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Objective Panel

The Objective panel has sections for documenting Exams, Comments, Treatment and Notes. You can also view and enter vital signs for the visit and indicate if the visit qualifies for a re-evaluation charge.

Objective panel

Vital Signs
Re-evaluation Charge
Documenting Exams
Re-Evaluation Checkbox
Objective Comments
Treatment Section
Modalities
Additional Modalities Template
Work Conditioning Template
Document Orthosis and DME Management
Aquatherapy Template
Document Patient Education for Physical or Occupational Therapy
For physical and occupational therapy, you can document education the patient receives.
Document Caregiver Education for Physical or Occupational Therapy
For physical and occupational therapy, you can document the training a patient's caregiver receives.
Testing/Other Template
Document Remote Therapeutic Monitoring
Review Documented Treatments
Physiotec
MedBridge HEP
You can access the MedBridge HEP Application Programming Interface (API) from the Objective panel of the Single Visit template.
Notes

Objective Panel

NextGen® Therapy Suite Help 30.3.13.0

Single Visit Subjective Panel

Use the Subjective panel on the NTS Single Visit template to document the patient’s history. The Subjective panel also gives you access to additional templates to document the patient’s limitations, work demands, and specialty subjective information. In the Job Title, Work Status, and Last Worked fields, you can document the patient’s workplace and work status information. Note: These fields share the same values from the Job Title, Work Status, and Last Worked fields on the NTS Homepage template. The Ordering Diagnosis grid pulls data entered on the NTS Homepage template. To update Ordering Diagnosis information, open the NTS Homepage template. The Surgery and Past Medical History grids display any history that was captured in a NextGen Healthcare application for the patient. You can edit past medical history and add family and social history. If precautions or contraindications were entered on the NTS Homepage template, they display in the Precautions/Contraindications field, where y

NextGen® Therapy Suite Help 30.3.13.0

Documenting Exams

The Exams section on the Single Visit template has a grid that shows all exams recorded for the patient, and a list of exams that you can use to document exams performed in the current encounter. You can fill out as many different exams as needed for the patient on a single encounter. All data entered on any exam is displayed in the grid. Exams section in the Objective panel Access Exams Use Get Data to Fill in Exam Templates The Get Data button can help you enter patient information faster. Use a QuickPick to Fill in Exam Templates Open an Extra Exam or Special Test Template Enter Multi-Test Comparisons Compare Exams with Multiview View Exams Edit Exams Review Exams Parent topic: Objective Panel

NextGen® Therapy Suite Help 30.3.13.0

Document Caregiver Education for Physical or Occupational Therapy

You can document the physical and occupational therapy training the patient's caregiver receives in the patient's absence. The patient or representative must have given consent for this training. The caregiver training information appears on the Office Visit document. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Homepage template associated with the encounter, and then select a PT or OT visit type. Open the NTS Single Visit template, and then expand the Objective panel. Under Treatment, select Education. The Education template opens in the NTS PT Treatment Edu window. Select Patient consented to caregiver training. Select the appropriate checkbox that describes whether the caregiver training is for an individual or a group. For individual caregiver training, enter the total minutes of training time in Min, and then enter any therapist assistant-led training time in Asst. Asst appears only if the administrator configured the t

NextGen® Therapy Suite Help 30.3.13.0

Document Patient Education for Physical or Occupational Therapy

Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Homepage template associated with the encounter, and then select a PT or OT visit type. Open the NTS Single Visit template, and then expand the Objective panel. Under Treatment, select Education. The Education template opens in the NTS PT Treatment Edu window. For patient education, enter a description under Education of the education provided by doing one of the following: Select Body Mechanics, Gait, or ADL as the education type, and then select a description in each field. Note: If you select the blank space at the top of the list, you can type an entry into the field. To enter custom descriptions that is not related to an education type, make sure that none of the Body Mechanics, Gait, or ADL options are selected, and then enter your descriptions in the fields. Optional: To clear the description from a field, select X next to the field. In Patient and/or Caregiver Education, ty

NextGen® Adaptive Content Engine Help Enterprise 8

Objective Template

The Objective template is used by the provider to review and update previously documented information about the patient such as surgical procedure dates, reason for visit, History of Present Illness (HPI), and vital signs. The provider then proceeds to document detailed information for the encounter, such as a physical exam, assessment and plan, observations, goals, treatment, edema, and wounds and incision care. The Objective template includes the following panels: Objective General Panel Document the Reason for Visit Physical Exam Panel Assessment/Plan Panel Add Observations Patient Goals Physical Therapy Treatment Panel Document Edema Details Document Wound Progression/Healing Vital Signs Panel Documents and Printing Parent topic: Physical Therapy

NextGen® Therapy Suite Help 30.3.13.0

Treatment Section

The treatment grid shows therapies and education that you have documented for the patient. You can document therapies completed with the patient using any of the treatment templates in the left-hand list. The therapies documented on the templates are billable, with the exception of the Education template, which always shows a billable Total Time entry of zero. Treatment grid Treatment Template Editing Modes Treatment Template Enter Treatments/Activities for a Body Area Apply Option Settings to Multiple Grid Entries Update a Single Grid Entry Sort Order for Patient's Exercises You can sort the order of a patient's exercises during documentation on the NTS Treatment template. Delete Individual Treatments or Activities Clear the Entire Grid Allow Body Area Override Skill and To Gain Entering Time for Treatments You can enter the time for treatments below the respective grids. The application calculates the total time from the time entered in each grid of the template. Time and Done Alerts