Document the Menstrual History Panel

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document General UDS Reporting

You can document information in the General (UDS Reporting) panel. The General (UDS Reporting) panel allows you to collect the first prenatal and multiple gestation information. Open the Gestational Age-Obstetrics template. Expand the General (UDS Reporting) panel, if you are required, or if you require, to collect this information. Select the First, Second, or Third option from the First prenatal visit trimester section.This indicates which trimester the patient initially presented for prenatal care, even if the patient did not present to your practice first. Select the first prenatal visit date from the First prenatal visit field. Select the Here option or Elsewhere option to specify where the first prenatal visit was performed. Select an option in the Multiple gestation section to indicate whether this pregnancy is a singleton pregnancy or not. Note: The previous information is optional to complete, depending on the practice. Parent topic: Gestational Age Template

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Documenting the Estimated Date of Delivery Panel

You can document information in the Estimate Date of Delivery panel. When you open the Gestational Age template, you can view the expanded Estimated Date of Delivery panel appears. Estimated Date of Delivery If a last menstrual period was entered on the Vital Signs template, that last menstrual period (LMP) must display in the LMP Date field. Note: This only happens if the intake staff goes from the Intake template to the Gestational Age template. If they open another template in between, it does not automatically fill the LMP on the Gestational Age template. Therefore, even if the intake staff is not editing any information on Gestational Age, the template must be opened after opening Intake to obtain the LMP from vital signs. Document the Last Menstrual Period You can document the last menstrual period in the Estimated Date of Delivery panel. Select the Most Accurate EDD You can select the most accurate or final EDD in the Estimated Date of Delivery panel. Calculate the EDD Using Son

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Documenting Obstetric Patient Histories

You can document information in the OB Histories template. To document information in the OB Histories template, select the Histories tab. By default, all panels on this template are expanded when the template is opened. Document the Pregnancy History You can document pregnancy history information in the Pregnancy History panel. Document the Gravidity and Parity You can quickly view the patient's gravidity and parity and can only document multiple births information in the Gravidity/Parity panel. Document the Last Menstrual Period You can document last menstrual period information in the Since Last Menstrual Period panel. Document the Medical and Infection History You can document the medical infection history information in the Medical/Infection History panel. Document the Medical, Surgical, and Interim Histories You can document the medical infection history information in the Medical/Surgical/Interim panel. General History Panel You can document patient's general information in the

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Obstetrics and Gynecology Synopsis Template

The Obstetrics and Gynecology (OBGYN) Synopsis template provides the details of female patients. You can document information on the patient's menopause status, hysterectomy details, gynecological and pregnancy history, abnormal pap history, and contraception information for female patients over the age of eight years. You can use the OBGYN Synopsis template during a gynecology visit, not during an OB prenatal visit. On the Patient Information Card in NextGen® Enterprise EHR, select OBGYN.The OBGYN Synopsis template opens. Select from Primary OBGYN provider. Select from the following options. Detailed document: Select this to include the gynecological and pregnancy histories in the document. Reviewed, no changes: Select this option if you have reviewed the details documented in the previous encounter and no changes were made. Reviewed, updated: Select this if you have reviewed and updated the details documented in the previous encounter. History unobtainable: If OBGYN details are unobt

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Obstetrics Histories Template

You can document information in the OB Histories template. The Histories template contains nine panels: Pregnancy History Gravidity/Parity Since Last Menstrual Period Medical/Infection History Medical/Surgical/Interim General Family Social Genetic Screening/Teratology Counseling The Histories template displays gravidity/parity, initial/working EDD, working EGA, blood type and Rh, and risk level as in Gestational Age template. After a complete history is taken, use the Risk Factors link to document the risk level. Note: When documenting risk factors, the practice may decide to only indicate the positive items rather than select negative for all of the remaining items. In addition, putting the actual risk level must be done by the provider. This may be done on this template or on the Prenatal Detail template. You may also use links to open additional templates, as needed: Demographics Order Management Document Library Chart Abstraction Note: Links are configurable by the practice and are

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Pregnancy History

You can document pregnancy history information in the Pregnancy History panel. You can use the Pregnancy History panel to open the Pregnancy Outcomes template. Note: The Pregnancy Outcomes template is used during Prenatal and Postpartum visits as well as gynecology encounters. The workflow is different for each. In general, the most detail is entered during a Postpartum Visit. Pregnancy History Open the Histories tab. Open the Pregnancy History panel. Select the Add/Update button in the Pregnancy History panel.The Pregnancy Outcomes template opens. If you turn on the Parity auto-calculation setting, the Auto-calculation green text appears. Auto-calculation text on Pregnancy Outcomes template If the Parity auto-calculation setting is turned off, a red text displays. Alert message on Pregnancy Outcomes template Update the Pregnancy History You can update pregnancy history information in the Pregnancy History panel. Parent topic: Documenting Obstetric Patient Histories See also Document t

Document the Menstrual History Panel

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