Documenting Vital Signs

NextGen® Adaptive Content Engine Help Enterprise 8

Patient Vital Signs

You can document and manage a patient's vital signs. You can add various vital signs for a patient during an encounter. The most recent value for each vital sign appears in the grid. A number appears adjacent to the vital sign to indicate the number of times a value is recorded for the vital sign. You can point to the number to view the values and the time when each value is recorded. Vital Signs Section You can view only the vital sign records documented for the current day in the grid. To view the historical vital signs records, you can use the History link. To view the vital signs graphs you can enable the Graph link. If the vital sign interface is installed, you can use the Import and Refresh buttons to open the VitalSignsSpotMonitor interface. Based on the configuration done in the Vital Signs section on the Practice Configuration template, you can turn on the Import and Refresh buttons and manage the security groups for the alerts. For more information on these settings, go to Ne

NextGen® Adaptive Content Engine Help Enterprise 8

Access the Vital Signs Template

You can access the vital signs template to document the patient vital signs. Based on the configuration of the Pediatric Age section on the Practice Configuration template, different vital signs templates appear for adult patients, pediatric patients younger than two years, and pediatric patients older than two years. 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 Height You can document the height of a patient in inches or in feet using the Vital Signs template. Document the Patient's Weight You can document the weight of a patient in pounds and kilograms. Document the Patient's Body Surface Area You can calculate the body surface area of a patient. Document the Patient's Temperature You can measure the body temperature of a patient. Document th

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 the Patient's Weight

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. Enter the weight of the patient in the lb field or kg field within the 4.409 – 1543.2 lb or 2.00 – 699.99 kg range, respectively. Based on the value entered in the lb or kg field, the other field is filled automatically. If the value entered is not within the range, a message appears to indicate that the value entered is out of range. To indicate if the patient was wearing shoes when the body weight is measured, select a Context option. Save and close the template. When you enter the height and weight on the Adult Vital Signs template, NextGen® Enterprise EHR automatically calculates the Body Mass Index (BMI). If the BMI is not within the normal range, a message appears based on the configuration on the Vital Signs Configu

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Patient's Height

You can document the height of a patient in inches or in feet using the Vital Signs template. 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. Select Add. The age-specific vital signs template opens. In Height/length measurements, do one of the following: To enter the current day's data, fill the ft, in, or cm fields within the 1 – 9.99 ft, 12 – 119.88 in, or 30.48 – 304.49 cm range, respectively. To enter previously documented data, select the Carried forward option. If you enter the height in either the ft, cm, or in field, the NextGen® Enterprise EHR fills values in the other fields automatically. Note: A message appears if the value entered is not within the range. Adult Vital Sign Indicate the position of the patient when the height is measured. To enter the date when the patient's height is measured, select a date in Last M

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

Documenting Vital Signs

Recommendations

Patient Vital Signs

Access the Vital Signs Template

Add Vital Signs of Pediatric Patients

Document the Patient's Weight

Document the Patient's Height

Vital Signs

Documenting Vital Signs

Patient Vital Signs

Access the Vital Signs Template

Add Vital Signs of Pediatric Patients

Document the Patient's Weight

Document the Patient's Height

Vital Signs