Document the Patient's Body Surface Area

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Patient's Weight

You can document the weight of a patient in pounds and kilograms. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel and select Add.The age-specific vital signs template opens. Enter the weight of the patient in the lb field or kg field within the 4.409 – 1543.2 lb or 2.00 – 699.99 kg range, respectively.Based on the value entered in the lb or kg field, the other field is filled automatically. If the value entered is not within the range, a message appears to indicate that the value entered is out of range. To indicate if the patient was wearing shoes when the body weight is measured, select a Context option. Save and close the template.When you enter the height and weight on the Adult Vital Signs template, NextGen® Enterprise EHR automatically calculates the Body Mass Index (BMI). If the BMI is not within the normal range, a messag

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Patient's Height

You can document the height of a patient in inches or in feet using the Vital Signs template. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel. Select Add.The age-specific vital signs template opens. In Height/length measurements, do one of the following: To enter the current day's data, fill the ft, in, or cm fields within the 1 – 9.99 ft, 12 – 119.88 in, or 30.48 – 304.49 cm range, respectively. To enter previously documented data, select the Carried forward option. If you enter the height in either the ft, cm, or in field, the NextGen® Enterprise EHR fills values in the other fields automatically. Note: A message appears if the value entered is not within the range. Indicate the position of the patient when the height is measured. To enter the date when the patient's height is measured, select a date in Last Measured, or select

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Patient's Respiration and Pulse Oximetry

You can measure the respiratory rate and oxygen saturation level of a patient using the Vital Signs template. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel and select Add. The age-specific vital signs template opens. In Respiration and Pulse Ox, enter the respiratory rate value in the Respiration field within the 0 – 99 range. Select the method of measuring the respiratory rate. Enter a value in the FIO2 field within the 20 – 100 range. Enter oxygen concentration for the patient's respiration. Enter the pulse oxygen rate during rest and ambulation of the patient within the 0 – 100 range. Note: A message appears if the value entered is not within the range. Enter the pulse oximetry resting and ambulation readings in the Pulse Ox Rest and Pulse Ox Amb fields within the 0 – 100 range. Select a source of oxygen supply. Select Pre-t

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Patient's Temperature

You can measure the body temperature of a patient. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel and select Add. The age-specific vital signs template opens. In Temperature, enter the patient's temperature in Fahrenheit or Celsius within the 50 – 121.98 F or 10 – 49.99 C range respectively. Based on the value entered in the F or C field, the other field is filled automatically. Note: A message appears if the value entered is not within the range. To document the physical site used to measure the temperature, select Site, and then select the appropriate method of measuring the temperature. Save and close the template. Parent topic: Patient Vital Signs Parent topic: Documenting Vital Signs Parent topic: Open the Vital Signs Template

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Patient's Blood Pressure and Pulse

You can measure the blood pressure and pulse of a patient. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel and select Add. The age-specific vital signs template opens. In Blood Pressure and pulse, enter the blood pressure reading in the Systolic and Diastolic fields within the 0 – 399 range. Note: If the value entered is not within the range,a message appears to indicate that the value entered is out of range. The HTN Plan link opens the Health Promotion Plan template, where you can document a plan of care if the blood pressure of the patient is not in the normal range. Enter the pulse rate of the patient in Pulse within the 10 – 499 range. Note: A message appears if the value entered is not within the range. Select the appropriate option for the following: Pattern of the pulse rate Position of the patient while measuring the blo

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document a Patient's Pain Level

You can document the pain level of a patient. You can document the neck, waist, and hip circumferences, audiometry exam, and vision screening findings, and orthostatic vital signs using the links on the Vital Signs template. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel and select Add.The age-specific vital signs template opens. In the Pain level section, select the pain level from the list.The default method Numeric Pain Intensity Scale appears in the Method field. However, you can change the method. The pain level and method appear on the Screening Summary and Health Promotion Plan templates. To document a plan of care, select the Pain Plan link.The Health Promotion Plan template opens, where you can document the pain assessment and plan of care in the Pain Management panel. Select OK. To document the Health Assessment Questi

Document the Patient's Body Surface Area

Before you begin

Recommendations

Document the Patient's Weight

Document the Patient's Height

Document the Patient's Respiration and Pulse Oximetry

Document the Patient's Temperature

Document the Patient's Blood Pressure and Pulse

Document a Patient's Pain Level

Document the Patient's Body Surface Area

Before you begin

Document the Patient's Weight

Document the Patient's Height

Document the Patient's Respiration and Pulse Oximetry

Document the Patient's Temperature

Document the Patient's Blood Pressure and Pulse

Document a Patient's Pain Level