Gastroenterology Dynamic Parameters

Parameter	Description
Intro	Includes the introduction and the purpose of the patient visit. You can select either initial visit or follow up visit type for the chief complaint.
Status*	Includes a list of options to indicate the status of the chief complaint.
Onset*	Includes a list of onset options to indicate when the symptom began. You can click the Onset option to enter the exact onset of the symptom or chief complaint.
Severity*	Includes a list of options to indicate the severity of the chief complaint.
Pertinent History*	Includes a list of pertinent diseases and disorders to indicate the patient's health condition.
Pertinent Positive/Negatives*	Includes a list of positive and negative symptoms associated with the chief complaint. You can select the pertinent positives and/or negatives found related to the chief complain
Prior Studies	Includes a list of study types performed on the patient. You can select a study type and then select any prior tests or procedures taken by the patient.

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Gastroenterology Reasons for Visit

A Gastroenterology, office visit encounter includes the following chief complaints that launch a dynamic HPI template: GI bleeding Abdominal pain Abnormal liver chemistry Altered bowel habits Anemia Chronic liver disease Cirrhosis Colon cancer screening Constipation Diarrhea Dysphagia GERD Hepatitis B Hepatitis C Inflammatory bowel disease Vomiting Weight loss Note: Other chief complaints of the Gastroenterology specialty still launch the reason-specific HPI templates and can be accessed from the Additional/Manage link. Gastroenterology Dynamic Parameters Parent topic: Specialty Specific Dynamic HPI Elements

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Pediatrics Dynamic Parameters

The dynamic HPI templates for the Pediatrics subspecialties have both generic and distinct sections available for documentation. Generic sections are common to all reasons for visit and distinct sections are specific to each reason. A combination of these sections allow for the complete documentation of the patient's reason for visit on the current encounter. The following table defines the generic sections that appear for all Pediatric subspecialties. Note: An asterisk (*) indicates that the section includes a free text an entry option to enter the appropriate data if the desired option is not available. Parameter Description Intro Includes the introduction and the purpose of the patient visit. You can select either initial visit or follow up visit type for the chief complaint. Onset Includes options to select the onset date or period, and the age of onset of the chief complaint. Status Includes a list of options to indicate the status of the chief complaint. Frequency* Includes a lis

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Pediatrics Well Child Dynamic Parameters

The dynamic HPI templates for the Pediatrics Well Child visit type have both generic and distinct sections available for documentation. Generic sections are common to all reasons for visit and distinct sections are specific to each reason for visit. Combinations of these sections enable the complete documentation of the patient's reason for visiting the office during the current encounter. The following table defines the distinct and generic sections that appear for all Pediatrics, well-child reasons for a visit. Parameter Description All Normals Enables you to document or edit additional details or abnormal findings. It includes a standard text for normal findings of a patient Intro Enables you to document the introduction and purpose of a patient's visit History Enables you to document the interval history of a patient and any questions or concerns a patient might have Social/Family Enables you to document the child care, pre-school, and after school details Behavior/Temperament/Acti

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Dynamic HPI Templates

In the NextGen® Adaptive Content Engine templates, the following types of History of Present Illness (HPI) templates are used to document a patient's reason for visiting the office: Static HPI - displays hard-coded content that is not easily customizable; a single template is available for each complaint with options for selecting pre-determined details: the final concatenation is available when you close the template Dynamic HPI - enables you to add, edit, update, and delete dynamic content for the HPI and concatenates the content on the template as items are selected or edited. NextGen® Adaptive Content Engine is packaged with pre-configured dynamic HPI templates for the Gastroenterology, Physical Therapy, Orthopedics, Urology, and Pediatrics Well Child. The specific details about these existing HPI elements are provided in the Specialty Specific Dynamic HPI Elements section of this user guide. The dynamic HPI templates help you create comprehensive documentation of the patient's rea

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Orthopedic Dynamic Parameters

Each dynamic HPI template has a list of sections (for example, family history, lab data, and diagnostic data) with associated findings that you can configure in the Dynamic HPI Config practice template. There are several sections that are common to all of the Orthopedic-related dynamic HPI templates. Note: An asterisk (*) indicates that the section includes a freetext entry option to enter the appropriate data if the desired information is not available. Parameter Description intro Includes the 'name, age and gender and/or the complains of' text as an introduction for the symptom in the concatenated text symptom* The lateral view is used to document the patient's symptoms (for example, pain, swelling, weakness, and so on.). Multiple values can be selected. The right and left sides can be documented separately and the symptoms can be designated as: Right greater than Left Right equals Left Left greater than Right onset Includes a list of acute or chronic options to describe the symptom

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Physical Therapy Dynamic Parameters

In Physical Therapy, most chief complaints have 24 different parameters that can be used to document information relevant to the patient's chief complaint. Selecting a symptom, such as pain, can add additional parameter links to the left pane so that the symptom can be documented in greater detail. The following table defines all of the parameters available for documenting a Physical Therapy dynamic HPI. Parameter Description Intro Introduction of the patient, with name, age, gender; purpose of this visit, such as evaluation of complaint or follow up. Symptom Laterality view includes the following with grids for right and left sides separately: a list of symptom options to select indicators for indicating which side has greater symptoms or if both sides are equal Onset Non-laterality view, with a single grid to indicate once for both right and left sides, includes a list of onset options to indicate when symptoms or chief complaint began. You can also select the option to free text an

Gastroenterology Dynamic Parameters

Recommendations

Gastroenterology Reasons for Visit

Pediatrics Dynamic Parameters

Pediatrics Well Child Dynamic Parameters

Dynamic HPI Templates

Orthopedic Dynamic Parameters

Physical Therapy Dynamic Parameters

Gastroenterology Dynamic Parameters

Gastroenterology Reasons for Visit

Pediatrics Dynamic Parameters

Pediatrics Well Child Dynamic Parameters

Dynamic HPI Templates

Orthopedic Dynamic Parameters

Physical Therapy Dynamic Parameters