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Avatar eMAR 2023 Update 3

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Product Requirements and Recommendations

Avatar CWS required
Avatar eMAR required
RADplus required

Recommended Update Level

Avatar CWS 2023 Monthly Release 2023.04.00
Avatar eMAR 2023 Monthly Release 2023.04.00
RADplus 2023 Monthly Release 2023.04.00

Product Update Description

The registry setting 'Enable enhanced "Give:" line in eMAR 'Order Description'' is added. This registry setting will control the now-existing functionality to update the "Give:" line within the eMAR 'Order Description' of certain pharmacy-type orders to present the 'Dose' both in terms of the dosage form and as an expression of strength.  Please refer to the registry setting help message for details on when a pharmacy-type order is eligible for this functionality.  Note:  The functionality to enhance the "Give:" line in the eMAR 'Order Description' was introduced via Avatar eMAR 2022 Update 25.  Avatar eMAR 2023 Update 3 provides this new registry setting to allow this functionality to be disabled.  In addition, the following issues are resolved:  1) The enhanced "Give:" phrase might show the same 'Dose Unit' for both parts of the expression (dosage form and strength).  Prior to the installation of this Update, this situation could occur if the 'Dose Unit' dictionary (Order Entry Tabled Files, Data Element# 10270) has the 'Type of Measure' extended attribute incorrectly defined.  2) Decimal-only dose quantity values might be displayed without a leading zero in the enhanced "Give:" line.  3) Dose quantity values might be calculated out to a large number of decimal positions in the enhanced "Give:" line.  Such calculated values are now limited to 3 decimal positions for expressions of dose form, and to 4 decimal positions for expressions of strength or volume.

Required Updates

Avatar eMAR 2022 Update 25

Included Updates

None

Details
NEW0 CHANGED0 FIXED1
Fixed (1)
eMAR - "Give" line enhancement.
The functionality to enhance the "Give:" line in the eMAR 'Order Description' was introduced via Avatar eMAR 2022 Update 25. Avatar eMAR 2023 Update 3 provides this a registry setting to allow this functionality to be disabled. KB0074346 v0.01

In addition, the following issues are resolved:

  1. The enhanced "Give:" phrase might show the same 'Dose Unit' for both parts of the expression (dosage form and strength). Prior to the installation of this Update, this situation could occur if the 'Dose Unit' dictionary (Order Entry Tabled Files, Data Element# 10270) has the 'Type of Measure' extended attribute incorrectly defined.
  2. Decimal-only dose quantity values might be displayed without a leading zero in the enhanced "Give:" line.
  3. Dose quantity values might be calculated out to a large number of decimal positions in the enhanced "Give:" line. Such calculated values are now limited to 3 decimal positions for expressions of dose form, and to 4 decimal positions for expressions of strength or volume.
Topics
• eMAR NX • Order Entry Console
 
