Auto-calculation for Parity Values

NextGen® Adaptive Content Engine Help Enterprise 8

Review Incorrect Parity Data in the Patient Safety Report Practice Template

You can view all patients within the practice whose current parity details are different than the parity calculated by the entries in the Pregnancy history grid. A Parity Detail Disparity option is added in the Patient Safety Reports practice template to display the list of patients with incorrect parity details. You can modify the patient charts to display the correct parity details and the pregnancy outcome data. To correct the parity details, access the patient’s chart to update the entry on the OBGYN Synopsis or Pregnancy Outcomes template. This functionality helps you to view all patients within the practice that have disparate Parity Detail and generate a report so that the individual patient charts can be modified to display the correct Parity Detail and Pregnancy Outcome data. From the File menu, select System \ Practice Template to open the Select Template picklist. On the Practice tab, select Patient Safety Report and select OK. Open the Patient Safety Report practice templat

NextGen® Adaptive Content Engine Help Enterprise 8

Manually Calculate for Multiple Births

The multiple births must be manually entered by the practice in the Pregnancy Outcomes template. For twins born through NSVD, it is calculated as 1 NSVD. The same applies for triplets, quads and so on if all delivered by 1 NSVD. For twins both born by C-section, it is calculated as 1 C-section. The same applies for triplets, quads and so on if all delivered by 1 C-section. For twins, 1 born by NSVD and 1 by C-section is calculated as 1 NSVD and 1 C-section. The same applies for triplets, quads and so on if one or some are delivered by 1 NSVD and 1 C-section. In cases of multiple gestation pregnancies with different outcomes for the embryos fetus(es), the parity is automatically calculated based on the most advanced fetal outcome. Abortions or ectopic pregnancies that are part of a multiple gestation pregnancy do not contribute to parity if there is also a potentially viable delivery. In such cases, you can document a comment to explain the circumstances. Parent topic: Auto-calculation

NextGen® Adaptive Content Engine Help Enterprise 8

Auto-calculation of Parity in the OBGYN Synopsis Template

The auto-calculation of patient's parity values enables practices to auto-calculate parity when pregnancy outcomes are entered in the templates. The auto-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 auto-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 auto-calculate the parity for that patient until the user corrects the discrepant data. The Patient Safety Report template enables to view a list of all patients within the practice that have disparate parity detail information. You can generate a printable report from this template. You can add or correct a patient's parity values. The OBGYN Synopsis and Pregnancy Outcomes temp

NextGen® Adaptive Content Engine Help Enterprise 8

Obstetrics

The configuration in the Parity detail auto calculation section applies only to the Obstetrics specialty. Obstetrics section The Parity detail auto calculation section is used to activate the auto-calculation of parity at the point of care when the pregnancy outcomes are entered. When the parity auto-calculations feature is turned off, the text "Parity auto-calculations not activated" appears. When you activate the Parity auto-calculate feature, the system adds a log in the OB Audit Log practice template. On the OB Audit Log practice template, you need to select the Parity detail auto calculation log type and the date range to view the items that have discrepancies in the parity numbers when compared to the pregnancy history grid entries. If the parity auto-calculation feature is turned on, the green text Auto-calculation appears on the Pregnancy Outcomes and OBGYN Synopsis templates. If the parity detail data is discrepant between the Pregnancy History grid and parity details fields o

NextGen® Adaptive Content Engine Help Enterprise 8

Document 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. The Pregnancy Outcomes template opens. If you enable the Parity

NextGen® Adaptive Content Engine Help Enterprise 8

Reconciling Parity Data

The NextGen Healthcare system finds and notify you of any discrepancies in the pregnancy outcomes detail data in a patient chart. If any of this data is not in sync, meaning the pregnancy outcomes detail data in the shared fields on the OBGYN Synopsis and Pregnancy Outcomes templates does not match the pregnancy outcomes detail data in the Pregnancy history grid, you receive an application message. Note that in these cases, auto-calculation continues to function and not turned off. The system changes the color of the fields to yellow to identify the location of the discrepancy in the white editable parity fields. To reconcile the parity data, you must make edits to either the shared fields on the OBGYN Synopsis or Pregnancy Outcomes templates, or to the data in the Pregnancy history grid on the Pregnancy Outcomes template. The edits applied are dependent on where the error is located – the error could be in the fields, the grid, or both. After reconciliation, the warning and red exclam

Auto-calculation for Parity Values

Recommendations

Review Incorrect Parity Data in the Patient Safety Report Practice Template

Manually Calculate for Multiple Births

Auto-calculation of Parity in the OBGYN Synopsis Template

Obstetrics

Document the Pregnancy Outcomes Template

Reconciling Parity Data

Review Incorrect Parity Data in the Patient Safety Report Practice Template

Manually Calculate for Multiple Births

Auto-calculation of Parity in the OBGYN Synopsis Template

Obstetrics

Document the Pregnancy Outcomes Template

Reconciling Parity Data