Obstetrics

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Automatic Calculation of Parity in the Obstetrics and Gynecology Synopsis Template

You can automatically calculate parity in the Obstetrics and Gynecology (OBGYN) Synopsis template. The automatic calculation of patient's parity values allows practices to automatically calculate parity when pregnancy outcomes are entered in the templates. The automatic calculation includes the calculation of living children, NSVD and C-Section excluding multiple births. The parity auto-calculation includes a setting on the Practice Configuration template that gives the practice the ability to activate or deactivate the automatic calculation of parity. By default, the setting is deactivated. When the setting is activated, if the parity detail data is discrepant an application message displays on the templates and the system do not automatically calculate the parity for that patient until the user corrects the discrepant data. The Patient Safety Report template allows to view a list of all patients within the practice that have disparate parity detail information. You can generate a pri

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Automatic Calculation for Parity Values

You can correct and automatically calculate a patient’s current parity values. The automatic calculation of parity allows you to make corrections to a patient’s parity if they are incorrect. In the Pregnancy History grid, without adding the details of each associated pregnancy, you can quickly document a patient’s current parity values. You can also view all patients within the practice that have disparate parity detail information. The following is automatically calculated in the NextGen® Adaptive Content Engine system: Gravidity is the sum of full term, abortion, and ectopic pregnancies and are automatically calculated. A current pregnancy if any is calculated in this count. Parity is calculated in TPAL format (T for total number of full term births; P for total number of preterm births; A for total number of abortions; and L for total number of living children). The system also further breaks down A to automatically calculate total number of spontaneous abortions, induced abortions,

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Activate Automatic Calculation Parity Option

You can activate the automatic calculation parity option in the Practice Configuration template. You can activate the Parity auto-calculation activated setting iin the Practice Configuration practice template. This setting allows you to select whether to automatically calculate parity at the point of care when pregnancy outcomes are entered. You can select the checkbox to automatically calculate the parity when documenting the pregnancy outcome. When this option is activated all Parity Detail fields become read-only. The parity data must match the Pregnancy Outcome entries in the Pregnancy Outcomes grid. The automatic calculation function remains incomplete until the data is synchronized. If you do not select this option you have to manually update the parity details. When a user activates this functionality, it creates a log on the OB Audit Log practice template. From the File menu, select System \ Practice Template to open the Select Template list. On the Practice tab, select Practic

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

Parity Detail Auto Calculation Audit Log

The Parity detail auto calculation audit log enables you to view the activation changes made in the Parity auto-calculation activated practice setting. When you activate the Parity auto-calculate feature, the system adds a log in the OB Audit Log practice template. The configuration in the Parity detail auto calculation section applies only to the Obstetrics specialty. You can retrieve information like User Name, Encounter ID, Modified Date/Time, Field, Old Value, and New value from this audit log. The Parity auto-calculation activated setting is added in the Practice Configuration template. This setting enables you to auto-calculate parity at the point of care when pregnancy outcomes are entered. When the parity auto-calculations feature is turned off, the text Parity auto-calculations not activated appears. Note: For more information on Parity auto-calculation activated setting, go to NextGen Healthcare Success Community and download the latest version of the Practice Configuration T

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

Obstetrics

Recommendations

Automatic Calculation of Parity in the Obstetrics and Gynecology Synopsis Template

Automatic Calculation for Parity Values

Activate Automatic Calculation Parity Option

Document the Pregnancy Outcomes Template

Parity Detail Auto Calculation Audit Log

Quick Entry of Pregnancy Outcomes

Obstetrics

Automatic Calculation of Parity in the Obstetrics and Gynecology Synopsis Template

Automatic Calculation for Parity Values

Activate Automatic Calculation Parity Option

Document the Pregnancy Outcomes Template

Parity Detail Auto Calculation Audit Log

Quick Entry of Pregnancy Outcomes