Document the Cryotherapy Procedure Details

NextGen® Adaptive Content Engine Help Enterprise 8

Document the LEEP Procedure Details

You can document additional details of the Loop Electrosurgical Excision Procedure (LEEP) procedures in the LEEP panel on the Colposcopy - Procedure template. Open the Colposcopy – Procedure template. The LEEP panel of the Colposcopy - Procedure template In the LEEP panel, do the following to document the procedure details. Select a diagnosis in Indication for procedure. Select a diagnosis status in Status. Optional: Select the No evidence of acute cervicitis check box. Select the applicable check box for Cervix prepped with. You can also enter another method in Other. Select the anesthetic agent and its dosage details. To indicate the method of anesthesia, select Intracervical or Paracervical. Optional: Select The Grounding pad was placed check box. Select the electrocautery settings in Cutting, Coag, and Blend. Select the loop width and depth for Loop #1 and Loop # 2. Enter the number of passes to complete the procedure. Enter the margin extension on the exocervix. Optional: Select t

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Post-Procedure Details for Colposcopy

You can document the post-procedure details of a Colposcopy procedure in the Post-Procedure section on the Colposcopy - Procedure template. The Post-Procedure section of the Gyn Colposcopy-Procedure template, enables you to document post-procedure details. The Post-Procedure section of the Colposcopy - Procedure template Open the Colposcopy – Procedure template. In the Post-Procedure section, select the procedure and add any modifiers. Optional: Select the Bill for surgical tray check box. Select the number of days or weeks for the follow-up checkup or the date. Note: If you select the time interval for the next check up, the date automatically appears in Date. Select the pap test time interval or pap test date. Note: If you select the time interval for the pap test in Pap, the test date automatically appears in Date. Select Place Order. Note: You can select the A/P Details link to open the Assessment Plan Details template. Select Submit to Superbill. When the charges are submitted, a

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Pre-Procedure Details for Colposcopy

You can document the pre-procedure details in the Pre- Procedure section on the Gyn Colposcopy-Procedure template. Open the Colposcopy – Procedure template. In the Pre-Procedure section, enter the details for Date of last Pap, Pap Interpretation, Date of last colposcopy, Biopsy result, HPV test date, HPV details, ECC date, and ECC result. The Pre- Procedure section of the Colposcopy-Procedure template In Pregnancy test, select the result. Under Pre-procedure meds, select the check boxes for the applicable medications or enter other medication names in Other. Under Pre-procedure care, select the check boxes for the applicable care provided. Select the Consent link and do the following in the Consent - Procedure template to obtain the procedure consent. Select the provider. In Consent by, select the person's name who consented to the procedure. Select the procedure type and date. If the date is not fixed, select the To be scheduled in the near future check box. Optional: Select the Proce

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Colposcopy Procedure Details

You can collect additional details about the Colposcopy procedures in the Colposcopy panel on the Colposcopy - Procedure template. Open the Colposcopy – Procedure template. In the Colposcopy panel, select a diagnosis in Indication for procedure, and then select a status. The Colposcopy panel of the Colposcopy - Procedure template To document a default procedure, select Default Documentation. The Bivalve speculum was placed in the vagina and Intracervical block was performed check boxes are selected. Select the procedure description. In the Cervix prepped with section, select the method. You can also enter another method in Other. Optional: Select the Intracervical block was performed check box. In the Endocervical sampling with section, select the sampling method. You can also enter other method in Other. Optional: Select the Endometrial biopsy performed check box. Note: You can select the Endometrial Biopsy link to document the endometrial biopsy details. In the Hemostasis obtained wi

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Colposcopy Procedure Findings and Impressions

You can document the Colposcopy procedure findings and impression details. You can document the procedure findings in the available fields or using the cervix image in the Findings section. Open the Colposcopy – Procedure template. In the Colposcopy panel, to document the procedure findings using the available fields, do the following: Select the applicable options for Limit of lesion(s), Entire squamocolumnar junctions, and Colposcopy. Select the options in Time (Location) and Description. Note: Description opens a list. If a biopsy is done, you can select the biopsy option along with the clinical findings. Select Add. The data appears in the grid. To document the procedure findings using the cervix image, do the following: Select the site number on the Cervix image. Select the appropriate items from the Lesion Description list, and then select Close. Select Add. The data appears in the grid. Note: To open the image module and draw directly on the images, you can select the Cervix, Va

NextGen® Adaptive Content Engine Help Enterprise 8

Open the Colposcopy Procedure Template

You can document the colposcopy, cryo, and LEEP procedures on the Gyn Colposcopy-Procedure template. Open NextGen® Enterprise EHR. On the SOAP template, select the Procedures link. The Procedures template opens. In Genitourinary, select Colposcopy. The Colposcopy – Procedure template opens. Colposcopy – Procedure template Document the Pre-Procedure Details for Colposcopy You can document the pre-procedure details in the Pre- Procedure section on the Gyn Colposcopy-Procedure template. Colposcopy Panel Document the Cryotherapy Procedure Details You can document Cryotherapy procedure details in the Cryo panel on the Colposcopy - Procedure template. Document the LEEP Procedure Details You can document additional details of the Loop Electrosurgical Excision Procedure (LEEP) procedures in the LEEP panel on the Colposcopy - Procedure template. Document the Post-Procedure Details for Colposcopy You can document the post-procedure details of a Colposcopy procedure in the Post-Procedure section

Document the Cryotherapy Procedure Details

Recommendations

Document the LEEP Procedure Details

Document the Post-Procedure Details for Colposcopy

Document the Pre-Procedure Details for Colposcopy

Document the Colposcopy Procedure Details

Document the Colposcopy Procedure Findings and Impressions

Open the Colposcopy Procedure Template

Document the Cryotherapy Procedure Details

Document the LEEP Procedure Details

Document the Post-Procedure Details for Colposcopy

Document the Pre-Procedure Details for Colposcopy

Document the Colposcopy Procedure Details

Document the Colposcopy Procedure Findings and Impressions

Open the Colposcopy Procedure Template