Document Pregnancy Outcome in the OB Postpartum Template

NextGen® Adaptive Content Engine Help Enterprise 8

Document Vital Signs in the OB Postpartum Template

Select the Postpartum tab. Select Add in the Vital Signs panel. The Adult Vital Signs template opens. Enter the Vital Signs information. Select Save and Close. The information displays in the Vital Signs grid. Vital Signs Parent topic: Document the OB Postpartum Visit Template

NextGen® Adaptive Content Engine Help Enterprise 8

Document Assessment/Plan in the OB Postpartum Template

Select the Postpartum tab. Select the Physical Exam panel. Select the Add/Update button in the Assessment/Plan panel. The Add or Update Assessment template opens. Add or Update Assessment Enter the applicable information in the Add or Update Assessment template. By default the ICD-10 code displays in the Assessment/Plan grid. The system assigns the ICD code to the Assessment field on the template. This code displays by default for the Visit Type of OB Postpartum and does not include Document Pregnancy Outcome which is typically done without the patient being present. Select Save & Close. To enter information in the Consent – Procedures template, select the Consent link. To generate the proc_consent document, select the Consent button. To enter information in the Procedure Scheduling link, select theProcedure Scheduling button. Select the CQM icon to display information for the CQM – Maternity Care – Post-Partum Follow-up and Care Coordination measure. In the Counseling section, select

NextGen® Adaptive Content Engine Help Enterprise 8

Document Pregnancy Outcome

The postpartum template is used and completed by a provider. Select the Postpartum tab. Select Pregnancy Outcome link. The Pregnancy Outcomes template opens. Pregnancy Outcomes template Note: The nurse or medical assistant uses the link and the provider uses the panel to document instead. On the Pregnancy Outcome panel, you can highlight a line in the pregnancy grid and print out a summary of this pregnancy in a (newly-created) document. This would only be done when all of the information is entered for the particular pregnancy by the provider. Document the pregnancy entry type, pregnancy number, and termination type/type of delivery at a minimum. However, you can also select to enter the date, sex of the baby, whether full term or preterm, and complications. Select Add to Grid. The pregnancy outcome information is added to the pregnancy grid at the bottom of the template, enabling you to add additional babies, if necessary. Select Save & Close. Parent topic: OB Postpartum Template

NextGen® Adaptive Content Engine Help Enterprise 8

Document the OB Postpartum Visit Template

The OB Postpartum Visit template provides users with an easier way to document a routine OB postpartum visit. The template enables you to document the routine OB postpartum visit without opening other templates. If you need to access other templates an easy access to those additional templates is provided directly from the OB Postpartum Visit template. Wherever possible, the OB Postpartum Visit template fields maps to their corresponding fields in the other templates. The Postpartum template contains the following seven panels: General Reason for Visit Pregnancy Outcome Vital Signs Physical Exam Assessment/Plan Return Appointment Postpartum template Enter Information in the OB Postpartum Visit Template You can enter information in the OB Postpartum Visit template. Document Reason for Visit in OB Postpartum template You can enter information in the Reason for Visit panel on the OB Postpartum template Document Pregnancy Outcome in the OB Postpartum Template You can document pregnancy out

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Pregnancy History Panel

You can use the Pregnancy History panel to access the Pregnancy Outcomes template. Note: The Pregnancy Outcomes template is used during Prenatal and Postpartum visits as well as gynecology encounters. The workflow is different for each. In general, the most detail is entered during a Postpartum Visit. Pregnancy History Open the Histories tab. Open the Pregnancy History panel. Select the Add/Update button in the Pregnancy History panel. The Pregnancy Outcomes template opens. If you enable the Parity auto-calculation setting, the Auto-calculation green text appears. Auto-calculation text on Pregnancy Outcomes template If the Parity auto-calculation setting is disabled a red text displays. Alert message on Pregnancy Outcomes template Update the Pregnancy History Panel You can update pregnancy history information in the Pregnancy History panel. Parent topic: Document the OB Histories Template Related tasks Document the Pregnancy Outcomes Template

NextGen® Orthopedic Suite Help 80.2.14.0

Document Pregnancy Details

You can document the pregnancy details for female patients as a part of medical history. On the Past Medical History template, in the Medical panel, click Add Pregnancy Detail. The Pregnancy Outcomes template opens. Pregnancy Outcomes template In the Quick Entry/Edit panel, in the Parity, Outcome Details, and Other sections, click the appropriate fields, and enter the values. In the Detailed Entry/Edit panel, enter the details of the pregnancy. Note: The fields that are marked with asterisk (*) are mandatory. Click Add To Grid to add the documented details to the Pregnancy history grid. Click Save & Close. Documenting Pregnancy Details On the Pregnancy Outcomes template, you can document the pregnancy details of a patient. Parent topic: Add Medical History Related reference Documenting Pregnancy Details

Document Pregnancy Outcome in the OB Postpartum Template

Recommendations

Document Vital Signs in the OB Postpartum Template

Document Assessment/Plan in the OB Postpartum Template

Document Pregnancy Outcome

Document the OB Postpartum Visit Template

Document the Pregnancy History Panel

Document Pregnancy Details

Document Vital Signs in the OB Postpartum Template

Document Assessment/Plan in the OB Postpartum Template

Document Pregnancy Outcome

Document the OB Postpartum Visit Template

Document the Pregnancy History Panel

Document Pregnancy Details