Add a Case History Entry

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Patient Consent

Before you begin Ensure that you have selected the Specialty as Care Management and Visit Type as Case & Consent. Open NextGen® Enterprise EHR. On the Case & Consent template, expand the Consent panel. select the appropriate consent from the fields available. select the appropriate dates corresponding to the consent. Parent topic: Case and Consent Tab

NextGen® Enterprise EHR Help

Create a Case

Before you begin Ensure that the View Case Management check box is selected in the user-level settings to enable the case management on the Encounter History tab. Any changes made to the Patient's Encounter preferences occur only after you reload the Encounter History tab. Open NextGen® Enterprise PM. To create a case, do one of the following: On the Encounter History tab, select an encounter, and select the Encounter Options icon and then select Case. From the File menu, select New > Case. The Case Management window opens. Select an appropriate option in the required fields highlighted in red and the non-required fields as needed for the case. Select OK.The case created appears on the Encounter History tab. Note: When you select a Case on the Encounter History tab, the following are disabled on Patient Information Card (PIC). Patient Tracking Links to open the Medical Records templates Medical records templates with data presence indicators such as, Patient Providers, HIPAA However, y

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Add Diagnostic History

You can add the diagnostic history of a patient from the Diagnostic category in the History Summary panel or from the Diagnostic Studies panel on the Histories template. Open NextGen® Enterprise EHR. To document the diagnostic history, do one of the following: On the Histories template, expand the Diagnostic Studies panel, and select Add. In the History Summary panel on the Intake template, select Diagnostic, and select Add/Edit. The Diagnostic History Entry template opens. Diagnostic History Entry Select Diagnostic study type, select the study type, and then select OK. Select Diagnostic study, select an option, and then select OK. The Procedure code field is automatically filled. If the diagnostic study is performed outside your practice, select Ordered elsewhere. Select Side and Site, and select the appropriate option. Select Date performed, and enter the date. If the exact date is unknown, select Approximated performed date. NextGen® Enterprise EHR automatically fills the Date Compl

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Add a Problem in the Problem List

You can add a problem to the problem list of a patient. Open the Histories template. In the Problem List panel, click Add/Update.The Problems template opens. Click Add Problem.A search window open. Enter the full or partial name of the problem in the field at the top of the search window. Click Search.A list of search records displays under the Description column. Select a problem and click Select. Note: To add the selected problem to the tracked problem list, select the Add to My Tracked Problems check box. The selected record displays in the Problem List module. From the Problem Status list, select the status of the problem. If the selected problem is chronic, select the Chronic check box, otherwise select the Secondary Condition check box. Note: The Onset Date field displays the current date. You can enter an approximate date if the exact onset date is unknown. In the Resolved Date field, enter the date when the selected problem was resolved. Click Accept. The problem is grouped acc

NextGen® Enterprise EHR Help

Create a Case

Before you begin Ensure that the View Case Management checkbox is selected in the user-level settings to turn on the case management on the Encounters tab. Any changes made to the Patient's Encounter preferences occur only after you reload the Encounters tab. Open NextGen® Enterprise PM. To create a case, do one of the following: On the Encounters tab, select an encounter, and select the Encounter Options icon and then select Case. From the File menu, select New > Case. The Case Management window opens. Select an appropriate option in the required fields highlighted in red and the non-required fields as needed for the case. Select OK.The case created appears on the Encounters tab. Note: When you select a Case on the Encounters tab, the following are disabled on Patient Information Card (PIC). Patient Tracking Links to open the Medical Records templates Medical records templates with data presence indicators such as, Patient Providers, HIPAA However, you can open and modify the Demograp

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

Add a Case History Entry

Before you begin

Recommendations

Document Patient Consent

Create a Case

Add Diagnostic History

Add a Problem in the Problem List

Create a Case

Manage Patient's Disease

Document Patient Consent

Create a Case

Add Diagnostic History

Add a Problem in the Problem List

Create a Case

Manage Patient's Disease