RXA-6' contains the 'Qty' that was administered - "10".
  44. Validate that 'RXA-7' contains the 'Unit' given - "MG".
  45. Validate that 'RXA-20' contain "CP" for Complete Administration.
  46. Validate that there is one 'ZXA' segment. This includes information pertaining to the scanned barcodes.
  47. Validate that 'ZXA-2.1' contains the NDC of the barcode that was scanned - "00093-1720-01".
  48. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "Warfarin Sodium 10 MG Oral Tablet".
  49. Validate that 'ZXA-2.3' contains "NDC".
  50. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000002623".
  51. Validate that 'ZXA-3' contains the amount administered - "10".
  52. Validate that 'ZXA-4' contains the administered Drug Units - "MG".
  53. Validate that 'ZXA-5' contains the Administered Drug Strength - "10".
  54. Validate that 'ZXA-6' contains the administered Drug Strength Unit - "MG".
  55. Close the report and the form.
  56. Refresh the report created using the 'eMAR.eMAR_barcode_audit' table.
  57. Filter the report using the 'PATID' column by only selecting Client A's PATID.
  58. Filter the report a second time using the 'order_number' field and selecting the order # that was just administered. This can be found in the 'Order Description' in Avatar eMAR.
  59. Filter the report a third time using the 'barcode' field and selecting the NDC of the barcode that was scanned.
  60. Validate that 1 row is displayed.
  61. Validate that the 'order_matched_count' field contains "1". This means that only one order was found that could be associated with the barcode scanned.
Scenario 18: Incremental Scanning - no Fill Details - over-scanning - eMAR_barcode_audit validation
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and the push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have two active order for "WARFARIN SODIUM 10 MG TABLET ORAL" that have a 'Dose' and 'Dose Unit' of "10 MG", a 'Frequency' of "Daily" that has an administration time of "0900".
  • One of the orders does not have Fill Details and one of them does. For the order with Fill Details it contains "Warfarin Sodium et COUMADIN 2 MG Oral Tablet Give: 10 MG Daily".
  • Both orders for "WARFARIN SODIUM 10 MG TABLET ORAL" have had both Order Acknowledgment and Client Education completed.
  • Must have a barcode for WARFARIN SODIUM 10 MG TABLET ORAL and WARFARIN SODIUM 2 MG TABLET ORAL.
  • Must have a report created using the 'eMAR.eMAR_barcode_audit' table that includes all fields.
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for "WARFARIN SODIUM 10 MG TABLET ORAL - Give: 10 MG EVERY DAY".
  6. Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
  7. Validate that there is an order for "Warfarin Sodium et COUMADIN 2 MG Oral Tablet - Give 10 MG Daily". This is the order with Fill Details.
  8. Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
  9. Scan the 00093-1720-01, which is the barcode for "WARFARIN 10 MG TABLET ORAL".
  10. Validate that an 'Order Selection' dialog is displayed stating: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  11. Double Click the "0900" for the "WARFARIN SODIUM 10 MG TABLET" order that does not contain Fill Details.
  12. Validate that the "0900" cell for the "WARFARIN SODIUM 10 MG TABLET" order is highlighted yellow and contains "10 / 10 MG" in black font.
  13. Scan the 55154-4695-00, which is the barcode for "WARFARIN 2 MG TABLE ORAL"
  14. Validate that an 'Order Selection' dialog is displayed stating: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  15. Validate that the "0900" cell contains a yellow highlight and "10 / 10 MG" under the current date for the "WARFARIN SODIUM 10 MG ORAL TABLET" order.
  16. Double Click this cell.
  17. Validate that an 'Error' dialog is displayed stating: Total dose scanned exceeds ordered dose for WARFARIN SODIUM 10 MG TABLET (Order #: 3566) on 08/25/2020 at 0900. Do you wish to continue with the selection?
  18. Click [OK].
  19. Validate that the "0900" cell for the "WARFARIN SODIUM 10 MG TABLET" order is highlighted yellow and contains "12 / 10 MG" in red font with a red triangle with a white exclamation point next to it.
  20. Click [Administer].
  21. Validate that the 'Administration Event' dialog is displayed.
  22. Validate that 'Order' contains "WARFARIN SODIUM 10 MG TABLET".
  23. Validate that 'Scheduled Date' contains the current date.
  24. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  25. Validate that 'Med ID' contains "00093-1720-01,55154-4695-00, which are for the barcodes that were scanned".
  26. Validate that 'Qty' contains "12".
  27. Validate that 'Unit' contains "MG".
  28. Select "Nurse Administered" in 'Administration Event'.
  29. Validate that [Warning - View] contains a red flag.
  30. Click [Warning - View]
  31. Validate that the 'Medication / Quantity' dialog contains: The order calls for 'WARFARIN SODIUM 10 MG ORAL TABLET'. You appear to be administering the following: 1) 1 x 'WARFARIN SODIUM 2 MG ORAL TABLET'. 2) 1 x 'WARFARIN SODIUM 10 MG ORAL TABLET'. The order calls for 10 MG. The quantity being administered is indicated as being 12 MG.
  32. Set the 'Override Text' field to any value.
  33. Validate that the 'Administration Date/Time' dialog contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for WARFARIN SODIUM.
  34. Set the 'Override Text' field to any value.
  35. Click [Ok]
  36. Validate that [Warning - View] contains a green check mark.
  37. Check the 'Accept administration information entered' checkbox and click [OK].
  38. Validate that the "0900" cell for the "WARFARIN 10 MG TABLET ORAL" order contains "12 MG" and the time administered with a red triangle with a white exclamation point in the top right corner.
  39. Close the form.
  40. Access the 'HL7 Connection Monitor' form.
  41. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  42. Click [Show Transaction Log].
  43. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  44. Validate that 'Date Sent' contains the current date.
  45. Validate that 'Event Type' contains "RAS^O01".
  46. Validate that 'Name:' contains Client A's name in the format of Last Name^First Name.
  47. Validate that 'Order #' contains the Order # of the order that was administered.
  48. Click [View HL7 Message]
  49. Validate that the HL7 message is displayed.
  50. Validate that 'PID-3' contains Client A's ID#.
  51. Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
  52. Validate that 'ORC-1' contains "RE".
  53. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  54. Validate that 'RXA-6' contains the 'Qty' that was administered - "12".
  55. Validate that 'RXA-7' contains the 'Unit' given - "MG"
  56. Validate that 'RXA-20' contain "CP" for Complete Administration
  57. Validate that there are two 'ZXA' segments. One for each barcode scanned. This includes information pertaining to the scanned barcodes.
  58. Validate that "ZXA-1" for the first segment contains "1".
  59. Validate that 'ZXA-2.1' for the first segment contains the NDC of the barcode that was scanned - "00093-1720-01".
  60. Validate that 'ZXA-2.2' for the first segment contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "WARFARIN SODIUM 10 MG ORAL TABLET".
  61. Validate that 'ZXA-2.3' for the first segment contains "NDC".
  62. Validate that 'ZXA-2.4' for the first segment contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000002623".
  63. Validate that 'ZXA-3' for the first segment contains the amount administered - "10".
  64. Validate that 'ZXA-4' for the first segment contains the administered Drug Units - "MG".
  65. Validate that 'ZXA-5' for the first segment contains the Administered Drug Strength - "10".
  66. Validate that 'ZXA-6' for the first segment contains the administered Drug Strength Unit - "MG".
  67. Validate that "ZXA-1" for the second segment contains "2".
  68. Validate that 'ZXA-2.1' for the second segment contains the NDC of the barcode that was scanned - "55154-4695-00".
  69. Validate that 'ZXA-2.2' for the second segment contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "WARFARIN SODIUM 10 MG ORAL TABLET".
  70. Validate that 'ZXA-2.3' for the second segment contains "NDC".
  71. Validate that 'ZXA-2.4' for the second segment contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000002614".
  72. Validate that 'ZXA-3' for the second segment contains the amount administered - "2".
  73. Validate that 'ZXA-4' for the second segment contains the administered Drug Units - "MG".
  74. Validate that 'ZXA-5' for the second segment contains the Administered Drug Strength - "2".
  75. Validate that 'ZXA-6' for the second segment contains the administered Drug Strength Unit - "MG".
  76. Close the report and the form.
  77. Refresh the report created using the 'eMAR.eMAR_barcode_audit' table.
  78. Filter the report using the 'PATID' column by only selecting Client A's PATID.
  79. Filter the report a second time using the 'order_number' field and selecting the order # that was just administered. This can be found in the 'Order Description' in Avatar eMAR.
  80. Scroll down to the bottom of the report, this is where the most recent scans will be.
  81. Validate that there are two new rows.
  82. Validate that the first new row contains "00093-1720-01" in the 'barcode' field.
  83. Validate that the second new row contains "55154-4695-00" in the 'barcode' field.
  84. Validate that the 'order_matched_count' field contains "2" for both rows. This means that two orders were found that could be associated with the barcode scanned.
Scenario 19: Incremental Scanning - no Fill Details - under-scanning - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" - eMAR_barcode_audit validation
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • An Inbound connection must exist for "FILLDETAILS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • A push of 'Fill Details' for all orders must be done via RxConnect prior to using this functionality in order for optimum use, if applicable.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load and push of Fill Details.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have two active order for "WARFARIN SODIUM 10 MG TABLET ORAL" that have a 'Dose' and 'Dose Unit' of "10 MG" and a 'Frequency' of "Daily" with an administration time of "0900".
  • One of the orders does not have Fill Details and one of them does. For the order with Fill Details it contains "Warfarin Sodium et COUMADIN 2 MG Oral Tablet Give: 10 MG Daily".
  • Both orders for "WARFARIN SODIUM 10 MG TABLET ORAL" have had both Order Acknowledgment and Client Education completed. There are no Fill Details for this order.
  • Must have a barcode for WARFARIN SODIUM 2.5 MG TABLET ORAL.
  • Must have a report created using the 'eMAR.eMAR_barcode_audit' table that includes all fields.
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there is an order for "WARFARIN SODIUM 10 MG TABLET ORAL - Give: 10 MG EVERY DAY".
  6. Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
  7. Validate that there is an order for "Warfarin Sodium et COUMADIN 2 MG Oral Tablet - Give 10 MG Daily". This is the order with Fill Details.
  8. Validate that there is a "0900" under the current date that has a red indicator, meaning that it is not within the Administration window.
  9. Scan the 55154-4696-00, which is the barcode for "WARFARIN 2.5 MG TABLET ORAL".
  10. Validate that an 'Order Selection' dialog is displayed stating: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  11. Double Click the "0900" for the "WARFARIN SODIUM 10 MG TABLET" order that does not contain Fill Details.
  12. Validate that the "0900" cell for the "WARFARIN SODIUM 10 MG TABLET" order is highlighted yellow and contains "2.5 / 10 MG" in red font with a red triangle with a white exclamation point next to it.
  13. Scan the 55154-4696-00, which is the barcode for "WARFARIN 2.5 MG TABLET ORAL".
  14. Validate that the "0900" cell for the "WARFARIN SODIUM 10 MG TABLET" order is highlighted yellow and contains "5 / 10 MG" in red font with a red triangle with a white exclamation point next to it.
  15. Click [Administer].
  16. Validate that the 'Administration Event' dialog is displayed.
  17. Validate that 'Order' contains "WARFARIN SODIUM 10 MG TABLET".
  18. Validate that 'Scheduled Date' contains the current date.
  19. Validate that 'Scheduled Time' contains the hour of administration that was within the Administration window - "0900".
  20. Validate that 'Med ID' contains "55154-4696-00" twice separated by a comma. One for each scan of the barcode.
  21. Validate that 'Qty' contains "5".
  22. Validate that 'Unit' contains "MG".
  23. Select "Nurse Administered" in 'Administration Event'.
  24. Validate that [Warning - View] contains a red flag.
  25. Click [Warning - View]
  26. Validate that the 'Medication / Quantity' dialog contains: The order calls for 'WARFARIN SODIUM 10 MG ORAL TABLET'. The medication being administered appears to be 'WARFARIN SODIUM 2.5 MG ORAL TABLET'. The order calls for 10 MG. The quantity being administered is indicated as being 5 MG.
  27. Set the 'Override Text' field to any value.
  28. Validate that the 'Administration Date/Time' dialog contains: This Administration Event is occurring outside the allowable administration window of 60 minutes for WARFARIN SODIUM.
  29. Set the 'Override Text' field to any value.
  30. Click [Ok]
  31. Validate that [Warning - View] contains a green check mark.
  32. Check the 'Accept administration information entered' checkbox and click [OK].
  33. Validate that the "0900" cell for the "WARFARIN 10 MG TABLET ORAL" order contains "5 MG" and the time administered with a red triangle with a white exclamation point in the top right corner.
  34. Close the form.
  35. Access the 'HL7 Connection Monitor' form.
  36. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  37. Click [Show Transaction Log].
  38. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  39. Validate that 'Date Sent' contains the current date.
  40. Validate that 'Event Type' contains "RAS^O01".
  41. Validate that 'Name:' contains Client A's name in the format of Last Name^First Name.
  42. Validate that 'Order #' contains the Order # of the order that was administered.
  43. Click [View HL7 Message]
  44. Validate that the HL7 message is displayed.
  45. Validate that 'PID-3' contains Client A's ID#.
  46. Validate that 'PID-5.1' contains Client A's Last Name and that 'PID-5.2' contains Client A's First Name.
  47. Validate that 'ORC-1' contains "RE".
  48. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  49. Validate that 'RXA-6' contains the 'Qty' that was administered - "5".
  50. Validate that 'RXA-7' contains the 'Unit' given - "MG"
  51. Validate that 'RXA-20' contain "PA" for Partial Administration.
  52. Validate that there is one 'ZXA' segment.
  53. Validate that 'ZXA-2.1' contains the NDC of the barcode that was scanned - "55154-4696-00".
  54. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the barcode that was scanned - "Warfarin Sodium 2.5 MG Oral Tablet".
  55. Validate that 'ZXA-2.3' contains "NDC".
  56. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the medication that was administered - "1000002615".
  57. Validate that 'ZXA-3' contains the amount administered - "5".
  58. Validate that 'ZXA-4' contains the administered Drug Units - "MG".
  59. Validate that 'ZXA-5' contains the Administered Drug Strength - "2.5".
  60. Validate that 'ZXA-6' contains the administered Drug Strength Unit - "MG".
  61. Close the report and the form.
  62. Refresh the report created using the 'eMAR.eMAR_barcode_audit' table.
  63. Filter the report using the 'PATID' column by only selecting Client A's PATID.
  64. Filter the report a second time using the 'order_number' field and selecting the order # that was just administered. This can be found in the 'Order Description' in Avatar eMAR.
  65. Scroll down to the bottom of the report, this is where the most recent scans will be.
  66. Validate that there are two new rows.
  67. Validate that both rows contain "55154-4696-00" in the 'barcode' field. This is the NDC of the barcode that was scanned.
  68. Validate that the 'order_matched_count' field contains "2" for both rows. This means that two orders were found that could be associated with the barcode scanned.
Scenario 20: Incremental Scanning - Administration - external pharmacy mode - No Fill Details - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2"
Specific Setup:
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "2" after the Order Code Load.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • A client must have an active episode where the program or unit is set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have two active orders for "FUROSEMIDE 20 MG TABLET ORAL". One must have "Give: 1 Tablet DAILY" and the other must have "Give: 20 MG DAILY".
  • Both orders for "FUROSEMIDE 20 MG TABLET ORAL" have had both Order Acknowledgment and Client Education completed. No Fill Details for both orders.
  • Must have a barcode for FUROSEMIDE 20 MG TABLET ORAL.
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that there are two orders.
  6. FUROSEMIDE 20 MG ORAL TABLET - Give: 1 Tablet DAILY
  7. FUROSEMIDE 20 MG ORAL TABLET - Give: 20 Milligram DAILY
  8. Scan the barcode for "FUROSEMIDE 20 MG TABLET ORAL".
  9. Validate that an 'Order Selection' dialog is displayed and contains: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  10. Double Click a cell under the current date for the "FUROSEMIDE 20 MG ORAL TABLET Give: 1 Tablet DAILY" order.
  11. Validate that the cell selected contains a yellow highlight and "1 / 1 Tablet" in black font.
  12. Scan the barcode for "FUROSEMIDE 20 MG TABLET ORAL".
  13. Validate that an 'Order Selection' dialog is displayed and contains: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  14. Double Click a cell under the current date for the "FUROSEMIDE 20 MG ORAL TABLET Give: 20 Milligram DAILY" order.
  15. Validate that the cell selected contains a yellow highlight and "20 / 20 Milligram" in black font.
  16. Scan the barcode for "FUROSEMIDE 20 MG TABLET ORAL".
  17. Validate that an 'Order Selection' dialog is displayed and contains: The system identified 2 orders that match the selected medication. Please select the order and administration time by double-clicking on the appropriate cell.
  18. Double Click the cell under the current date with "20 / 20 Milligram"and the yellow highlight for the "FUROSEMIDE 20 MG ORAL TABLET Give: 20 Milligram DAILY" order.
  19. Validate that an 'Error' message is displayed that contains: Total dose scanned exceeds ordered dose for FUROSEMIDE 20 MG TABLET (Order #: 3586). Do you wish to continue with the selection?
  20. Click [Cancel]
  21. Validate that the cell under the current date for the "FUROSEMIDE 20 MG ORAL TABLET Give: 1 Tablet DAILY" order contains a yellow highlight and "1 / 1 Tablet" in black font.
  22. Validate that the cell under the current date for the "FUROSEMIDE 20 MG ORAL TABLET Give: 20 Milligram DAILY" order contains a yellow highlight and "20 / 20 Milligram" in black font.
  23. Click [Administer].
  24. Validate that the 'Administration Event' dialog is displayed.
  25. Validate that there are two rows.
  26. Validate the 'Order' cell for both rows contain "FUROSEMIDE 20 MG TABLET".
  27. Validate the 'Scheduled Date' cell for both rows contain the current date.
  28. Validate the 'Scheduled Time' cell for both rows contain "N/A" because the orders had no scheduled administration times.
  29. Validate the 'Med ID' cell for both rows contain "55154-5539-00".
  30. Validate the 'Qty' cell for the first row contains "1".
  31. Validate the 'Unit' cell for the first row contains "TABLET".
  32. Validate the 'Qty' cell for the first row contains "20".
  33. Validate the 'Unit' cell for the first row contains "MILLIGRAM"
  34. Select "Nurse Administered" in the 'Default Administration Event' field.
  35. Check the 'Accept administration information entered' checkbox and click [Ok].
  36. Validate that the cell for the "FUROSEMIDE 20 MG ORAL TABLET Give: 1 Tablet DAILY" order contains 1 TABLET and the time administered.
  37. Validate that the cell for the "FUROSEMIDE 20 MG ORAL TABLET Give: 20 Milligram DAILY" order contains 20 MILLIGRAM and the time administered.
Scenario 21: Incremental Scanning - Sliding Scale insulin order - Administration - Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1"
Specific Setup:
  • Avatar RxConnect must be installed and configured to communicate with myAvatar via Avatar HL7 and vice versa.
  • An Outbound connection must exist for "ADT" and "ORDERS".
  • The [Create/Update Order Codes] in the 'Order Code Load/Update Utility Via Micromedex Red Book Database' form must be clicked prior to using this functionality in order for optimum use.
  • The 'Avatar eMAR->General->Settings->->->Enable Incremental Scanning/Defaulting Medication Quantity' must be set to "1" after the Order Code Load.
  • The 'Avatar eMAR->General->Settings->->->Enable Medication And Quantity Checking' registry setting must be set to "3".
  • The '(10273) Type of Measure' extended attribute off of '(10270) Dose Unit' for 'Order Entry Tabled Files' must be set for all Dose Units. This must be completed in 'Dictionary Update' under Avatar CWS.
  • A client must have an active episode where the program or unit is not set up in the 'External Pharmacy Setup' form. (Client A)
  • Client A must have an active order for any insulin order that was configured as Sliding Scale Insulin."HUMALOG KWIKPEN (INSULIN LISPRO) 100 UNITS/1 ML SUBCUTANEOUS SOLUTION" where a Sliding Scale Template was selected and that has a 'Frequency' of "As Needed" that started yesterday.
  • The order for "HUMALOG KWIKPEN (INSULIN LISPRO) 100 UNITS/1 ML SUBCUTANEOUS SOLUTION" has had both Order Acknowledgment and Client Education completed. There are no Fill Details for this order.
  • Must have a barcode for "HUMALOG KWIKPEN (INSULIN LISPRO) 100 UNITS/1 ML SUBCUTANEOUS SOLUTION".
Steps
  1. Access 'Avatar eMAR'.
  2. Validate that the 'Administration Date' field contains the current date.
  3. Validate that the 'Enable Multiple Administration Selection' checkbox is disabled and checked.
  4. Select "Client A" in the 'Client' field.
  5. Validate that an order for "HUMALOG KWIKPEN (INSULIN LISPRO) 100 UNITS/1 ML SUBCUTANEOUS SOLUTION" is displayed.
  6. Validate that there are no administration times in the cells under the current date.
  7. Scan the barcode for "HUMALOG KWIKPEN (INSULIN LISPRO) 100 UNITS/1 ML SUBCUTANEOUS SOLUTION".
  8. Validate that the first cell under the current date contains a yellow highlight.
  9. Scan the barcode for "HUMALOG KWIKPEN (INSULIN LISPRO) 100 UNITS/1 ML SUBCUTANEOUS SOLUTION".
  10. Validate that the first cell under the current date contains a yellow highlight.
  11. Validate that the [Administer] button contains a "1"
  12. Click [Administer].
  13. Validate that the 'Administration Event' dialog is displayed and contains one row.
  14. Validate that 'Order' contains "HUMALOG KWIKPEN (INSULIN LISPRO) 100 UNITS/1 ML SUBCUTANEOUS SOLUTION".
  15. Validate that 'Scheduled Date' contains the current date.
  16. Validate that 'Scheduled Time' contains the scheduled hour of administration - "N/A".
  17. Validate that 'Med ID' contains "00002-8799-59" which is the NDC from the barcode that was scanned.
  18. Validate that 'Qty' does not contain a value.
  19. Validate that 'Unit' contains "UNITS".
  20. Validate that the [SSI] button is enabled.
  21. Click [SSI].
  22. Validate that the 'Sliding Scale Insulin' dialog is displayed.
  23. Set the 'Blood Glucose mg/dL' field to "98" and tab out of the field.
  24. Validate that a value is highlighted value - "1".
  25. Click [Select Dose].
  26. Validate that 'Qty' contains the value highlighted in the 'Sliding Scale Insulin' dialog - "1".
  27. Validate that 'Unit' contains "UNIT".
  28. Select "Nurse Administered" in 'Administration Event'.
  29. Check the 'Accept administration information entered' checkbox.
  30. Click [Ok]
  31. Validate that the first cell under the current date contains "1 UNIT" and the time administered.
  32. Close the form
  33. Access the 'HL7 Connection Monitor' form.
  34. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  35. Click [Show Transaction Log].
  36. Validate that the 'HL7 Outbound Transaction Log' report is displayed.
  37. Validate that 'Date Sent' contains the current date.
  38. Validate that 'Event Type' contains "RAS^O01".
  39. Validate that 'Name' contains Client A's name in the format of Last Name^First Name.
  40. Validate that 'Order #' contains the Order # of the order that was administered.
  41. Click the 'View HL7 Message' link.
  42. Validate that the 'HL7 Message' is displayed.
  43. Validate that 'PID-3' contains Client A's ID#.
  44. Validate that 'PID-5.1' contains Client A's Last Name and that PID-5.2 contains Client A's First Name.
  45. Validate that 'ORC-1' contains "RE".
  46. Validate that 'ORC-2' contains the 'Order #' of the order that was administered.
  47. Validate that 'RXA-6' contains the administered Qty - "1"
  48. Validate that 'RXA-7' contains the administered Unit - "UNIT"
  49. Validate that 'RXA-20' contains "CP", which is for Complete Administration.
  50. Validate that there is one ZXA segment.
  51. Validate that 'ZXA-1' segment contains "1".
  52. Validate that 'ZXA-2.1' contains the NDC of the barcode that was scanned - "00002-8799-59".
  53. Validate that 'ZXA-2.2' contains the "Order Description", "Strength", "Route" and "Form" of the first barcode that was scanned - "INSULIN LISPRO, RECOMBINANT 100 UNITS SUBCUTANEOUS SOLUTION"
  54. Validate that 'ZXA-2.3' for the first ZXA segment contains "NDC"
  55. Validate that 'ZXA-2.4' contains the "Micromedex Composite Generic ID" or (CGID) of the first medication that was scanned - "1000028442".
  56. Validate that 'ZXA-3' contains the amount administered - "100"
  57. Validate that 'ZXA-4' contains the administered drug units - "U/1ML"

