Document Discharge Summary
- Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates.
The Select Template window opens.
- On the Medical Records tab, select All.
- Select Discharge Summary (BH), and then select OK.
- Select the program, specialty, and visit type.
- Select the patient's discharge date.
- Document whether you need to close the selected program for the patient.
If yes, select the status of the patient treatment in the program.
- In the Assessment/Diagnosis panel, document the patient's active diagnosis and assessment details.
- Select the WHODAS 2.0 link to complete the questionnaire about the patient's challenges due to health conditions.
- In the Discharge Summary panel, document the treatment details, post-discharge support details, risk details, and the reason for the patient's discharge.
- In the Discharge Plan panel, document the patient's active medications and discharge plans and instructions.
- Select Generate Document.