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Document Knee Function Score
Open
NextGen® Enterprise EHR
.
To document the Knee Function Score, click the
Function Score
link on the
Knee Score
physical exam template.
The
Knee Function Score – PE
template opens.
Select function options for
Walking
,
Stairs
, and
Deductions
.
The
Function Score
calculates automatically.
Click
Save & Close
.
The
Knee Score
template opens.
Click
Save & Close
on the
Knee Score
physical exam template to return to the
General Exam PT - PE
template.
Document Knee Function Score
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Document Knee Score
Open NextGen® Enterprise EHR. In the Range of Motion panel on the General Exam PT - PE template, click the Knee Score Right or the Knee Score Left link to document the knee score.The corresponding Knee Score Right – PE or Knee Score Left – PE template opens. Select findings for Pain, Stability, Range of Motion, and Deductions. The Knee Score calculates automatically. Knee Score Left - PE Click Save & Close when done. Parent topic: Record a Range of Motion Findings
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Record a Range of Motion Findings
The Range of Motion panel is where descriptions and measurements for range of motion (ROM) findings are documented. The body region of the exam template determines the links that appear in the Range of Motion panel that enable you to document additional ROM findings. Range of Motion Open NextGen® Enterprise EHR. On the General Exam PT – PE template, in the Range of Motion panel, click a link to open the corresponding detailed range of motion template and to document range of motion measurements for that region.The Right Shoulder Range of Motion - PE template is one example of a range of motion physical exam template. Right Shoulder Range of Motion-PE Click the Active button to default normal active values for active range of motion.The Clear Active button appears. Click the Clear Active button to clear the default normal active values. Click the Passive button to populate the default normal passive values for passive range of motion.The Clear Passive button appears. Click the Clear Pas
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Document Normal Findings in the Knee
Open the SOAP template. In the Physical Exam panel, click Knee in the left pane.The Knee Exam - PE template opens. Knee Exam - PE In the Quick exams field, select the appropriate checkboxes. If appropriate, click the corresponding field to select Normal from the list.The respective fields in the Knee Exam - PE template populate with the normal values. Select the diagnosis codes from the Dx1 or Dx2 fields. Click the corresponding Status field to select the status of each diagnosis. Click OK. Parent topic: Orthopedic Physical Exam Templates
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
View Functional Levels
Open NextGen® Enterprise EHR. Navigate to the Observations panel on the Objective template. Select the View Functional Assessments Flowsheets link to view functional assessments.The Functional Levels - Physical Therapy template opens. Functionsl Levels - Physical Therapy Click Save & Close when done. Parent topic: Add Observations
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Document Abnormal Findings in the Knee
Open the SOAP template. In the Physical Exam panel, click Knee in the left pane.The Knee Exam - PE template opens. In the Inspection panel, do the following: Click the Gait field and select any of the gait, location, and assisted devices listed in the Gait list. Click the following fields under the Right and/or Left labels and select an option from the corresponding lists: Alignment Atrophy Ecchymosis Effusion Flexibility Maximum Tenderness Skin/Scars Swelling For Skin/Scars, select the Normal checkbox if there are no scars. In the Range of Motion panel, do the following: In the Description section, click the Factors and Description fields under the Right and/or Left text boxes for the following fields and select an option from the corresponding lists: Knee Hip Ankle Lumbar In the Measurement section, click the ROM More Exams link and select an option from the list.In this example, the Left Knee Range of Motion - PE template appears. Left Knee Range of Motion - PE Enter the PE findings
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Document an Exam with the Quick Exam Defaults
Open NextGen® Enterprise EHR. In the Physical Exam panel of the Objective template, click the One Page Exam link in the left pane to open the General Exam PT – PE template. General Exam PT-PE On the General Exam PT – PE template, click the Location field at the top and then select a location. If a location is not listed, select the top blank line, and type the location. On the any exam template, select the Right or Left checkbox to indicate the side of the body. Click the Quick Exams field to open the DB picklist. Review defaulted values and update values where needed.For information on how to create or modify template defaults, go to NextGen Healthcare Success Community, and download the Template Defaults Setup System Template for NextGen® Adaptive Content Engine. Parent topic: Documenting a Physical Exam
