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Allergen Code Load/Update Utility via Micromedex

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Import multiple allergen codes from the Micromedex Red Book database of drug interaction and reference to populate the Allergen Code dictionary in myAvatar Order Entry.

Avatar Order Entry > Order Entry System Definitions > Allergen Code Load/Update Utility Via Micromedex

  • The allergen code load/update utility can be run after the initial load of the Micromedex database and after incremental updates are applied to the Micromedex database. The Micromedex Red Book database includes drug-to-drug interactions, drug-to-allergy warnings, drug-to-disease checking, and client education monographs.
  • When a new allergy is added or a current allergy is modified, the client's current medications are checked against the allergen for drug and allergy interactions. If any interaction is found, a message will display in myAvatar Order Entry that details the interaction.
  • The Allergen Code dictionary in myAvatar CWS can be updated by either the Allergen Code Load/Update Utility Via Micromedex form or the Allergen/Reactant Code Setup form in myAvatar CWS. As a result, it is possible that user-defined codes in the Allergen Code dictionary could be updated/overwritten during the Allergen Code Load/Update process with descriptions that are entirely different from their starting descriptions. Review the audit reports available with this process to check for potential problems.
  • A backup copy of the Allergen Code dictionary is made at the start of the load/update process. If problems are detected, click Restore Allergen Code Dictionary That Existed Prior to Last Load to restore the allergen dictionary that existed prior to the last upload.
  • Importing allergen codes may overwrite user-defined codes that have been defined in myAvatar Order Entry.
  • It is recommended that the user generate an audit report (click Print Audit Report For Latest Load/Update Process) to verify user-defined codes.
  • As a best practice, it is recommended that user-defined allergen codes be named with a special prefix, such as "USERalg".
  • If clinical screening is available and the Send Message To All Terminals When Screening Database Out of Date registry setting is enabled, an alert displays on the RADplus 2010 banner screen indicating the screening database needs to be updated. Use the Order Code Load/Update Utility Via Micromedex Red Book Database and the Allergen Code Load/Update Utility Via Micromedex forms to update the First Databank database.
  • The allergen code load/update process takes into account myAvatar Order Entry allergen codes that are mapped from the First Databank database to the Micromedex Red Book database.
  • If Guardiant is used with myAvatar Order Entry, a background process will run once a day to check for out-of-date data in the Micromedex database being used. If the process detects an out-of-date condition, Guardiant will send an alert periodically to Netsmart until the out-of-date condition is resolved. See Avatar Order Entry 2011 Enhancement 37 Release Notes for details.

To hide the Allergen Code Load/Update Utility Via Micromedex form to prevent its use, use the myAvatar CWS registry setting Enable Allergen Search Web Service. This is a one-time setup process that involves using Netsmart's cloud-based Service Oriented Architecture (SOA), so be sure you understand the implications before using this registry setting.

Prerequisites:

  • Install the Micromedex Update module.
  • RADplus 2013 Update 7 is required for the sending of Guardiant alerts.
  1. In the Clinical Screening Database Provider field, select the database provider.
  2. For the Netsmart Clinical Screening Middleware/server IP Address or Server Name field, enter the IP address or server name for the selected database.
  3. Enter the port number for the Netsmart clinical screening middleware/server.
  4. In the Severity Filter For Drug-Drug Interactions Alerts field, select the level of severity to use as a filter for determining drug-to-drug interactions (Contraindicated, Moderate, Severe, etc.)
  5. In the Severity Filter For Drug-Allergy Alerts field, select the level of severity to use as a filter for determining the severity level of drug-allergy reactions. Choices range from 1 (least severe allergic reaction) to 9 (most severe allergic reaction).
  6. For the Include Orders With The Following Order Status In Clinical Screening field, select all the order statuses to be included when performing clinical screening on orders.
  7. Click Check Connection to test the connection with the clinical screening database.
  8. Click Displays Version Information to display version information for the clinical screening database being used.

► Registry Settings

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