Document Findings for Colposcopy

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Documenting Procedures

You can document the details of procedures performed during the patient encounter. You can open the Procedures template from the navigation bar by selecting the Procedures link, where you can open several procedure templates associated with various systems. Procedures In addition to documenting the procedure details on the Procedures template, you can do the following: Document the pre-procedure care details. Document consent details for the procedure using the Consent link. Generate and print the procedure consent document to be signed by the person consenting to the procedure. Open the Patient Education Browser template to search for and add patient education documents from a library. Submit the procedure document for offline generation using Offline Proc Note. Generate the procedure document in run time using Preview Proc Note. Document Procedure Details You can document the details of procedures performed during the patient encounter on the Procedures template. Document a Generic P

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Colposcopy Procedure Details

You can collect additional details about the Colposcopy procedures in the Colposcopy panel on the Colposcopy - Procedure template. Open the Colposcopy – Procedure template. In the Colposcopy panel, select a diagnosis in Indication for procedure, and then select a status. The Colposcopy panel of the Colposcopy - Procedure template To document a default procedure, select Default Documentation.The Bivalve speculum was placed in the vagina and Intracervical block was performed checkboxes are selected. Select the procedure description. In the Cervix prepped with section, select the method.You can also enter another method in Other. Optional: Select the Intracervical block was performed checkbox. In the Endocervical sampling with section, select the sampling method.You can also enter other method in Other. Optional: Select the Endometrial biopsy performed checkbox. Note: You can select the Endometrial Biopsy link to document the endometrial biopsy details. In the Hemostasis obtained with sec

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Colposcopy Procedure Findings and Impressions

You can document the Colposcopy procedure findings and impression details. You can document the procedure findings in the available fields or using the cervix image in the Findings section. Open the Colposcopy – Procedure template. In the Colposcopy panel, to document the procedure findings using the available fields, do the following: Select the applicable options for Limit of lesion(s), Entire squamocolumnar junctions, and Colposcopy. Select the options in Time (Location) and Description. Note: Description opens a list. If a biopsy is done, you can select the biopsy option along with the clinical findings. Select Add. The data appears in the grid. To document the procedure findings using the cervix image, do the following: Select the site number on the Cervix image. Select the appropriate items from the Lesion Description list, and then select Close. Select Add. The data appears in the grid. Note: To open the image module and draw directly on the images, you can select the Cervix, Va

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Colposcopy Panel

The Colposcopy panel of the Gyn Colposcopy-Procedure template enables you to collect additional information for Colposcopy procedures. The Colposcopy panel of the Gyn Colposcopy-Procedure template Document the Colposcopy Procedure Details You can collect additional details about the Colposcopy procedures in the Colposcopy panel on the Colposcopy - Procedure template. Document Findings for Colposcopy Parent topic: Open the Colposcopy Procedure Template

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Draw Findings with Image Documentation

You can draw findings on images within the Procedures template for the colposcopy procedure. You can draw findings directly on the images using the Cervix, Vagina, and Vulva links on the Procedures template. Draw Cervix Findings You can draw the cervix findings on the image using the Cervix link on the Procedure template. Draw Vagina Findings You can draw the Vagina findings on the image using the Vagina link on the Procedure template. Draw Vulva Findings You can draw the Vulva findings on the image using the Vulva link on the Procedure template. Parent topic: Selecting Colposcopy Visits

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Selecting Colposcopy Visits

You can find the best practices for documentation of a Colposcopy visit. For a colposcopy visit, you can open the Home Page template, and select the Gynecology specialty and Colposcopy Visit visit type, and then proceed with the intake and provider workflow. For more information on the Intake and Provider workflows, you can see General Office and Virtual Visit Workflow. Document Colposcopy Procedures You can document the colposcopy procedure details in the Colposcopy panel on the Colposcopy - Procedure template. Draw Findings with Image Documentation You can draw findings on images within the Procedures template for the colposcopy procedure. Parent topic: Gynecology

Document Findings for Colposcopy

Recommendations

Documenting Procedures

Document the Colposcopy Procedure Details

Document the Colposcopy Procedure Findings and Impressions

Colposcopy Panel

Draw Findings with Image Documentation

Selecting Colposcopy Visits

Documenting Procedures

Document the Colposcopy Procedure Details

Document the Colposcopy Procedure Findings and Impressions

Colposcopy Panel

Draw Findings with Image Documentation

Selecting Colposcopy Visits