Patient's Physical Exam

NextGen® Adaptive Content Engine Help Enterprise 8

Document Physical Exam Findings

You can document the complete physical examination details of a patient on the SOAP template. The One Page Exam link opens a gender-specific or a gender-neutral, one-page physical exam template. Based on the configuration in the Physical Exam panel of the Framework Content system template and the selection of the Enable Gender Neutral PE check box on the Practice Configuration template, the gender-specific or a gender-neutral, one-page physical exam template opens. For more information, go to NextGen Healthcare Success Community, and download the latest Framework Content System Template forNextGen®Adaptive Content Engine and Practice Configuration Template User Guide forNextGen®Adaptive Content Engine. Open NextGen® Enterprise EHR. On the SOAP template, expand the Physical Exam panel. Select One Page Exam. The One Page - Physical Exam template opens. One Page - Physical Exam Document your findings on the template. Note: To save the documented value as the default set, you can select th

NextGen® Adaptive Content Engine Help Enterprise 8

Document Multi System Exam on SOAP

You can document the complete physical examination details of a patient on the SOAP template. The One Page Exam link in the left pane on the Physical Exam panel enables you to open the One Page - Physical Exam template. Note: Based on how the One Page Exam template is configured in the Physical Exam section on the Framework Content system template, and whether the Enable Gender Neutral PE check box is enabled in the SOGI/Transgender section on the Practice Configuration template, a gender-specific or a gender-neutral One Page - Physical Exam template opens. For more information, go to NextGen Healthcare Success Community, and download the latest Framework Content System Template forNextGen®Adaptive Content Engine and Practice Configuration Template User Guide forNextGen®Adaptive Content Engine. Open NextGen® Enterprise EHR. Open the SOAP template. In Physical Exam, select the One Page Exam link in the left pane. The One Page - Physical Exam template opens. One Page - Physical Exam Ente

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Physical Exam

The One Page Exam template is used to document a physical exam. Physical Exam panel You can examine a patient and document the information in the Physical Exam panel on the SOAP template. In the Physical Exam panel, you can, Use the One Page Exam to document the exam on the Gyn-PE template. On the Gyn-PE select the Normal check box to indicate normal findings for each system or click the Findings field to add any abnormal findings. Use other single system exam and its submenu in the left pane to document the corresponding exam details. When you click the single system exam or its submenu, the respective template opens. Use the Office Diagnostics button to document or review diagnostics and to place orders for the tests. Use the Quick Load or Quick Save button to load a saved default set or save a new default set. Use the Physical Exam History button to copy previous physical exam records to the current encounter. Document a Breast Palpation Physical Exam You can document the breast pal

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Single System Exam on SOAP

You can document the details of the single system examination of a patient in the Physical Exam panel on the SOAP template. Open NextGen® Enterprise EHR. Open the SOAP template. In the Physical Exam panel, select a single system exam in the left pane. Note: The left pane in Physical Exam displays the practice's custom list of the top 14 single system exams configured on the Framework Content system template. For more information on customizing the list, go to NextGen Healthcare Success Community, and download the latest Framework Content System Template forNextGen®Adaptive Content Engine. Select Additional in the list to select the desired system from the complete list of systems that appears. The system specific Physical Exam template opens. Document the physical exam findings. Select Save & Close. Parent topic: Document Physical Exams

NextGen® Adaptive Content Engine Help Enterprise 8

SOAP Template

You can review and modify the documented patient intake and histories information on the SOAP template. You can review the Asthma Flowsheet, Allergy Test Flowsheet, Spirometry, and Nebulizer panels. You also can document physical exam, assessment plan, and communication details. SOAP Link Icons The icons for various links appear on the SOAP template. Document the Patient's Reason for Visit as a Provider The reason for visit added by the intake staff on the Intake template appears on the SOAP template. Patient's History Summary Documentation by Provider You can document a patient's past medical or surgical history, interim, social, family, and diagnostic study history in the History Summary panel. Document Vital Signs The provider reviews the vital signs added by the Intake staff on the Intake template and makes the applicable changes. Patient's Physical Exam You can examine a patient and document the associated information using the Physical Exam panel that displays a list of exam cate

NextGen® Adaptive Content Engine Help Enterprise 8

Physical Exam for Well Child

You can examine a patient and document the information in the Physical Exam panel on the Pediatric SOAP template. In the Physical Exam panel, you can do the following: Use the One Page Exam link to document a complete exam on a single template or click the single system exams from the left pane and its submenu. When you click the single system exam or its submenu, it opens the respective template. Select a system from the list if the applicable system does not appear in the left pane using the Additional link. The physical exam template associated with the selected system appears to document the appropriate physical exam findings. Use the Office Diagnostics button to document or review diagnostics. Use the Physical Exam History button to copy previous physical exam records to the current encounter. Physical Exam Parent topic: Overview of Well Child Visit Related tasks Document Physical Exams

Patient's Physical Exam

Recommendations

Document Physical Exam Findings

Document Multi System Exam on SOAP

Document a Physical Exam

Document a Single System Exam on SOAP

SOAP Template

Physical Exam for Well Child

Document Physical Exam Findings

Document Multi System Exam on SOAP

Document a Physical Exam

Document a Single System Exam on SOAP

SOAP Template

Physical Exam for Well Child