Acceptance Tests
AV-86368 Summary | Details
eMAR - "Give" line enhancement.
Note - These testing guidelines assume the user is skilled in the use of, at a minimum, the following:
  • eMAR
  • Orders This Episode
Scenario 1: OE NX - Calculate Dose based on Quantity Ordered - validation in eMAR NX
Specific Setup:
  • The 'Avatar eMAR->General->Settings->->->Use Pharmacy Fill Details For Order Description' registry setting must be set to "N".
  • The 'Avatar eMAR->General->Settings->->->Enable enhanced "Give:" line in eMAR 'Order Description'' registry must be set to "Y".
  • Please log out of the application and log back in after completing the above configuration.
  • An order code for a liquid medication must exist. (DULCOLAX LIQUID 1200 MG/15 ML)
  • A client must have an inpatient episode whose program or unit are configured in the ‘External Pharmacy Setup’ form. (Client A)
  • “Client A” must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
  1. Select “Client A” and access the Order Entry Console.
  2. Search for and select "ADVIL 200 MG TABLET ORAL" in the 'New Order' field.
  3. Set the 'Dose' field to "3".
  4. Validate the 'Dose Unit' field contains "Tablet".
  5. Select "AS NEEDED" from the 'Freq' field.
  6. Populate all remaining required fields and click [Add to Scratchpad].
  7. Search for and select "DULCOLAX LIQUID (MAGNESIUM HYDROXIDE) 1200 MG/15 ML SUSPENSION ORAL" in the 'New Order' field.
  8. Set the 'Dose' field to "30".
  9. Validate the 'Dose Unit' field contains "Milliliter".
  10. Select "3 TIMES A DAY" from the 'Freq' field.
  11. Populate all remaining required fields and click [Add to Scratchpad] and [Final Review].
  12. Validate an 'Interactions' dialog is displayed.
  13. Override all interactions and click [Save Override and Exit].
  14. Validate the 'Final Review' dialog is displayed, select "None" in the 'Output' field for both orders, and click [Sign].
  15. Validate the 'Order grid' contains two new orders.
  16. Access 'eMAR NX'.
  17. Validate an order for "DULCOLAX LIQUID (MAGNESIUM HYDROXIDE) 1200 MG/15 ML ORAL SUSPENSION Give: 2400 Milligram = 30 Milliliter 3 TIMES A DAY" is displayed under 'Scheduled'.
  18. Validate an order for "ADVIL 200 MG TABLET ORAL Give: 600 Milligram = 3 Tablet AS NEEDED" is displayed under 'PRN'.
  19. Access the Order Entry Console.
  20. Select the "DULCOLAX LIQUID" order and click [Modify].
  21. Set the 'Dose' field to "1800".
  22. Select "Milligram" from the 'Dose Unit' field.
  23. Click [Add to Scratchpad].
  24. Select the "ADVIL 200 MG ORAL TABLET" order and click [Modify].
  25. Set the 'Dose' field to "800".
  26. Select "Milligram" from the 'Dose Unit' field.
  27. Click [Add to Scratchpad] and click [Final Review].
  28. Override all the interactions and click [Save Override and Exit].
  29. Validate the 'Final Review' dialog is displayed, select "None" in the 'Output' field for both orders, and click [Sign].
  30. Validate the 'Order grid' contains two new orders.
  31. Access 'eMAR NX'.
  32. Validate an order for "DULCOLAX LIQUID (MAGNESIUM HYDROXIDE) 1200 MG/15 ML ORAL SUSPENSION Give: 1800 Milligram = 22.5 Milliliter 3 TIMES A DAY" is displayed under 'Scheduled'.
  33. Validate an order for "ADVIL 200 MG TABLET ORAL Give: 800 Milligram = 4 Tablet AS NEEDED" is displayed under 'PRN'.
  34. Set the 'Avatar eMAR->General->Settings->->->Enable enhanced "Give:" line in eMAR 'Order Description'' registry setting to "N".
  35. Log out and log back into the application.
  36. Select “Client A” and access 'eMAR NX'.
  37. Validate the order for "DULCOLAX LIQUID (MAGNESIUM HYDROXIDE) 1200 MG/15 ML ORAL SUSPENSION Give: 1800 Milligram 3 TIMES A DAY" is displayed under 'Scheduled'.
  38. Validate the order for "ADVIL 200 MG TABLET ORAL Give: 800 Milligram AS NEEDED" is displayed under 'PRN'.
Scenario 2: eMAR NX - 'Enable enhanced "Give:" line in eMAR 'Order Description' = "Y"
Specific Setup:
  • The 'Avatar eMAR->General->Settings->->->Enable enhanced "Give:" line in eMAR 'Order Description' registry must be set to "Y".
  • The 'Avatar eMAR->General->Settings->->->Use Pharmacy Fill Details For Order Description' registry setting must be set to "N".
