Document a Multi System Exam on the SOAP Template

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document a Single System Exam on the SOAP Template

You can document the details of the single system examination of a patient in the Physical Exam panel on the SOAP template. Open NextGen® Enterprise EHR. Open the SOAP template. In the Physical Exam panel, select a single system exam in the left pane. Note: The left pane in Physical Exam displays the practice's custom list of the upper 14 single-system exams configured on the Framework Content system template. For more information on customizing the list, go to NextGen Healthcare Success Community, and download the Framework Content System Template for NextGen® Adaptive Content Engine. Select Additional in the list to select the required system from the complete list of systems that appears. The system-specific Physical Exam template opens. Enter the physical exam findings. Select Save & Close. Parent topic: Document Physical Exams

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Copy Physical Exam Findings from Previous Encounters

You can copy physical exam findings from previous encounters of a patient to the current encounter instead of manually adding them. Open NextGen® Enterprise EHR. Open the SOAP template, and then expand the Physical Exam panel. Select Physical Exam History.The Historical Information window opens. Note: The records are displayed for the default duration configured in the Copy Previous Visit Information section of the Practice Configuration template. For more information, go to NextGen Healthcare Success Community, and download the Practice Configuration Template User Guide for NextGen® Adaptive Content Engine. To filter the records in the grid, enter the search criteria in Filter by, and then select Search. Note: If the records are displayed from any sensitive encounter, an asterisk (*) appears on the record in the Sensitive column to help you decide whether to copy such records and update the current encounter as sensitive. Select the record to copy, and then select Copy Physical Exam &

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Physical Exam Findings

You can document the complete physical examination details of a patient on the SOAP template. The One Page Exam link opens a gender-specific or a gender-neutral, one-page physical exam template. Based on the configuration in the Physical Exam panel of the Framework Content system template and the selection of the Enable Gender Neutral PE checkbox on the Practice Configuration template, the gender-specific or a gender-neutral, one-page physical exam template opens. For more information, go to NextGen Healthcare Success Community, and download the Framework Content System Template for NextGen® Adaptive Content Engine and Practice Configuration Template User Guide for NextGen® Adaptive Content Engine. Open NextGen® Enterprise EHR. On the SOAP template, expand the Physical Exam panel. Select One Page Exam. The One Page - Physical Exam template opens. One Page - Physical Exam Document your findings on the template. Note: To save the documented value as the default set, you can select the Qu

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Physical Exams

As part of the provider workflow, you can document and manage physical exams performed for a patient. Open NextGen® Enterprise EHR. Open the SOAP template, and then expand the Physical Exam panel. To document findings for multiple physical exams on a single template, select One Page Exam from the left navigation bar. Note: You can also select Load to quickly load any saved physical exam findings, or Save to save the documented physical exam findings to use them on other encounters. To document findings for a single physical exam, select an appropriate link from the left navigation bar. To document findings for a physical exam that does not appear in the left navigation bar, select Additional. To copy physical exam findings from a previous encounter to the current encounter, select Physical Exam History.If you have copied and edited information from a previous encounter, a label appears in the Physical Exam panel and applicable documents indicating that information is copied and edited.

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Patient's Physical Exam

You can examine a patient and document the associated information using the Physical Exam panel that displays a list of exam categories. The links that appear are configurable by specialty or by provider. The Physical Exam panel displays the system name, followed by exam findings, and the details. On Physical Exam, you can use the One Page Exam link in the left pane to open the One Page-Physical Exam template, which enables you to document the complete physical exam details on a single template. You can also document a single system exam. Physical Exam panel You can select the Office Diagnostics button to open the Office Services template to view or enter the various diagnostic tests and results. You can configure the physical exam systems in the Framework Content system template. Based on the configuration, the systems appear on Physical Exam of SOAP. For more information on configuring the systems, go to NextGen Healthcare Success Community, and download the Framework Content System

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document a Physical Exam

The One Page Exam template is used to document a physical exam. Physical Exam panel You can examine a patient and document the information in the Physical Exam panel on the SOAP template. In the Physical Exam panel, you can do the follwing: Use the One Page Exam to document the exam on the Gyn-PE template. On the Gyn-PE select the Normal checkbox to indicate normal findings for each system or click the Findings field to add any abnormal findings. Use other single system exam and its sub menu in the left pane to document the corresponding exam details. When you click the single system exam or its sub menu, the respective template opens. Use the Office Diagnostics button to document or review diagnostics and to place orders for the tests. Use the Quick Load or Quick Save button to load a saved default set or save a new default set. Use the Physical Exam History button to copy previous physical exam records to the current encounter. Document a Breast Palpation Physical Exam You can docume

Document a Multi System Exam on the SOAP Template

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