Document Patient's Trauma History using the LEC-5 Interview Template
- In NextGen® Enterprise EHR, in Patient History, select the Templates button.
The Select Template window opens.
- On the Medical Records tab, select All.
- From the list, select LEC-5 Interview (BH), and then select OK.
- Select the program, specialty, and visit type for the patient.
- In the Rate Emotional Abuse Severity panel, enter the rating after completing all the questions on the patient's emotional status.
- In the Rate Physical Abuse Severity panel, enter the rating after completing all the questions on the patient's physical status.
- In the Rate Sexual Assault or Other Uncomfortable Sexual Experience Severity panel, enter the rating after completing all the questions on the patient's sexual assault experiences.
- In the Rate Other Stressful Event Severity panel, document the patient's exposure to other stressful events such as war, life-threatening illness, sudden violent death, or serious injury you have caused to someone else.
- In the Event Rating and Summation panel, document the overall rating of the events experienced by the patient.
- In the Medications panel, document and reconcile medications related to the patient's traumatic experiences.
- In the Allergies panel, review and update the patient's allergies and the corresponding medications.
- Select Generate Document.
- Document Information about Individuals Present during an Assessment
You can document details about the individuals present during the patient's assessment. - Document Patient's Additional Trauma History using the LEC-5 Self-Report Template
You can document the extended questionnaire on the patient's stressful incidents to provide better trauma care. - Assessment and Diagnosis Functionality
- Task Supervisor/Staff for Review and Signoff
The table provides information about the tasks related to the Signature (Tasking Supervisor/Staff for review and signoff) panel. - Submit Charges
You can use the Charges panel to submit a charge for the billing process.