Documenting Pregnancy Outcomes

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Pregnancy Outcomes Template

You can document information in the Pregnancy Outcomes template. The Pregnancy Outcomes template provides you the ability to view and modify a patient’s gravidity and parity. You can view and modify the total parity values with or without the details of each pregnancy. Minimal required fields are Pregnancy Entry Type, Pregnancy #, and Delivery Type. It is preferable, on an OB initial visit to use the gravidity/parity fields and Pregnancy Outcomes templates from within the OB templates. When you activate parity auto-calculation, parity automatically calculates the details when you document historical pregnancy or end a current pregnancy When you select End current pregnancy the Gravidity reflects a non-pregnant status. This option is used on a postpartum or post-abortion visit and not on an initial prenatal visit. On the Patient Information Card in NextGen® Enterprise EHR, select OBGYN.The OBGYN Synopsis template opens. Select the Add/Update Detail button in the OBGYN Synopsis template.

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

Manual Entry of Parity Values

You can manually enter parity values for a turned-off parity automatic calculation. For a turned-off parity automatic calculation setting, you can either update the parity manually after entering the Pregnancy Outcomes in the Pregnancy history grid, or you can enter parity numbers without entering the details. The values added in the Pregnancy History grid appear in the Pregnancy Outcome template. On the Patient Information Card in NextGen® Enterprise EHR, select OBGYN.The OBGYN Synopsis template opens. In the Pregnancy History grid, enter the values in the Parity section.The G and P fields display the values as entered in the Parity fields. In the Pregnancy History grid, select the Add/Update Detail button in the OBGYN Synopsis template.The Pregnancy Outcomes template displays with red text on top of the template. In the Pregnancy Outcomes template, to enter a historic pregnancy: Select the Historic entry option in Pregnancy Entry Type field. Select the pregnancy number in the Pregnan

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

Quick Entry of Pregnancy Outcomes

You can enter a quick parity entry in the Pregnancy Outcomes template. You can enter a quick entry or edit the information in the Pregnancy Outcomes template. In the OBGYN Synopsis or Pregnancy Outcomes template, enter parity values in the fields as per pregnancy details.You can enter the parity data or the outcomes data depending on the availability of the information and its pertinence to the pregnancy. Enter values in the Parity data fields. The Parity data fields are Full term, Premature, AB induced, AB spontaneous, and Ectopic. Increasing any of these numbers by one adds a row to the Pregnancy history grid with this parity data listed, this new pregnancy outcome is included in the parity automatic calculation. Enter values in the Outcome Details data fields.The Outcome Details fields are Living now, NSVD, and C-section. This data is included in the pregnancy outcomes detail automatic calculation. Enter values in the Other field.The Other data field is for multiple births. Note: Us

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

End a Current Pregnancy

You can end the pregnancy to stop a patient from being perpetually pregnant in the system. When the outcome of a current pregnancy is unknown or not possible to follow up any longer, you can end the pregnancy to stop a patient from being perpetually pregnant in the system. Open a patient record where the pregnancy needs to be ended. On the Intake template, select Obstetrics for Specialty and then select Document Pregnancy Outcome for Visit Type. On the Histories template, expand the Pregnancy History panel and then select Add/Update.The Pregnancy Outcomes template opens. In the Detailed Entry/Edit panel, in the Pregnancy Entry Type section, select End current pregnancy. Select the pregnancy number in the Pregnancy # field. In the Delivery type section, select Unknown (patient left the practice). Note: This option appears only if you have selected End current pregnancy option. Select Add To Grid.The information appears in the Pregnancy history grid. In the application message, select Ye

Documenting Pregnancy Outcomes

Recommendations

Document the Pregnancy Outcomes Template

Document the Obstetrics and Gynecology Synopsis Template

Manual Entry of Parity Values

Initial Prenatal Visits

Quick Entry of Pregnancy Outcomes

End a Current Pregnancy

Documenting Pregnancy Outcomes

Document the Pregnancy Outcomes Template

Document the Obstetrics and Gynecology Synopsis Template

Manual Entry of Parity Values

Initial Prenatal Visits

Quick Entry of Pregnancy Outcomes

End a Current Pregnancy