Topics
• Order Entry Console
Medication Reconciliation - Changing clients
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • HomeView - my Clients
  • Order Entry Console
Scenario 1: Changing clients - Medication Reconciliation
Specific Setup:
  • Two clients (Client A, Client B) must exist in inpatient episodes
  • Medication Reconciliation must be configured to display both Admission and Discharge Medication Reconciliation tabs
  • The My Clients widget must be available in the Order Entry Console view
Steps
  1. Access the 'Order Entry Console' for Client A.
  2. Click the 'Admission Med Reconciliation' tab.
  3. Set the New Order field to any order code.
  4. Click [Add to Scratchpad].
  5. Set the 'Search Client' field to "Client B".
  6. Validate the correct orders display for Client B.
  7. Set the 'Search Clients' field to "Client A".
  8. Validate a popup displays "New medications may have been added since you switched clients. Do you want to restart reconciliation to ensure all medication orders are up to date or continue with the reconciliation progress?"
  9. Click [Continue].
  10. Validate the order code added to the scratchpad still displays.
  11. Click the 'Discharge Med Reconciliation' tab.
  12. Validate a popup displays "Not all Home Medications have been reconciled. Please continue to review each medication, assigning a new Action to every row within the Home Medication (Pre-Admit) list before proceeding. If you proceed, all your progress will be lost. Is this okay?"
  13. Click [Yes].
  14. Set the 'New Order' field to any order code.
  15. Click [Add to Scratchpad].
  16. Set the 'Search Clients' field to "Client B".
  17. Validate the 'Discharge Med Reconciliation' tab displays information for Client B.
  18. Set the 'Search Clients' field to "Client A".
  19. Validate a popup displays "Not all Home Medications have been reconciled. Please continue to review each medication, assigning a new Action to every row within the Home Medication (Pre-Admit) list before proceeding. If you proceed, all your progress will be lost. Is this okay?"
  20. Click [Continue].
  21. Validate the 'Discharge Med Reconciliation' tab displays information for Client A.

