Colposcopy Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Documenting Procedures

You can document the details of procedures performed during the patient encounter. You can open the Procedures template from the navigation bar by selecting the Procedures link, where you can access several procedure templates associated with various systems. Procedures In addition to documenting the procedure details on the Procedures template, you can do the following: Document the pre-procedure care details. Document consent details for the procedure using the Consent link. Generate and print the procedure consent document to be signed by the person consenting to the procedure. Open the Patient Education Browser template to search for and add patient education documents from a library. Submit the procedure document for offline generation using Offline Proc Note. Generate the procedure document in run time using Preview Proc Note. Document Procedure Details You can document the details of procedures performed during the patient encounter on the Procedures template. Document a Generic

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Post-Procedure Details for Colposcopy

You can document the post-procedure details of a Colposcopy procedure in the Post-Procedure section on the Colposcopy - Procedure template. The Post-Procedure section of the Gyn Colposcopy-Procedure template, enables you to document post-procedure details. The Post-Procedure section of the Colposcopy - Procedure template Open the Colposcopy – Procedure template. In the Post-Procedure section, select the procedure and add any modifiers. Optional: Select the Bill for surgical tray check box. Select the number of days or weeks for the follow-up checkup or the date. Note: If you select the time interval for the next check up, the date automatically appears in Date. Select the pap test time interval or pap test date. Note: If you select the time interval for the pap test in Pap, the test date automatically appears in Date. Select Place Order. Note: You can select the A/P Details link to open the Assessment Plan Details template. Select Submit to Superbill. When the charges are submitted, a

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Pre-Procedure Details for Colposcopy

You can document the pre-procedure details in the Pre- Procedure section on the Gyn Colposcopy-Procedure template. Open the Colposcopy – Procedure template. In the Pre-Procedure section, enter the details for Date of last Pap, Pap Interpretation, Date of last colposcopy, Biopsy result, HPV test date, HPV details, ECC date, and ECC result. The Pre- Procedure section of the Colposcopy-Procedure template In Pregnancy test, select the result. Under Pre-procedure meds, select the check boxes for the applicable medications or enter other medication names in Other. Under Pre-procedure care, select the check boxes for the applicable care provided. Select the Consent link and do the following in the Consent - Procedure template to obtain the procedure consent. Select the provider. In Consent by, select the person's name who consented to the procedure. Select the procedure type and date. If the date is not fixed, select the To be scheduled in the near future check box. Optional: Select the Proce

NextGen® Adaptive Content Engine Help Enterprise 8

Document Findings for Colposcopy

In the Findings section of the Gyn Colposcopy-Procedure template, you can add findings one of two ways: Entering information in the Findings fields. Using the Cervix image on the left to add the information in the grid. Document the Colposcopy Procedure Findings and Impressions You can document the Colposcopy procedure findings and impression details. Parent topic: Colposcopy Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Open the Colposcopy Procedure Template

You can document the colposcopy, cryo, and LEEP procedures on the Gyn Colposcopy-Procedure template. Open NextGen® Enterprise EHR. On the SOAP template, select the Procedures link. The Procedures template opens. In Genitourinary, select Colposcopy. The Colposcopy – Procedure template opens. Colposcopy – Procedure template Document the Pre-Procedure Details for Colposcopy You can document the pre-procedure details in the Pre- Procedure section on the Gyn Colposcopy-Procedure template. Colposcopy Panel Document the Cryotherapy Procedure Details You can document Cryotherapy procedure details in the Cryo panel on the Colposcopy - Procedure template. Document the LEEP Procedure Details You can document additional details of the Loop Electrosurgical Excision Procedure (LEEP) procedures in the LEEP panel on the Colposcopy - Procedure template. Document the Post-Procedure Details for Colposcopy You can document the post-procedure details of a Colposcopy procedure in the Post-Procedure section

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Colposcopy Procedure Details

You can collect additional details about the Colposcopy procedures in the Colposcopy panel on the Colposcopy - Procedure template. Open the Colposcopy – Procedure template. In the Colposcopy panel, select a diagnosis in Indication for procedure, and then select a status. The Colposcopy panel of the Colposcopy - Procedure template To document a default procedure, select Default Documentation. The Bivalve speculum was placed in the vagina and Intracervical block was performed check boxes are selected. Select the procedure description. In the Cervix prepped with section, select the method. You can also enter another method in Other. Optional: Select the Intracervical block was performed check box. In the Endocervical sampling with section, select the sampling method. You can also enter other method in Other. Optional: Select the Endometrial biopsy performed check box. Note: You can select the Endometrial Biopsy link to document the endometrial biopsy details. In the Hemostasis obtained wi

Colposcopy Panel

Recommendations

Documenting Procedures

Document the Post-Procedure Details for Colposcopy

Document the Pre-Procedure Details for Colposcopy

Document Findings for Colposcopy

Open the Colposcopy Procedure Template

Document the Colposcopy Procedure Details

Documenting Procedures

Document the Post-Procedure Details for Colposcopy

Document the Pre-Procedure Details for Colposcopy

Document Findings for Colposcopy

Open the Colposcopy Procedure Template

Document the Colposcopy Procedure Details