Document Breast HPI

NextGen® Adaptive Content Engine Help Enterprise 8

Document Female Urogenital

The HPI-Female Urogenital template enables you to document a female patient's urogenital concerns and symptoms. Open the Intake template. In the Reason for Visit panel, select Gyn problems in the left pane. Note: If Gyn problems reason is not listed in the left pane, you can select Additional / Manage, and then select Gyn problems to add the reason in the Reason for Visit grid. The HPI - Female Urogenital template opens. HPI - Female Urogenital template Document details in the following fields: Concern Status Duration/Timing Frequency Status Quality Severity of Bleeding Modifying Factors Associated Signs and Symptoms ROS Enter your comments in the Comment field. Select Save and Close. Parent topic: Document Reasons for a Patient's Visit

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Details for an Annual Well Woman Visit

Open the Intake template. In the Reason for Visit panel, select annual exam in the left pane. Note: If annual exam reason is not listed in the left pane, you can select Additional / Manage, and then select Annual exam to add the reason in the Reason for Visit grid. On the Well women - Subjective template, enter the birth control method and the reason for no birth control at intake, if required. Document the required details in the following sections on the template: Menses Breast Diagnostic History Postmenopausal Menopausal symptoms Additional Symptoms Nutrition Social History Exercise/Activity Tobacco/Vaping Alcohol Select OK to close the template. To enter any additional information given by the patient, select the Intake Comments link, and enter the comments. Parent topic: Document Reasons for a Patient's Visit

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Pap and HPV Screening

The Abnormal Pap - HPI template enables you to document, view, and track a patient’s Pap and HPV screenings and the pertinent treatments. Open the Intake template. Expand the Reason for Visit panel, and then select the abnormal pap smear link. The Abnormal Pap – HPI template opens. Abnormal Pap – HPI template Under the Pap Screenings panel, select the applicable details for Onset, Location, and Status. To quickly review the prior visit summary, select Prior Visit Summary, review the details, and close the template. In the Pap and HPV Screening section, select the Screening date field. The Historical Test – Quick Entry template opens. Select a Pap test and the date of the test, and then select OK. In Pap Results and HPV Detail, select the applicable Pap and HPV results. Select Update. The information is added to the Pap Result, HPV Detail and Treatment grid. To add the documented Pap and HPV screening to the HPI summary, select the record in the Pap Result, HPV Detail and Treatment grid

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Reason for Visit

The Reason for Visit panel is where the reason for visit, as described by the patient, is documented, along with an initial History of Present Illness (HPI). The provider should review reasons for visit, update if necessary, and complete HPI information. Reason for Visit If the Introduction field contains text, review the content and make any necessary changes. The introduction appears as the first sentence of the visit note, and it can be edited for the individual patient. A typical introduction might contain the patient's age, gender, and the reason for visit. If the introduction field is blank, compose an introduction for the patient. If checked, click to clear the Do not Launch HPI check box. In the Reason for Visit data grid, click one of the reasons for visit entered previously to open the HPI template to add additional details. To add a Reasons for Visit do one of the following: Select the appropriate reason for visit in the left pane to launch the associated HPI template. Selec

NextGen® Ophthalmic Suite Help 2022.2

Additional Reason for Visit Panel Features

Additional features on the Reason for Visit panel enable you to adjust how you document chief complaints and HPI information, indicate follow-up visits, review the patient's HPI history, and remove studies reviewed from the grid. Feature Description Do not launch HPI Enables you to select one or more chief complaints/reasons for visit from the list without opening the HPI template To open the HPI template after selecting reasons for visit, click the row of one of the chief complaints listed in the grid. Additional/Manage Located in the left pane and opens the Reason for Visit template, where you can indicate a follow-up visit or you can type a chief complaint. The Reason for Visit template includes a complete list of chief complaints for the specialty Historic HPI Opens the Historic HPI template, where you can see the patient’s history of chief complaints and HPI details in a concatenated summary format for Ophthalmic specialties or all specialties Intake Comments Used by Intake staff

NextGen® Adaptive Content Engine Help Enterprise 8

Reason for Visit on the SOAP Template

Open the SOAP template. Do one of the following: If the Introduction field contains text, review the content and make any necessary changes. If the Introduction field is blank, compose an introduction for the patient. The introduction appears as the first sentence of the visit note, and it can be edited for the individual patient. A typical introduction might contain the patient's age, gender, and the reason for visit. If checked, clear the Do not Launch HPI check box. To add additional details to a previously entered reason for visit, click one of the reasons for visit in the data grid. The appropriate HPI template opens. To add a new reason for visit: Select a complaint from the reasons for visit in the left pane. In the Other field select a reason from the resulting list or type a reason for visit. The associated HPI template opens. On the HPI template, enter the appropriate data. Enter any comments. Click Save & Close. The History of Present Illness column in the Reason for Visit p

Document Breast HPI

Recommendations

Document Female Urogenital

Document the Details for an Annual Well Woman Visit

Document a Pap and HPV Screening

Document the Reason for Visit

Additional Reason for Visit Panel Features

Reason for Visit on the SOAP Template

Document Female Urogenital

Document the Details for an Annual Well Woman Visit

Document a Pap and HPV Screening

Document the Reason for Visit

Additional Reason for Visit Panel Features

Reason for Visit on the SOAP Template