Document Multi System Exam on SOAP

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Single System Exam on SOAP

You can document the details of the single system examination of a patient in the Physical Exam panel on the SOAP template. Open NextGen® Enterprise EHR. Open the SOAP template. In the Physical Exam panel, select a single system exam in the left pane. Note: The left pane in Physical Exam displays the practice's custom list of the top 14 single system exams configured on the Framework Content system template. For more information on customizing the list, go to NextGen Healthcare Success Community, and download the latest Framework Content System Template forNextGen®Adaptive Content Engine. Select Additional in the list to select the desired system from the complete list of systems that appears. The system specific Physical Exam template opens. Document the physical exam findings. Select Save & Close. Parent topic: Document Physical Exams

NextGen® Adaptive Content Engine Help Enterprise 8

Copy Physical Exam Findings from Previous Encounters

You can copy physical exam findings from previous encounters of a patient to the current encounter instead of manually adding them. OpenNextGen® Enterprise EHR. Open theSOAPtemplate, and then expand thePhysical Exampanel. Select Physical Exam History. The Historical Information window opens. Note: The records are displayed for the default duration configured in the Copy Previous Visit Information section of the Practice Configuration template. For more information, go to NextGen Healthcare Success Community, and download the latest Practice Configuration Template User Guide forNextGen®Adaptive Content Engine. To filter the records in the grid, enter the search criteria inFilter by, and then selectSearch. Note: If the records are displayed from any sensitive encounter, an asterisk (*) appears on the record in theSensitivecolumn to help you decide whether to copy such records and update the current encounter as sensitive. Select the record to copy, and then select Copy Physical Exam & Cl

NextGen® Adaptive Content Engine Help Enterprise 8

Document the OMM Physical Examination Templates

Osteopathic Manipulative Medicine (OMM) involves the therapeutic application of manual pressure. OMM can be used to treat a wide variety of common ailments, including headaches, arthritis, stress injuries, sports injuries, and pain in areas such as the lower back, neck, shoulders, and knees. The details that you document on the OMM templates vary depending on the specialty. Open NextGen® Enterprise EHR. Open the SOAP template. Set the speciality as Family Practice and visit type as Office Visit. Click the Physical Exam panel. Click Select Other Physical Exams, and select Additional. The Udp pe Picklist template opens. On the Udp pe Picklist template, select Somatic Dysfunction Findings, and click OK. The OMM template opens. In the left pane, select the OMM template that you want to document. The selected OMM opens on the right side. Document the details, and click Save & Close. The information is added to the Physical Exam grid. Parent topic: Document Physical Exams

NextGen® Adaptive Content Engine Help Enterprise 8

Document Physical Exams

As part of the provider workflow, you can document and manage physical exams performed for a patient. OpenNextGen® Enterprise EHR. Open theSOAPtemplate, and then expand thePhysical Exampanel. To document findings for multiple physical exams on a single template, select One Page Exam from the left navigation bar. Note: You can also select Load to quickly load any saved physical exam findings, or Save to save the documented physical exam findings to use them on other encounters. To document findings for a single physical exam, select an appropriate link from the left navigation bar. To document findings for a physical exam that does not appear in the left navigation bar, select Additional. To copy physical exam findings from a previous encounter to the current encounter, select Physical Exam History.If you have copied and edited information from a previous encounter, a label appears in the Physical Exam panel and applicable documents indicating that information is copied and edited. Note

NextGen® Adaptive Content Engine Help Enterprise 8

Document Physical Exam Findings

You can document the complete physical examination details of a patient on the SOAP template. The One Page Exam link opens a gender-specific or a gender-neutral, one-page physical exam template. Based on the configuration in the Physical Exam panel of the Framework Content system template and the selection of the Enable Gender Neutral PE check box on the Practice Configuration template, the gender-specific or a gender-neutral, one-page physical exam template opens. For more information, go to NextGen Healthcare Success Community, and download the latest Framework Content System Template forNextGen®Adaptive Content Engine and Practice Configuration Template User Guide forNextGen®Adaptive Content Engine. Open NextGen® Enterprise EHR. On the SOAP template, expand the Physical Exam panel. Select One Page Exam. The One Page - Physical Exam template opens. One Page - Physical Exam Document your findings on the template. Note: To save the documented value as the default set, you can select th

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

Document Multi System Exam on SOAP

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