You can document an exclusion reason that is not related to Quality Reporting on the Exclusions window when documenting vital signs.
 
  - Open NextGen® Enterprise EHR.
 
  - Open a patient's record, and then open an encounter.
 
  - On Top Toolbar, select Templates 
.
   
    The Select Template window opens.
   
 
  - Open the Intake template.
 
  - Expand the Vital Signs panel and select Add.
   
    The age-specific vital signs template opens.
   
 
  - Select the Non-Codified Exclusions link.
   
    The Exclusions window opens.
   
 
  - To indicate the reason type, select one of the following:
   
    
     - Medical reason
 
     - Patient reason
 
     - System reason
 
    
    
   
    A list of associated reasons appears.
   
 
  - Select a reason, and then select OK.