Document Patient Confidential Sexual Practices

You can document a patient’s confidential sexual practices in the social history document.

1. Open NextGen® Enterprise EHR.
2. Select a patient, create an encounter and set the Specialty as Family Practice and Visit Type as Office Visit.
3. To open the confidential templates, do one of the following:
   • In the Social panel on the Histories template, select the Confidential History link.
   • In the History Summary panel on the Intake template, select the Confidential link.
   The Confidential - Alcohol/Drug template opens displaying the links to the confidential templates.
4. Select Sexual Practices/STIs.
   The Confidential - Sexual Practices/STIs template opens.

   

5. To include the confidential details in the master documents, select the Include all confidential information in the social history document with patient permission checkbox.
6. In the Sexual Practices section, do the following:
   1. Select the Gender identity of the partner.
   2. For Sexually active, select No, Yes, or Previously.
   3. Select a sexual orientation and the number of current partners.
   4. For Practices safe sex, select No, Yes, or Sometimes.
   5. Select the Details field to select the safer sex details, and then select the number of lifetime partners.
   6. For Birth control methods (BCM) discussed, select one or two birth control methods.
   7. For Reason for no birth control (at Intake), select a reason.
      Note: The Reason for no birth control (at Intake) field appears only if the Title X Fields feature is configured on Practice Configuration.
   8. In the Desired Birth Control Method field, select Same as current or Other.
      If you select Other, you must select a different birth control method.
   9. For How important is it for you to prevent pregnancy for the next year, select a number from 0 to 10.
   10. For Would you like to be pregnant in the next year, select Yes, No, Ambient, or Unsure.
       If you select Yes, you must enter a time frame.
7. Select OK.
   The details are saved and the template is closed.