Configuration Options in Assessment Section

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Update the Assessment Details in Today's Assessments grid

If you want to update the assessment details in the Today's Assessments grid, Highlight an assessment in the Today's Assessments grid. Select or enter appropriate value in the Status, Side, Site, Impression, Differential Dx fields. Select Update. If the diagnosis is chronic, select the Mark diagnosis as chronic checkbox. If you want to add the selected assessment to the problem list, tracked problems, and/or favorite list, select the Clinical problems, My tracked problems, and/or My favorites checkbox respectively. Note: You can select the other tabs such as My Plan, A/P Details, and so on to document treatment plan, prescribe medications, order labs or X- rays, and request referrals. Parent topic: Upload the Procedure Diagnosis in Today's Assessment Grid

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Setting a Default View for the Problem List Note

You can set a default view for the problem list note in the Assessment section on the Practice Configuration template. In the Problem List Note row in the Assessment section, you can select one of the following: Most Recent Note to view the most recent problem list note Most Recent Note by Current User to view the most recent note created by you Assessment section Parent topic: Setup Requirements for a Pediatrics Specialty

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Enter Studies in the Diagnostics Tab

The Today’s Assessments grid includes a list of diagnoses selected in the Assessment tab. The Diagnostic Studies template is part of a group of templates that use the last assessment or diagnosis selected on any of the templates in the group as the working assessment. The system defaults to the current working assessment. You can select another assessment, which becomes the new working assessment that carries forward to the other templates in the group. On the Diagnostic Studies template, select Add to open the Add or Update Assessment template and add any additional assessments.The application fills Vendor field automatically with the preferred vendor if it has been configured in the NextGen File Maintenance application. If required, select the Vendor field to select a different value from the resulting list.The application fills Billing Type field automatically based on the selected Vendor. Note: The default Billing Type is Third Party. If you have turned on the Enable Quest/Labcorp

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Information in the Assessment and Plan Panel

You can document information in the Assessment and Plan panel. The Assessment/Plan panel allows you to enter an assessment, generate the prenatal record, enter a follow-up appointment if not already done on the OB flowsheet, document which hospital the prenatal record must be sent to, and task to send the prenatal record to the hospital. The Prenatal Record button generates the cumulative Obstetric document for the pregnancy to date. At the first visit, it is important to generate the Prenatal Record to review all of the information for completeness and accuracy. After reviewing the Prenatal Record, the provider may note data that was not entered or view information that must be entered in the Problem/Detail list for easy viewing at subsequent visits. Select the Prenatal Detail tab Select the Assessment/Plan tab. To add an assessment, select Add/Update. Select any diagnosis in the Billing Diagnosis History section, the Clinical Problems section or the My Favorites section. The diagnosi

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Add Fracture Care Rapid Note

Click the SOAP tab and click the Rapid Note link.The Fracture Care Rapid Note template opens. Fracture Care Rapid Note In the Indication/Type of Treatment panel, the grids will be filled from the options selected and documented in the Fracture/Casting /Strapping template. If a patient has a new treatment that needs to be added, do the following: Select the required options for the Episode of Care and the Type of Treatment fields. Select the required options for the following fields from the corresponding picklists and then select Add. Indication Type of treatment Side Region Initial Treatment Date Note: The fields marked with an (*) are mandatory fields. The information is displayed in the grid. Select the required options for the following fields: Status WB Status Pain meds Using assistive device Select the Pain level and Frequency of pain from the corresponding picklists. In the Associated symptoms/pertinent negatives section, Select the required options for the Activity Level and Wo

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Enter DSM IV Assessment Details

In the Assessment/Diagnosis panel, click the DSM IV link to open the BH - DSM IV template. In the Axis I & II section, click the Copy Forward button to pull in previously entered assessment/diagnosis. Note: This button is enabled only if there is data available from a previous encounter. To open the Common assessment template, click Add Common Assessment. To document information for any person who should be contacted concerning this client, click Mandated Care Coordination. To enter a new diagnosis, click Add to open the Add or Update Assessment template. After a diagnosis has been entered, click Save & Close to return to the BH - DSM IV template. Do one of the following in the Axis III section: In the first available Diagnoses field, click to launch the diagnosis search window. Since the exact code for the client’s non-behavioral health diagnosis may not be apparent, you may not be able to select an Axis III diagnosis code. If available, select a code that was previously entered from

Configuration Options in Assessment Section

Recommendations

Update the Assessment Details in Today's Assessments grid

Setting a Default View for the Problem List Note

Enter Studies in the Diagnostics Tab

Document Information in the Assessment and Plan Panel

Add Fracture Care Rapid Note

Enter DSM IV Assessment Details

Update the Assessment Details in Today's Assessments grid

Setting a Default View for the Problem List Note

Enter Studies in the Diagnostics Tab

Document Information in the Assessment and Plan Panel

Add Fracture Care Rapid Note

Enter DSM IV Assessment Details