Add Clinical Narratives

You can add clinical narratives for clinical note types for the current encounter.

1. Open NextGen® Enterprise EHR.
2. To open the Clinical Narratives template, do one of the following:
   • On the Templates module, select Clinical Narratives, and then select a note type.
   • On the Documents and Letters template, in the Clinical Narratives (CCDA) section, select a note type.
     

3. To enter your comments for consultation, discharge summary, imaging, laboratory report, pathology report, history and physical, and progress note types, do one of the following:
   • Enter the details in the Narrative field.
   • Select My Phrases and select the predefined comment.
   Note: The Resulted Orders panel is enabled only for the imaging, laboratory report, and pathology report note types to select a component and enter your comments. You can add only one clinical narrative for a specific component for the current encounter. However, you can update the clinical narrative for the component.

   By default, the Resulted Orders panel displays the latest results for a component for up to 30 days from the encounter date. You can change the time frame and view results for up to one year.

   

   Note: If you update the clinical narrative for a component and you update the same, you can see a mismatch between the values in the Coll.Date/Time and Result columns in the Resulted Orders panel and the collection date/time and result in the Narrative field.
4. Select Add.
   The clinical narrative appears in the Current Visit Narratives grid.