Obstetrics

NextGen® Adaptive Content Engine Help Enterprise 8

Auto-calculation for Parity Values

The auto-calculation of parity enables you to make corrections to a patient’s parity if they are incorrect. In the Pregnancy History grid, without adding the details of each associated pregnancy, you can quickly document a patient’s current parity values. You can also view all patients within the practice that have disparate parity detail information. The following is auto-calculated in the NextGen® Adaptive Content Engine system: Gravidity is the sum of full term, abortion, and ectopic pregnancies and are automatically calculated. A current pregnancy if any is calculated in this count. Parity is calculated in TPAL format (T for total number of full term births; P for total number of preterm births; A for total number of abortions; and L for total number of living children). The system also further breaks down A to auto-calculate total number of spontaneous abortions, induced abortions, and ectopic pregnancies. Pregnancy outcome details is the total number of NSVDs, C-sections, and liv

NextGen® Adaptive Content Engine Help Enterprise 8

Auto-calculation of Parity in the OBGYN Synopsis Template

The auto-calculation of patient's parity values enables practices to auto-calculate parity when pregnancy outcomes are entered in the templates. The auto-calculation includes the calculation of living children, NSVD and C-Section excluding multiple births. The parity auto-calculation includes a setting on the Practice Configuration template that gives the practice the ability to activate or deactivate the auto-calculation of parity. By default, the setting is deactivated. When the setting is activated, if the parity detail data is discrepant an application message displays on the templates and the system do not auto-calculate the parity for that patient until the user corrects the discrepant data. The Patient Safety Report template enables to view a list of all patients within the practice that have disparate parity detail information. You can generate a printable report from this template. You can add or correct a patient's parity values. The OBGYN Synopsis and Pregnancy Outcomes temp

NextGen® Adaptive Content Engine Help Enterprise 8

Activate Auto-calculation Parity Option

You can activate the Parity auto-calculation activated setting iin the Practice Configuration practice template. This setting enables you to select whether to auto-calculate parity at the point of care when pregnancy outcomes are entered. You can select the check box to automatically calculate the parity when documenting the pregnancy outcome. When this option is activated all Parity Detail fields become read-only. The parity data must match the Pregnancy Outcome entries in the Pregnancy Outcomes grid. The auto-calculation function remains incomplete until the data is synchronized. If you do not select this option you have to manually update the parity details. When a user activates this functionality, it creates a log in the OB Audit Log practice template. From the File menu, select System \ Practice Template to open the Select Template picklist. On the Practice tab, select Practice Configuration and select OK. In the Obstetrics section, select the Activate button. Activate button The

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Pregnancy Outcomes Template

The Pregnancy Outcomes template provides you the ability to view and modify a patient’s gravidity and parity. You can view and modify the total parity values with or without the details of each pregnancy. Minimal required fields are Pregnancy Entry Type, Pregnancy #, and Delivery Type. It is preferable, on an OB initial visit to use the gravidity/parity fields and Pregnancy Outcomes templates from within the OB templates. When you activate parity auto-calculation, parity automatically calculates the details when you document historical pregnancy or end a current pregnancy When you select End current pregnancy the Gravidity reflects a non-pregnant status. This option is used on a postpartum or post-abortion visit and not on an initial prenatal visit. On the Patient Information Card in NextGen® Enterprise EHR, select OBGYN. The OBGYN Synopsis template opens. Select the Add/Update Detail button in the OBGYN Synopsis template. The Pregnancy Outcomes template opens. If you enable the Parity

NextGen® Adaptive Content Engine Help Enterprise 8

Review Incorrect Parity Data in the Patient Safety Report Practice Template

You can view all patients within the practice whose current parity details are different than the parity calculated by the entries in the Pregnancy history grid. A Parity Detail Disparity option is added in the Patient Safety Reports practice template to display the list of patients with incorrect parity details. You can modify the patient charts to display the correct parity details and the pregnancy outcome data. To correct the parity details, access the patient’s chart to update the entry on the OBGYN Synopsis or Pregnancy Outcomes template. This functionality helps you to view all patients within the practice that have disparate Parity Detail and generate a report so that the individual patient charts can be modified to display the correct Parity Detail and Pregnancy Outcome data. From the File menu, select System \ Practice Template to open the Select Template picklist. On the Practice tab, select Patient Safety Report and select OK. Open the Patient Safety Report practice templat

NextGen® Adaptive Content Engine Help Enterprise 8

Quick Entry of Pregnancy Outcomes

You can enter a quick entry or edit the information in the Pregnancy Outcomes template. In the OBGYN Synopsis or Pregnancy Outcomes template, enter parity values in the fields as per pregnancy details. You can enter the parity data or the outcomes data depending on the availability of the information and its pertinence to the pregnancy. Enter values in the Parity data fields. The Parity data fields are Full term, Premature, AB induced, AB spontaneous, and Ectopic. Quick Entry/Edit on Pregnancy Outcome Increasing any of these numbers by one adds a row to the Pregnancy history grid with this parity data listed, this new pregnancy outcome is included in the parity auto-calculation. Enter values in the Outcome Details data fields. The Outcome Details fields are Living now, NSVD, and C-section. This data is included in the pregnancy outcomes detail auto-calculation. Enter values in the Other field. The Other data field is for multiple births. Note: Using Quick Entry/Edit , the system only p

Obstetrics

Recommendations

Auto-calculation for Parity Values

Auto-calculation of Parity in the OBGYN Synopsis Template

Activate Auto-calculation Parity Option

Document the Pregnancy Outcomes Template

Review Incorrect Parity Data in the Patient Safety Report Practice Template

Quick Entry of Pregnancy Outcomes

Auto-calculation for Parity Values

Auto-calculation of Parity in the OBGYN Synopsis Template

Activate Auto-calculation Parity Option

Document the Pregnancy Outcomes Template

Review Incorrect Parity Data in the Patient Safety Report Practice Template

Quick Entry of Pregnancy Outcomes