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Document the Patient's Medical and Surgical Details
Open
NextGen® Enterprise EHR
, and then in
Patient History
, select
Open Templates
.
The
Select Template
window opens.
On the
Medical Records
tab, select
All
.
From the list, select
Comp Assess - BH Hx
, and then select
OK
.
In the
Past Medical/Surgical
panel, select
Add
to document the patient's medical and surgical details.
To add an item to the
Medical
or
Surgical
panel, select the respective checkbox for the condition or surgery.
The
Onset Date
(in the
Medical
panel) or
Date
(in the
Surgical
panel) field and the
Details
icon appear beside the selected item.
To add problems that are not available on the
Past Medical History
template, use the
Other
field.
Use the
Onset Date
field in the
Medical
panel to enter the date when the condition first appeared.
Use the
Date
field in
Surgical
panel to enter the date the surgery was performed.
Select
Onset Date
or
Date
to access the
Date Selection
window.
The
Data Selection
window opens.
You can enter the
Onset date
manually into
Onset date
or by selecting the calendar to select a date.
Enter the approximate patient age in
Onset age
.
Onset age
can be entered as days, weeks, months, or years but a future onset age cannot be entered.
Select
Save & Close
.
To add an additional description for the condition or surgical procedure, select the
Details
, located beside the selected condition or procedure.
The
Manage Past Medical/Surgical History
template opens.
Select
Save to Grid & Close
to return to the
Past Medical History
template.
The details of the selected condition or surgery appear in the grid in the
Past Medical History Grid
panel.
To clear a condition, surgery details, or entries in the
Past Medical History
grid, select a row in the grid and select
Remove
.
Select
OK
.
Document the Patient's Medical and Surgical Details
NextGen Behavioral Health Suite Help 5.5
Document the Patient's Mental Health and Risk Assessment Information
Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. From the list, select Comp Assess - BH Hx, and then select OK. To document the patient's medical and surgical details in the Past Medical/Surgical panel, select Add. Note: To document the patient's mental and physical health details, you can select the corresponding links in the Past Medical/Surgical panel. In the Substance Use/Addictive Behavior History panel, document the details about the patient's addiction to substance use. In the Mental Health and Addiction Treatment Service panel, document the patient's treatment details about the mental health and substance use. In the Medication Information panel, review and update the patient's medication details. In the Mental Status Evaluation panel, enter the patient's mental health details. Note: To document the patient's mental health status systematically, you can select the Mental s
NextGen® Ophthalmic Suite Help 2022.2
Manage Patient's Disease
You can manage the patient's disease in the Medical/Surgical/Interim panel on the Histories template. Open NextGen® Enterprise EHR. Open the Histories template and select the Medical/Surgical/Interim panel. Select Add.By default, NextGen® Enterprise EHR fills the Specialty field with the current specialty. Note: The Configure Medical Surgical and Family History system template is used to configure the conditions, surgical procedures, sub-items of a condition/procedure, management items, and associated SNOMED codes. The Past Medical History template opens. Past Medical History To add an item to the Medical or Surgical panel, select the respective check box for the condition or surgery.The Onset Date in the Medical panel field or the Date in the Surgical panel field and the Details icon appear beside the selected item. To add problems that are not available on the Past Medical History template, use the Other field. To enter the first appearance date of the condition, use Onset Date in th
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Manage Patient's Disease
You can manage the patient's disease in the Medical/Surgical/Interim panel on the Histories template. Open NextGen® Enterprise EHR. Open the Histories template and select the Medical/Surgical/Interim panel. Select Add.By default, NextGen® Enterprise EHR fills the Specialty field with the current specialty. Note: The Configure Medical Surgical and Family History system template is used to configure the conditions, surgical procedures, sub-items of a condition/procedure, management items, and associated SNOMED® codes. The Past Medical History template opens. Past Medical History To add an item to the Medical or Surgical panel, select the respective checkbox for the condition or surgery.The Onset Date in the Medical panel field or the Date in the Surgical panel field and the Details icon appears beside the selected item. To add problems that are not available on the Past Medical History template, use the Other field. To enter the first appearance date of the condition, use Onset Date in t
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Add Past Medical/Surgical History
On the Bh Hx section tab, click the Add button under the Past medical/surgical/interim history grid to access the Past Medical History template.By default, the application fills the Specialty field with the current specialty. Note: The Configure Medical Surgical and Family History system template is used to configure the conditions, surgical procedures, sub-items of a condition/procedure, management items, and associated SNOMED® codes. To add an item to the Medical or Surgical panel, select the respective checkbox for the condition or surgery.The Onset Date (in the Medical panel) or Date (in the Surgical panel) field and the Details icon appear beside the selected item. Use the Onset Date field in the Medical panel to enter the date when the condition first appeared. Use the Date field in the Surgical panel to enter the date the surgery was performed. To add problems that are not available on the Past Medical History template, use the Other field. Click the Onset Date or the Date field
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Add Additional Past Medical History
You can document additional past medical history on the Past Medical History template. Open NextGen® Enterprise EHR. Open the Histories template. In the Medical/Surgical/Interim panel, select Add.The Past Medical History template opens. Select a condition in the Medical panel or a procedure in the Surgical panel to add to the patient's medical history.The Details icon, and the Date field appear next to the selected item on the Past Medical History template. To enter additional information about a procedure or condition added to a patient's part medical history, select .The Manage Past Medical/Surgical History template opens. Manage Past Medical/Surgical History For a group condition or procedure, to select a value, do one of the following: Select a value from the list. Select the search button and use the search window to locate and select an appropriate condition or procedure and the associated SNOMED® code. NextGen® Enterprise EHR fills the SNOMED code for the Disease/disorder field
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Add Additional Past Medical History
You can document additional past medical history on the Past Medical History template. Open NextGen® Enterprise EHR. To add additional past medical history on the Past Medical History template, do one of the following: On the Histories template, in Medical/Surgical/Interim, select Add. In the History Summary panel on Intake, in Past Medical/Surgical, select Add. The Past Medical History template opens. Select a condition on the Medical panel or a procedure on the Surgical panel to add to the patient's medical history. The Details icon, and the Date field appear next to the selected item on the Past Medical History template. To enter additional information about a procedure or condition added to a patient's part medical history, select . The Manage Past Medical/Surgical History template opens. Past Medical Surgical History For a group condition or procedure, to select a value, do one of the following: Select a value from the list. Select the search button and use the search window to lo