Document Diagnostic Details

NextGen® Adaptive Content Engine Help Enterprise 8

Open Diagnostic Details

Before you begin Ensure that a diagnosis is available in the Today's Assessment grid. Select the Prenatal Detail tab In the Diagnostics Studies panel, select Add. The OB Diagnostics template opens. In the Today's Assessment grid, select a diagnosis. In the Orders section, select the Diagnostic study field and select a diagnostic study. The selected diagnostic study and the code appears. The Diagnostic Details link appears in the Result details section. Select the Diagnostic Details link. The Diagnostic Details template opens. Diagnostic Details Document Diagnostic Details You can add exam type, estimated gestational age (EGA), estimated fetal weight, and preconfigured diagnostic details for a diagnostic order. Parent topic: Overview of Obstetrics Diagnostics

NextGen® Adaptive Content Engine Help Enterprise 8

Place Selected Orders and Results for Obstetrics Diagnostics

Open the Prenatal Detail template, expand the Diagnostics Studies panel, and then select Add. The OB Diagnostics template opens. Ensure that a diagnosis is available in the Today's Assessment grid. Select a Diagnosis study. In the Results/Report section, do the following: In Exam Type, select the Transabdominal or Transvaginal option. Enter the estimated gestational age in EGA at time of sonogram. To select the interpretation of the diagnostic test, select Interpretation. To record the estimated fetal weight in grams, select EFW and enter the value. Note: You can enter the estimated fetal weight for one fetus. To enter multiple gestation, slick the Multiple Gestation link. In the OB Multiple Fetus Notes window, select the Fetus number. OB Multiple Fetus Notes Enter additional fetus details in the Notes field. Select Add. The details are added to the grid. Select OK. The Multiple Gestation link changes to magenta. Select Follow Up. In the Follow-up/Disposition template, select the follo

NextGen® Adaptive Content Engine Help Enterprise 8

Create Orders for Obstetrics Diagnostics

Before you begin Ensure that a diagnosis is added to the Today's assessment grid. Select the Prenatal Detail tab In the Diagnostics Studies panel, select Add. The OB Diagnostics template opens. To add historical orders, select the Historical Study check box in the Orders section. Note: The Date Performed field is mandatory for historical orders. The Billing Diagnosis field, and the Submit to Superbill and Place Order buttons are not required to add historical orders. In the Orders section, select Diagnostic study, select a diagnosis from the list, and then select OK. The Place Order button is enabled. Add the following: To add a modifier, select Modifier 1, and then select a modifier from the list. You can add an additional modifier in Modifier 2. To add the time frame or frequency, select Time frame, and then select a value from the list. To add location details, enter the Location. To add a diagnosis for billing, select Billing Diagnosis, and then select the diagnosis. To add the res

NextGen® Adaptive Content Engine Help Enterprise 8

Add Obstetric Diagnostic Documents to Orders

Before you begin To attach a document, a diagnosis order should be available in the Orders section. Select the Prenatal Detail tab In the Diagnostics Studies panel, select Add. The OB Diagnostics template opens. In the Today's Assessment section, select the diagnosis order to add an attachment. In the Orders section, document the order details. Select the See scanned document check box, select the document or scanned image in the Scanned Document/Image window, and then select OK. The file is attached and the name of the attached file appears in the See scanned document field. Select Place Order. The attachment is added to the order. To replace the attached document, do the following: Select the Cl button. Select the See scanned document check box, and then select a document or image. Select Update. Select Save & Close. Parent topic: Overview of Obstetrics Diagnostics

NextGen® Adaptive Content Engine Help Enterprise 8

Overview of Obstetrics Diagnostics

You can do the following through the Diagnostics Studies panel: View the Currently Pregnant status, Initial/Working EDD (estimated due date), and EGA (estimated gestational age). Open the Medication and Immunization templates. Add diagnoses and OB problems to Today's assessment. Record historical orders for gynecologic and obstetrics diagnostic tests. Record the type of examination, Transabdominal or Transvaginal. Select verbal order or needs sign-off and send task automatically. Select obstetrical specialty diagnostic tests and place orders. Record EGA at the time of sonogram, select interpretation, add clinical interpretations, and estimated fetal growth. Add multiple gestation details and result details. Open the Follow-up/Disposition template using the Follow Up button. Attach scanned reports associated with a diagnostic study. Add preconfigured diagnostic details, such as category, subcategory, result findings, and test results. Document Diagnostic Details You can view obstetric d

NextGen® Adaptive Content Engine Help Enterprise 8

Document Diagnostic Details

Before you begin Ensure that a diagnosis is available in the Today's Assessment grid. In the Diagnostics Studies panel, select Add. The OB Diagnostics template opens. In the Today's Assessment grid, select a diagnosis. In the Orders section, select the Diagnostic study field and select a diagnostic study. The selected diagnostic study and the code appears. The Diagnostic Details link appears in the Result details section. Select the Diagnostic Details link. The Diagnostic Details template opens. To enter the diagnostic details, do the following: Select the Exam type. Enter the Fetus number. Enter the EGA at time of Sonogram and the EFW. Select Category and Subcategory. Select Result Findings. Select or add the Test Result Findings. The result appears in the grid. Select OK. The result also appears in the Result details section on theOB Diagnostic template . Update Diagnostic Details You can update the test result records in the Diagnostic Details template. Parent topic: Open Diagnostic

Document Diagnostic Details

Recommendations

Open Diagnostic Details

Place Selected Orders and Results for Obstetrics Diagnostics

Create Orders for Obstetrics Diagnostics

Add Obstetric Diagnostic Documents to Orders

Overview of Obstetrics Diagnostics

Document Diagnostic Details

Open Diagnostic Details

Place Selected Orders and Results for Obstetrics Diagnostics

Create Orders for Obstetrics Diagnostics

Add Obstetric Diagnostic Documents to Orders

Overview of Obstetrics Diagnostics

Document Diagnostic Details