Calculate the EDD Using Sonogram Results

NextGen® Adaptive Content Engine Help Enterprise 8

Select the Most Accurate EDD

Select the Gestational Age tab. The Gestational Age- Obstetrics template opens. Expand the Estimated Date of Delivery panel. You can select the most accurate EDD from the Calculation Method section. Select the Use as Final EDD check box. The label of the Initial/Working EDD field changes to Final EDD field. This is an optional step. If a final EDD is never indicated, the initial/working EDD becomes the final EDD in the OB Prenatal Crystal report. Parent topic: Documenting the Estimated Date of Delivery Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Last Menstrual Period

Select the Gestational Age tab. The Gestational Age- Obstetrics template opens. Expand the Estimated Date of Delivery panel. In the LMP field enter the LMP, if not entered. An EDD automatically displays to the right of the LMP field. The Consistent with LMP option is selected as the calculation method for the EDD. This EDD displays in the Initial/Working EDD field. Also, the EGA is automatically calculated and displays in the EGA this encounter field. Select the Definite, Approximate (month known), or Unknown option in the LMP section. Note: In most practices, the intake staff enters this information and the provider would confirm or edit this information. The NextGen® Adaptive Content Engine calculates an EDD using sonogram results, initial exam, date of conception, or date of in vitro fertilization (IVF). In addition, you can manually enter a specific EDD. It is up to the provider to decide which EDD is most accurate for a particular patient. Parent topic: Documenting the Estimated D

NextGen® Adaptive Content Engine Help Enterprise 8

Documenting the Estimated Date of Delivery Panel

When you open the Gestational Age template, you can view the expanded Estimated Date of Delivery panel appears. Estimated Date of Delivery If a last menstrual period was entered on the Vital Signs template, that last menstrual period (LMP) must display in the LMP Date field. Note: This only happens if the intake staff goes from the Intake template to the Gestational Age template. If they open another template in between, it does not automatically fill the LMP on the Gestational Age template. Therefore, even if the intake staff is not editing any information on Gestational Age, the template must be opened after opening Intake to obtain the LMP from vital signs. Document the Last Menstrual Period You can document the last menstrual period in the Estimated Date of Delivery panel. Select the Most Accurate EDD You can select the most accurate or final EDD in the Estimated Date of Delivery panel. Calculate the EDD Using Sonogram Results You can calculate the EDD using Sonogram results in the

NextGen® Adaptive Content Engine Help Enterprise 8

Document in the 18 - 20 Week EDD Update Panel

Expand the 18-20 Week Update panel, if desired and if appropriate during the initial prenatal visit. This panel is sometimes used for patients who have not had sonograms during their pregnancy. 18-20 Week Update panel Select a date from the Quickening Date field. Select the +20 or +22 option, depending on whether the patient is a multiparous patient or not. Select the Assign quickening date to Adjusted (provider) EDD date field option if this date should be used to determine the EDD. The EDD date is calculated accordingly and updated in the Initial/Working EDD field. Select a date from the Fundal ht. at umbil Date field. Select the +20 option if this is the first pregnancy. Select the Assign fundal height date to Adjusted (provider) EDD date field option if this EDD should be used to determine the EDD. The EDD date is calculated accordingly and updated in the Initial/Working EDD field. Select the ultrasound date from the Ultrasound Date field. Enter the weeks and days in the Gestationa

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Information in the Estimated Date of Delivery panel in the Gestational Age Tab

Open the Gestational Age tab. Open the Estimated Date of Delivery panel. Select the LMP field and select a prior date that is at least 3 months before date from the encounter date. Select the Ultrasound 1 field and select a prior date of at least 1 month before date from the encounter date. Enter the days or weeks in the Ultrasound window. Select the Ultrasound 2 field and select a date between LMP and Ultrasound 1 date. Enter the days or weeks in the Ultrasound window. Select the Use a final EDD check box. Estimated Date of Delivery Parent topic: Documenting Information in the OB Gestational Orders Template

NextGen® Adaptive Content Engine Help Enterprise 8

Add Entries in the EDD Edit Log Panel

Open the Gestational Age template. From the Estimated Date of Delivery panel, enter a LMP date. LMP date in the EDD panel On the top toolbar, select Save and then Close. Open the Gestational Age template again, expand the EDD Edit Log panel. The EDD Edit Log panel does not display the recent entry. EDD Edit Log Select the Retired EDD Log link. The Historical EDD Log template displays the first EDD entry. Historical EDD Log Select OK. From the Estimated Date of Delivery panel, enter a date in the Ultrasound 1 field. On the top toolbar, select Save and then Close. Open the Gestational Age template again, and expand the EDD Edit Log template. The EDD Edit Log template displays the entries. Records in the EDD Edit Log template Parent topic: EDD Edit Log Template

Calculate the EDD Using Sonogram Results

Recommendations

Select the Most Accurate EDD

Document the Last Menstrual Period

Documenting the Estimated Date of Delivery Panel

Document in the 18 - 20 Week EDD Update Panel

Enter Information in the Estimated Date of Delivery panel in the Gestational Age Tab

Add Entries in the EDD Edit Log Panel

Select the Most Accurate EDD

Document the Last Menstrual Period

Documenting the Estimated Date of Delivery Panel

Document in the 18 - 20 Week EDD Update Panel

Enter Information in the Estimated Date of Delivery panel in the Gestational Age Tab

Add Entries in the EDD Edit Log Panel