Document the Medical/Surgical/Interim Panel

NextGen® Adaptive Content Engine Help Enterprise 8

Cardiology Histories Workflow

You can document the cardiology histories in the Histories - Cardiology template. The template uses standard framework functionality and is used by the nurse/technician to document a patient's history. You can document the following in the Histories – Cardiology template. Problems Medical/Surgical/Interim Diagnostic Studies Family Social Document Cardiac Problems The Problems panel enables you to document, search for, and select the chronic and secondary conditions of a patient's problems. Manage Patient's Disease You can manage the patient's disease in the Medical/Surgical/Interim panel on the Histories template. Update Past Medical History You can update the past medical history for a patient in the Edit Past Medical History template. Document the Interim History You can document all patient medical encounters, which includes but is not limited to, hospitalizations, emergency room visits, office visits, and same day surgeries. Document Historical Diagnostic Studies You can enter hist

NextGen® Adaptive Content Engine Help Enterprise 8

Manage Patient's Disease

You can manage the patient's disease in the Medical/Surgical/Interim panel on the Histories template. Open NextGen® Enterprise EHR. Open the Histories template and select the Medical/Surgical/Interim panel. Select Add.By default, NextGen® Enterprise EHR fills the Specialty field with the current specialty. Note: The Configure Medical Surgical and Family History system template is used to configure the conditions, surgical procedures, sub-items of a condition/procedure, management items, and associated SNOMED codes. The Past Medical History template opens. Past Medical History To add an item to the Medical or Surgical panel, select the respective check box for the condition or surgery.The Onset Date in the Medical panel field or the Date in the Surgical panel field and the Details icon appear beside the selected item. To add problems that are not available on the Past Medical History template, use the Other field. To enter the first appearance date of the condition, use Onset Date in th

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Medical/Infection History Panel

Open the Histories tab. Open the Medication/Infection History panel. Select the Default All to Neg. buttons. Document the patient's medical and infection history and you can update when required. Medical/Infection History panel Note: If the patient provides any positive answers to any of the medical or infection questions, then enter the details in the Medical/Surgical/Interim panel. Parent topic: Document the OB Histories Template

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Interim History

Open the Histories template. In the Medical/Surgical/Interim panel, select Interim History. The Interim History window opens. Interim History Select an encounter type. If an encounter type does not appear in the list, you can manually enter it. Select the Problem field. If problems are added during previous encounters, the Patient Problems template opens. If there are no problems from previous encounters, then a search window opens. Do one of the following: From the patient problems list, select an existing problem. From the search window, search for and select a new problem and then select the Add to Problem List button. Note: If you manually enter the problem, the Add to Problem List button is disabled. In the Management field, enter the therapy or procedure performed on the patient. Select the current date and then the provider who performed the therapy or procedure. If a provider does not appear in the list, you can manually enter their name. Enter admission details, discharge deta

NextGen® Adaptive Content Engine Help Enterprise 8

Document the OB Histories Template

To document information in the OB Histories template, select the Histories tab. By default, all panels on this template are expanded when the template is opened. Document the Pregnancy History Panel You can document pregnancy history information in the Pregnancy History panel. Document the Gravidity/Parity Panel You can quickly view the patient's gravidity and parity and can only document multiple births information in the Gravidity/Parity panel. Document the Since Last Menstrual Period Panel You can document last menstrual period information in the Since Last Menstrual Period panel. Document the Medical/Infection History Panel You can document the medical infection history information in the Medical/Infection History panel. Document the Medical/Surgical/Interim Panel You can document the medical infection history information in the Medical/Surgical/Interim panel. General History Panel You can document patient's general information in the General panel. Patient's Family History You can

NextGen® Ophthalmic Suite Help 2022.2

Document the Interim History

From the Histories template, expand the Medical/Surgical/Interim panel and then click Interim History. The Interim History window opens. Select an encounter type. If an encounter type does not appear in the list, you can manually enter it. Click the Problem field. If problems are added during previous encounters, the Patient Problems template opens. If there are no problems from previous encounters, then a search window opens. Do one of the following: From the patient problems list, select an existing problem. From the search window, search for and select a new problem and then click the Add to Problem List button. Note: If you manually enter the problem, the Add to Problem List button is not enabled. In the Management field, enter the therapy or procedure performed on the patient. Select the current date and then the provider who performed the therapy or procedure. If a provider does not appear in the list, you can manually enter their name. Enter admission details, discharge details,

Document the Medical/Surgical/Interim Panel

Recommendations

Cardiology Histories Workflow

Manage Patient's Disease

Document the Medical/Infection History Panel

Document the Interim History

Document the OB Histories Template

Document the Interim History

Cardiology Histories Workflow

Manage Patient's Disease

Document the Medical/Infection History Panel

Document the Interim History

Document the OB Histories Template

Document the Interim History