Automatic Calculation of Parity in the Obstetrics and Gynecology Synopsis Template

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Activate Automatic Calculation Parity Option

You can activate the automatic calculation parity option in the Practice Configuration template. You can activate the Parity auto-calculation activated setting iin the Practice Configuration practice template. This setting allows you to select whether to automatically calculate parity at the point of care when pregnancy outcomes are entered. You can select the checkbox to automatically calculate the parity when documenting the pregnancy outcome. When this option is activated all Parity Detail fields become read-only. The parity data must match the Pregnancy Outcome entries in the Pregnancy Outcomes grid. The automatic calculation function remains incomplete until the data is synchronized. If you do not select this option you have to manually update the parity details. When a user activates this functionality, it creates a log on the OB Audit Log practice template. From the File menu, select System \ Practice Template to open the Select Template list. On the Practice tab, select Practic

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Automatic Calculation for Parity Values

You can correct and automatically calculate a patient’s current parity values. The automatic calculation of parity allows you to make corrections to a patient’s parity if they are incorrect. In the Pregnancy History grid, without adding the details of each associated pregnancy, you can quickly document a patient’s current parity values. You can also view all patients within the practice that have disparate parity detail information. The following is automatically calculated in the NextGen® Adaptive Content Engine system: Gravidity is the sum of full term, abortion, and ectopic pregnancies and are automatically calculated. A current pregnancy if any is calculated in this count. Parity is calculated in TPAL format (T for total number of full term births; P for total number of preterm births; A for total number of abortions; and L for total number of living children). The system also further breaks down A to automatically calculate total number of spontaneous abortions, induced abortions,

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Review Incorrect Parity Data in the Patient Safety Report Practice Template

You can review incorrect parity data in the Patient Safety Report practice template. You can view all patients within the practice whose current parity details are different than the parity calculated by the entries in the Pregnancy history grid. A Parity Detail Disparity option is added in the Patient Safety Reports practice template to display the list of patients with incorrect parity details. You can modify the patient charts to display the correct parity details and the pregnancy outcome data. To correct the parity details, open the patient’s chart to update the entry on the OBGYN Synopsis or Pregnancy Outcomes template. This functionality helps you to view all patients within the practice that have disparate Parity Detail and generate a report so that the individual patient charts can be modified to display the correct Parity Detail and Pregnancy Outcome data. From the File menu, select System \ Practice Template to open the Select Template list. On the Practice tab, select Patie

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Manually Calculate for Multiple Births

You can manually calculate multiple births in the Pregnancy Outcomes template. The multiple births must be manually entered by the practice in the Pregnancy Outcomes template. For twins born through NSVD, it is calculated as 1 NSVD. The same applies for triplets, quads and so on if all delivered by 1 NSVD. For twins both born by C-section, it is calculated as 1 C-section. The same applies for triplets, quads and so on if all delivered by 1 C-section. For twins, 1 born by NSVD and 1 by C-section is calculated as 1 NSVD and 1 C-section. The same applies for triplets, quads and so on if one or some are delivered by 1 NSVD and 1 C-section. In cases of multiple gestation pregnancies with different outcomes for the embryos fetus(es), the parity is automatically calculated based on the most advanced fetal outcome. Abortions or ectopic pregnancies that are part of a multiple gestation pregnancy do not contribute to parity if there is also a potentially viable delivery. In such cases, you can d

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Obstetrics and Gynecology Synopsis Template

The Obstetrics and Gynecology (OBGYN) Synopsis template provides the details of female patients. You can document information on the patient's menopause status, hysterectomy details, gynecological and pregnancy history, abnormal pap history, and contraception information for female patients over the age of eight years. You can use the OBGYN Synopsis template during a gynecology visit, not during an OB prenatal visit. On the Patient Information Card in NextGen® Enterprise EHR, select OBGYN.The OBGYN Synopsis template opens. Select from Primary OBGYN provider. Select from the following options. Detailed document: Select this to include the gynecological and pregnancy histories in the document. Reviewed, no changes: Select this option if you have reviewed the details documented in the previous encounter and no changes were made. Reviewed, updated: Select this if you have reviewed and updated the details documented in the previous encounter. History unobtainable: If OBGYN details are unobt

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Obstetrics

Obstetrics section The Parity detail auto calculation section is used to activate the automatic calculation of parity at the point of care when the pregnancy outcomes are entered. When the parity automatic calculations feature is turned off, the text "Parity auto-calculations not activated" appears. When you activate the Parity automatic calculate feature, the system adds a log in the OB Audit Log practice template. On the OB Audit Log practice template, you need to select the Parity detail auto calculation log type and the date range to view the items that have discrepancies in the parity numbers when compared to the pregnancy history grid entries. If the parity automatic calculation feature is turned on, the green text Auto-calculation appears on the Pregnancy Outcomes and OBGYN Synopsis templates. If the parity detail data is discrepant between the Pregnancy History grid and parity details fields on the Pregnancy Outcomes and OBGYN Synopsis templates, an alert message appears on the

Automatic Calculation of Parity in the Obstetrics and Gynecology Synopsis Template

Recommendations

Activate Automatic Calculation Parity Option

Automatic Calculation for Parity Values

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Manually Calculate for Multiple Births

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Automatic Calculation of Parity in the Obstetrics and Gynecology Synopsis Template

Activate Automatic Calculation Parity Option

Automatic Calculation for Parity Values

Review Incorrect Parity Data in the Patient Safety Report Practice Template

Manually Calculate for Multiple Births

Document the Obstetrics and Gynecology Synopsis Template

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