Document Areas Examined
Open the
SOAP - Dermatology
template.
In the
Physical Exam
panel, go to the
Areas Examined
section.
Select the check box to add the areas examined findings to the grid in the
Physical Exam
panel.
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NextGen® Adaptive Content Engine Help Enterprise 8
Physical Exam Panel
The Physical Exam panel displays a list of exam categories in the left pane. These items are customizable by specialty or by provider. The One Page Exam link opens the Derm General - PE template where you can document the patient's physical exam. You can also access the system-specific physical exam templates by accessing the links in the left pane. If the required system is not available in the left pane, you click the Additional link and select a system from the picklist. Click the Office Diagnostic button below the Physical Exam grid to launch the Office Services template to place orders for the tests. When you click the Physical Exam History button, the Historical Information window opens. You can copy the previous physical exam records to the current encounter by using the Copy Physical Exam & Close button. Document Areas Examined You can select the areas examined during physical examination. Parent topic: Documenting SOAP Information
NextGen® Adaptive Content Engine Help Enterprise 8
Open the Physical Exam Templates
You can open the physical exam template to document the normal and abnormal physical exam details. Open the SOAP template. In the Physical Exam panel, select a specialty-specific physical exam in the left pane. The physical exam template opens. Note: If your desired physical exam is not available in the left pane, click Additional and select the physical exam. Parent topic: Orthopedic Physical Exam Templates
NextGen® Adaptive Content Engine Help Enterprise 8
Access the Diagnostic Studies Template
Do one of the following: On the SOAP template, in the Assessment/Plan panel, click Diagnostics. On the Intake or SOAP template, click the My Plan link, and then click the Diagnostics tab. Parent topic: Documenting Diagnostic Studies
NextGen® Adaptive Content Engine Help Enterprise 8
Patient's Physical Exam
You can examine a patient and document the associated information using the Physical Exam panel that displays a list of exam categories. The links that appear are configurable by specialty or by provider. The Physical Exam panel displays the system name, followed by exam findings, and the details. On Physical Exam, you can use the One Page Exam link in the left pane to open the One Page-Physical Exam template, which enables you to document the complete physical exam details on a single template. You can also document a single system exam. Physical Exam panel You can select the Office Diagnostics button to open the Office Services template to view or enter the various diagnostic tests and results. You can configure the physical exam systems in the Framework Content system template. Based on the configuration, the systems appear on Physical Exam of SOAP. For more information on configuring the systems, go to NextGen Healthcare Success Community, and download the latest Framework Content
NextGen® Adaptive Content Engine Help Enterprise 8
Document Exam Findings with GET
Create a patient encounter. On the Intake template select the Specialty as Dermatology and the Visit Type as Office Visit. In the Reason for Visit panel, select a reason for visit. To open the Graphical Exam Tool template, click the GET tab. On the Graphical Exam Tool template, the Reason for Visit pane shows the first reason for visit and you can do the following in the pane: Use the right arrow to display the next reason for visit. Use the left arrow (when enabled) to display the previous reason for visit. Note: You can add all the findings for a visit on a single reason for visit, or you can add the appropriate findings for each reason for visit. The right arrow is enabled if there are additional reasons for the visit. Select the areas examined on the Areas Examined panel. Click a finding in the FINDINGS list and then click the locations on the image where that finding appears. As you add findings, a record for each finding is added to the Reason for Visit grid beneath the image. To
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Physical Exam for Well Child
You can examine a patient and document the information in the Physical Exam panel on the Pediatric SOAP template. In the Physical Exam panel, you can do the following: Use the One Page Exam link to document a complete exam on a single template or click the single system exams from the left pane and its submenu. When you click the single system exam or its submenu, it opens the respective template. Select a system from the list if the applicable system does not appear in the left pane using the Additional link. The physical exam template associated with the selected system appears to document the appropriate physical exam findings. Use the Office Diagnostics button to document or review diagnostics. Use the Physical Exam History button to copy previous physical exam records to the current encounter. Physical Exam Parent topic: Overview of Well Child Visit Related tasks Document Physical Exams
