Document Nutritional Assessment Information

You can capture data related to a patient's eating disorder and other nutritional data.

1. In NextGen® Enterprise EHR, in Patient History, select the Templates button.
   The Select Template window opens.
2. On the Medical Records tab, select All.
3. From the list, select Nutritional Assessment (BH), and then select OK.
4. Expand the Today's Vital Signs panel, and enter the patient's vital signs and weight history information.
   Note: In the Dental Symptoms section, you can document a pain plan by selecting a record in the Vitals record, and then selecting Edit. The Pain Plan link is located in the Pain Level section.
5. Enter the patient's weight and basal metabolic rate information in the Weight and Metabolic Rate panel.
   Note: This data is calculated from the BMI statistics collected in the Today's Vitals panel.
6. Enter the patient's gastrointestinal symptoms in the Gastrointestinal Symptoms panel.
7. To add or update the patient's daily dietary history in the Daily Dietary History panel, select the Daily Diet History link.
   The diet details appear in the grid.
8. Document the Previous Dietary Regimens, Vitamin and Mineral Intake, and Other Dietary Concerns information for the patient.
9. Enter values for the nutrition-related lab parameters with dates for the patient in the Nutritional Related Labs panel.
10. When a summary of care document (C-CDA) is present for the patient, in the Medications panel, select the Summary of care checkbox.
11. To add or update a medication, select Add/Update.
    The Medication Module window opens.
12. Review and reconcile medications, and then select OK.
    The Medication Reconciliation window closes, and the Medication panel appears.
13. Enter the allergies and associated reactions for the patient in the Allergies panel.
14. Document the diet and exercise recommendations and plans for the patient in the Recommendations/Plans panel.
15. To calculate the patient's calorie level in the Today's Vital Sings panel, select Calculate Calorie Level. This option helps you to recommend and plan the nutritional requirements for a patient.
    Note: You can generate a document with all the details, and then save it to the patient's encounter.