Document the Last Menstrual Period

NextGen® Adaptive Content Engine Help Enterprise 8

Select the Most Accurate EDD

Select the Gestational Age tab. The Gestational Age- Obstetrics template opens. Expand the Estimated Date of Delivery panel. You can select the most accurate EDD from the Calculation Method section. Select the Use as Final EDD check box. The label of the Initial/Working EDD field changes to Final EDD field. This is an optional step. If a final EDD is never indicated, the initial/working EDD becomes the final EDD in the OB Prenatal Crystal report. Parent topic: Documenting the Estimated Date of Delivery Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Calculate the EDD Using Sonogram Results

Select the Gestational Age tab. The Gestational Age- Obstetrics template opens. Expand the Estimated Date of Delivery panel. Select the first ultrasound date from the Ultrasound 1 field and enter the days and weeks in the Ultrasound template. To select the ultrasound-determined EDD, select the Ultrasound 1 Adjusted option. The EDD based on ultrasound result appears. Select the EDD Comments text box to enter any comments. This ultrasound-determined EDD replaces the previously entered EDD in the Initial/Working EDD field. It is not necessary to enter the dates of a second sonogram, initial exam, conception date or IVF date unless it is clinically indicated dating a pregnancy for a particular patient. Parent topic: Documenting the Estimated Date of Delivery Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Documenting the Estimated Date of Delivery Panel

When you open the Gestational Age template, you can view the expanded Estimated Date of Delivery panel appears. Estimated Date of Delivery If a last menstrual period was entered on the Vital Signs template, that last menstrual period (LMP) must display in the LMP Date field. Note: This only happens if the intake staff goes from the Intake template to the Gestational Age template. If they open another template in between, it does not automatically fill the LMP on the Gestational Age template. Therefore, even if the intake staff is not editing any information on Gestational Age, the template must be opened after opening Intake to obtain the LMP from vital signs. Document the Last Menstrual Period You can document the last menstrual period in the Estimated Date of Delivery panel. Select the Most Accurate EDD You can select the most accurate or final EDD in the Estimated Date of Delivery panel. Calculate the EDD Using Sonogram Results You can calculate the EDD using Sonogram results in the

NextGen® Adaptive Content Engine Help Enterprise 8

Gestational Age Template

The Gestational Age panel enables you to document the necessary information about gestational age so that it is possible to determine the Estimated Date of Delivery (EDD). Note: NextGen® Adaptive Content Engine calculates the EGA (Estimated Gestational Age) based on the LMP date provided in the Gestational Age template . The gestational age for each encounter recalculates automatically and fills in the appropriate templates. The system recalculates the gestational age after each encounter and fills in the appropriate template. Note: The OB Gestational Orders template is integrated in the NextGen® Adaptive Content Engine workflow. You can access the OB Gestational Orders template from Prenatal Detail > Order Labs > OBGYN Lab Master > Labs > Orders by Gestational Week. The lab results fills the Order Management template, OBGYN Lab Master template, or the Order Module. You can document the necessary information to estimate the Expected Delivery Date (EDD) on the Gestational Age template.

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Information in the Estimated Date of Delivery panel in the Gestational Age Tab

Open the Gestational Age tab. Open the Estimated Date of Delivery panel. Select the LMP field and select a prior date that is at least 3 months before date from the encounter date. Select the Ultrasound 1 field and select a prior date of at least 1 month before date from the encounter date. Enter the days or weeks in the Ultrasound window. Select the Ultrasound 2 field and select a date between LMP and Ultrasound 1 date. Enter the days or weeks in the Ultrasound window. Select the Use a final EDD check box. Estimated Date of Delivery Parent topic: Documenting Information in the OB Gestational Orders Template

NextGen® Adaptive Content Engine Help Enterprise 8

Add Entries in the EDD Edit Log Panel

Open the Gestational Age template. From the Estimated Date of Delivery panel, enter a LMP date. LMP date in the EDD panel On the top toolbar, select Save and then Close. Open the Gestational Age template again, expand the EDD Edit Log panel. The EDD Edit Log panel does not display the recent entry. EDD Edit Log Select the Retired EDD Log link. The Historical EDD Log template displays the first EDD entry. Historical EDD Log Select OK. From the Estimated Date of Delivery panel, enter a date in the Ultrasound 1 field. On the top toolbar, select Save and then Close. Open the Gestational Age template again, and expand the EDD Edit Log template. The EDD Edit Log template displays the entries. Records in the EDD Edit Log template Parent topic: EDD Edit Log Template

Document the Last Menstrual Period

Recommendations

Select the Most Accurate EDD

Calculate the EDD Using Sonogram Results

Documenting the Estimated Date of Delivery Panel

Gestational Age Template

Enter Information in the Estimated Date of Delivery panel in the Gestational Age Tab

Add Entries in the EDD Edit Log Panel

Select the Most Accurate EDD

Calculate the EDD Using Sonogram Results

Documenting the Estimated Date of Delivery Panel

Gestational Age Template

Enter Information in the Estimated Date of Delivery panel in the Gestational Age Tab

Add Entries in the EDD Edit Log Panel