Topics
• Medication Reconciliation
'Client Reported' orders - default 'Stop Date' based on 'Reported Source'.
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Entry Console
  • Order Entry Console - Home Medications section
Scenario 1: Order Entry Console (Home Medications section) - new Client Reported order - Reported Source required with default value
Specific Setup:
  • OrderConnect must be installed and configured to communicate with myAvatar and vice versa.
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Require 'Reported Source' for Client-Reported in OE Console (Home Meds section)' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Default for 'Reported Source' in OE Console (Home Meds section)' registry setting is set to "TF - Transferring Facility".
  • The '(20776) Days to Keep Reported Medication from the Current Date' extended attribute off of Order Entry Client Information '(20775) Home Medications - Reported Source' dictionary must contain a value for "TF- Transferring Facility". (ex. 5)
  • 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.
Steps
  1. Select any client and access the 'Order Entry Console'.
  2. Select 'Home Medications'.
  3. Validate that the 'Client Reported' checkbox is checked.
  4. Set the 'New Order' field to any pharmacy-type order code. (ex. PriLOSEC 20 MG Capsule, Delayed Release Oral)
  5. Set the 'Dose' field to "1"
  6. Validate that 'Dose Unit' contains "Capsule".
  7. Select any value in the 'Frequency' field. (ex. Every Day)
  8. Validate that the 'Start Date' field contains the current date.
  9. Validate that the 'Stop Date' contains a date that is 5 Days in the future of the current date. This is the value that was entered in the extended attribute off of '(20775) Home Medications - Reported Source'.
  10. Set the 'Start Date' to a date in the past. (ex. 01/15/2020)
  11. Validate that the 'Stop Date' does not change and still contains a date that is 5 Days in the future of the current date.
  12. Validate that the 'Directions' field contains: Take one (1) capsule by mouth daily.
  13. Validate that the 'Reported Source' field is required, enabled and contains "Transferring Facility". This is the value selected in the 'Default for 'Reported Source' in OE Console (Home Meds section)' registry setting.
  14. Click [Save].
  15. Validate that the 'Order grid' contains the new order.
  16. Validate that the new order contains "Client Reported" and a 'Rx ID' in 'Order Type'. Make note of the 'Rx ID'.
  17. Validate that 'Order Details' contains: PriLOSEC - 20 MG, ECC, PO - Take one (1) capsule by mouth daily - (Refills: 0, Dispense Quantity: 0) - Reported Source: Transferring Facility.
  18. Create a report using the 'OrderEntry.home_meds_addl_data' table and include the following fields: 'rx_or_reported', 'rx_id', 'reported_source_code' and 'reported_source_value'.
  19. Sort the report using 'rx_id' and select the value that is associated with the order. This value can be found in 'Order Type' in the 'Order grid' in the 'Order Entry Console (Home Medications section)'.
  20. Validate the 'rx_or_reported' contains "Reported".
  21. Validate that 'reported_source_code' contains "TF"
  22. Validate that 'reported_source_value' contains "Transferring Facility".
Scenario 2: Order Entry Console (Home Medications section) - new Client Reported order - Reported Source required with no default value
Specific Setup:
  • OrderConnect must be installed and configured to communicate with myAvatar and vice versa.
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Require 'Reported Source' for Client-Reported in OE Console (Home Meds section)' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Default for 'Reported Source' in OE Console (Home Meds section)' registry setting contains no value.
  • The '(20776) Days to Keep Reported Medication from the Current Date' extended attribute off of Order Entry Client Information '(20775) Home Medications - Reported Source' dictionary must contain a value for "TF- Transferring Facility". (ex. 5)
  • 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.
Steps
  1. Select any client and access the 'Order Entry Console'.
  2. Select the 'Home Medications' tab.
  3. Validate that 'Client Reported' is checked.
  4. Set the 'New Order' field to any medication. (ex. Simvastatin 20 MG Tablet Oral)
  5. Set the 'Dose' field to "1"
  6. Validate that the 'Dose Unit' field contains "Tablet".
  7. Select any value in the 'Frequency' field. (ex. Twice a Day).
  8. Validate that the 'Start Date' contains the current date.
  9. Validate that the 'Stop Date' does not contain a value.
  10. Set the 'Start Date' to a date in the past. (ex. 01/15/2020)
  11. Validate that the 'Reported Source' field is required, enabled and does not contain a value.
  12. Click [Save]
  13. Validate that an 'Error' message is displayed stating: Reported Source field is required.
  14. Click [OK].
  15. Select "Transferring Facility" in the 'Reported Source' field.
  16. Validate that 'Stop Date' contains a date that is 5 Days in the future of the current date. This is the value that was entered in the extended attribute off of '(20775) Home Medications - Reported Source'.
  17. Click [Save].
  18. Validate that the 'Order grid' contains the new order.
  19. Validate that "Client Reported" and 'Rx ID: [unique value]' are displayed in the 'Order Type' column. Make note of the 'Rx ID' value.
  20. Validate that 'Order Details' contains the following: Simvastatin - 20 MG, TAB, PO - Take one (1) tablet by mouth twice a day - (Refills: 0, Dispense Quantity: 0) - Reported Source: Transferring Facility.
  21. Create a report using the 'OrderEntry.home_meds_addl_data' table and include the following fields: 'rx_or_reported', 'rx_id', 'reported_source_code' and 'reported_source_value'.
  22. Sort the report using 'rx_id' and select the value that is associated with the order. This value can be found in 'Order Type' in the 'Order grid' in the 'Order Entry Console (Home Medications section)'.
  23. Validate the 'rx_or_reported' contains "Reported".
  24. Validate that 'reported_source_code' contains "TF"
  25. Validate that 'reported_source_value' contains "Transferring Facility".
Scenario 3: Order Entry Console (Home Medications section) - new Client Reported order - Reported Source not required with default value - changing new Reported Source
Specific Setup:
  • OrderConnect must be installed and configured to communicate with myAvatar and vice versa.
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Require 'Reported Source' for Client-Reported in OE Console (Home Meds section)' registry setting must be set to "N".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Default for 'Reported Source' in OE Console (Home Meds section)' registry setting is set to "TF - Transferring Facility".
  • The '(20776) Days to Keep Reported Medication from the Current Date' extended attribute off of Order Entry Client Information '(20775) Home Medications - Reported Source' dictionary must contain a value for each dictionary code that is defined.
  • 'Caregiver' = "25"
  • 'Client Reported' = "3"
  • 'Other Physician' = "10"
  • 'Parent' = no value
  • 'Primary Care Physician' = "7"
  • 'TF- Transferring Facility' = "5"
  • 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.
Steps
  1. Select any client and access the 'Order Entry Console'.
  2. Select 'Home Medications'.
  3. Validate that the 'Client Reported' checkbox is checked.
  4. Set the 'New Order' field to any pharmacy-type order code. (ex. Furosemide 40 MG Tablet Oral)
  5. Validate that the 'Start Date' field contains the current date.
  6. Validate that 'Stop Date' contains a date that is 5 Days in the future of the current date. This is the value that was entered in the extended attribute off of '(20775) Home Medications - Reported Source'.
  7. Set the 'Start Date' to a date in the past. (ex. 01/15/2019)
  8. Validate that 'Stop Date' does not change and still contains a date that is 5 Days in the future of the current date.
  9. Validate that the 'Reported Source' field is not required, enabled and contains "Transferring Facility". This is the value selected in the 'Default for 'Reported Source' in OE Console (Home Meds section)' registry setting.
  10. Select "Caregiver" in the 'Reported Source' field.
  11. Validate that 'Stop Date' contains a date that is 25 Days in the future of the current date. This is the value that was entered in the extended attribute off of '(20775) Home Medications - Reported Source'.
  12. Select "Client Reported" in the 'Reported Source' field.
  13. Validate that 'Stop Date' contains a date that is 3 Days in the future of the current date. This is the value that was entered in the extended attribute off of '(20775) Home Medications - Reported Source'.
  14. Select "Other Physician" in the 'Reported Source' field.
  15. Validate that 'Stop Date' contains a date that is 10 Days in the future of the current date. This is the value that was entered in the extended attribute off of '(20775) Home Medications - Reported Source'.
  16. Select "Parent" in the 'Reported Source' field.
  17. Validate that 'Stop Date' contains no value.
  18. Select "Transferring Facility" in the 'Reported Source' field.
  19. Validate that the 'Stop Date' contains a date that is 5 Days in the future of the current date. This is the value that was entered in the extended attribute off of '(20775) Home Medications - Reported Source'.
  20. Click [Save].
  21. Validate that the 'Order grid' contains the new order.
  22. Validate that the new order contains "Client Reported" and a 'Rx ID' in 'Order Type'. Make note of the 'Rx ID'.
  23. Validate that 'Order Details' contains: Furosemide - 40 MG, TAB, PO - (Refills: 0, Dispense Quantity: 0) - Reported Source: Transferring Facility.
  24. Create a report using the 'OrderEntry.home_meds_addl_data' table and include the following fields: 'rx_or_reported', 'rx_id', 'reported_source_code' and 'reported_source_value'.
  25. Sort the report using 'rx_id' and select the value that is associated with the order. This value can be found in 'Order Type' in the 'Order grid' in the 'Order Entry Console (Home Medications section)'.
  26. Validate the 'rx_or_reported' contains "Reported".
  27. Validate that 'reported_source_code' contains "TF"
  28. Validate that 'reported_source_value' contains "Transferring Facility".
Scenario 4: Order Entry Console (Home Medications section) - Edit Client Reported order that was created before 'Reported Source' existed. - Reported Source required with default value
Specific Setup:
  • OrderConnect must be installed and configured to communicate with myAvatar and vice versa.
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Require 'Reported Source' for Client-Reported in OE Console (Home Meds section)' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Default for 'Reported Source' in OE Console (Home Meds section)' registry setting is set to "TF - Transferring Facility".
  • The '(20776) Days to Keep Reported Medication from the Current Date' extended attribute off of Order Entry Client Information '(20775) Home Medications - Reported Source' dictionary must contain a value for "TF- Transferring Facility". (ex. 5)
  • 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
  • A client must have an active 'Client Reported' order without a 'Stop Date' and that was created before this new functionality. (Client A) (Order A)
Steps
  1. Select "Client A" and access the 'Order Entry Console'.
  2. Select 'Home Medications'.
  3. Validate that the 'Order grid contains a 'Client Reported' order.Validate the Order grid table contains "Order A"
  4. Validate that the 'Client Reported' checkbox is checked.
  5. Select "Order A" in the 'Order grid' and click [Edit].
  6. Validate that the 'Start Date' contains a date in the past.
  7. Validate that the 'Stop Date' does not contain a value.
  8. Validate that the 'Reported Source' field is required, enabled and does not contain a value.
  9. Click [Save].
  10. Validate that an 'Error' message is displayed stating: Reported Source field is required.
  11. Click [OK].
  12. Select "Transferring Facility" in the 'Reported Source' field.
  13. Validate that the 'Stop Date' field does not contain a value.
  14. Set the 'Stop Date' field to a date that is 3 days in the future.
  15. Click [Save].
  16. Validate that the 'Order grid' contains the same order with "Reported Source: Transferring Facility" displayed on the last line of 'Order Details'.
Scenario 5: Order Entry Console (Home Medications section) - New Client Reported order and Edit Client Reported order - Reported Source required with default value
Specific Setup:
  • OrderConnect must be installed and configured to communicate with myAvatar and vice versa.
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Require 'Reported Source' for Client-Reported in OE Console (Home Meds section)' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Default for 'Reported Source' in OE Console (Home Meds section)' registry setting is set to "TF - Transferring Facility".
  • The '(20776) Days to Keep Reported Medication from the Current Date' extended attribute off of Order Entry Client Information '(20775) Home Medications - Reported Source' dictionary must contain a value of "5" for "TF- Transferring Facility" and a value of "3" for "Client Reported".
  • 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
Steps
  1. Select any client and access the 'Order Entry Console'.
  2. Select 'Home Medications'.
  3. Validate that the 'Client Reported' checkbox is checked.
  4. Set the 'New Order' field to any medication. (ex. PriLOSEC 20 MG Capsule, Delayed Release Oral)
  5. Set the 'Dose' field to "1".
  6. Validate that 'Dose Unit' contains "Capsule".
  7. Select any value in the 'Frequency' field. (ex. Every Day)
  8. Validate that the 'Start Date' field contains the current date.
  9. Validate that the 'Stop Date' field contains a date that is 5 Days in the future of the current date. This is the value that was entered in the extended attribute off of '(20775) Home Medications - Reported Source'.
  10. Set the 'Start Date' to a date in the past. (ex. 01/12/2020)
  11. Validate that the 'Stop Date' field is unchanged and contains a date that is 5 days in the future of the current date.
  12. Validate that 'Directions' contains: Take one (1) capsule by mouth daily.
  13. Validate that the 'Reported Source' field is required, enabled and contains "Transferring Facility". This is the value selected in the 'Default for 'Reported Source' in OE Console (Home Meds section)' registry setting
  14. Select "Client Reported" in the 'Reported Source' field.
  15. Validate that the 'Stop Date' field is updated to contain a date that is 3 days in the future of the current date. This is the value that was entered in the extended attribute off of '(20775) Home Medications - Reported Source'.
  16. Click [Save].
  17. Validate that the 'Order grid' contains a new order.
  18. Validate that "Client Reported" and 'Rx ID: [unique value]' in the 'Order Type' column. Make note of the 'Rx ID' value.
  19. Validate that 'Order Details' contains the following: PriLOSEC - 20 MG, ECC, PO - Take one (1) capsule by mouth daily - (Refills: 0, Dispense Quantity: 0) - Reported Source: Client Reported.
  20. Select the HomeView.
  21. Create a report using the 'OrderEntry.home_meds_addl_data' table and include the following fields: 'rx_or_reported', 'rx_id', 'reported_source_code' and 'reported_source_value'.
  22. Sort the report using 'rx_id' and select the value that is associated with the order. This value can be found in 'Order Type' in the 'Order grid' in the 'Order Entry Console (Home Medications section)'.
  23. Validate that one row is displayed.
  24. Validate the 'rx_or_reported' contains "Reported".
  25. Validate that 'reported_source_code' contains "CR"
  26. Validate that 'reported_source_value' contains "Client Reported".
  27. Select the client for whom the order was created and access the 'Order Entry Console.
  28. Select 'Home Medications'.
  29. Validate that the 'Order grid' contains the new order.
  30. Select the order in the 'Order grid' and click [Edit].
  31. Validate that the 'Dose' field contains "1".
  32. Validate that the 'Dose Unit' field contains "Capsule".
  33. Validate that the 'Frequency' field contains "Every Day".
  34. Validate that the 'Start Date' field contains "01/12/2020".
  35. Validate that the 'Stop Date' field contains the date that was defaulted when creating the order, which is a date that is 3 days in the future of the current date
  36. Validate that the 'Directions' field contains: Take one (1) capsule by mouth daily
  37. Validate that the 'Reported Source' field contains "Client Reported".
  38. Select "Transferring Facility" in the 'Reported Source' field.
  39. Validate that the 'Stop Date' field remains unchanged and contains a date that is 3 days from the current date.
  40. Click [Save].
  41. Validate that the 'Order grid' contains the same order.
  42. Validate that the 'Rx ID: [unique value]' in the 'Order Type' column is the same value as before.
  43. Validate that 'Order Details' contains the following: PriLOSEC - 20 MG, ECC, PO - Take one (1) capsule by mouth daily - (Refills: 0, Dispense Quantity: 0) - Reported Source: Transferring Facility
  44. Select the HomeView.
  45. Refresh the report created using the 'OrderEntry.home_meds_addl_data' table that includes the following fields: 'rx_or_reported', 'rx_id', 'reported_source_code' and 'reported_source_value'.
  46. Sort the report using 'rx_id' and select the value that is associated with the order. This value can be found in 'Order Type' in the 'Order grid' in the 'Order Entry Console (Home Medications section)'.
  47. Validate that one row is displayed.
  48. Validate the 'rx_or_reported' contains "Reported".
  49. Validate that 'reported_source_code' contains "TF"
  50. Validate that 'reported_source_value' contains "Transferring Facility".
  51. Close the report.
Scenario 6: Discharge Med Reconciliation - New order - Reported Source for Client Reported required with no default
Specific Setup:
  • OrderConnect must be installed and configured to communicate with myAvatar and vice versa.
  • The The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Require 'Reported Source' for Client-Reported in OE Console (Home Meds section)' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Default for 'Reported Source' in OE Console (Home Meds section)' registry setting contains no value.
  • 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.
  • A client must have an active Inpatient episode. (Client A)
Steps
  1. Select "Client A" and access the 'Order Entry Console'.
  2. Select 'Discharge Med Reconciliation'
  3. Set the 'New Order' field to any medication. (ex. Ativan 2 MG Tablet Oral).
  4. Set the 'Dose' field to "1".
  5. Validate that the 'Dose Unit' field contains "Tablet".
  6. Select any value in the 'Frequency' field.
  7. Select any value in the 'Diagnosis' field.
  8. Validate that the 'Refills' field contains "0".
  9. Validate that the 'Days Supply' field does not contain a value.
  10. Validate that the 'Dispense Qty' field contains "0".
  11. Validate that the 'Dispense Qty Unit' field contains "Tablet".
  12. Validate that the 'Start Date' field contains the current date.
  13. Validate that the 'Stop Date' field does not contain a value.
  14. Set the 'Days Supply' field to "28".
  15. Validate that the 'Dispense Qty' field contains "84".
  16. Click [Add to Scratchpad].
  17. Validate that 'Discharge Medications Scratchpad' contains the new order with "NEW" in the 'Action' column.
  18. Click [Restart Reconciliation]
  19. Validate that a 'Warning' message is displayed stating: Clicking restart will discard all current changes. Are you sure you wish to restart?
  20. Click [Yes].

