Document Postpartum Details

NextGen® Adaptive Content Engine Help Enterprise 8

Document Reason for Visit in OB Postpartum template

Select the Postpartum tab. Open the Reason for Visit panel: Enter any additional text in the Introduction field. The Introduction field automatically displays a statement describing the patient's age, gender, and reason for visit. The same statement appears on the Reason for Visit panel of the SOAP template. To view the nurse/MA comments, select the Intake Comments link to open the Intake Comments template. Do one of the following: Select the postpartum check reason for visit from the left pane. Select the Additional / Manage link and select the postpartum check option in the Reason for Visit template. Open the Postpartum Details – HPI template and enter the required information. To enter information in the Diagnostic History Entry template, select Diagnostics. To view the chief complaint and reason for visit in the Hopi Notes template, select Comments. Document Postpartum Details You can enter information in the Postpartum Details -HPI template Parent topic: Document the OB Postpartum

NextGen® Adaptive Content Engine Help Enterprise 8

Document Intake Workflow

The Intake staff enters information on the Intake template. The Pregnancy Outcome sub-navigation link displays on the Home Page, Intake, and Postpartum templates. Intake template Select the postpartum check as the reason for visit. Enter vital signs in the Vital Signs panel. Review medications in the Medications panel. Review allergies in the Allergies panel. Select General ROS - Female in the Review of Systems panel. Review of Systems The ROS - Female template opens. If the provider has saved a list of questions to ask, select L. If a provider’s pre-set list of questions is used, ask each question and change the answer from negative to positive as appropriate. If you select the Reproductive option, the postpartum depression details can only be recorded in the Postpartum Info template. The postpartum depression finding that used to be filled automatically in the Review of Systems (ROS) grid after selecting the Yes option in the Postpartum Details-HPI template in the Reason for Visit pa

NextGen® Adaptive Content Engine Help Enterprise 8

Document Edinburgh Postnatal Depression Scale

On the OB Postpartum Visit template, select the Edinburgh Depression link . The Edinburgh Depression template opens. Edinburgh Depression template Note: The informational (i) button for the Edinburgh Postnatal Depression Scale is updated. The current owner information and the Uniform Resource Locater (URLs) are updated to gather additional information. Enter results from the patient's questionnaire or ask patient the questions, and the patient's score is automatically calculated. Select Save & Close. Note: An instruction sheet is also available for this questionnaire and can be printed out. Parent topic: OB Postpartum Template

NextGen® Adaptive Content Engine Help Enterprise 8

OB Postpartum Template

The OB Postpartum template is accessed during a postpartum visit. To document a postpartum visit, select Obstetrics as the specialty and OB - Postpartum or Document Pregnancy Outcome as the visit type. Note: The OB Postpartum visit type can only be used after every pregnancy. If a patient is seen for a wound check after delivery, you must select the Post-Operative Visit. If a patient has just delivered and the practice want to document the details of the delivery immediately, you can select the Document Pregnancy Outcome visit type. The OB Postpartum template includes addition of the Postpartum Details and Pregnancy Outcome panels. The need to compile these data into a single template is necessary for a better workflow. The OB Postpartum template is created and opened from the Postpartum tab and reflects the compilation of the data from the Postpartum Detailsand Pregnancy Outcome panels as well as the additional 8.3.10 panels (Reason for Visit; Pregnancy Outcomes; Vital Signs; Assessme

NextGen® Adaptive Content Engine Help Enterprise 8

Patient's General Information

You can use the General panel to enter a patient's general information. You can document a patient's general information on the Intake template. General Information Section on Intake When someone provides the patient details, you can document the historian details in theHistorianfield. When someone interprets the patient’s communication, you can select theInterpreter Detailslink to document the details of the interpreter. You can selectConfigurable Questionnaireslink to document the screening details of the patient. You can select theTransitioning into Carelink to document the summary of care record information for a patient. You can select theEnable HCC for this patientcheck box to hide or show the HCC links, badges, and grid columns on the templates at the patient level. You can select theFamily planning encounterandDisabilitycheck boxes if an encounter is a family planning encounter and describes any disability. These check boxes appear based on the configuration of theTitle X Field

NextGen® Adaptive Content Engine Help Enterprise 8

Document Reasons for Visit

You can document the reasons for the visit of a patient in the Reason for Visit panel. Open NextGen® Enterprise EHR. Open the Intake – Cardiology template. Click the Reason for Visit panel. To add a Reason for Visit, do one of the following. To enter the reason for the visit and do not want to enter the history of present illness, select the Do not launch HPI check box. From the left pane, select a reason for visit. Click the Other list, select a reason for a visit from the list, and then click OK to get the corresponding window to fill in the information. The reason for the visit is added. To enter additional information for the provider to review, click the Intake Comments link, and type your comments. When you enter additional information, the Intake Comments link appears purple on both the Intake and SOAP tabs. For each symptom, do the following. If a symptom is not present, select the Absent check box. The grid displays a statement of negative findings in the History of Present Il

Document Postpartum Details

Recommendations

Document Reason for Visit in OB Postpartum template

Document Intake Workflow

Document Edinburgh Postnatal Depression Scale

OB Postpartum Template

Patient's General Information

Document Reasons for Visit

Document Reason for Visit in OB Postpartum template

Document Intake Workflow

Document Edinburgh Postnatal Depression Scale

OB Postpartum Template

Patient's General Information

Document Reasons for Visit