Document the Obstetric Education

NextGen® Adaptive Content Engine Help Enterprise 8

Education Template

The Education template enables you to document the prenatal education information discussed with the patient. Note: This information cannot be entered prior to an initial prenatal visit. Before using the Education template, confirm that the patient has an EDD and the Estimated Gestational Age determined and documented in the system. In addition, the practice must configure the required education values or select the default values for each trimester in the OB Education Customization practice template. Document the Obstetric Education You can document the first, second, and third trimester information in the Education template. Parent topic: OB Intake Staff Workflow

NextGen® Adaptive Content Engine Help Enterprise 8

Document General UDS Reporting

The General (UDS Reporting) panel enables you to collect the first prenatal and multiple gestation information. Open the Gestational Age-Obstetrics template. Expand the General (UDS Reporting) panel, if you are required, or if you desire, to collect this information. General (UDS Reporting Select the First, Second, or Third option from the First prenatal visit trimester section. This indicates which trimester the patient initially presented for prenatal care, even if the patient did not present to your practice first. Select the first prenatal visit date from the First prenatal visit field. Select the Here option or Elsewhere option to specify where the first prenatal visit was performed. Select an option in the Multiple gestation section to indicate whether this pregnancy is a singleton pregnancy or not. Note: The previous information is optional to complete, depending on the practice. Parent topic: Gestational Age Template

NextGen® Adaptive Content Engine Help Enterprise 8

Documenting Information in the OB Gestational Orders Template

You can access the OB Gestational Orders template from thePrenatal Detail > Order Labs > OBGYN Lab Master > Labs > Orders by Gestational Week. The lab results fills the Order Management template, Lab Results - Obstetrics template, the Order module, and the master document. Before using the OB Gestational Orders template, you have to select the OB Prenatal- Initial visit type and enter the applicable information in the Gestational Age tab. Enter Information in the Estimated Date of Delivery panel in the Gestational Age Tab You can enter information in the Estimated Date of Delivery panel in the Gestational Age tab. Order Labs in the Prenatal Detail Tab You can order labs in the Prenatal detail tab. Parent topic: OB Provider Workflow

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

Document Information in the Prenatal Visits Panel

The Prenatal Visits panel contains a grid with data entered from all previous prenatal visits for the current pregnancy. The comments can be viewed in two ways. Open the Prenatal Visits panel. Select the row with an asterisk in the comments column, and view the full text of the comment in the Progress note field below the grid. Select the Progress Note Summary button. The Pregnancy Note Summary template opens, Prenatal Visits Select the OB Initial Exam link. The OB Initial Physical Exam window opens. Select the Default normal check box. All physical exam items up to the Adnexa item are marked as normal except for the Uterus size item. Any item that is not normal can be manually changed. Uterine size must be manually entered. Other exam items can be entered as needed. Note: If the initial exam is completed at the initial visit, the Lock (complete)initial physical exam check box at the bottom indicating that the exam is complete can be selected. If this check box is not selected, the pro

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Documenting Pregnancy Details

On the Pregnancy Outcomes template, you can document the pregnancy details of a patient. The following table describes the fields in the Detailed Entry/Edit panel on the Pregnancy Outcomes template. Field Description Pregnancy Entry Type You can select the entry type of pregnancy. Pregnancy # You can select the order of birth from the list. Multiple gestation birth order If multiple gestation is applicable, you can select the order of birth. Sex You can select the option for gender of the child. Status To indicate the status of the child at birth and present. Provider name You can select the provider on the Physician window. Place of delivery You can select the hospital from the list. Month, Day, and Year In the corresponding fields, you can enter the month, day, and year. You can also click the calendar icon, and select the date on the Calendar window. Time You can select the time format, and enter the time in the selected format. Labor (hrs) You can enter the total labor hours for de

Document the Obstetric Education

Recommendations

Education Template

Document General UDS Reporting

Documenting Information in the OB Gestational Orders Template

Calculate the EDD Using Sonogram Results

Document Information in the Prenatal Visits Panel

Documenting Pregnancy Details

Education Template

Document General UDS Reporting

Documenting Information in the OB Gestational Orders Template

Calculate the EDD Using Sonogram Results

Document Information in the Prenatal Visits Panel

Documenting Pregnancy Details