Loading...
Recommendations
Explore
Enter Psychiatric Illness History Data
On the
Psychiatric Illness History
panel, enter information in the
Describe psychiatric illness history (lifetime course) from age of onset
field.
Click the
Add
button to open the
Past Medical History
template.
Enter the client's past medical history and click
OK
.
Add Past Medical/Surgical History
Enter Psychiatric Illness History Data
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Add Past Medical/Surgical History
On the Bh Hx section tab, click the Add button under the Past medical/surgical/interim history grid to access the Past Medical History template.By default, the application fills the Specialty field with the current specialty. Note: The Configure Medical Surgical and Family History system template is used to configure the conditions, surgical procedures, sub-items of a condition/procedure, management items, and associated SNOMED® codes. To add an item to the Medical or Surgical panel, select the respective checkbox for the condition or surgery.The Onset Date (in the Medical panel) or Date (in the Surgical panel) field and the Details icon appear beside the selected item. Use the Onset Date field in the Medical panel to enter the date when the condition first appeared. Use the Date field in the Surgical panel to enter the date the surgery was performed. To add problems that are not available on the Past Medical History template, use the Other field. Click the Onset Date or the Date field
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
BH Hx Section Tab Overview
The Behavioral Health History (Bh Hx) section tab enables you to document the client's mental health history, substance use, risk assessment and to complete various screening tools. From this tab, users have access to the Past Medical History, Substance Use Assessment Exam, Social History - Tobacco, and Mental Status Exam templates. Enter Psychiatric Illness History Data Record Substance Use and Addictive Behavior Histories Substance Use Assessment Exam Document Mental Health and Addiction Treatment Service Histories Medication Information Panel Mental Status Evaluation Panel Record a Risk Assessment Enter Risk and Alert Histories Complete Behavioral Health Screenings on the Screening Tools Panel Parent topic: Comprehensive Assessment Template Set
NextGen® Therapy Suite Help 30.3.13.0
Add Medical History
Select the Medical HX button below the grid. The Past Medical History template opens. Select the checkbox next to the history you want to add. Items in black prompt for an onset date. Items with blue labels open a picklist to select from, to further specify the PMH for that item. For example, if you select Cancer, a picklist opens to select the type of cancer. Select the type of cancer, and then select OK, where upon you are prompted to enter the onset date. If you select Other, a search window opens. Here you can search for the specific PMH. Select the desired PMH, enter the onset date and then select Save to Grid. Select Save & Close. Parent topic: Past Medical and Surgical History
NextGen Behavioral Health Suite Help 5.5
Document the Patient's Medical and Surgical Details
Open NextGen® Enterprise EHR, and then in Patient History, select Open Templates. The Select Template window opens. On the Medical Records tab, select All. From the list, select Comp Assess - BH Hx, and then select OK. In the Past Medical/Surgical panel, select Add to document the patient's medical and surgical details. To add an item to the Medical or Surgical panel, select the respective checkbox for the condition or surgery. The Onset Date (in the Medical panel) or Date (in the Surgical panel) field and the DetailsDetails Icon icon appear beside the selected item. To add problems that are not available on the Past Medical History template, use the Other field. Use the Onset Date field in the Medical panel to enter the date when the condition first appeared. Use the Date field in Surgical panel to enter the date the surgery was performed. Select Onset Date or Date to access the Date Selection window. The Data Selection window opens. You can enter the Onset date manually into Onset da
NextGen® Therapy Suite Help 30.3.13.0
Add Family/Social History
Select Fam/Soc Hx. Fam/Soc Hx button under Past Medical History section A picklist opens for you to select the type of history you want to document. Select the history, and then select OK. The Social History template opens to the page you selected. You can select other social histories from the left navigation pane. Social History template with Alcohol/Caffeine selected Document Tobacco Use Document Alcohol and Caffeine Use Document Other Social Histories Parent topic: Single Visit Subjective Panel
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Add Medical and Surgical History
You can add the medical and surgical history of a patient on the Histories template or the History Summary panel. You can add medical and surgical history information in the History Summary section. If there is no relevant history information for a patient, you can select No relevant past medical/surgical history. Open NextGen® Enterprise EHR. Open the Intake template. In the History Summary section, select Past Medical/Surgical. Select Add Past Medical/Surgical Hx. Document the reported history information in the corresponding section. Select Add To Grid, and then select OK.The history records appear in the Past Medical History and Past Surgical History grids. Add Additional Past Medical History You can document additional past medical history on the Past Medical History template. Update Past Medical History You can update the past medical history for a patient on the Edit Past Medical History template. Parent topic: Patient's History Summary Parent topic: Documenting a Patient's Hist