Topics
• Order Entry Console
Support for Clinical Pathways
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Client Header
  • HomeView.Client Information widget
Scenario 1: Validate support for Clinical Pathways in the 'My Clients' widget, 'Client Header' and 'Client Information' widget
Specific Setup:
  • A pathway is defined in the 'Clinical Pathway Definition' form. "Yes" is selected in the 'Alert When Accessed' field. This pathway is also defined with a color and icon (Pathway A).
  • A client is enrolled in "Pathway A" (Client A). This can be done in the 'Clinical Pathway Enrollment' form.
  • The 'Client Information' widget is added to the HomeView.
  • "Clinical Pathway" must be added to the 'Field to Include in Client Header' field in the 'Client Lookup/Header Configuration Manager' form.
Steps
  1. Access the 'My Clients' widget.
  2. Validate the 'My Clients' widget contains "Client A" and it is displayed in the color defined in the 'Clinical Pathway Definition' form.
  3. Click on the "Site" section of the 'My Clients' widget and search for "Client A"
  4. Validate a "Client Alert" message is displayed stating: Selected Client is Enrolled in the following Clinical Pathways: PATHWAY A. Continue?
  5. Click [Yes].
  6. Validate "Client A" is displayed in the color defined in the 'Clinical Pathway Definition' form.
  7. Click the 'My Clients' widget "Client" tab
  8. Double click on "Client A".
  9. Validate a "Client Alert" message is displayed stating: Selected Client is Enrolled in the following Clinical Pathways: PATHWAY A. Continue?
  10. Click [Yes].
  11. Validate the 'Client Chart' and 'Client Header' are displayed.
  12. Validate the 'Client Header' contains "Client A" and it is displayed in the color defined in the 'Clinical Pathway Definition' form.
  13. Validate the 'Client Header' contains the icon defined in the 'Clinical Pathway Definition' form.
  14. Close the chart.
  15. Select "Client A" in the 'My Clients' widget.
  16. Validate a "Client Alert" message is displayed stating: Selected Client is Enrolled in the following Clinical Pathways: PATHWAY A. Continue?
  17. Click [Yes].
  18. Access the 'Client Information' widget.
  19. Validate the 'Client Information' widget contains "Client A" and it is displayed in the color defined in the 'Clinical Pathway Definition' form.
  20. Validate the 'Client Information' widget contains the icon defined in the 'Clinical Pathway Definition' form.

