Document Pediatric Alcohol History

You can document the alcohol history of a pediatric patient.

1. Open NextGen® Enterprise EHR.
2. To open the Eds Confidential History - Substances template, do one of the following:
   • In the Social panel on the Histories template, click the Confidential History link.
   • In the History Summary panel on the Intake template, click the Confidential link.
3. If the consent has been obtained to print the confidential details, select the Include confidential information in the pediatric Social History document with patient/guardian permission checkbox.
4. In the Alcohol Use section, indicate if the patient drinks alcohol.
   • If you select Yes or Formerly, then enter the type of alcohol, frequency of alcohol consumption, amount, and the details of the last drink.
5. Indicate if the patient has sought a treatment for alcohol abuse.
   • If you select Yes, then enter the date of last treatment for alcohol abuse and the number of treatments taken for alcohol abuse.
6. Indicate if the patient had withdrawal problems, seizures, or blackouts from alcohol or drugs.
7. Indicate if the patient has been involved in a 12-step program.
   • If you select Yes, then select a checkbox to indicate if the patient is currently involved or was previously involved.
8. Indicate if the patient had taken emergency medical attention due to intoxication.
   • If you select Yes, then enter the number of emergency treatments taken for intoxication.
9. Indicate if there is any family history of alcoholism. If you select Yes, do the following:
   • Select a family member in the list.
     Note: To select multiple family members, click the other three fields.
10. Enter the number of times in the past year the patient had taken five or more drinks in a day.
11. Click Save & Close.