Access the Add or Update Assessment Template Based on DSM-5 Standards
The Behavioral Health version of the
Add or Update Assessment
template is based on DSM-5 standards.
On the
Home Page - Behavioral Health
template, set the
Visit Type
to
Onsite Consult
.
On the
SOAP
tab, expand the
Assessment/Plan
panel and click the
Add Assessment
button.
The Behavioral Health version of the
Add or Update Assessment
template displays.
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NextGen® Adaptive Content Engine Help Enterprise 8
Add or Update Assessment Template
The Add or Update Assessment template that launches from the Behavioral Health templates differs from the core specialties. In this version, the template is updated to reflect the standards put forth in DSM-5 by incorporating the Severity and Specifiers into the data collected into a grid, among these other changes: The Site and Axis fields are hidden when the specialty is set to Behavioral Health. The Severity field launches a picklist with the following selections: Mild Moderate Severe Persistent Extreme The grid includes the following headers: # - the priority number of diagnoses entered for Today's Assessment. Dx (Code) Status Severity Impression/Differential Dx - values concatenate but are identified as Impression and/or Differential Diagnosis Specifiers Access the Add or Update Assessment Template Based on DSM-5 Standards Parent topic: DSM-5 Overview
NextGen® Medication Inventory Control Help 10.6.3.0
Access the Add or Update Assessment Template
Select the Add/Update button below the Today’s Assessment grid on the MICS MedAdmin OPH template. The Add or Update Assessment template opens. Diagnoses already attached to treatments for this patient appear in the Billing Diagnosis History grid in the upper left. Note: The Add or Update Assessment template is part of a template set, the templates of which are indicated and accessed by the tabs along the top of the window. For the Add or Update Assessment template, the Assessments tab is highlighted. Parent topic: Today’s Assessments
NextGen® Adaptive Content Engine Help Enterprise 8
Open the Assessments Tab
There are several options for accessing the Add or Update Assessments template: On the SOAP template, in the Assessment / Plan panel, select Add/Update. On the Intake or SOAP templates: Select the My Plan link to open the template set. My Plan Select the Assessments tab. Change the Order of Assessments in the Grid Convert ICD Codes in the Billing History Remove an Assessment from Add or Update Assessment Template You can remove an assessment from the Today's Assessment grid in theAdd or Update Assessment template. Entering Assessments, Impressions, Differential Diagnoses, and Associated Details Links and Buttons on the A/P Details Tab Open the Assessment / Plan Details Template Parent topic: Add or Update Assessment Template Parent topic: Using the Assessments Tab
NextGen® Adaptive Content Engine Help Enterprise 8
Behavioral Health Common Assessment Page
The BH Assessment page that opens in the Add Common Assessment template includes the following updates for DSM-5: When the Practice Configuration practice template option to display a link for the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM IV) is not selected, the Add Common Assessment template for Behavioral Health displays an updated grid and picklist (replacing the required, DSM IV, Axes lists). The Status picklist is not required. Users can cancel out of the list without making a selection. The picklist includes the following selections: Mild Moderate Severe Persistent Extreme The grid in the DSM-5 section includes the following headers: # Dx (Code) Status Severity Impression/Differential Dx Specifier The system is packaged with existing, common assessment, diagnosis code data formatted to appear on the Common Assessment template. If no data is preloaded for a common assessment set in the package, launching that common assessment page returns the foll
NextGen® Adaptive Content Engine Help Enterprise 8
Update an Assessment on the SOAP Template
Open NextGen® Enterprise EHR. On the SOAP template, in the Assessment / Plan panel, select an assessment you want to update in the grid. Select Add/Update. The Add or Update Assessment tabbed template set opens. Make changes to the assessment. Select Save & Close. Parent topic: Document Assessments and Plans
NextGen® Adaptive Content Engine Help Enterprise 8
Add an Assessment on the SOAP Template
You can enter assessment and plan details on the Add Assessment tabbed template. Open NextGen® Enterprise EHR. From the SOAP template, in the Assessment / Plan panel, select Add/Update. The Add or Update Assessment tabbed template set opens. Select an assessment. Enter the Status, Side, Site, Impression, and Differential dx fields. Select Add/Update. The assessment is added to the Today's Assessment grid. Select Save & Close. Parent topic: Document Assessments and Plans