Document Vital Signs

NextGen® Adaptive Content Engine Help Enterprise 8

Document Historical Vital Signs

You can document the historical vital signs for a patient. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, select Templates . The Select Template window opens. Open the Intake template. Expand the Vital Signs panel and select Add. The age-specific vital signs template opens. Document the patient's recorded historical vital signs. In Weight measurement, document the patient's weight in the lb and kg fields within the 4.409 – 1543.3 lb or 2.00 – 699.99 kg range. Note: An alert message appears if the value entered is not within the range. In Blood Pressure and pulse, document the patient's Systolic and Diastolic readings within the 0 – 399 range, and then document the patient's pulse rate within the 10 – 499 range. Note: An alert message appears if the value entered is not within the range. Select Measured date, and select the corresponding historical date. To enter the time details, select Time, and select the corresponding historical ti

NextGen® Adaptive Content Engine Help Enterprise 8

Document Pain Assessment and Plan of Care

You can document the pain assessment details and follow-up plan of care. Open NextGen® Enterprise EHR. Open the Intake template. Expand the Vital Signs panel, and then select the Health Promotion Plan link. The Health Promotion Plan template opens. Expand the Pain Management panel. Note: The Pain level and Method fields display the details entered on the Vital Signs template. You cannot update the pain level and method in the Pain Management panel. Pain Management - Health Promotion Plan To manage exceptions and view measure details on the Exceptions/Measures template, select Exceptions. If details are not entered in the Pain level section on the Vital Signs template, select the following fields, and select the appropriate option in the list. Pain level Method Duration Quality To indicate to see the HPI details, select the See HPI check box. Enter the location of the pain of the patient. Select Onset, and select the date when the pain started. Enter the follow-up plan of care for a pat

NextGen® Adaptive Content Engine Help Enterprise 8

Vital Signs

You can add, edit or remove vital signs for a patient using the Vital Signs panel. In the Vital Signs panel you can view vital signs documented during this encounter. You can edit ot remove previously entered vital signs and enter new vital signs. The Vital Signs panel is also available on other office visit templates. The Historical information entered this encounter link opens the Vital Signs History template filtered to display only vital signs documented with patient's encounter. Using the History link, you can review the patient’s entire vital signs history on the Vital Signs History template. Using the Graphs link, you can view vital signs in graphical format on the age-appropriate VS Charts template. Vital Signs The vital signs templates are based on age. The age-appropriate template opens depending on whether the patient is less than two years old, equal to or greater than two years old, or an adult. The adult age is configured in the Pediatric Age section of the Practice Confi

NextGen® Adaptive Content Engine Help Enterprise 8

Documenting Vital Signs

You can document and update a patient's vital signs on the Vital Signs template. You can edit or remove a vital signs record from the Vital Signs grid. The vital signs template names vary based on a patient's age. For an adult patient, the template name is Adult Vital Signs. If a patient is younger than two years, the template name is Pediatric Under 2 Years Vital Signs. If a patient is two years or older, the template name is Pediatric Over 2 Years Vital Signs. You can change a pediatric patient's age to an adult age on the Practice Configuration template. A patient's height and weight fields are used to calculate their Blood Mass Index (BMI). BMI is not available for patients who are younger than two years. You can configure the normal vital signs range. If a patient's vital signs are outside the normal range, a message appears. For more information on how to configure adult vital signs alerts, go to NextGen Healthcare Success Community, and download the Vital Signs Configuration Pra

NextGen® Adaptive Content Engine Help Enterprise 8

Add Vital Signs of Pediatric Patients

You can document the vital signs of a pediatric patient on the Pediatric Vital Signs template. The template displays the weight for an age per length and sex-specific percentile value for patients who are younger than three years, based on their weight and height. Open NextGen® Enterprise EHR. Open a patient's record, and then open an encounter. On Top Toolbar, click Templates to open the Select Template window, and then select the Intake template. In the Vital Signs panel, click Add. The Pediatric [Age] Vital Signs template opens. In the Height/length measurements section, do one of the following: To use data from a previous encounter, select Carried forward . To enter data from today's encounter, select a position and then enter the height, and then select Measured today. Note: If the value entered is not within the range, a message appears to indicate that the value entered is out of range. In the Weight measurement section, select whether the patient is dressed with or without shoe

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Patient's Height, Weight, BSA, Temperature, Blood Pressure and Pulse

You can document a patient's height, weight, BSA, temperature, blood pressure and pulse using the Vital Signs panel. The Vital Signs panel is where you can view vital signs documented during this encounter. Previously entered vital signs can be edited or removed, and new vital signs can be entered. The Vital Signs panel is also found on other office visit templates. Open NextGen® Enterprise EHR. Select the Care Guidelines link on any of the main template.The Care Guidelines Paged View template opens. In the Care Guidelines panel, select the Grid View link.The Care Guidelines grid view template opens. In the Vital Signs panel, select Add. Vital Signs The Adult Vital Signs [New Record] template opens. The Measured Date, Time and the Measured by fields fill in automatically. Note: You can change the date but you cannot modify the user name. If you cannot document the vital signs, select the Unobtainable check box and make the appropriate selections from the list to document what was not a

Document Vital Signs

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