  • The ‘(10273) Type of Measure’ extended attribute must be set to “Form” in the Order Entry Tabled Files ‘(10270) Dose Unit’ dictionary for “MG”.
  • Please log out of the application and log back in after completing the above configuration.
  • A client must have an active episode. (Client A).
  • “Client A” must have a ‘Date of Birth’, ‘Sex’ and address on file in the ‘Update Client Data’ form, as well as information filed in the ‘Allergies and Hypersensitivities’ form, ‘Diagnosis’ form, and in the ‘Height’ and ‘Weight’ fields in the ‘Vitals Entry’ form.
Steps
  1. Select “Client A” and access the Order Entry Console.
  2. Search for and select "APTIOM 200 MG TABLET ORAL" in the 'New Order' field.
  3. Set the 'Dose' field to "20".
  4. Select "MG" from the 'Dose Unit' field.
  5. Select "EVERY DAY" from the 'Freq' field.
  6. Populate all remaining required fields and click [Add to Scratchpad].
  7. Search for and select "FLAVOR PLUS (MULTI INGREDIENT SUSPENSION) 4 GM/5.5GM SUSPENSION ORAL" in the 'New Order' field.
  8. Set the 'Dose' field to "4".
  9. Select "MG" from the 'Dose Unit' field.
  10. Select "TWICE A DAY" from the 'Freq' field.
  11. Populate all remaining required fields and click [Add to Scratchpad].
  12. Search for and select "SPS Suspension (sodium polystyrene sulfonate) 4 GM/5.5Gram SUSPENSION NOT APPLICABLE" in the 'New Order' field.
  13. Set the 'Dose' field to "4".
  14. Select "GM" from the 'Dose Unit' field.
  15. Select "3 TIMES A DAY" from the 'Freq' field.
  16. Populate all remaining required fields and click [Add to Scratchpad] and [Sign].
  17. Validate the 'Interactions' dialog is displayed.
  18. Override all interactions and click [Save Override and Exit].
  19. Validate the 'Order grid' contains 3 new orders.
  20. Access 'eMAR NX'.
  21. Validate an order for "APTIOM 200 MG ORAL TABLET Give: 20 MG EVERY DAY" is displayed under 'Scheduled/Routine'.
  22. Validate an order for "FLAVOR PLUS (MULTI INGREDIENT SUSPENSION) 4 GM/5.5GM ORAL SUSPENSION Give: 4 GM TWICE A DAY" is displayed under 'Scheduled/Routine'.
  23. Validate an order for "SPS Suspension (sodium polystyrene sulfonate) 4 GM/5.5Gram NOT APPLICABLE SUSPENSION Give: 4 GM 3 TIMES A DAY" is displayed under 'Scheduled/Routine'.
  24. Access 'Dictionary Update' form.
  25. Select "Order Entry Tabled Files" from the 'File' dropdown list.
  26. Set the 'Data Element' field to "(10270) Dose Unit".
  27. Set the 'Dictionary Code' field to "MG".
  28. Validate the 'Dictionary Value' field is equal to "MG".
  29. Select "(10273) Type of Measure" from the 'Extended Dictionary Data Element' field.
  30. Select "Strength" from the 'Extended Dictionary Value (Single Dictionary)' field and click [Apply Changes].
  31. Validate a 'Filed' message is displayed and click [OK].
  32. Close the form.
  33. Log out and log back in to the application.
  34. Select “Client A” and access the Order Entry Console.
  35. Search for and select "ALBENZA 200 MG TABLET ORAL" in the 'New Order' field.
  36. Set the 'Dose' field to "0.11111111".
  37. Select "TABLET" from the 'Dose Unit' field.
  38. Select "EVERY DAY" from the 'Freq' field.
  39. Populate all remaining required fields and click [Add to Scratchpad].
  40. Search for and select "Amoxicillin 500 MG Capsule ORAL" in the 'New Order' field.
  41. Set the 'Dose' field to "1.1111111".
  42. Select "MG" from the 'Dose Unit' field.
  43. Select "TWICE A DAY" from the 'Freq' field.
  44. Populate all remaining required fields and click [Add to Scratchpad] and [Sign].
  45. Validate the 'Interactions' dialog is displayed.
  46. Override all interactions and click [Save Override and Exit].
  47. Validate the 'Order grid' contains 5 orders.
  48. Access 'eMAR NX'.
  49. Validate an order for "ALBENZA 200 MG ORAL TABLET Give: 22.2222 MG = 0.11111111 TABLET EVERY DAY" is displayed under 'Scheduled/Routine'.
  50. Validate an order for "Amoxicillin 500 MG ORAL Capsule Give: 1.11111111 MG = 0.002 Capsule TWICE A DAY" is displayed under 'Scheduled/Routine'.
Topics
• eMAR NX • Order Entry Console