Gestational Age Template

NextGen® Adaptive Content Engine Help Enterprise 8

Obstetrics Histories Template

The Histories template contains nine panels: Pregnancy History Gravidity/Parity Since Last Menstrual Period Medical/Infection History Medical/Surgical/Interim General Family Social Genetic Screening/Teratology Counseling OB Histories template The Histories template displays gravidity/parity, initial/working EDD, working EGA, blood type and Rh, and risk level as in Gestational Age template. After a complete history is taken, use the Risk Factors link to document the risk level. Note: When documenting risk factors, the practice may decide to only indicate the positive items rather than select negative for all of the remaining items. In addition, putting the actual risk level must be done by the provider. This may be done on this template or on the Prenatal Detail template. You may also use links to access additional templates, as needed: Demographics Order Management Document Library Chart Abstraction Note: Links are configurable by the practice and are associated with a particular templ

NextGen® Adaptive Content Engine Help Enterprise 8

Documenting the Estimated Date of Delivery Panel

When you open the Gestational Age template, you can view the expanded Estimated Date of Delivery panel appears. Estimated Date of Delivery If a last menstrual period was entered on the Vital Signs template, that last menstrual period (LMP) must display in the LMP Date field. Note: This only happens if the intake staff goes from the Intake template to the Gestational Age template. If they open another template in between, it does not automatically fill the LMP on the Gestational Age template. Therefore, even if the intake staff is not editing any information on Gestational Age, the template must be opened after opening Intake to obtain the LMP from vital signs. Document the Last Menstrual Period You can document the last menstrual period in the Estimated Date of Delivery panel. Select the Most Accurate EDD You can select the most accurate or final EDD in the Estimated Date of Delivery panel. Calculate the EDD Using Sonogram Results You can calculate the EDD using Sonogram results in the

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Last Menstrual Period

Select the Gestational Age tab. The Gestational Age- Obstetrics template opens. Expand the Estimated Date of Delivery panel. In the LMP field enter the LMP, if not entered. An EDD automatically displays to the right of the LMP field. The Consistent with LMP option is selected as the calculation method for the EDD. This EDD displays in the Initial/Working EDD field. Also, the EGA is automatically calculated and displays in the EGA this encounter field. Select the Definite, Approximate (month known), or Unknown option in the LMP section. Note: In most practices, the intake staff enters this information and the provider would confirm or edit this information. The NextGen® Adaptive Content Engine calculates an EDD using sonogram results, initial exam, date of conception, or date of in vitro fertilization (IVF). In addition, you can manually enter a specific EDD. It is up to the provider to decide which EDD is most accurate for a particular patient. Parent topic: Documenting the Estimated D

NextGen® Adaptive Content Engine Help Enterprise 8

Document in the 18 - 20 Week EDD Update Panel

Expand the 18-20 Week Update panel, if desired and if appropriate during the initial prenatal visit. This panel is sometimes used for patients who have not had sonograms during their pregnancy. 18-20 Week Update panel Select a date from the Quickening Date field. Select the +20 or +22 option, depending on whether the patient is a multiparous patient or not. Select the Assign quickening date to Adjusted (provider) EDD date field option if this date should be used to determine the EDD. The EDD date is calculated accordingly and updated in the Initial/Working EDD field. Select a date from the Fundal ht. at umbil Date field. Select the +20 option if this is the first pregnancy. Select the Assign fundal height date to Adjusted (provider) EDD date field option if this EDD should be used to determine the EDD. The EDD date is calculated accordingly and updated in the Initial/Working EDD field. Select the ultrasound date from the Ultrasound Date field. Enter the weeks and days in the Gestationa

NextGen® Adaptive Content Engine Help Enterprise 8

View Information in the Gestational Age Template

The Gestational Age template header displays the patient’s gravidity and parity, the initial/working estimated date of delivery (EDD), the working estimated gestational age (working EGA), the blood type and Rh, and the risk level. You can only view this information and can edit only the risk level. The Diagnostics Detail link opens a template on which in-office official sonogram results can be documented, if needed. Diagnostics Detail Parent topic: Gestational Age Template

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

Gestational Age Template

Recommendations

Obstetrics Histories Template

Documenting the Estimated Date of Delivery Panel

Document the Last Menstrual Period

Document in the 18 - 20 Week EDD Update Panel

View Information in the Gestational Age Template

Document General UDS Reporting

Obstetrics Histories Template

Documenting the Estimated Date of Delivery Panel

Document the Last Menstrual Period

Document in the 18 - 20 Week EDD Update Panel

View Information in the Gestational Age Template

Document General UDS Reporting