Document the Asthma Peak Flow of Patients

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Asthma Flowsheet

You can document the diagnosis and clinical assessment for a patient on the Asthma Flowsheet template. You can use the Asthma-HPI template to document the details on Asthma Flowsheet. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the SOAP template, and expand the Reason for Visit panel. The Asthma HPI template opens. Select Asthma Flowsheet. The Asthma Flowsheet template opens. Asthma Flowsheet To add a diagnosis, do the following: Select the Asthma Diagnosis field. The Diagnosis Search window opens and displays the asthma diagnoses. Diagnosis Search Window Select an asthma diagnosis from the list. In the Status field, select a status from the list. In the Clinical Assessment section, select Upload Vital Signs to fill the fields with previously recorded vital signs or enter the values manually as follows: For Height, enter a value in the in or cm field within the range of 12 t

NextGen® Adaptive Content Engine Help Enterprise 8

Record Asthma History of Present Illness

You can document the Asthma - HPI details for a patient. The reason for visit added by the intake staff on the Intake template appears on the SOAP template. A value is filled in the Introduction field in the Reason for Visit panel. The introductory line displays any reason for visit selected during the current encounter. Open NextGen® Enterprise EHR. On the SOAP template, in the Reason for Visit panel, do one of the following: From the grid, select the asthma reason for visit. From the left pane, select asthma. The Asthma - HPI template opens. Asthma - HPI Select the patient's first time Asthma encounters in the Onset field. Select the patient's duration suffered from Asthma in the Duration field. Enter the year when the patient first time experienced Asthma in the Symptoms began field. Enter the severity level in the Severity field. Select the patient's frequency suffered from Asthma in the Frequency field. To document the classification of asthma severity, select Classification. Sele

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Patient's Peak Flow

You can measure the capacity of a patient's lungs to expel air using the Vital Signs template. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel and select Add. The age-specific vital signs template opens. In Peak flow, enter the peak expiratory flow rate of the patient within the 10 – 999 range. Note: A message appears if the value entered is not within the range. Select Pre-treatment or Post-treatment. Select the method of testing the peak expiratory flow rate. Save and close the template. Parent topic: Patient Vital Signs Parent topic: Documenting Vital Signs Parent topic: Access the Vital Signs Template Parent topic: Add Vital Signs of Pediatric Patients

NextGen® Adaptive Content Engine Help Enterprise 8

Asthma Workflow

Asthma workflow is the process of documenting a patient's asthma related issues. The Asthma workflow enables testing or treatment of pulmonary function during a normal office visit. The possible workflow for asthma patients are: Intake staff uses the Intake and Histories templates to begin the visit for a patient. A provider reviews the intake information and adds additional details on the Asthma Flowsheet template. The provider uses the Spirometry and Nebulizer panels, respectively to document the pulmonary function testing and/or a nebulizer treatment of the patient. The provider uses the Finalize template to complete the visit and to calculate the E&M code. The front office staff uses the Checkout template to complete the discharge formality for the patient. Record Asthma History of Present Illness You can document the Asthma - HPI details for a patient. Document the Asthma Flowsheet You can document the diagnosis and clinical assessment for a patient on the Asthma Flowsheet templat

NextGen® Adaptive Content Engine Help Enterprise 8

Record Pulmonary Function Testing Results

You can use the Spirometry panel to document Spirometry results. The Spirometry panel is located on the Intake - Allergy and the SOAP - Allergy templates. NextGen® Enterprise EHR. In the Spirometry panel, select Add. The Spirometry template opens. In the Pulmonary Function Testing panel, do the following: Enter Obstructive airflow limitation. Enter Bronchodilator responsiveness. Enter Ventilatory volumes and Lung volumes details. Select the Gas transfer level. Enter the Flow-Volume loop details. Enter the details in the Arterial blood gas results and Oxygen tension sections. Indicate the level of Carboxyhemoglobin and Acid-Base Interpretation Select the applicable check boxes regarding plateau phase, COPD or asthma, and restrictive impairment. Select the applicable option for pre-operative quantitative perfusion scan. Select the quality of study. Select the date and comparison details if you have compared the current study details with the previous one. Enter the additional comments, i

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Patient's Height

You can document the height of a patient in inches or in feet using the Vital Signs template. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel. Select Add. The age-specific vital signs template opens. In Height/length measurements, do one of the following: To enter the current day's data, fill the ft, in, or cm fields within the 1 – 9.99 ft, 12 – 119.88 in, or 30.48 – 304.49 cm range, respectively. To enter previously documented data, select the Carried forward option. If you enter the height in either the ft, cm, or in field, the NextGen® Enterprise EHR fills values in the other fields automatically. Note: A message appears if the value entered is not within the range. Adult Vital Sign Indicate the position of the patient when the height is measured. To enter the date when the patient's height is measured, select a date in Last M

Document the Asthma Peak Flow of Patients

Recommendations

Document the Asthma Flowsheet

Record Asthma History of Present Illness

Document the Patient's Peak Flow

Asthma Workflow

Record Pulmonary Function Testing Results

Document the Patient's Height

Document the Asthma Flowsheet

Record Asthma History of Present Illness

Document the Patient's Peak Flow

Asthma Workflow

Record Pulmonary Function Testing Results

Document the Patient's Height