Documenting Obstetrics Visits

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Basic Configurations

You can set up certain basic configurations for a Obstetrics specialty. The section includes instructions to set template preferences, add the required links on the templates, configure the management plans, medication inventory, and so on. For more information about the common configuration options, go to NextGen Healthcare Success Community, and download the Getting Started User Guide for NextGen® Adaptive Content Engine. Enable the Cancer Registry Option on Practice Configuration Enable Free Text Option on Practice Configuration Template You can enable the free text option for documenting the cancer staging details on the Practice Configuration template. Create a New Custom DB Picklist Configure a Custom DB Picklist Configure Cancer Type Fields and TNM Values You can configure the cancer type fields and TNM (Tumor, Node, and Metastasis) values of the cancer staging system by creating a custom DB picklist on the Custom DB Picklists template. Pre-Configuration of MA Intake in the Syst

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Dermatology

You can use the templates for dermatology to document information related to patient encounters specific to dermatology. Documenting Patient Encounters for Dermatology Visits A brief information on dermatology patient encounter workflow. Disclosing Substance Use Disorder in Documents and Reports You can include the disclosure for Substance Abuse and Mental Health Services Administration (SAMHSA) 42 CFR Part 2 provisions in documents and reports that you generate. Graphical Exam Tool (GET) You can streamline your workflow and eliminate the need to use the SOAP template using the Graphical Exam Tool (GET). Predominant Procedures for Provider Various dermatological encounters, visit types and important functionality are explained. General Dermatology Workflow You can use the NextGen® Adaptive Content Engine dermatology specialty framework templates to document the encounter details for different visit types of a dermatology patient. Mohs Surgery You can document Mohs surgery performed for

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Encounters for Family Planning Visits

You can use the NextGen® Adaptive Content Engine templates to document encounters for the family planning visit type. You can use the following templates to document the family planning office visit workflow: Intake Histories SOAP Finalize Checkout Before you begin documenting the family planning office visit, you can pre-configure certain optional settings for quick access of some templates and features. The Basic Configuration and Setup Procedures section includes instructions to set template preferences, add the required navigational and sub-navigational links, configure task recipients, and customize the reasons for visit. The General Office Visit Workflow section explains some of the common features such as patient information bar, panel control, pre-visit planning template updates, and so on, available in the Family Planning Office Visit template set. The Intake Workflow section provides instructions for nurse or medical assistant on how to use the Intake and Histories templates

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Initial Prenatal Visits

With the Initial Prenatal Visit type, you can document the prenatal visit in the navigation tabs. The navigation tabs display based on which Obstetrics visit type. You can only change or select visit types from the Home or the Intake template. Document the Obstetrics and Gynecology Synopsis Template The Obstetrics and Gynecology (OBGYN) Synopsis template provides the details of female patients. Document the Pap and HPV Details Template The Pap and HPV Details template allows you to view the lab order details and document the Pap screenings. Document the Pregnancy Outcomes Template You can document information in the Pregnancy Outcomes template. Documenting Pregnancy Outcomes You can document pregnancy outcomes in the OBGYN Synopsis and Pregnancy Outcomes templates. Manual Entry of Parity Values You can manually enter parity values for a turned-off parity automatic calculation. Parent topic: Obstetrics

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Obstetrics Provider Workflow

You can document the provider information in the Prenatal Detail and SOAP template. The provider workflow for an Initial Prenatal visit involves reviewing the information documented by the intake staff and proceeding with the patient encounter by documenting information on the Prenatal Detail and SOAP templates. On the first visit, open the Gestational Age template must be opened and verify the due date. Reviewing Obstetrics Details by Providers A provider can start the visit by reviewing the patient information documented during the previous patient encounters on the Home Page template for the Obstetrics specialty. Obstetrics Home Page Template You can review the historical information of the patient on the Home Page - Obstetrics template. Patient Tracking in the Provider Workflow You can update the patient tracking details using the Patient Tracking on the Patient Information Card (PIC). Components of the Prenatal Detail - Obstetrics Template You can document the necessary informatio

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Documenting Obstetrics Postpartum Visits

You can enter postpartum details in the OB Postpartum template. The OB Postpartum template is used during a postpartum visit. To document a postpartum visit, you must select Obstetrics as the specialty and OB - Postpartum or Document Pregnancy Outcome as the visit type. Note: The OB Postpartum visit type can only be used after every pregnancy. If a patient is seen for a wound check after delivery, you must select the Post-Operative Visit. If a patient has just delivered and the practice want to document the details of the delivery immediately, you can select the Document Pregnancy Outcome visit type. The OB Postpartum template includes the addition of the Postpartum Details and Pregnancy Outcome panels. Compiling this data into a single template improves the workflow. The OB Postpartum template is created and opened from the Postpartum tab. The OB Postpartum template includes data from the following panels into a new Postpartum Visit template. General panel Pregnancy Outcome panel Phys

Documenting Obstetrics Visits

Recommendations

Basic Configurations

Dermatology

Document Encounters for Family Planning Visits

Initial Prenatal Visits

Obstetrics Provider Workflow

Documenting Obstetrics Postpartum Visits

Basic Configurations

Dermatology

Document Encounters for Family Planning Visits

Initial Prenatal Visits

Obstetrics Provider Workflow

Documenting Obstetrics Postpartum Visits