Open Diagnostic History Entry when Documenting Histories
You can open the Diagnostic History Entry template from the Histories template.
Open
NextGen® Enterprise EHR
.
On the
Histories
template, expand the
Diagnostic Studies
panel.
Select
Add
.
The
Diagnostic History Entry
template opens.
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NextGen® Adaptive Content Engine Help Enterprise 8
Document Diagnostic Study Results
You can document the diagnostics study results on the Diagnostic History Entry template. Open NextGen® Enterprise EHR. To open the Diagnostic History Entry template, do one of the following. On the Histories template, expand the Diagnostic Studies panel, and select Add. In the History Summary panel on the Intake template, select Diagnostic, and select Add/Edit. Select a diagnostic study from the grid. In the Study Result section, select Interpretation and select a status. In Result, enter a brief synopsis or interpretation of the result. In Comments, enter your comments or use the My Phrases link. Select Add to HPI Grid. The selected diagnostic study is added to the Reason for Visit panel as Studies Reviewed. Note: The Add to HPI Grid button is enabled only if the selected study is created in the current encounter and has a documented Result or Interpretation. Select OK. Parent topic: Add Diagnostic History Parent topic: Patient's Diagnostic Tests and Results
NextGen® Adaptive Content Engine Help Enterprise 8
Update a Historical Diagnostic Study
When you update a historical diagnostics study on the Diagnostic Study - Orders template, the system automatically updates the corresponding studies reviewed record in the Reason for Visit panel. Open NextGen® Enterprise EHR. Open the Histories template. In the Diagnostic Studies panel, to update a diagnostic study, select and double-click a diagnostic study from the grid. The Diagnostic Study - Orders template opens. Update the Interpretation and / or Result as needed. Select Save. The record is updated. If the record is previously added to the Reason for Visit panel, the corresponding record is also updated in the Reason for Visit panel. Select Close. Parent topic: Patient's Diagnostic Tests and Results
NextGen® Adaptive Content Engine Help Enterprise 8
Document Diagnostic Study Results
You can document the diagnostics study results in the Diagnostic History Entry template. Open NextGen® Enterprise EHR. Open the Histories template. In the Diagnostic Studies panel, select Add. The Diagnostic History Entry template opens. Select a diagnostic study from the grid. In the Study Result section, select Interpretation and select a status. In Result, enter a brief synopsis or interpretation of the result. In Comments, enter your comments or use the My Phrases link. Select Add to HPI Grid. The selected diagnostic study is added to the Reason for Visit panel as Studies Reviewed. Note: The Add to HPI Grid button is enabled only if the selected study is created in the current encounter and has a documented Result or Interpretation. Select OK. Enter Studies in the Diagnostics Tab Parent topic: Patient's Diagnostic Tests and Results Parent topic: Document Historical Diagnostic Studies
NextGen® Adaptive Content Engine Help Enterprise 8
Add a Historical Diagnostic Study to Reason for Visit
You can add historical diagnostic studies to the history of present illness in Reason for Visit of the Diagnostic History Entry template. Open NextGen® Enterprise EHR. Open the Histories template. In the Diagnostic Studies panel, select Add. The Diagnostic History Entry template opens. Select a diagnostic study. The Add to HPI Grid button is enabled. Note: The Add to HPI Grid button is only enabled if the selected study is created in the current encounter and has a documented Result or Interpretation. Select Add to HPI Grid. The diagnostic study is added in the Reason for Visit panel as Studies Reviewed. Note: The Reason for Visit option is dependent on the specialty selected. Parent topic: Patient's Diagnostic Tests and Results
NextGen® Adaptive Content Engine Help Enterprise 8
Document Historical Diagnostic Studies
You can enter historical diagnostic study information on the Diagnostic History Entry template on the Histories template. Open NextGen® Enterprise EHR. Open the Histories template. Select the Diagnostic Studies panel. Select Add. The Diagnostic History Entry template opens. Diagnostic History Entry template Select Diagnostic study type and select OK. Select Diagnostic study and select OK. The Procedure code field is filled automatically. If the diagnostic study is performed outside your practice, select Ordered elsewhere. Select Side and Site from the corresponding lists. Select Date performed to enter the date. Note: If the exact date is unknown, you can select Approximated performed date. NextGen® Enterprise EHR displays the performed or completed date, whichever is available. When both the dates are available, NextGen® Enterprise EHR displays only the completed date. Select a Specialty. In Performed by, enter the name of the person who performed the diagnostic study. In Location, se
NextGen® Adaptive Content Engine Help Enterprise 8
Delete a Historical Diagnostic Study
You can delete a diagnostic study from the Diagnostic Study - Orders template grid. Open NextGen® Enterprise EHR. Open the Histories template. In Diagnostic Studies, select a historical diagnostic study that need to be updated from the grid and select Edit. The Diagnostic Study - Orders template opens. Select Delete. Select Yes to confirm delete. Select Close to close the Diagnostic Study - Orders template. Parent topic: Patient's Diagnostic Tests and Results