Birth History

Field	Description
Detailed document	Provides all details from the templates in the Intake Note or Master document.
Reviewed	Indicates that the documented pregnancy and birth history information of a baby is reviewed.
History unobtainable	Indicates that certain pregnancy or birth history information cannot be obtained.
Last detailed doc date	Automatically filled with the current date when the Reviewed option is selected.
Comments	You can enter additional comments on maternal health and baby's health.

NextGen® Adaptive Content Engine Help Enterprise 8

Recording Patient Details in the Intake Workflow

The intake staff can use the Intake template to document a patient's chief complaint, vital signs, medications, allergies, standing orders, and various other findings. Intake - Gastro Panel Description General To document the patient's general information. Reason for Visit To document the reasons for the patient's visit. History Summary To document the patient's past medical history, social, medical or surgical, diagnostic study, and family histories. Note: The History Summary section displays the patient history documented on the Histories template . Vital Signs To document and update the patient's vital signs. Medications To view the patient's current medications and medication history. You can also enter additional prescriptions and reconcile the listed medications with the actual active medications. Allergies To add the patient's known allergies. Orders To view, process, manage, add, edit, remove, and place follow-up orders for the patient. Review of Systems The Review of Systems p

NextGen® Adaptive Content Engine Help Enterprise 8

Intake Template

The intake staff uses the Intake template to document a patient's chief complaint, vital signs, medications, allergies, standing orders, and various other findings that may not have already been recorded on the Home Page - ORT template. Documenting General Information of Patients You can document a patient's general information on the Intake template. Document Interpreter Details You can document the answers for the pre-configured questions. Document Configurable Questionnaires You can document the answers for the preconfigured questions on the Additional Visit Information template. Patient's Reason for Visit You can document a patient's reasons for visit. Patient's History Summary You can add, update, delete, and review a patient's history summary details from the History Summary panel. Patient's Review of Systems You can document the review findings for a patient after reviewing a list of systems. Patient Vital Signs You can document and manage a patient's vital signs. Medications Yo

NextGen® Adaptive Content Engine Help Enterprise 8

Overview of the Intake Template

You can use the Intake template to document the patient information. You can document the following details of the patient in the various panels of the Intake template: General details of the patient Reason for the patient's to visit Patient's history Vital signs Patient's allergies Medications details Review of systems Orders You can select the Record contains substance use disorder information check box to include the disclosure for Substance Abuse and Mental Health Services Administration (SAMHSA) 42 CFR Part 2 provisions in the generated documents and reports. The check box appears in the section based on the configuration of the SAMHSA CFR 42 section on the Practice Configuration template. Viewing Links on the Intake Template The links on the Intake template enable you to open the templates where you can document the patient details. Patient Tracking in Intake Workflow You can enable patient tracking to view the current status of a patient. Open the Adult Immunization Template You

NextGen® Adaptive Content Engine Help Enterprise 8

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 enables 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 A

NextGen® Adaptive Content Engine Help Enterprise 8

Intake Template

You can use the Intake template to document the patient information. You can document the following details of the patient in the various sections of the Intake template: General information of the patient Reason for the patient's to visit Patient's history Patient's Assessments Patient Medications Patient's allergies Vital Signs Patient's Orders Review of systems Patient Education Start a Dermatology Encounter Patient's General Information You can document a patient's general information on the Intake template. Add a Reason for Visit You can document the History of Present Illness (HPI), problems, as the reason for a patient visit. Patient's History Summary Patient's Assessment You can view patient's assessments. Patient Medication You can document and manage a patient's medications. Adding and Reviewing Allergies You can add and review the allergy details associated with a patient in the Allergies panel. Documenting Vital Signs You can document and update a patient's vital signs on t

NextGen® Adaptive Content Engine Help Enterprise 8

Document Basic Antenatal Details

You can provide the basic details of maternal health in the Antenatal section on the Pregnancy/Birth History template. On the Intake template, click the Birth History link. The Pregnancy/Birth History template opens. To enter the mother's age, in the Antenatal section, click Maternal age. To enter the estimated date of delivery, click EDC. Click Marital status, and select the status from the Marital Status: Mother list. Select the Lives with FOB option. To enter the obstetric history, click the Gravida, Para, Ab, and Living fields. Select the Prenatal Care given option. Click Maternal blood type, and select the mother's blood type from the list. Select the Rh factor option. Select the Ultrasound results option. If you select Abnormal, the Ultrasound Results list appears, from which you can select the abnormality found in the ultrasound scan. Document Antenatal Screening Tests You can provide maternal health information, such as screening tests, illnesses, infections, and complications

Birth History

Recommendations

Recording Patient Details in the Intake Workflow

Intake Template

Overview of the Intake Template

Overview of the Histories Template

Intake Template

Document Basic Antenatal Details

Recording Patient Details in the Intake Workflow

Intake Template

Overview of the Intake Template

Overview of the Histories Template

Intake Template

Document Basic Antenatal Details