Topics
• Client Banner
Defer Activation of orders - Pre-Admit Episode
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Avatar eMAR
  • CareFabric Monitor
  • HL7 Connection Monitor
  • Order Entry Console
  • HL7 Connection Monitor - HL7 Outbound Transaction Log
  • Order Entry Console - Scratchpad
Scenario 1: New Pharmacy Order - Pre-Admit program - does not go to eMAR, RxConnect or CareConnect via Avatar CareFabric.
Specific Setup:
  • RxConnect must be installed and configured to communicate with myAvatar and vice versa.
  • Avatar CareFabric must be installed and configured to communicate with myAvatar and vice versa.
  • CareConnect must be installed and configured to communicate with Avatar CareFabric and vice versa.
  • There must be an active '(Outbound)ORDERS-RXCONNECT' connection.
  • The 'Avatar PM->Client Management->Movement Options->->->Allow Admission To File/Edit Pre-Admits' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Allow New Orders For Pre-Admit Episodes' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Defer Activation of Orders in a Pre-Admit Episode' registry setting must be set to "Y".
  • The user who is logged into the application must have no value selected in the 'Allow To Activate Pre-Admit Orders' field on the 'Order Entry User Definition' or 'Order Entry User Role' forms
  • A client must have an active Pre-Admit episode (Client A).
Steps
  1. Access the Order Entry Console for Client A.
  2. Set the New Order field to "a pharmacy-type order code (ex. PRILOSEC (OMEPRAZOLE) 10 MG CAPSULE, DELAYED RELEASE ORAL)".
  3. Set the Dose field to "1".
  4. Select "CAPSULE" from the 'Dose Unit' field.
  5. Select a value that has administration times associated to it (ex. TWICE A DAY, which has administration times of 09:00 AM and 09:00 PM) from the Freq field.
  6. Validate the 'First Dose Date' field properties equal disabled.
  7. Validate the 'First Dose Date' field does not contain a value.
  8. Validate the 'First Dose Time' field properties equal disabled.
  9. Validate the 'First Dose Time' field does not contain a value.
  10. Validate the 'Skip 1st Dose - Yes' button properties equal disabled.
  11. Validate the 'Give Initial Dose Now - Yes' button properties equal disabled.
  12. Select any value from the 'Reason' field.
  13. Set the 'Diagnosis' field to "Heartburn".
  14. Validate the 'Duration' field properties equal required.
  15. Validate the 'Duration' field properties equal enabled.
  16. Set the 'Duration field' to "30".
  17. Click [Days].
  18. Verify the 'Start Date' field does not exist.
  19. Verify the 'Start Time' field does not exist.
  20. Verify the 'Stop Date' field does not exist.
  21. Verify the 'Stop Time' field does not exist.
  22. Select any value from the Instructions field.
  23. Validate the 'Addl Instructions' field contains the value selected in the 'Instructions' field.
  24. Click [Add to Scratchpad].
  25. Validate the 'Action' field contains "ADD".
  26. Validate the 'Order' field contains PRILOSEC (OMEPRAZOLE) 10 MG CAPSULE, DELAYED RELEASE ORAL - 1 CAPSULE TWICE A DAY.
  27. Validate the 'Start Date' field contains "01/01/2099".
  28. Validate the 'Stop Date' field contains a date that is 30 days from the 'Start Date'. - 01/30/2099.
  29. Click [Sign].
  30. Validate the 'Order' grid contains the new order.
  31. Validate the 'Order' grid contains the following in the 'Order Details' column: PRILOSEC (OMEPRAZOLE 10 MG ORAL CAPSULE, DELAYED RELEASE - 1 CAPSULE, TWICE A DAY - Reason: [the reason selected when creating the order].
  32. Validate the Order grid table contains the 'Additional Instructions' entered when creating the order in the 'Addl Instructions' column.
  33. Validate the Order grid table contains an 'Order Status' of "Active".
  34. Validate the Order grid table contains a value of "01/01/2099" in the 'Start Date' field.
  35. Validate the Order grid table contains a 'Stop Date' that is 30 days in the future of the 'Start Date', which will be "01/30/2099".
  36. Access the HomeView.
  37. Open the 'HL7 Connection Monitor' form.
  38. Select "(Outbound) ORDERS-RXCONNECT" from the 'Select Row' field.
  39. Click the Show Transaction Log button.
  40. Verify the 'HL7 Outbound Transaction Log' page exists.
  41. Validate the 'HL7 Outbound Transaction Log' page does not contain any messages for Client A.
  42. Click [Close Report].
  43. Click [Close Form].
  44. Access Avatar eMAR for Client A.
  45. Validate the 'Administration Date' field contains the current date.
  46. Verify the 'Medications' tab exists.
  47. Validate the 'Patient:' item contains "Client A's Name and PATID in the format of Last Name,First Name (PATID)".
  48. Validate the 'Order Description Column' item does not contain a value.
  49. Set the 'Administration Date' field to "01/01/2099".
  50. Click [Time].
  51. Validate the 'Order Description Column' item does not contain a value.
  52. Set the 'Administration Date' field to the current date.
  53. Click [Time].
  54. Access the HomeView.
  55. Open the 'CareFabric Monitor' form.
  56. Set the 'From Date' field to the current date.
  57. Set the 'Through Date' field to the current date.
  58. Set the 'Client ID' field to the ID associated with Client A.
  59. Select "Out" from the 'Activity Direction' field.
  60. Click [View Activity Log].
  61. Verify the 'CareFabric Monitor Report' page exists.
  62. Validate the 'CareFabric Monitor Report' page contains a "No Data Found For Report message"
Scenario 2: Copy Pharmacy Order - Pre-Admit episode
Specific Setup:
  • RxConnect must be installed and configured to communicate with myAvatar and vice versa.
  • Avatar CareFabric must be installed and configured to communicate with myAvatar and vice versa.
  • CareConnect must be installed and configured to communicate with Avatar CareFabric and vice versa.
  • There must be an active '(Outbound)ORDERS-RXCONNECT' connection.
  • The 'Avatar PM->Client Management->Movement Options->->->Allow Admission To File/Edit Pre-Admits' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Allow New Orders For Pre-Admit Episodes' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Defer Activation of Orders in a Pre-Admit Episode' registry setting must be set to "Y".
  • The user who is logged into the application must have no value selected in the 'Allow To Activate Pre-Admit Orders' field on the 'Order Entry User Definition' or 'Order Entry User Role' forms
  • A client must have an active Pre-Admit episode and an active order for PRILOSEC (OMEPRAZOLE) 10 MG ORAL CAPSULE, DELAYED RELEASE - 1 CAPSULE, TWICE A DAY - Reason: As per Doctor's request with a 'Diagnosis' of "Heartburn", a 'Duration' of "30 Days", and a value in 'Addl Instructions' of "Take with water. (Client A) (Order A)
Steps
  1. Access the Order Entry Console for Client A
  2. Validate the 'Order' grid contains an order for PRILOSEC (OMEPRAZOLE) 10 MG ORAL CAPSULE, DELAYED RELEASE - 1 CAPSULE, TWICE A DAY - Reason: As per Doctor's request
  3. Select "Order A" from the 'Order' grid
  4. Validate the 'D/C' button properties equal enabled
  5. Validate the 'Copy' button properties equal enabled
  6. Validate the 'Modify' button properties equal enabled
  7. Validate the 'Print' button properties equal enabled.
  8. Click [Copy]
  9. Validate the 'Dose' field contains "1"
  10. Validate the 'Dose Unit' field contains "CAPSULE"
  11. Validate the 'Freq' field contains "TWICE A DAY"
  12. Validate the 'First Dose Date' field properties equal disabled
  13. Validate the 'First Dose Date' field does not contain a value
  14. Validate the 'First Dose Time' field properties equal disabled
  15. Validate the First Dose Time field does not contain a value
  16. Validate the 'Skip 1st Dose - Yes' button properties equal disabled
  17. Validate the 'Give Initial Dose Now - Yes' button properties equal disabled
  18. Validate the 'Reason' field contains the value selected when creating the order - As per Doctor's request.
  19. Validate the 'Diagnosis' field contains the value selected when creating the order - Heartburn
  20. Validate the 'Duration' field contains "30"
  21. Validate the 'Days' button properties equal selected
  22. Validate the 'Addl Instructions' field contains the value selected from the 'Instructions' field when creating the order - Take with water.
  23. Click [Add to Scratchpad]
  24. Validate the 'Action' field contains "COPY"
  25. Validate the 'Order' field contains PRILOSEC (OMEPRAZOLE) 10 MG CAPSULE, DELAYED RELEASE ORAL - 1 CAPSULE TWICE A DAY
  26. Validate the 'Start Date' field contains "01/01/2099"
  27. Validate the 'Stop Date' field contains a date that is 30 days from the 'Start Date'. - 01/30/2099
  28. Click [Sign]
  29. Validate the 'Order grid contains the new order
  30. Validate the 'Order' grid contains "two orders for PRILOSEC (OMEPRAZOLE) 10 MG ORAL CAPSULE, DELAYED RELEASE - 1 CAPSULE, TWICE A DAY - Reason: As per Doctor's request."
  31. Validate the 'Order' grid contains the following in the 'Order Details' column for the new order created: PRILOSEC (OMEPRAZOLE) 10 MG ORAL CAPSULE, DELAYED RELEASE - 1 CAPSULE, TWICE A DAY - Reason: [the reason selected when creating the order].
  32. Validate the 'Order' grid contains the 'Additional Instructions' entered when creating the order in the 'Addl Instructions' column.
  33. Validate the 'Order' grid contains an 'Order Status' of "Active"
  34. Validate the 'Order' grid contains a value of "01/01/2099" in the 'Start Date' field.
  35. Validate the 'Order' grid contains a 'Stop Date' that is 30 days in the future of the 'Start Date', which will be "01/30/2099"
  36. Access the HomeView
  37. Open the 'HL7 Connection Monitor' form
  38. Select "(Outbound) ORDERS-RXCONNECT" from the 'Select Row' field
  39. Click [Show Transaction Log]
  40. Verify the 'HL7 Outbound Transaction Log' page exists
  41. Validate the 'HL7 Outbound Transaction Log' page does not contain any messages for Client A.
  42. Click [Close Report]
  43. Click [Close Form]
  44. Access Avatar eMAR for Client A
  45. Validate the 'Administration Date' field contains the current date
  46. Verify the 'Medications' tab exists
  47. Validate the Patient: item contains "Client A's Name and PATID in the format of Last Name,First Name (PATID)"
  48. Validate the 'Order Description Column' item does not contain a value
  49. Set the 'Administration Date' field to "01/01/2099"
  50. Click [Time]
  51. Validate the 'Order Description Column' item does not contain a value
  52. Set the 'Administration Date' field to the current date
  53. Click [Time]
  54. Access the HomeView
  55. Open the 'CareFabric Monitor' form
  56. Set the 'From Date' field to the current date
  57. Set the 'Through Date' field to the current date
  58. Set the 'Client ID' field to the ID associated with Client A.
  59. Select "Out" from the 'Activity Direction' field
  60. Click [View Activity Log]
  61. Verify the 'CareFabric Monitor Report' page exists
  62. Validate the 'CareFabric Monitor Report' page contains "a No Data Found For Report message"
Scenario 3: Modify Pharmacy Order - Pre-Admit episode
Specific Setup:
  • RxConnect must be installed and configured to communicate with myAvatar and vice versa.
  • Avatar CareFabric must be installed and configured to communicate with myAvatar and vice versa.
  • CareConnect must be installed and configured to communicate with Avatar CareFabric and vice versa.
  • There must be an active '(Outbound)ORDERS-RXCONNECT' connection.
  • The 'Avatar PM->Client Management->Movement Options->->->Allow Admission To File/Edit Pre-Admits' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Allow New Orders For Pre-Admit Episodes' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Defer Activation of Orders in a Pre-Admit Episode' registry setting must be set to "Y".
  • The user who is logged into the application must have no value selected in the 'Allow To Activate Pre-Admit Orders' field on the 'Order Entry User Definition' or 'Order Entry User Role' forms
  • A client must have an active Pre-Admit episode and an active order for PRILOSEC (OMEPRAZOLE) 10 MG ORAL CAPSULE, DELAYED RELEASE - 1 CAPSULE, TWICE A DAY - Reason: As per Doctor's request with a 'Diagnosis' of "Heartburn", a 'Duration' of "30 Days", and a value in 'Addl Instructions' of "Take with water. (Client A) (Order A)
Steps
  1. Select "Client A" and access the 'Order Entry Console'.
  2. Validate that the 'Order grid' contains an order for "PRILOSEC (OMEPRAZOLE) 10 MG ORAL CAPSULE, DELAYED RELEASE - 1 CAPSULE, TWICE A DAY - Reason: [Value selected when creating the order].
  3. Select "Order A" in the Order grid.
  4. Validate that the [D/C], [Copy], [Modify] and [Print] buttons are enabled.
  5. Click [Modify].
  6. Validate that 'Dose' contains "1".
  7. Validate that 'Dose Unit' contains "CAPSULE".
  8. Validate that 'Freq' contains "TWICE A DAY".
  9. Validate that the 'First Dose Date' field is disabled and does not contain a value.
  10. Validate that the 'First Dose Time' field is disabled and does not contain a value.
  11. Validate that the 'Skip 1st Dose' and 'Give Initial Dose Now' [Yes] buttons are disabled.
  12. Validate that the 'Reason' field contains the value that was selected when creating the order.
  13. Validate that the 'Diagnosis' field contains the value selected when creating the order.
  14. Validate that 'Duration' contains "30" and has [Days] selected.
  15. Validate that the 'Addl Instructions' field contains the value selected in the 'Instructions' field when creating the order.
  16. Click [Add to Scratchpad].
  17. Validate that 'Action' contains "MODIFY".
  18. Validate that 'Order' contains "PRILOSEC (OMEPRAZOLE) 10 MG CAPSULE, DELAYED RELEASE ORAL - 1 CAPSULE TWICE A DAY".
  19. Validate that 'Start Date' contains "01/01/2099".
  20. Validate that 'Stop Date' contains a date that is 30 days from the 'Start Date'. - "01/30/2099".
  21. Click [Sign].
  22. Validate that the 'Order grid' contains the new order.
  23. Validate that 'Order Details' contains: PRILOSEC (OMEPRAZOLE 10 MG ORAL CAPSULE, DELAYED RELEASE - 1 CAPSULE, TWICE A DAY - Reason: [the reason selected when creating the order].
  24. Validate that 'Additional Instructions' contains the 'Additional Instructions' entered when creating the order.
  25. Validate that 'Order Status' contains "Active".
  26. Validate that 'Start Date' contains "01/01/2099".
  27. Validate that 'Stop Date' contains "01/30/2099".
  28. Select "All" in the 'Status' field.
  29. Validate that the 'Order grid' contains two orders for "PRILOSEC (OMEPRAZOLE) 10 MG ORAL CAPSULE, DELAYED RELEASE - 1 CAPSULE, TWICE A DAY - Reason: [Value selected when creating the order]."
  30. Validate that one order has an 'Order Status' of "Active" and the other has an 'Order Status' for "Discontinued".
  31. Access the 'HL7 Connection Monitor' form.
  32. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  33. Click [Show Transaction Log].
  34. Validate that the 'HL7 Outbound Transaction Log' report does not contain any messages for Client A.
  35. Close the report and the form.
  36. Select "Client A" and select 'eMAR'.
  37. Validate that the 'Administration Date' field contains the current date.
  38. Remain on the 'Medications' tab.
  39. Validate that 'Patient:' contains Client A's Name and PATID in the format of Last Name,First Name (PATID).
  40. Validate that no orders are displayed
  41. Set the 'Administration Date' field to "01/01/2099".
  42. Click Refresh.
  43. Validate that no orders are displayed.
  44. Set the 'Administration Date' field back to the current date.
  45. Access the 'CareFabric Monitor' form.
  46. Set the 'From Date' field to the current date.
  47. Set the 'Through Date' field to the current date
  48. Set the 'Client ID' field to the PATID associated with Client A.
  49. Select "Out" in the 'Activity Direction' field.
  50. Click [View Activity Log].
  51. Validate that the 'CareFabric Monitor Report' contains no messages with an 'Activity Type' of "MedicationOrderCreated".
Scenario 4: New Lab Order with Order Fulfillment - Pre-Admit episode - does not go to eMAR or CareConnect via CareFabric
Specific Setup:
  • RxConnect must be installed and configured to communicate with myAvatar and vice versa.
  • Avatar CareFabric must be installed and configured to communicate with myAvatar and vice versa.
  • CareConnect must be installed and configured to communicate with Avatar CareFabric and vice versa.
  • There must be an active '(Outbound)ORDERS-RXCONNECT' connection.
  • Validate that an External Lab Vendor that is an eVendor exists, this can be completed in the 'External Lab/Radiology Definition for CareConnect' form.
  • Validate that a Lab-type order code exists that has a 'Specimen Type' of "Blood", an External Lab eVendor and a 'Compendium Order Code' associated. This can be done in the 'Order Code Setup' form in 'External Lab Definition'. (ex. WBC - Whole Blood Cell Count)
  • The Lab-type order code WBC must contain an 'Ask on Order Entry' question and be configured with Order Fulfillment.
  • The '(548) Enable Multiple Reasons at Order Entry' extended attribute off of '(500) Order Types' for 'Lab' must be set to "Yes".
  • The 'Avatar PM->Client Management->Movement Options->->->Allow Admission To File/Edit Pre-Admits' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Allow New Orders For Pre-Admit Episodes' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Defer Activation of Orders in a Pre-Admit Episode' registry setting must be set to "Y".
  • The user who is logged into the application must have no value selected in the 'Allow To Activate Pre-Admit Orders' field on the 'Order Entry User Definition' or 'Order Entry User Role' forms
  • A client must have an active Pre-Admit episode (Client A).
Steps
  1. Access the Order Entry Console for Client A.
  2. Set the 'New Order' field to a lab order code that has Order Fulfillment (ex. WBC - Whole Blood Cell Count).
  3. Validate the 'Collection Priority' field properties equal required.
  4. Validate the 'Collection Priority' field properties equal enabled.
  5. Validate the 'Collection Priority' field contains "Routine selected by default".
  6. Validate the 'Frequency' field properties equal not required.
  7. Select an interval frequency code.- Every 12 Hours from the Frequency field.
  8. Validate the 'First Collect - Date' field properties equal disabled.
  9. Validate the 'First Collect - Date' field does not contain a value.
  10. Validate the 'First Collect - Time' field properties equal disabled.
  11. Validate the 'First Collect - Time' field does not contain a value.
  12. Validate the 'External Lab Vendor Destination' field contains the eVendor associated to the order code - ex. Baptist.
  13. Validate the 'Communication Method' checkbox properties equal checked for Electronic.
  14. Validate the 'Specimen Type' field properties equal not required.
  15. Validate the 'Specimen Type' field properties equal disabled.
  16. Validate the 'Specimen Type' field contains "Blood".
  17. Validate the 'Specimen Site' field properties equal not required.
  18. Validate the 'Specimen Site' field properties equal enabled.
  19. Set the 'Specimen Site' field to "any value - ex. arterial vein".
  20. Select "Facility Staff Will Collect" from the 'Specimen Collection' field.
  21. Validate the 'Reason - View' button properties equal required.
  22. Validate the 'Reason - View' button contains a red flag.
  23. Click [Reason - View].
  24. Verify the 'Multiple Reasons Checklist' dialog exists.
  25. Select any value - ex. As per Doctor's request from the 'Reason' field.
  26. Validate the 'Reasons' selected field contains the value selected - As per Doctor's Request.
  27. Set the 'Add a reason' here field to "in order to rule out an infection".
  28. Click [Add].
  29. Validate the 'Reasons' selected field contains "As per Doctor's request and in order to rule out an infection".
  30. Click [Save].
  31. Verify the 'Multiple Reasons Checklist' dialog does not exist.
  32. Validate the 'Reason - View' button contains a green check mark.
  33. Set the 'Duration' field to "2".
  34. Click [Days].
  35. Select any value - Fasting is not required from the 'Instructions' field.
  36. Validate the 'Addl Instructions' field contains the value selected in the 'Instructions' field - ex. Fasting is not required.
  37. Verify the 'Add to Scratchpad button' exists.
  38. Verify the 'Ask on Order Entry button' exists.
  39. Click [Add to Scratchpad].
  40. Verify the 'AOE Questions' dialog exists.
  41. Validate the 'AOE Questions' dialog contains a question that is associated to the 'Compendium Order Code' that was selected when creating the Lab-type order code - ex. Specimen Description.
  42. Select any value in the 'Specimen Description' field - ex. OTHER SITE from the 'AOE Questions' dialog.
  43. Click [Save].
  44. Verify the 'AOE Questions' dialog does not exist.
  45. Validate the 'Scratchpad' frame contains the order.
  46. Validate the 'Action' field contains "ADD".
  47. Validate the 'Order' field contains "White Blood Cell Count - Every 12 Hours".
  48. Validate the 'Start Date' field contains "01/01/2099".
  49. Validate the 'Stop Date' field contains "a date that is the 'Duration' from the 'Start Date'. In this case is would be "01/02/2099"."
  50. Click [Sign].
  51. Validate the 'Order' grid contains the new order.
  52. Validate the 'Last Activity' field does not contain for this order.
  53. Access the HomeView.
  54. Access Avatar eMAR for Client A.
  55. Validate the 'Administration Date' field contains the current date.
  56. Validate the 'Patient:' item contains "Client A's Name and PATID in the format of Last Name,First Name (PATID)".
  57. Verify the 'Lab Orders' tab exists.
  58. Click the 'Lab Orders' tab.
  59. Validate the 'Order Description Column' item does not contain a value.
  60. Set the 'Administration Date' field to "01/01/2099".
  61. Click [Time].
  62. Validate the 'Order Description Column' item does not contain a value.
  63. Set the 'Administration Date' field to the current date.
  64. Click [Time].
  65. Access the HomeView.
  66. Open the 'CareFabric Monitor' form.
  67. Set the 'From Date' field to the current date.
  68. Set the 'Through Date' field to the current date.
  69. Set the 'Client ID' field to the ID associated with Client A.
  70. Select "Out" from the 'Activity Direction' field.
  71. Click [View Activity Log].
  72. Verify the 'CareFabric Monitor Report' page exists.
  73. Validate the 'CareFabric Monitor Report' page contains a No Data Found For Report message.
Scenario 5: Copy Lab Order - Pre-Admit episode
Specific Setup:
  • RxConnect must be installed and configured to communicate with myAvatar and vice versa.
  • Avatar CareFabric must be installed and configured to communicate with myAvatar and vice versa.
  • CareConnect must be installed and configured to communicate with Avatar CareFabric and vice versa.
  • There must be an active '(Outbound)ORDERS-RXCONNECT' connection.
  • Validate that an External Lab Vendor that is an eVendor exists, this can be completed in the 'External Lab/Radiology Definition for CareConnect' form.
  • Validate that a Lab-type order code exists that has a 'Specimen Type' of "Blood", an External Lab eVendor and a 'Compendium Order Code' associated. This can be done in the 'Order Code Setup' form in 'External Lab Definition'. (ex. WBC - Whole Blood Cell Count)
  • The Lab-type order code WBC must contain an 'Ask on Order Entry' question and be configured with Order Fulfillment.
  • The '(548) Enable Multiple Reasons at Order Entry' extended attribute off of '(500) Order Types' for 'Lab' must be set to "Yes".
  • The 'Avatar PM->Client Management->Movement Options->->->Allow Admission To File/Edit Pre-Admits' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Allow New Orders For Pre-Admit Episodes' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Defer Activation of Orders in a Pre-Admit Episode' registry setting must be set to "Y".
  • The user who is logged into the application must have no value selected in the 'Allow To Activate Pre-Admit Orders' field on the 'Order Entry User Definition' or 'Order Entry User Role' forms
  • A client must have an active Pre-Admit episode. (Client A)
  • Client A must have an active Lab order for: White Blood Cell Count (Specimen Type, Specimen Site) - Frequency, Specimen Collection, External Lab Vendor Destination - Reason - White Blood Cell Count (Blood, arterial vein) - Every 12 Hours, Facility Staff will Collect, Baptist - Reason: As per Doctor's Request. (Order A)
Steps
  1. Access the Order Entry Console for Client A.
  2. Validate the 'Order' grid contains an order for White Blood Cell Count (Blood, arterial vein) - Every 12 Hours, Facility Staff will Collect, Baptist - Reason: As per Doctor's Request.
  3. Select "Order A" from the 'Order' grid.
  4. Validate the 'D/C' button properties equal enabled.
  5. Validate the 'Copy' button properties equal enabled.
  6. Validate the 'Modify' button properties equal enabled.
  7. Validate the 'Print' button properties equal enabled.
  8. Click [Copy].
  9. Validate the 'Frequency' field contains "Every 12 Hours".
  10. Validate the 'First Collect - Date' field properties equal disabled.
  11. Validate the 'First Collect - Date' field does not contain a value.
  12. Validate the 'First Collect - Time' field properties equal disabled.
  13. Validate the 'First Collect - Time' field does not contain a value.
  14. Validate the 'External Lab Vendor Destination' field contains "Baptist".
  15. Validate the 'Communication Method' checkbox properties equal checked.
  16. Validate the 'Specimen Type' field contains "Blood".
  17. Validate the 'Specimen Site' field contains "arterial vein".
  18. Validate the 'Specimen Collection' field contains "Facility Staff will Collect selected".
  19. Validate the 'Reason - View' button contains a green check mark.
  20. Click [Reason - View].
  21. Verify the 'Multiple Reasons Checklist' dialog exists.
  22. Validate the 'Reasons' field contains "As per Doctor's request selected".
  23. Validate the 'Reasons' selected field contains "As per Doctor's request".
  24. Click [Cancel].
  25. Verify the 'Multiple Reasons Checklist' dialog does not exist.
  26. Validate the 'Duration' field contains "2".
  27. Validate the 'Days' button properties equal "selected".
  28. Validate the 'Addl Instructions' field contains the value selected from the 'Instructions' field when creating the order - Fasting is not required.
  29. Verify the 'Add to Scratchpad' button exists.
  30. Verify the 'Ask on Order Entry' button exists.
  31. Click the 'Add to Scratchpad' button.
  32. Verify the 'AOE Questions dialog' exists.
  33. Validate the 'AOE Questions' dialog contains a question that is associated to the 'Compendium Order Code' that was selected when creating the Lab-type order code - ex. Specimen Description.
  34. Select any value in the 'Specimen Description' field - ex. OTHER SITE from the 'AOE Questions' dialog.
  35. Click [Save].
  36. Verify the 'AOE Questions' dialog does not exist.
  37. Validate the 'Scratchpad' frame contains the order.
  38. Validate the 'Action' field contains "COPY".
  39. Validate the 'Order' field contains "White Blood Cell Count - Every 12 Hours".
  40. Validate the 'Start Date' field contains "01/01/2099".
  41. Validate the 'Stop Date' field contains a date that is the 'Duration' from the 'Start Date'. In this case is would be "01/02/2099".
  42. Click [Sign].
  43. Validate the 'Order' grid contains the new order.
  44. Validate the 'Order' grid contains two orders for White Blood Cell Count (Blood, arterial vein) - Every 12 Hours, Facility Staff will Collect, Baptist - Reason: As per Doctor's request.
  45. Validate the 'Order' grid contains the 'Additional Instructions' entered when creating the order in the 'Addl Instructions' column - Fasting is not required.
  46. Validate the 'Order' grid contains an 'Order Status' of "Active" for both orders.
  47. Validate the 'Order' grid contains a value of "01/01/2099" in the 'Start Date' field for both orders.
  48. Validate the 'Order' grid contains a 'Stop Date' that is 2 days in the future of the 'Start Date', which will be "01/02/2099" for both orders.
  49. Access the HomeView.
  50. Access Avatar eMAR for Client A.
  51. Validate the 'Administration Date' field contains the current date.
  52. Validate the 'Patient:' item contains "Client A's Name and PATID in the format of Last Name,First Name (PATID)".
  53. Verify the 'Lab Orders' tab exists.
  54. Click the 'Lab Orders' tab.
  55. Validate the 'Order Description Column' item does not contain a value.
  56. Set the 'Administration Date' field to "01/01/2099".
  57. Click [Time].
  58. Validate the 'Order Description Column' item does not contain a value.
  59. Set the 'Administration Date' field to the current date.
  60. Click [Time].
  61. Open the 'CareFabric Monitor' form.
  62. Set the 'From Date' field to the current date.
  63. Set the 'Through Date' field to the current date.
  64. Set the 'Client ID' field to the ID associated with Client A.
  65. Select "Out" from the 'Activity Direction' field.
  66. Click [View Activity Log].
  67. Verify the 'CareFabric Monitor Report' page exists.
  68. Validate the 'CareFabric Monitor Report' page contains a No Data Found For Report message.

