Document Knee Score
In the
Range of Motion
panel on the
General Exam PT - PE
template, click the
Knee Score Right
or the
Knee Score Left
link to document the knee score.
The corresponding
Knee Score Right – PE
or
Knee Score Left – PE
template opens.
Select findings for
Pain
,
Stability
,
Range of Motion
, and
Deductions
.
The
Knee Score
calculates automatically.
Click
Save & Close
when done.
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NextGen® Adaptive Content Engine Help Enterprise 8
Document Knee Function Score
To document the Knee Function Score, click the Function Score link on the Knee Score physical exam template. The Knee Function Score – PE template opens. Knee Function Score - PE Select function options for Walking, Stairs, and Deductions. The Function Score calculates automatically. Click Save & Close. The Knee Score template opens. Click Save & Close on the Knee Score physical exam template to return to the General Exam PT - PE template. Parent topic: Record a Range of Motion Findings
NextGen® Adaptive Content Engine Help Enterprise 8
Record a Range of Motion Findings
The Range of Motion panel is where descriptions and measurements for range of motion (ROM) findings are documented. The body region of the exam template determines the links that appear in the Range of Motion panel that enable you to document additional ROM findings. Range of Motion On the General Exam PT – PE template, in the Range of Motion panel, click a link to open the corresponding detailed range of motion template and to document range of motion measurements for that region. The Right Shoulder Range of Motion - PE template is one example of a range of motion physical exam template. Right Shoulder Range of Motion-PE Click the Active button to default normal active values for active range of motion. The Clear Active button appears. Click the Clear Active button to clear the default normal active values. Click the Passive button to populate the default normal passive values for passive range of motion. The Clear Passive button appears. Click the Clear Passive button to clear the de
NextGen® Adaptive Content Engine Help Enterprise 8
Document Abnormal Findings in the Knee
Open the SOAP template. In the Physical Exam panel, click Knee in the left pane. The Knee Exam - PE template opens. In the Inspection panel, do the following: Click the Gait field and select any of the gait, location, and assisted devices listed in the Gait list. Click the following fields under the Right and/or Left labels and select an option from the corresponding lists: Alignment Atrophy Ecchymosis Effusion Flexibility Maximum Tenderness Skin/Scars Swelling For Skin/Scars, select the Normal check box if there are no scars. In the Range of Motion panel, do the following: In the Description section, click the Factors and Description fields under the Right and/or Left text boxes for the following fields and select an option from the corresponding lists: Knee Hip Ankle Lumbar In the Measurement section, click the ROM More Exams link and select an option from the list. In this example, the Left Knee Range of Motion - PE template appears. Left Knee Range of Motion - PE Enter the PE findi
NextGen® Adaptive Content Engine Help Enterprise 8
Document Normal Findings in the Knee
Open the SOAP template. In the Physical Exam panel, click Knee in the left pane. The Knee Exam - PE template opens. Knee Exam - PE In the Quick exams field, select the appropriate check boxes. If appropriate, click the corresponding field to select Normal from the list. The respective fields in the Knee Exam - PE template populate with the normal values. Select the diagnosis codes from the Dx1 or Dx2 fields. Click the corresponding Status field to select the status of each diagnosis. Click OK. Parent topic: Orthopedic Physical Exam Templates
NextGen® Adaptive Content Engine Help Enterprise 8
Document Abnormal PE Findings in the General Exam - PE Template
Open the SOAP template. In the Physical Exam panel, click One Page Exam in the left pane. The General Exam - PE template opens. In the Inspection panel, click the Gait field to select any of the gait, location, weight bearing, and assistive devices listed. Click the following fields under the Right and/or Left labels and select a condition from the corresponding lists: Deformity Ecchymosis Skin/scars Skin/scars Swelling Tenderness For Skin/scars, select the Normal check box if there are no scars. The icon is used to copy the selected item from the Right field to Left field and vice versa. In the Range of Motion panel, do one of the following to document range of motion: Click the Multiple Range of Motion Exams link to open the ROM - PE Range of Motion To launch the system-specific Range of Motion - PE template, click the system-specific links listed under Right and Left fields. Enter the scores in the Right and Left fields. The Knee Score Right and Knee Score Left links are used to gen
NextGen® Adaptive Content Engine Help Enterprise 8
Document Abnormal Findings in the Hip
In the Inspection panel, click the Gait field to select any of the gait, location, and assisted devices available in the list. Open the SOAP template. In the Physical Exam panel, click Hip in the left pane. The Hip Exam - PE template opens. In the Inspection panel, click the following fields under the Right and Left labels and select an option from the corresponding lists: Alignment Ecchymosis Effusion Flexibility Skin/Scars - select the Normal check box if there are no scars Swelling The double-arrow icon is used to copy the selected item from the Right field to Left field and vice versa. In the Range of Motion panel, Description section, click the Factors and Description fields under the Right or Left labels for the following fields and select an option from the corresponding lists: Hip Knee Lumbar If the PE findings are normal, select the Normal check box for the above fields. To document the physical exam findings in the Measurement section, do one of the following: enter values in
