Skin Cancer Treatment Workflow

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Biopsy Log

The Biopsy Log link opens the Biopsy Log practice template which enables you to view pathology results for a patient. The log can be filtered by specialty, location, provider, patient, order status, and other factors. On the Biopsy Log practice template, you can do the following: Update the order Send tasks regarding the order or results to staff members. Submit the order to Superbill Generate and save a non-cancerous growth pathology letter within the encounter. Record how and when a patient was notified of the results. Biopsy Log View Pathology Results on the Biopsy Log Templates You can view the dermatology specific pathology results when you select Dermatology as the Specialty on the Biopsy Log template. Pathology Results Notifications You can document when a patient is notified of pathology results including the date and method of notification. Parent topic: Predominant Procedures for Provider

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Record an Excision Procedure

On the SOAP template, go to the bottom of the template and select the Procedures icon. The Udp Procedure Picklist opens. Click Excision/Repair and click OK.The Procedure dermatology excision 1 template opens. Select No for the Are you performing a procedure on a biopsy proven malignancy? question. In the Today's Assessment grid, select or add a finding to be excised.The Procedure Excision panel is populated with a diagnosis for the selected finding. In the Pre-Procedure Care panel, after explaining the details of the procedure to the patient select the relevant options. Note: To add more information about the consent, select the Consent link. In the Procedure Excision panel, document the required information. In the Repair panel, document the required information. In the Post Procedure panel, record if complications occurred, select how the patient tolerated the procedure, the suggested time for the follow-up visit and other details. Click Submit to Procedure Billing. Click Save & Clos

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Biopsy/Destruction/Shave - Procedures

The Bx/Destruction/Shave link opens the Biopsy/Destruction/Shave - Procedures template. Use this template to perform a biopsy, destruction or shave procedure. You can document the following details. Pre-procedure care includes verification of consent, identification of the correct patient, a location and confirmation that the patient received, and procedure-related information. Procedure care enables you to view each procedure scheduled for the current patient and to enter procedure-related details. This template provides two different grid views, one for non-biopsy-proven procedures and one for biopsy-proven malignancies. Follow-up care enables you to record if complications occurred, how the patient tolerated the procedure, and if a follow-up is necessary. Bx/Destruction/Shave Document a Cryosurgery Procedure You can perform cryosurgery for a finding such as actinic keratosis, seborrheic keratosis, or viral wart. Enter a Topical Treatment Procedure You can document topical treatment

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Record Skin Cancer History

Open the Histories - Dermatology template. In the Skin Cancer Log panel, in the Treatment History section, click Add.The Skin Cancer History Log - Derm template opens. In the Treated? section, select the N option. Type the year the cancer was diagnosed in the Year of DX field. To select the characteristics of cancer as reported on the pathology report, click Characteristics. In the Accession field , type the accession number from the pathology report. Select the correct specimen id from the Specimen ID list. Note: This is essential if the report includes multiple specimens. To open the Diagnosis template, click Diagnosis, and then locate and select the diagnosis as reported on the pathology report. Select the location where the patient is identified with cancer in the Location field. Select the treatment needed for this patient in the Recommended treatment field. Note: Information about the actual treatment needs to be reported after you have completed the procedure. When you complete

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document the Excision of a Skin Cancer

On the day of the excision procedure, the intake staff follows a standard intake workflow specifying the specialty as Dermatology and visit type as Surgical Visit. The intake staff records demographic and medical information following the guidelines established by the practice. On the Home Page - Dermatology template, review the patient information entered by the intake staff. On the Histories template, review the patient information and add information, if necessary. On the SOAP template, do the following: In the Reason for Visit panel, document complete details of the reason for visit or add additional reasons for visits, if necessary. In the Review of Systems panel, click Derm - ROS, and fill in the details in the Dermatology -ROS template. On the SOAP template, go to the bottom of the template and select the Procedures icon. The Udp Procedure Picklist opens. Click Excision/Repair.The Procedure dermatology excision 1 template opens. Click the Yes option for the Are you performing a

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Record Cancer Staging Details

Open the Histories - Dermatology template. In the Skin Cancer Log panel, in the Staging section, click Add.The Cancer Details template opens. In the Cancer Type section, do the following: Select the cancer type as Primary or Secondary. Do one of the following: To enter the details in all the fields, select Enable free text check box. To select the options from the respective picklist for each field, clear Enable free text. Select a diagnosis or click Add common assessment to select a diagnosis. Click Cancer Type / Site and select the cancer type from the Cancer Type Details template. Enter or select the Status and Behavior value from the picklist. Enter or select the Histology and Laterality value from the picklist. In the Cancer Staging section, do the following: If staging details are not available, select the appropriate option: Staging pending Insufficient data No staging system If the staging details are available, verify and update the date and time of cancer staging. Select the

Skin Cancer Treatment Workflow

Recommendations

Biopsy Log

Record an Excision Procedure

Biopsy/Destruction/Shave - Procedures

Record Skin Cancer History

Document the Excision of a Skin Cancer

Record Cancer Staging Details

Skin Cancer Treatment Workflow

Biopsy Log

Record an Excision Procedure

Biopsy/Destruction/Shave - Procedures

Record Skin Cancer History

Document the Excision of a Skin Cancer

Record Cancer Staging Details