Topics
• Order Entry Console
Order Entry Console (Home Medications section) - Order Labs without 'Program' selected

Topics
n/a
Discharge Med Reconciliation - Carry forward Stop Date
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • HomeView - my Clients
  • Order Entry Console
Scenario 1: Discharge Med Reconciliation - Carry Forward End Date - Duration in Doses
Specific Setup:
  • An order code (Order Code A) must be configured to have a duration in doses
  • An Order for Order Code A must be placed for Client A on the 'Orders This Episode' tab of the Order Entry Console
  • Client A must have at least 2 Active Inpatient Pharmacy orders including an order for Order Code A
  • A Client (Client A) must have access to the 'Discharge Med Reconciliation' tab in the Order Entry Console
  • The Order Entry Console must be configured to display the 'Discharge Med Reconciliation' tab. Note: This is a Netsmart staff only setting. Please contact your Netsmart representative to have this setting configured
Steps
  1. Click the Discharge Med Reconciliation tab.
  2. Select both orders from the 'Inpatient Medications' table.
  3. Click [Add to Scratchpad].
  4. Validate the 'Discharge Medications Scratchpad' table contains Order Code A with a stop date defaulted.
  5. Select both orders from the 'Discharge Medications Scratchpad.
  6. Validate the 'Refills' field is disabled.
  7. Validate there is text that reads "Refills is disabled because one of the selected orders has a duration in doses or a Non-Default duration."
  8. Deselect the other order (Not Order Code A) in the 'Discharge Medications Scratchpad' table.
  9. Validate the 'Refills' field is disabled and set to "0".
  10. Set the 'Dispense Qty' field to "30".
  11. Set the 'Start Date' field to the current date.
  12. Click [Update Order].
  13. Select the other order that was added to the scratchpad.
  14. Click [Undo].
  15. Click [Do Not Add Remaining].
  16. Click [Review and Sign].
  17. Click [Sign].
  18. Validate Discharge Med Reconciliation displays in view only mode.
Scenario 2: Discharge Med Reconciliation - Carry Forward End Date - Duration different than Order Code Setup
Specific Setup:
  • An order code (Order Code A) must be configured to have a default duration of 15 days
  • An Order for Order Code A must be placed for Client A on the 'Orders This Episode' tab of the Order Entry Console
  • Client A must have at least 2 Active Inpatient Pharmacy orders including an order for Order Code A
  • A Client (Client A) must have access to the 'Discharge Med Reconciliation' tab in the Order Entry Console
  • The Order Entry Console must be configured to display the 'Discharge Med Reconciliation' tab. Note: This is a Netsmart staff only setting. Please contact your Netsmart representative to have this setting configured
Steps
  1. Click the Discharge Med Reconciliation tab.
  2. Select both orders from the 'Inpatient Medications' table.
  3. Click [Add to Scratchpad].
  4. Validate the 'Discharge Medications Scratchpad' table contains Order Code A with a stop date defaulted.
  5. Select both orders from the 'Discharge Medications Scratchpad'.
  6. Validate the 'Refills' field is disabled.
  7. Validate there is text that reads "Refills is disabled because one of the selected orders has a duration in doses or a Non-Default duration."
  8. Deselect the other order (Not Order Code A) in the 'Discharge Medications Scratchpad' table.
  9. Validate the 'Refills' field is disabled and set to "0".
  10. Set the 'Dispense Qty' field to "30".
  11. Set the 'Start Date' field to the current date.
  12. Click [Update Order].
  13. Select the other order that was added to the scratchpad.
  14. Click [Undo].
  15. Click [Do Not Add Remaining].
  16. Click [Review and Sign].
  17. Click [Sign].
  18. Validate Discharge Med Reconciliation displays in view only mode.

Topics
• Order Entry Console
Avatar eMAR - 'Nutrition Orders' tab
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Avatar eMAR
  • Registry Settings
Scenario 1: Validate the 'Support Nutrition Tab in eMAR' registry setting
Specific Setup:
  • A client has 3 Dietary Orders filed: Order 1 has the 'Dietary' order type, Order 2 has the 'Dietary - Oral' order type, Order 3 has the 'Dietary - Tube Feeding' order type (Client A).
Steps
  1. Access the 'Registry Settings' form.
  2. Enter "Support Nutrition Tab in eMAR" in the 'Limit Registry Settings to the Following Search Criteria' field.
  3. Click [View Registry Settings].
  4. Validate the 'Registry Setting' field contains "Avatar eMAR->General->Settings->->->Support Nutrition Tab in eMAR".
  5. Validate the 'Registry Setting Details' field contains: When this registry setting is set to "1", the 'Nutrition' tab will appear in Avatar eMAR. Orders with an Order Type Category of "Dietary", "Dietary - Oral", or "Dietary - Tube Feeding" will appear under this tab rather than the 'Other Order Types' tab (if such orders are included in Avatar eMAR). When this registry setting is set to "0", the 'Nutrition' tab will not appear in Avatar eMAR and any dietary orders that are included in Avatar eMAR will appear under the 'Other Order Types' tab.
  6. Validate the 'Registry Setting Value' has a default value of "0".
  7. Click [Submit].
  8. Validate a "Registry Editor Filing" message is displayed stating: Successful Filing.
  9. Click [OK] and close the form.
  10. Access the 'Avatar eMAR' form.
  11. Select "Client A" in the 'Client' field.
  12. Validate the 'Nutrition Orders' tab does not exist since the registry setting is set to "0".
  13. Select the [All Other Order Types] tab.
  14. Validate the 'All Other Order Types' tab contains the 3 Dietary Orders from the pre-conditions.
  15. Close the form.
  16. Access the 'Registry Settings' form.
  17. Enter "Support Nutrition Tab in eMAR" in the 'Limit Registry Settings to the Following Search Criteria' field.
  18. Click [View Registry Settings].
  19. Enter "1" in the 'Registry Setting Value' field.
  20. Click [Submit].
  21. Validate a "Registry Editor Filing" message is displayed stating: Successful Filing.
  22. Click [OK] and close the form.
  23. Access the 'Avatar eMAR' form.
  24. Verify the 'Nutrition Orders' tab is displayed.
  25. Select "Client A" in the 'Client' field.
  26. Select the [Nutrition Orders] tab.
  27. Validate the 'Nutrition Orders' tab contains the 3 Dietary Orders from the pre-conditions.
  28. Close the form.

