Document the Patient's Reason for Visit as a Provider

NextGen® Adaptive Content Engine Help Enterprise 8

Patient's History Summary Documentation by Provider

The History panel for SOAP is same as on the Home Page and Intake templates. The Social Determinants of Health and PRAPARE® links appear based on the Practice Configuration practice template settings. For more information on these settings, go to NextGen Healthcare Success Community, and download the latest Practice Configuration Template User Guide forNextGen®Adaptive Content Engine. Remove a Diagnostic Study from Reason for Visit using the History Summary Panel You can remove the studies reviewed record from the Reason for Visit panel using the History Summary panel. Parent topic: SOAP Template

NextGen® Adaptive Content Engine Help Enterprise 8

Edit a Reason for Visit on SOAP

After the intake staff documents the patient's reasons for visit, you can edit the reasons for visit on the SOAP template to document additional details. Open NextGen® Enterprise EHR. On the SOAP template, expand the Reason for Visit panel. To edit a reason for visit, do the following: Select the HPI that you want to edit in the Reason for Visit grid. The corresponding HPI template opens. Edit the details in the HPI template. Select Save & Close. Parent topic: Review Reasons for a Patient's Visit

NextGen® Adaptive Content Engine Help Enterprise 8

Review Reasons for a Patient's Visit

You can review and update reasons for a patient's visit during the provider workflow. Open NextGen® Enterprise EHR. Open the SOAP, and then expand the Reason for Visit panel. Review and update the patient summary in the Introduction field. Review and update reasons for visit, diagnostic studies, and chronic conditions. To add any additional information, select Comments. Review Intake Comments on the SOAP Template Review comments entered during the intake if the Intake Comments link on the SOAP template indicates that content is present. Edit a Reason for Visit on SOAP You can edit existing reasons for visits on the SOAP template. Add and Review Comments for the History of Present Illness You can review and enter additional comments for a patient's history of present illness (HPI). Remove a Studies Reviewed on SOAP You can remove the historical diagnostic studies that are added to the history of patient illness in the Studies Reviewed section on the SOAP template. Document Depression Sy

NextGen® Adaptive Content Engine Help Enterprise 8

Reason for Visit on the SOAP Template

Open the SOAP template. Do one of the following: If the Introduction field contains text, review the content and make any necessary changes. If the Introduction field is blank, compose an introduction for the patient. The introduction appears as the first sentence of the visit note, and it can be edited for the individual patient. A typical introduction might contain the patient's age, gender, and the reason for visit. If checked, clear the Do not Launch HPI check box. To add additional details to a previously entered reason for visit, click one of the reasons for visit in the data grid. The appropriate HPI template opens. To add a new reason for visit: Select a complaint from the reasons for visit in the left pane. In the Other field select a reason from the resulting list or type a reason for visit. The associated HPI template opens. On the HPI template, enter the appropriate data. Enter any comments. Click Save & Close. The History of Present Illness column in the Reason for Visit p

NextGen® Adaptive Content Engine Help Enterprise 8

Document Reasons for Visit

You can document the reasons for the visit of a patient in the Reason for Visit panel. Open NextGen® Enterprise EHR. Open the Intake – Cardiology template. Click the Reason for Visit panel. To add a Reason for Visit, do one of the following. To enter the reason for the visit and do not want to enter the history of present illness, select the Do not launch HPI check box. From the left pane, select a reason for visit. Click the Other list, select a reason for a visit from the list, and then click OK to get the corresponding window to fill in the information. The reason for the visit is added. To enter additional information for the provider to review, click the Intake Comments link, and type your comments. When you enter additional information, the Intake Comments link appears purple on both the Intake and SOAP tabs. For each symptom, do the following. If a symptom is not present, select the Absent check box. The grid displays a statement of negative findings in the History of Present Il

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

Document the Patient's Reason for Visit as a Provider

Recommendations

Patient's History Summary Documentation by Provider

Edit a Reason for Visit on SOAP

Review Reasons for a Patient's Visit

Reason for Visit on the SOAP Template

Document Reasons for Visit

Record Asthma History of Present Illness

Patient's History Summary Documentation by Provider

Edit a Reason for Visit on SOAP

Review Reasons for a Patient's Visit

Reason for Visit on the SOAP Template

Document Reasons for Visit

Record Asthma History of Present Illness