Gestational Age Template

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Obstetrics Histories Template

You can document information in the OB Histories template. The Histories template contains nine panels: Pregnancy History Gravidity/Parity Since Last Menstrual Period Medical/Infection History Medical/Surgical/Interim General Family Social Genetic Screening/Teratology Counseling The Histories template displays gravidity/parity, initial/working EDD, working EGA, blood type and Rh, and risk level as in Gestational Age template. After a complete history is taken, use the Risk Factors link to document the risk level. Note: When documenting risk factors, the practice may decide to only indicate the positive items rather than select negative for all of the remaining items. In addition, putting the actual risk level must be done by the provider. This may be done on this template or on the Prenatal Detail template. You may also use links to open additional templates, as needed: Demographics Order Management Document Library Chart Abstraction Note: Links are configurable by the practice and are

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

View Information in the Gestational Age Template

You can view gestational information in the gray header of the Gestational Age template. The Gestational Age template header displays the patient’s gravidity and parity, the initial/working estimated date of delivery (EDD), the working estimated gestational age (working EGA), the blood type and Rh, and the risk level. You can only view this information and can edit only the risk level. The Diagnostics Detail link opens a template on which in-office official sonogram results can be documented, if needed. Diagnostics Detail Parent topic: Gestational Age Template

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Last Menstrual Period

You can document the last menstrual period in the Estimated Date of Delivery panel. Select the Gestational Age tab.The Gestational Age- Obstetrics template opens. Expand the Estimated Date of Delivery panel. In the LMP field enter the LMP, if not entered.An EDD automatically displays to the right of the LMP field. The Consistent with LMP option is selected as the calculation method for the EDD. This EDD displays in the Initial/Working EDD field. Also, the EGA is automatically calculated and displays in the EGA this encounter field. Select the Definite, Approximate (month known), or Unknown option in the LMP section. Note: In most practices, the intake staff enters this information and the provider would confirm or edit this information. The NextGen® Adaptive Content Engine calculates an EDD using sonogram results, initial exam, date of conception, or date of in vitro fertilization (IVF). In addition, you can manually enter a specific EDD. It is up to the provider to decide which EDD is

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Obstetrics Intake Staff Workflow

You can document the intake information in the Intake template. The intake staff workflow for an Initial Prenatal visit involves documenting the patient encounter on the Intake, Gestational Age, Histories, and Education templates. The information documented by the intake staff is reviewed by the provider. When you open the Intake template, select Obstetrics and OB Prenatal Initial from the Specialty and Visit Type fields to display the Initial Prenatal template set. The Intake template includes various links to add more information about the patient. Review of Obstetrics Details by Intake Staff The intake staff can review the patient's details documented during the previous encounters. Viewing Links on the Intake Template The links on the Intake template allows you to open the templates where you can document the patient details. Zika Pregnancy Screening Template You can use the Zika Pregnancy Screening template to check the patient or patient's partner for possible exposure to Zika. P

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Documenting the Estimated Date of Delivery Panel

You can document information in the Estimate Date of Delivery panel. When you open the Gestational Age template, you can view the expanded Estimated Date of Delivery panel appears. Estimated Date of Delivery If a last menstrual period was entered on the Vital Signs template, that last menstrual period (LMP) must display in the LMP Date field. Note: This only happens if the intake staff goes from the Intake template to the Gestational Age template. If they open another template in between, it does not automatically fill the LMP on the Gestational Age template. Therefore, even if the intake staff is not editing any information on Gestational Age, the template must be opened after opening Intake to obtain the LMP from vital signs. Document the Last Menstrual Period You can document the last menstrual period in the Estimated Date of Delivery panel. Select the Most Accurate EDD You can select the most accurate or final EDD in the Estimated Date of Delivery panel. Calculate the EDD Using Son

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document in the 18 - 20 Week EDD Update Panel

You can document information in the 18-20 Week Update panel. Expand the 18-20 Week Update panel, if required and if appropriate during the initial prenatal visit. This panel is sometimes used for patients who have not had sonograms during their pregnancy. Select a date from the Quickening Date field. Select the +20 or +22 option, depending on whether the patient is a multiparous patient or not. Select the Assign quickening date to Adjusted (provider) EDD date field option if this date should be used to determine the EDD.The EDD date is calculated accordingly and updated in the Initial/Working EDD field. Select a date from the Fundal ht. at umbil Date field. Select the +20 option if this is the first pregnancy. Select the Assign fundal height date to Adjusted (provider) EDD date field option if this EDD should be used to determine the EDD.The EDD date is calculated accordingly and updated in the Initial/Working EDD field. Select the ultrasound date from the Ultrasound Date field. Enter

Gestational Age Template

Recommendations

Obstetrics Histories Template

View Information in the Gestational Age Template

Document the Last Menstrual Period

Obstetrics Intake Staff Workflow

Documenting the Estimated Date of Delivery Panel

Document in the 18 - 20 Week EDD Update Panel

Gestational Age Template

Obstetrics Histories Template

View Information in the Gestational Age Template

Document the Last Menstrual Period

Obstetrics Intake Staff Workflow

Documenting the Estimated Date of Delivery Panel

Document in the 18 - 20 Week EDD Update Panel