Topics
• Avatar eMAR • Registry Settings
'Orders This Admission': 'Variable Dose' with 'Preferred Dose'
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Entry Console
Scenario 1: Preferred Dose - Preferred Dose field or Dose and Dose Unit fields on additional steps for variable dose
Specific Setup:
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Use alternative header and label names in the OE Console' registry setting is set to "1". Please Note: This can only be done by Netsmart Staff.
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Enable Variable Dose Support in the OE Console (Orders This Episode)' registry setting must be set to "Y".
  • A medication must be defined with a "Preferred Dose" in the 'Order Code Setup' form (Medication A).
Steps
  1. Select any client in the 'Order Entry Console'.
  2. Remain on 'Orders This Admission'.
  3. Select "Order Code A" in the 'New Order' field.
  4. Validate that there is a [+] in front of the 'Preferred Dose' field.
  5. Click [+] to add an additional dose.
  6. Validate that another row of the 'Preferred Dose' and 'Freq' fields are displayed
  7. Select 'Other' in the first 'Preferred Dose' field.
  8. Validate that the 'Dose' and 'Dose Unit' fields are displayed.
  9. Click [+] to add an additional dose.
  10. Validate that another row of the 'Preferred Dose' and 'Freq' fields are displayed
  11. Select "Other" in the 'Preferred Dose' field in the second row.
  12. Validate that the 'Dose' and 'Dose Unit' fields are displayed.
  13. Click the red [x] on the third row.
  14. Set the 'Dose' field to "1" on the first row.
  15. Select "Capsule" in the 'Dose Unit' field on the first row
  16. Select any value in the 'Freq' field for the first row.
  17. Select the preferred dose value defined in 'Order Code Setup' in the 'Preferred Dose' field on the second row.
  18. Select any value in the 'Freq' field.
  19. Set the 'Duration' field to "10" and click [Days].
  20. Click [Add to Scratchpad] and [Sign].

Topics
• Order Entry Console
"Restart Reconciliation" user alert
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Entry Console
Scenario 1: Restart Reconciliation - generate warning to the user.
Specific Setup:
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Use alternative header and label names in the OE Console' registry setting is set to "1". Please Note: This can only be done by Netsmart Staff.
  • A client must have active orders in both the 'Orders This Episode' and 'Home Medications' sections. (Client A)
Steps
  1. Select "Client A" and open the 'Order Entry Console'.
  2. Select the 'Admission Med Reconciliation' section.
  3. Select any medication in the "Medication History (Pre-Admission)" order grid.
  4. Click [Hold].
  5. Click [Restart Reconciliation].
  6. Verify a "Warning" dialog displays "Clicking restart will discard all current charges. Are you sure you wish to restart?".
  7. Click [Yes].
  8. Select the 'Discharge Med Reconciliation' section.
  9. Select any medication in "Inpatient Medications".
  10. Click [Add to Scratchpad].
  11. Validate that a red flag appears in the 'Discharge Medications Scratchpad'.
  12. Select the order and populate all required fields.
  13. Click [Update Order].
  14. Click [Restart Reconciliation].
  15. Verify a "Warning" dialog displays "Clicking restart will discard all current charges. Are you sure you wish to restart?".
  16. Click [No].
  17. Click [Hold in Pending Status]
  18. An Interactions dialog may be displayed.
  19. Enter a value in the 'Notes' field and click [Save Override and Exit]
  20. Click [Restart Reconciliation]
  21. Verify a "Warning" dialog displays "Clicking restart will discard all current charges. Are you sure you wish to restart?".
  22. Click [Yes].

Topics
• Admission Med Reconciliation • Discharge Med Reconciliation
Discharge Medication Reconciliation - Do Not Add Remaining button
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Entry Console
Scenario 1: Discharge Medication Reconciliation - Do Not Add Remaining
Specific Setup:
  • Medication Reconciliation must be enabled to display at least the 'Discharge Med Reconciliation' tab in the Order Entry Console

NOTE: This is a Netsmart Staff only setting. Please contact your Netsmart representative to have this setting configured.

  • A Client (Client A) must be configured to use the 'Discharge Med Reconciliation' tab
  • Client A must have at least 2 orders on the 'Orders This Episode' tab of the Order Entry Console
  • Client A must have at least 1 order on the 'Home Medications' tab of the Order Entry Console
Steps
  1. Access the Order Entry Console for Client A.
  2. Click the 'Discharge Med Reconciliation' tab.
  3. Click [Do Not Add Remaining].
  4. Validate all orders in the 'Inpatient Medications' table are set to "DNA" - do not add.
  5. Click [Review and Sign].
  6. Validate the 'Discharge Med Reconciliation' tab changes to a view only mode.

Topics
• Discharge Med Reconciliation
Enhanced Widget View - Entity Deselect
Scenario 1: Validate an enhanced widget when "Yes" is selected in 'Clear Entity on Row Deselect'
Specific Setup:
  • A 'Multiple Row SQL' widget must exist that has "Yes" selected in the 'Enhanced Widget View' field, "Patient" selected in the 'Primary Entity Selection' field, and "Yes" selected in the 'Clear Entity on Row Deselect' field. Please note: the Multiple Row SQL Statement must include PATID (Widget A).
  • "Widget A" and the 'My Clients' widget must be on the user's HomeView.
  • The 'Enable Console Widgets/Views' registry setting must be set to "Y". This will enable the Select Client/Episode Header to be displayed on the HomeView.
Steps
  1. Navigate to "Widget A".
  2. Validate the widget is populated with the appropriate data.
  3. Select any row in the widget, taking note of the Client ID in the row being selected.
  4. Validate the client from the row selected is highlighted in the 'Recent Clients' section of the 'My Clients' widget and that the client's information is displayed in the Selected Client/Episode Header.
  5. Deselect the row in the widget.
  6. Validate the client is no longer highlighted in the 'Recent Clients' section and the Selected Client/Episode Header no longer contains the client information.
Scenario 2: Validate an enhanced widget when "No" is selected in 'Clear Entity on Row Deselect'
Specific Setup:
  • A 'Multiple Row SQL' widget must exist that has "Yes" selected in the 'Enhanced Widget View' field, "Patient" selected in the 'Primary Entity Selection' field, and "No" selected in the 'Clear Entity on Row Deselect' field. Please note: the Multiple Row SQL Statement must include PATID (Widget A).
  • Widget A and the 'My Clients' widget must be on the user's HomeView.
  • The 'Enable Console Widgets/Views' registry setting must be set to "Y". This will enable the Select Client/Episode Header to be displayed on the HomeView.
Steps
  1. Navigate to "Widget A".
  2. Validate the widget is populated with the appropriate data.
  3. Select any row in the widget, taking note of the Client ID in the row being selected.
  4. Validate the client from the row selected is highlighted in the 'Recent Clients' section of the 'My Clients' widget and that the client's information is displayed in the Selected Client/Episode Header.
  5. Deselect the row in the widget.
  6. Validate the Selected Client/Episode Header still contains the client's information and the client remains highlighted in the 'Recent Clients' section.

Topics
• Widgets
Taper/Titration (Calendar) order
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Avatar eMAR
  • CareFabric Monitor
  • HL7 Connection Monitor
  • Order Entry Console
Scenario 1: Taper/Titrate - Calendar - Pharmacy Order - Pre-Admit episode - Activation with validation
Specific Setup:
  • RxConnect must be installed and configured to communicate with myAvatar and vice versa.
  • Avatar CareFabric must be installed and configured to communicate with myAvatar and vice versa.
  • CareConnect must be installed and configured to communicate with Avatar CareFabric and vice versa.
  • There must be an active '(Outbound)ORDERS-RXCONNECT' connection.
  • The 'Avatar PM->Client Management->Movement Options->->->Allow Admission To File/Edit Pre-Admits' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Allow New Orders For Pre-Admit Episodes' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Defer Activation of Orders in a Pre-Admit Episode' registry setting must be set to "Y".
  • The user who is logged into the application must have no value selected in the 'Allow To Activate Pre-Admit Orders' field on the 'Order Entry User Definition' or 'Order Entry User Role' forms
  • A client must have an active Pre-Admit episode (Client A).
Steps
  1. Select "Client A" and access the 'Order Entry Console'.
  2. Set the 'New Order' field to any pharmacy-type order code - ex. RAYOS (PREDNISONE) 2 MG TABLET, DELAYED RELEASE ORAL
  3. Click [TAPER/TITRATE].
  4. Validate that the 'Taper/Titration' dialog is displayed.
  5. Validate that the first display field contains: RAYOS (PREDNISONE)(2 MG) TABLET, DELAYED RELEASE () ORAL
  6. Validate that [Calendar] is "selected".
  7. Click [Add Step] twice.
  8. Validate that the first 'Order Description' field contains: RAYOS (PREDNISONE)(2 MG)
  9. Select "3" in the 'Dose' field for the first step.
  10. Select "TABLET" in the 'Dose Unit' field for the first step.
  11. Select "3" in the 'Days' field for the first step.
  12. Select "3 TIMES A DAY" in the 'Freq' field for the first step.
  13. Validate that the second 'Order Description' field contains: RAYOS (PREDNISONE)(2 MG)
  14. Select "2" in the 'Dose' field for the second step.
  15. Select "TABLET" in the 'Dose Unit' field for the second step.
  16. Select "3" in the 'Days' field for the second step.
  17. Select "TWICE A DAY" in the 'Freq' field for the second step.
  18. Validate that the third 'Order Description' field contains: RAYOS (PREDNISONE)(2 MG)
  19. Select "1" in the 'Dose' field for the third step.
  20. Select "TABLET" in the 'Dose Unit' field for the third step.
  21. Select "3" in the 'Days' field for the third step.
  22. Select "DAILY" in the 'Freq' field for the third step.
  23. Click [Add to Scratchpad].
  24. Validate that the 'Scratchpad' contains 3 orders.
  25. Validate that for the first order 'Action' contains "ADD".
  26. Validate that for the first order 'Order' contains "RAYOS (PREDNISONE) 2 MG TABLET, DELAYED RELEASE - 3 TABLET 3 TIMES A DAY".
  27. Validate that for the first order 'Start Date' contains "01/01/2099".
  28. Validate that for the first order 'Stop Date' contains a date that is 3 Days from the 'Start Date' - 01/03/2099"
  29. Validate that for the second order 'Action' contains "ADD".
  30. Validate that for the second order 'Order' contains "RAYOS (PREDNISONE) 2 MG TABLET, DELAYED RELEASE - 2 TABLET TWICE A DAY".
  31. Validate that for the second order 'Start Date' contains "01/04/2099".
  32. Validate that for the second order 'Stop Date' contains a date that is 3 Days from the 'Start Date' - 01/06/2099"
  33. Validate that for the third order 'Action' contains "ADD".
  34. Validate that for the third order 'Order' contains "RAYOS (PREDNISONE) 2 MG TABLET, DELAYED RELEASE - 2 TABLET TWICE A DAY".
  35. Validate that for the third order 'Start Date' contains "01/07/2099".
  36. Validate that for the third order 'Stop Date' contains a date that is 3 Days from the 'Start Date' - 01/09/2099"
  37. Click [Sign]
  38. Validate the Order grid table contains "3 new orders"
  39. Validate that one order contains a value of "Step 1 of 3 steps" in the 'Addl Instructions' column.
  40. Validate that one order contains a value of "Step 2 of 3 steps" in the 'Addl Instructions' column.
  41. Validate that one order contains a value of "Step 3 of 3 steps" in the 'Addl Instructions' column.
  42. Access the 'HL7 Connection Monitor' form.
  43. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  44. Click [Show Transaction Log].
  45. Validate that the 'HL7 Outbound Transaction Log' report does not contain any messages for Client A.
  46. Close the report and the form.
  47. Select "Client A" and select 'eMAR'.
  48. Validate that the 'Administration Date' field contains the current date.
  49. Remain on the 'Medications' tab.
  50. Validate that 'Patient:' contains Client A's Name and PATID in the format of Last Name,First Name (PATID).
  51. Validate that no orders are displayed
  52. Set the 'Administration Date' field to "01/01/2099".
  53. Click Refresh.
  54. Validate that no orders are displayed.
  55. Set the 'Administration Date' field back to the current date.
  56. Access the 'CareFabric Monitor' form.
  57. Set the 'From Date' field to the current date.
  58. Set the 'Through Date' field to the current date
  59. Set the 'Client ID' field to the PATID associated with Client A.
  60. Select "Out" in the 'Activity Direction' field.
  61. Click [View Activity Log].
  62. Validate that the 'CareFabric Monitor Report' contains no messages with an 'Activity Type' of "MedicationOrderCreated".
  63. Create a report using the 'OrderEntry.history_client_order' table
  64. Ensure that the following fields are included: PATID, order_description, order_unique_id, start_date, start_time, current_stop_date, current_stop_time, original_stop_date, and original_stop_time,
  65. Sort the report using the 'PATID' field and selecting Client A's PATID.
  66. Validate that there are 3 rows of information.
  67. Validate that 'order_description' contains "RAYOS (PREDNISONE)" for all 3 rows.
  68. Validate the 1st 'order_unique_id' contains a unique value.
  69. Validate the 1st 'start_date' contains "1/1/2099".
  70. Validate the 1st 'start_time' contains "12:00 AM".
  71. Validate the 1st 'original_stop_date' contains "1/3/2099".
  72. Validate the 1st 'original_stop_time' cell contains "11:59 PM".
  73. Validate the 1st 'current_stop_date'contains "1/3/2099".
  74. Validate the 1st 'current_stop_time' contains "11:59 PM".
  75. Validate the 2nd 'order_unique_id' contains a unique value that is incremented by 1 from the 1st value.
  76. Validate the 2nd 'start_date' contains "1/4/2099".
  77. Validate the 2nd 'start_time' contains "12:00 AM".
  78. Validate the 2nd 'original_stop_date' contains "1/6/2099".
  79. Validate the 2nd 'original_stop_time' contains "11:59 PM".
  80. Validate the 2nd 'current_stop_date' contains "1/6/2099".
  81. Validate the 2nd 'current_stop_time' contains "11:59 PM".
  82. Validate the 3rd 'order_unique_id' contains a unique value that is incremented by 1 from the 2nd value.
  83. Validate the 3rd 'start_date' contains "1/7/2099".
  84. Validate the 3rd 'start_time' contains "12:00 AM".
  85. Validate the 3rd 'original_stop_date' contains "1/9/2099".
  86. Validate the 3rd 'original_stop_time' contains "11:59 PM".
  87. Validate the 3rd 'current_stop_date' contains "1/9/2099".
  88. Validate the 3rd 'current_stop_time' contains "11:59 PM".
  89. Select "Client A" and access the 'Admission' form.
  90. Validate that the 'Pre-Display' is displayed.
  91. Select the only row and click [Edit]
  92. Validate that 'Admission' is displayed.
  93. Validate the 'Client Name' field contains Client A's name in the format of Last Name, First Name.
  94. Validate the 'Program' field contains a Pre-Admit program.
  95. Select an Inpatient program in the 'Program' field.
  96. Select any value in the 'Source Of Admission' field.
  97. Set the 'Admitting Practitioner' field to the Practitioner associated with the User who is logged into the application.
  98. Set the 'Attending Practitioner' field to any active Practitioner.
  99. Select "Inpatient/Partial/Day Treatment" from the 'Section' menu.
  100. Select any value in the 'Unit', 'Room', 'Bed', and 'Room And Board Billing Code' fields.
  101. Click [Submit].
  102. Select "Client A" and access the 'Order Entry Console'.
  103. Validate that an [Activate] button does not exist.
  104. Select any other client in the 'My Clients' widget and then re-select "Client A".
  105. Validate that the [Activate] button is displayed next to the [V] button above the 'Order grid' and that it is not required and enabled.
  106. Validate that the 'New Order' field is disabled.
  107. Hover over the field and a message stating the following is displayed: New Orders are not allowed until "Pre-Admit Orders" are activated.
  108. Validate the Order grid table contains "3 new orders"
  109. Validate that the order with a value of "Step 1 of 3 steps" in the 'Addl Instructions' column contains a 'Start Date' of the current date.
  110. Validate that the order with a value of "Step 1 of 3 steps" in the 'Addl Instructions' column contains a 'Stop Date' that is 3 days in the future of the 'Start Date'.
  111. Validate that the order with a value of "Step 2 of 3 steps" in the 'Addl Instructions' column contains a 'Start Date' that is one minute after the 1st steps 'Stop Date' and 'Stop Time'
  112. Validate that the order with a value of "Step 2 of 3 steps" in the 'Addl Instructions' column contains a 'Stop Date' that is 3 days in the future of the 'Start Date'.
  113. Validate that the order with a value of "Step 3 of 3 steps" in the 'Addl Instructions' column contains a 'Start Date' that is one minute after the 2nd steps 'Stop Date' and 'Stop Time'
  114. Validate that the order with a value of "Step 3 of 3 steps" in the 'Addl Instructions' column contains a 'Stop Date' that is 3 days in the future of the 'Start Date'.
  115. Access the 'HL7 Connection Monitor' form.
  116. Select "(Outbound) ORDERS-RXCONNECT" in the 'Select Row' field.
  117. Click [Show Transaction Log].
  118. Validate that the 'HL7 Outbound Transaction Log' report contains 3 messages for Client A.
  119. Close the report and the form.
  120. Select "Client A" and select 'eMAR'.
  121. Validate that the 'Administration Date' field contains the current date.
  122. Remain on the 'Medications' tab.
  123. Validate that 'Patient:' contains Client A's Name and PATID in the format of Last Name,First Name (PATID).
  124. Validate that an order for "RAYOS (PREDNISONE) 2 MG ORAL TABLET, DELAYED RELEASE - Give: 3 TABLET 3 TIMES A DAY - Instructions: Step 1 of 3 steps" is displayed.
  125. Set the 'Administration Date' field to "01/01/2099".
  126. Click Refresh.
  127. Validate that no orders are displayed.
  128. Set the 'Administration Date' field back to the current date.
  129. Access the 'CareFabric Monitor' form.
  130. Set the 'From Date' field to the current date.
  131. Set the 'Through Date' field to the current date
  132. Set the 'Client ID' field to the PATID associated with Client A.
  133. Select "Out" in the 'Activity Direction' field.
  134. Click [View Activity Log].
  135. Validate that the 'CareFabric Monitor Report' contains 3 rows of data with an 'Activity Type' of "MedicationOrderCreated""
  136. Close the report and the form.
  137. Create a report using the 'OrderEntry.history_client_order' table
  138. Ensure that the following fields are included: PATID, order_description, order_unique_id, start_date, start_time, current_stop_date, current_stop_time, original_stop_date, and original_stop_time,
  139. Sort the report using the 'PATID' field and selecting Client A's PATID.
  140. Validate that there are 3 rows of information.
  141. Validate that 'order_description' contains "RAYOS (PREDNISONE)" for all 3 rows.
  142. Validate the 1st 'order_unique_id' contains a unique value.
  143. Validate the 1st 'start_date' contains the current date.
  144. Validate the 1st 'start_time' contains the current time.
  145. Validate the 1st 'current_stop_date'contains a date that is 3 days into the future from the 'start_date'.
  146. Validate the 1st 'current_stop_time' contains "11:59 PM".
  147. Validate the 2nd 'order_unique_id' contains a unique value that is incremented by 1 from the 1st value.
  148. Validate the 2nd 'start_date' contains a date that is a day after the first orders 'stop_date'.
  149. Validate the 2nd 'start_time' contains "12:00 AM".
  150. Validate the 2nd 'current_stop_date' contains a date that is 3 days in the future from this orders 'start_date.
  151. Validate the 2nd 'current_stop_time' contains "11:59 PM".
  152. Validate the 3rd 'order_unique_id' contains "a unique value that is incremented by 1 from the 2nd value.
  153. Validate the 3rd 'start_date' contains a date that is a day after the second orders 'stop_date'.
  154. Validate the 3rd 'start_time' contains "12:00 AM".
  155. Validate the 3rd 'current_stop_date' contains a date that is 3 days in the future from this orders 'start_date'.
  156. Validate the 3rd 'current_stop_time' contains "11:59 PM".

