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Histories Template
Histories Template
Patient history information is documented on the
Histories
template for a new patient, and reviewed and updated for an existing patient.
Patient's Problem List
You can manage a patient's problems.
Patient's Medical History
The Medical/Surgical/Interim panel allows you to document the medical or surgical history of the patient.
Patient's Diagnostic Tests and Results
You can document a patient's diagnostic tests and the associated results.
Patient's Family History
You can document the family history of the patient in the Family panel on the Histories template.
Document the Patient's Social History on Tobacco Usage
You can document a patient's social history on tobacco usage in the Social History - Tobacco template.
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Overview of the Histories Template
You can add, update, delete, and review a patient's history summary details. You can document a patient's social history, problem list, medical or surgical history, diagnostic study history, and family history on the Histories template. Patient's Problem List You can manage a patient's problems. Patient's Medical History The Medical/Surgical/Interim panel allows you to document the medical or surgical history of the patient. Patient's Social History You can document a patient's social history. Patient's Family History You can document the family history of the patient in the Family panel on the Histories template. Patient's Diagnostic Tests and Results You can document a patient's diagnostic tests and the associated results. Document the History Review You can document the review details of a patient's history in the generated encounter document. Intake Note Generation You can generate Intake notes on the Intake template after all the intake activities are complete. View a Patient's Ap
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Histories Template
You can add, update, delete, and review a patient's history summary details. The Histories template enables you to document a patient's social history, problem list, medical or surgical history, diagnostic study history, and family history. You can also add skin cancer details. Documenting a Patient's History Summary You can add, update, delete, and review a patient's history summary details from the History Summary panel. Patient's Problem list Patient's Diagnostic Tests and Results You can document a patient's diagnostic tests and the associated results. Generate the Intake Note You can generate the intake note for a patient using Generate Intake Note in theIntake and Histories template. Document the History Review You can document the review details of a patient's history in the generated encounter document. Parent topic: Intake Staff Workflow
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Patient's Social History
You can document a patient's social history. You can open the individual social history template or the Adult Social History template to document the social history information of a patient. The Adult Social History template includes the existing social history templates arranged in a one-page panel format. Each panel includes the data fields from the respective social history template. You can choose to document the social history information of the patient on individual social history templates or on the Adult Social History template. You can document the following social information for an adult patient on the social history templates or the Adult Social History template: Tobacco/Vaping Use Alcohol/Caffeine Statuses Lifestyle Occupation Comment Diet History Environmental Note: NextGen® Adaptive Content Engine is packaged with the individual social history templates as the default social history templates. However, the practice can configure the Practice Configuration template to set
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Cardiology Histories Workflow
You can document the cardiology histories in the Histories - Cardiology template. The template uses standard framework functionality and is used by the nurse/technician to document a patient's history. You can document the following in the Histories – Cardiology template. Problems Medical/Surgical/Interim Diagnostic Studies Family Social Document Cardiac Problems The Problems panel enables you to document, search for, and select the chronic and secondary conditions of a patient's problems. Manage Patient's Disease You can manage the patient's disease in the Medical/Surgical/Interim panel on the Histories template. Update Past Medical History You can update the past medical history for a patient in the Edit Past Medical History template. Document the Interim History You can document all patient medical encounters, which includes but is not limited to, hospitalizations, emergency room visits, office visits, and same day surgeries. Document Historical Diagnostic Studies You can enter hist
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Patient's Adult Social History
You can view and document the social history of an adult patient. You can document the social history information of the patient in a one-page panel format on the Adult Social History template. This template does not appear by default. The Social History Review section allows you to document the review status. You can select an option to complete the social history review. You can select the Enable Panel version of Adult Social History checkbox in the Social History section of the Practice Configuration practice template to set the template as default. Social History section configurations on Practice Configuration Note: You can clear the Enable Panel version of Adult Social History checkbox to open the individual social history templates for documentation. Open Adult Social History Template Document Vaping Details of a Patient The Tobacco/Vaping Use panel in the Social History - Tobacco template enables you to screen and document the vaping details of a patient. The documented vaping
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Documenting a Patient's History Summary
You can add, update, delete, and review a patient's history summary details from the History Summary panel. You can document a patient's history details in the History Summary panel in the following categories: Past Medical/Surgical Interim Social Family Diagnostic The History Summary panel also displays the patient history documented by the intake staff on the Histories template. You can add diagnostic studies with a documented Result or Interpretation to the grid in the Reason for Visit panel by selecting the Add to HPI Grid button. The grid includes a list of categories on the left pane to select and view the documented data. You can filter the patient history records by selecting the Medical History or Surgical History option for Past Medical/Surgical. You can view and enter confidential details provided by the patient during the course of the encounter using The Confidential link. You can select History Review to open the History Review template and select the applicable option to
