Document the History Review

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Patient's Social History on Tobacco Usage

You can document a patient's social history on tobacco usage in the Social History - Tobacco template. Before you begin You must clear the Enable Panel version of Adult Social History checkbox on the Practice Configuration template to open the Social History – Tobacco template. Open NextGen® Enterprise EHR. Open the Histories template, expand the Social panel, select the Tobacco/Vaping Use link from the left pane, and then select Add/Edit.The Social History - Tobacco template opens. Note: Depending on your specialty's configurations, you can also open the Social History – Tobacco template from the navigation bar. Document the necessary details in the following panels: Tobacco Use Historical Use Efforts To Quit Tobacco Vaping Use Passive Exposure Enter any additional comments, and select OK. Add Environmental Information that Affect the Patient You can add residence, animal and miscellaneous details about the environmental factors that affect the patient on the Environmental template. M

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Documenting a Patient's History Summary

You can add, update, delete, and review a patient's history summary details from the History Summary panel. You can document a patient's history details in the History Summary panel in the following categories: Past Medical/Surgical Interim Social Family Diagnostic The History Summary panel also displays the patient history documented by the intake staff on the Histories template. You can add diagnostic studies with a documented Result or Interpretation to the grid in the Reason for Visit panel by selecting the Add to HPI Grid button. The grid includes a list of categories on the left pane to select and view the documented data. You can filter the patient history records by selecting the Medical History or Surgical History option for Past Medical/Surgical. You can view and enter confidential details provided by the patient during the course of the encounter using The Confidential link. You can select History Review to open the History Review template and select the applicable option to

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Add Environmental Information that Affect the Patient

Before you begin You must select the Enable Panel version of Adult Social History checkbox on the Practice Configuration template to open the Adult Social History template. Open NextGen® Enterprise EHR. In the Social panel, select Add/Edit. The Adult Social History template opens. In the Environmental panel, in the Residence section, do the following: To add information about the patient's primary residence, select 1 for Residence. Enter the appropriate residence information in the respective fields, select Add.The residence information appears in the grid. Repeat the steps to add a second residence for the patient using the 2 option for Residence. In the Animals section, do the following: To document animal information, select 1 or 2 for Residence. Enter the animal type and environmental factors, then select Add. In the Miscellaneous section, enter the miscellaneous information and select OK. Parent topic: Document the Patient's Social History on Tobacco Usage

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Patient's Current Tobacco Use Details

You can view and document the current tobacco use details for a patient. Open NextGen® Enterprise EHR. To open the Social History – Tobacco template, do one of the following: On the Histories template, on the Social panel, select Tobacco/Vaping Use, and select Add/Edit. In the History Summary panel on Intake, select Tobacco/Vaping Use from Social, and select Add/Edit. The Social History – Tobacco template opens. Expand the Tobacco Use panel. Note: For the current encounter, NextGen® Enterprise EHR automatically selects the tobacco use option you selected for the previous encounter. For Have you ever used tobacco?, select No/never, Yes, or Unknown. If you select No/Never, then continue with Document Passive Exposure. Note: When you select No\Never for Have you ever used tobacco? then the system automatically selects No for the next two screening questions. If you have selected No/Never in the previous encounter and the Reviewed checkbox is selected in the current encounter, then the sys

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Tobacco Cessation Efforts

You can document a patient's tobacco cessation efforts in the Efforts to Quit Tobacco panel on the Social History – Tobacco template. Open NextGen® Enterprise EHR. To open the Social History – Tobacco template, do one of the following: On the Histories template, expand the Social panel, and select Add/Edit. In the History Summary panel on the Intake template, select Social, select Tobacco/Vaping Use, and select Add/Edit. On the Social History – Tobacco template, expand the Efforts to Quit Tobacco panel. Select the Have you ever tried to quit using tobacco? option. If you select No/never, document details of the discussions on tobacco cessation by selecting the Tobacco cessation discussed link. Social History – Tobacco To add the details of the patient's efforts to quit tobacco, do the following: Select the tobacco type, and then enter the date the patient attempted to quit tobacco. Enter the longest time that the patient was tobacco free. You can enter number of days, weeks, months, or

NextGen® Ophthalmic Suite Help 2022.2

Document the History Review

You can document the review details of a patient's history in the generated encounter document. You can also document the review status of medical, surgical, family, and social histories on the template. Open NextGen® Enterprise EHR. On the Histories template, select the History Review link. History Review The History Review template opens. In Med/Surg/Interim Hx, Family, and Social, select the applicable option. Detailed document enables you to view all the details entered in the Histories template in the encounter document. Reviewed, updated enables you to indicate that you have reviewed and updated the patient's histories. Reviewed, no changes enables you to indicate that you have reviewed the patient's histories but made no changes. History unobtainable enables you to indicate that the information is not obtainable and enter the reason in the corresponding field. Select Save & Close. Note: Each reviewed area (Med/Surg, Family, and Social Histories) contributes to the Evaluation and

Document the History Review

Recommendations

Document the Patient's Social History on Tobacco Usage

Documenting a Patient's History Summary

Add Environmental Information that Affect the Patient

Document Patient's Current Tobacco Use Details

Document Tobacco Cessation Efforts

Document the History Review

Document the History Review

Document the Patient's Social History on Tobacco Usage

Documenting a Patient's History Summary

Add Environmental Information that Affect the Patient

Document Patient's Current Tobacco Use Details

Document Tobacco Cessation Efforts

Document the History Review