Topics
• Order Entry Console
Taper/Titration Order Group with Start Date Offset
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Entry Console
Scenario 1: Pharmacy Order - Order Group with Start Date offset - Pre-Admit episode
Specific Setup:
  • RxConnect must be installed and configured to communicate with myAvatar and vice versa.
  • Avatar CareFabric must be installed and configured to communicate with myAvatar and vice versa.
  • CareConnect must be installed and configured to communicate with Avatar CareFabric and vice versa.
  • There must be an active '(Outbound)ORDERS-RXCONNECT' connection.
  • The 'Avatar PM->Client Management->Movement Options->->->Allow Admission To File/Edit Pre-Admits' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Allow New Orders For Pre-Admit Episodes' registry setting must be set to "Y".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Defer Activation of Orders in a Pre-Admit Episode' registry setting must be set to "Y".
  • The user who is logged into the application must have no value selected in the 'Allow To Activate Pre-Admit Orders' field on the 'Order Entry User Definition' or 'Order Entry User Role' forms.
  • An Order Group must exist that does not have 'Check Here If This Order Group Is A Taper Or Titration Series Of orders' checked. (Order Group A)
  • Order Group A must contain 3 steps that all contain a 'Duration (Days)' of "3" and each order will have a 'Start Date Offset (Days)' of "0", "3", and "6".
  • A client must have an active Pre-Admit episode (Client A).
Steps
  1. Access the 'Order Entry Console' for Client A.
  2. Set the 'New Order' field to "Order Group A".
  3. Verify the 'Order Group' dialog exists.
  4. Validate the 'Order Group Start Date' field contains "01/01/2099".
  5. Validate the 1st 'Start Time' field contains "12:00 AM".
  6. Click [Select All].
  7. Set the 1st 'Dose' field to "3".
  8. Select "Tablet" from the 1st 'Dose Unit' field.
  9. Validate the 1st 'Frequency' field contains "3 TIMES A DAY".
  10. Validate the 1st 'Start Date' field contains "01/01/2099 because the 'Start Date Offset' is "0 Days"."
  11. Validate the 2nd 'Start Time' field contains "12:00 AM".
  12. Set the 2nd 'Dose' field to "2".
  13. Select "Tablet" from the 2nd 'Dose Unit' field.
  14. Validate the 2nd 'Frequency' field contains "TWICE A DAY".
  15. Validate the 2nd 'Start Date' field contains "a date that is 3 days in the future of the value in the 'Order Group Start Date'. This is because the order has a 'Start Date Offset' of "3 Days"."
  16. Validate the 3rd 'Start Time' field contains "12:00 AM".
  17. Set the 3rd 'Dose' field to "1".
  18. Select "Tablet" from the 3rd 'Dose Unit' field.
  19. Validate the 3rd 'Frequency' field contains "Daily".
  20. Validate the 3rd 'Start Date' field contains a date that is 6 days in the future of the value in the 'Order Group Start Date'. This is because the order has a 'Start Date Offset' of "6 Days"."
  21. Validate the 4th 'Start Time' field contains "12:00 AM".
  22. Click [Add to Scratchpad].
  23. Verify the 'Order Group' dialog does not exist.
  24. Validate the 'Scratchpad' frame contains all 3 orders.
  25. Validate the 'Action' field contains "ADD" for all three rows.
  26. Validate the 1st 'Start Date' field contains "01/01/2099" because the 'Start Date Offset' is "0".
  27. Validate the 1st 'Stop Date' field contains "01/03/2099" which is 3 days in the future of the 'Start Date'. This is because the 'Duration' is "3 Days".
  28. Validate the 2nd 'Start Date' field contains "01/04/2099" which is 3 days in the future of the 'Order Group Start Date'. This is because 'Start Date Offset' was "3".
  29. Validate the 2nd 'Stop Date' field contains "01/06/2099" which is 3 days in the future of the 'Start Date' of this same row. This is because the 'Duration' is "3 Days".
  30. Validate the 3rd 'Start Date' field contains "01/07/2099" which is 6 days in the future of the 'Order Group Start Date'. This is because 'Start Date offset' was "6"
  31. Validate the 3rd 'Stop Date 'field contains "01/09/2099" which is 3 days in the future of the 'Start Date' of this same row. This is because the 'Duration' is "3 Days"."
  32. Click [Sign].
  33. Validate the 'Order' grid contains "all 3 orders".

Topics
• Order Entry Console
Home Medications - switching clients
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • Order Entry Console
  • Order Entry Console - Home Medications section
Scenario 1: Order Entry Console (Home Medications section) - create new order two different clients
Specific Setup:
  • OrderConnect must be installed and configured to communicate with myAvatar and vice versa.
  • The 'My Clients' widget must be a part of the 'Order Entry Console' view.
  • 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.
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Require 'Reported Source' for Client-Reported in OE Console (Home Meds section)' registry setting must be set to "N".
  • The 'Avatar Order Entry->Facility Defaults->Client Profile->->->Default for 'Reported Source' in OE Console (Home Meds section)' registry setting must not contain a value.
  • Must have two clients with active episodes. (Client A) (Client B)
Steps
  1. Select "Client A" and access the 'Order Entry Console'.
  2. Select 'Home Medications'.
  3. Validate that the 'Client Reported' checkbox is checked.
  4. Set the 'New Order' field to any medication. (ex. PriLOSEC 10 MG Capsule, Delayed Release Oral)
  5. Set the 'Dose' field to "1"
  6. Validate that the 'Dose Unit' field contains "Capsule".
  7. Select any value in the 'Frequency' field.
  8. Validate that the 'Start Date' field contains the current date.
  9. Validate that the 'Stop Date' field does not contains a value.
  10. Set the 'Start Date' field to a date in the past.
  11. Click [Save].
  12. Validate that the 'Order grid' contains the new order.
  13. Select "Client B" from the 'My Clients' widget.
  14. Uncheck the 'Client Reported' checkbox.
  15. Set the 'New Order' field to any medication. (ex. Simvastatin 20 MG Tablet Oral)
  16. Set the 'Dose' field to "1"
  17. Validate that the 'Dose Unit' field contains "Tablet".
  18. Select any value in the 'Frequency' field.
  19. Select any value in the 'Diagnosis' field.
  20. Validate that 'Refills' contains "0".
  21. Set the 'Days Supply' field to "30"
  22. Validate that the 'Dispense Qty' field contains "60"
  23. Validate that the 'Dispense Qty Unit' field contains "Tablet"
  24. Validate that the 'Start Date' field contains the current date.
  25. Validate that the 'Stop Date' field contains a date that is 30 Days in the future of the 'Start Date'.
  26. Validate that the 'Directions' field contains: Take one (1) tablet by mouth twice a day.
  27. Click [Add to Scratchpad] and [Final Review].
  28. An 'Interactions' dialog may be displayed.
  29. If an 'Interactions' dialog is displayed, select an 'Override Reason' and/or enter a value in the 'Notes' field and click [Save Override and Exit].
  30. Validate that the 'Final Review' dialog is displayed.
  31. Ensure that 'None' is selected in the 'Output' field.
  32. Click [Sign]
  33. Validate that the 'Order grid' contains a new order.
Topics
• Order Entry Console

 

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