Dictionary Updates

Overview

Dictionary updates required for the Order Entry console setup in myAvatar.

Define Dose Unit

Defined with the CWS Dictionary Update form, the Dose Unit is in the Order Entry Tabled Fields file and is #10270. The following fields are available:

Field	Description	Notes
Code	Unique identifier within the organization’s myAvatar system.
Value	Value that will be displayed in the drop-down list box during ordering conversation.
Description	Long word description of the unit.
UCUM Identifier	Currently not used within the user interface, but may be used at a later date for subsequent functionality. This provides a universal Netsmart identifier for the dosing unit based on industry standards.
Type of Measure	While not currently used for anything, it may be used a later for subsequent functionality. The available options and their meanings are: Form - Unit that communicates how the medication will be delivered and must be used in conjunction with the strength of the selected product to communicate a medication dose (i.e. tab(s). Strength - Unit that communicates a quantity associated with a medication and could stand alone as a medication dose (i.e. mg). Volume - Unit that communicates a quantity of liquid but must be used in conjunction with the strength of the selected product to communicate a medication dose (i.e. ml).	When an external pharmacy has been indicated, the user will only be presented with those dose units that are defined as either Form or Volume.

Below is a list of recommended values to include in this dictionary, including the NKID value for each. The NKID value should not be changed from what is listed below. If your organization has a dose unit not listed here, contact Netsmart if you need assistance in determining the most appropriate NKID value for that unit.

Code	Value	Description	NKID	Type
1	mg	Milligram	UCUM!mg	Strength
2	tab	Tablet	NCI!C42998	Form
3	cap	Capsule	NCI!C25158	Form
4	patch	Patch	NCI!C42968	Form
5	ea	Each	SCT!419473009	Form
6	drop	Drops	UCUM!drp	Volume
7	mcg	Microgram	UCUM!ug	Strength
8	mL	Milliliter	UCUM!mL	Volume
9	app	Application	SCT!413568008	Form
10	unit	Units	UCUM!IU	Form
11	puff	Puffs	SCT!415215001	Form
12	er-tab	Extended Release Tablet	NCI!C42927	Form
13	er-cap	Extended Release Capsule	NCI!C42916	Form
14	g	Gram	UCUM!g	Strength

For reference, Netsmart used the following industry standards when creating the NKID: National Cancer Institute (NCI), SNOMED (SCT) and Unified Codes for Unit of Measure (UCUM).

When an external pharmacy has been defined, the system will not use the dose unit dictionary. Instead, it will use a standard OrderConnect dictionary. Based on logic dependent on drug form and route, the system will default the appropriate dose unit if it can do so safely.

Define Frequent Order Instructions (for Pharmacy)

Defined with the CWS Dictionary Update form, this dictionary is in the Order Entry Client Information option and is #21003. The following fields are available:

Field	Description	Example
Code	Unique identifier within the system. This value is defined by the client.	1 or MILK
Value	Text to populate the additional instructions field within the Order Entry widget. (Limit: 40 characters)	‘Take with food or milk’

Define Frequent Order Instructions (for Lab)

Defined with the CWS Dictionary Update form, this dictionary is in the Order Entry Client Information option and is #21004. The following fields are available:

Field	Description	Example
Code	Unique identifier within the system. This value is defined by the client.	1 or FAST
Value	Text to populate the additional instructions field within the Order Entry widget. (Limit: 40 characters)	‘No food, and clear liquids only’