Document Plan and Additional Information

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Assessment and Diagnosis Details

Expand the Assessment/Diagnosis panel. If enabled, click the DSM IV link in the upper, right corner to launch the BH – DSM IV template. Note: The display of the link is set up on the Behavioral Health section of the Practice Configuration system template. In the Behavioral Health Diagnoses section, select any of the available links. In the Diagnostic description required field, click to launch the diagnosis search window. Selecting a description value automatically populates the ICD Code field or vice versa. Add Status, Severity, Differential DX, and Impression. The out-of-the-box Severity picklist does not include Extreme or Persistent. These values can be added to the list in File Maintenance. Enter any required Specifiers by doing one of the following actions: Click the field to type a value. Click the My Phrases link to create a new sentence or part of a sentence. For more information about My Phrases, go to NextGen Healthcare Success Community and download the latest Getting Start

NextGen® Orthopedic Suite Help 80.2.14.0

Pain Management

You can document pain management information for the patient in the Health Promotion Plan template. Scroll down to find and expand the Pain Management panel. Pain Management panel Enter data in the Pain Assessment/Plan of Care fields. Type any comments or use My Phrases to add plan details in the Follow-up plan of care field. Note: My Phrases accessed from this grid are not NextGen® Orthopedic Suite phrases, they are My Phrases that have been set up in the NextGen® Adaptive Content Engine. When you are finished entering pain management data, either click OK to close the window, or open another panel to document another Health Promotion plan. Parent topic: Health Promotion Plan

NextGen® Adaptive Content Engine Help Enterprise 8

Enter an Interim Update

On the Interim Update panel, do one of the following: If there were no modifications, click the No changes reported/observed check box. If changes exist, manually type your comments in the Interim update field or use the My Phrases functionality to complete the documentation: Click the My Phrases link to select a sentence to enter in the Reason for referral field. For more information about My Phrases, go to NextGen Healthcare Success Community, and download the latest Getting Started User Guide forNextGen®Adaptive Content Engine. Parent topic: Nurse's Progress Note (Long)

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Plan of Care and Additional Information

In the Plan and Additional Information panel, click My Plan to open the My Plan template set. My Plan Template Enter the details of an action plan that can be implemented by the client between sessions, in the Plan/additional information field. Parent topic: Nurse's Progress Note (Long) Parent topic: Nurse's Progress Note (Short)

NextGen® Adaptive Content Engine Help Enterprise 8

Entering Assessments, Impressions, Differential Diagnoses, and Associated Details

On the Assessment / Plan Details template, the provider selects an assessment and then enters any pertinent comments, differential diagnoses, plan details, provider details, or today's orders with the option to use My Phrases or Common Phrases (practice-wide phrases), and Follow-Up. Entering information in A/P Details tab is optional. The A/P Details tab includes the following sections: Today's Assessment grid: You can add, edit, sort, and remove rows. The columns include the diagnosis priority number (#), Description, Code, and Status. Impression/Comments memo field: You can enter text, record audio, and access My Phrases. The data entered here also appears in the Assessment / Plan panel. You can select Comments link to open the A/P Details tab directly from Assessment / Plan panel to update the comments. The first 215 characters entered as impression details can be reviewed in the Problems module, Billing ICD List tab and Note field. Differential Diagnosis field: You can enter text o

NextGen® Adaptive Content Engine Help Enterprise 8

Patient's Treatment Plan

The treatment plan for the patient can be documented on the My Plan or My Custom Plan template. The My Plan template appears within NextGen® Adaptive Content Engine by default and can be replaced with the My Custom Plan template based on the configuration in the Practice Configuration practice template. The My Custom Plan template can be customized to suit your practice's needs and is less select-intensive. For more information on the My Custom Plan template, go to NextGen Healthcare Success Community, and download the latest My Plan Template Set User Guide forNextGen®Adaptive Content Engine. Document a Treatment Plan You can document treatment plan for a patient. Document a Treatment Plan You can document treatment plan for a patient. My Plan Versus My Custom Plan to Create a Treatment Plan You can document a treatment plan that is personalized to suit your practice's specific needs. Parent topic: Add or Update Assessment Template Parent topic: Document Assessments and Plans

Document Plan and Additional Information

Recommendations

Enter Assessment and Diagnosis Details

Pain Management

Enter an Interim Update

Enter Plan of Care and Additional Information

Entering Assessments, Impressions, Differential Diagnoses, and Associated Details

Patient's Treatment Plan

Enter Assessment and Diagnosis Details

Pain Management

Enter an Interim Update

Enter Plan of Care and Additional Information

Entering Assessments, Impressions, Differential Diagnoses, and Associated Details

Patient's Treatment Plan