Pulmonary Function (Spirometry) Testing

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Pre-Treatment Values for Spirometry

You can use the General panel on the Spirometry template to record the pre-treatment details for spirometry testing. Open NextGen® Enterprise EHR. In the Spirometry panel, select Add. The Spirometry template opens. Spirometry template In the General panel, to record a diagnosis, do the following: In the Diagnosis field, select a diagnosis from the diagnosis search window. For more information on how to search and select diagnosis code, go to NextGen Healthcare Success Community, and download the latest Templates User Guide forNextGen®Enterprise EHR. In the Status field, select a status from the list. Select one of the following: FVC FEV1 FEV1/FVC% FEV 25-75 PEF MMV VC Enter the Pre-Treatment values in the respective fields. Select Spirometry Screening Questions to answer Yes or No for the screening questions. Note: You can add additional comments in the Comments field. Select Save. The documented information displays in the grid. Record Pulmonary Function Testing Results You can use th

NextGen® Adaptive Content Engine Help Enterprise 8

Asthma Workflow

Asthma workflow is the process of documenting a patient's asthma related issues. The Asthma workflow enables testing or treatment of pulmonary function during a normal office visit. The possible workflow for asthma patients are: Intake staff uses the Intake and Histories templates to begin the visit for a patient. A provider reviews the intake information and adds additional details on the Asthma Flowsheet template. The provider uses the Spirometry and Nebulizer panels, respectively to document the pulmonary function testing and/or a nebulizer treatment of the patient. The provider uses the Finalize template to complete the visit and to calculate the E&M code. The front office staff uses the Checkout template to complete the discharge formality for the patient. Record Asthma History of Present Illness You can document the Asthma - HPI details for a patient. Document the Asthma Flowsheet You can document the diagnosis and clinical assessment for a patient on the Asthma Flowsheet templat

NextGen® Adaptive Content Engine Help Enterprise 8

Document Nebulizer Pre-Treatment Details

You can document a patient's nebulization values on the Nebulizer Treatment - Procedure template. You can edit or remove a nebulization treatment entry from the Nebulizer grid. 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 SOAP template, and expand the Nebulizer panel. In the Nebulizer panel, select Add. The Nebulizer Treatment - Procedure template opens. Nebulizer Treatment - Procedure template In the Pre-Treatment panel, select the Description field and select an indication from the Proc Nebulizer category on the diagnosis search window. Note: You must record a diagnosis in the Description field to successfully bill the nebulizer treatments. NextGen® Enterprise EHR fills the Code fields automatically. Enter the values for Pre-Treatment Peak Flow in the three measured fields. In the Physical Exam section, do one of the following: Select the Normal check box for Inspection

NextGen® Adaptive Content Engine Help Enterprise 8

Record Pulmonary Function Testing Results

You can use the Spirometry panel to document Spirometry results. The Spirometry panel is located on the Intake - Allergy and the SOAP - Allergy templates. NextGen® Enterprise EHR. In the Spirometry panel, select Add. The Spirometry template opens. In the Pulmonary Function Testing panel, do the following: Enter Obstructive airflow limitation. Enter Bronchodilator responsiveness. Enter Ventilatory volumes and Lung volumes details. Select the Gas transfer level. Enter the Flow-Volume loop details. Enter the details in the Arterial blood gas results and Oxygen tension sections. Indicate the level of Carboxyhemoglobin and Acid-Base Interpretation Select the applicable check boxes regarding plateau phase, COPD or asthma, and restrictive impairment. Select the applicable option for pre-operative quantitative perfusion scan. Select the quality of study. Select the date and comparison details if you have compared the current study details with the previous one. Enter the additional comments, i

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

Allergy Testing Workflow

You can test and document a patient's asthma related issues on the Testing - Allergy template. You can perform and document the results of allergy testing for the Testing Only visit type. You can use the Testing - Allergy template for the following tests: Prick test ID test Challenge test Allergen Specific IgE test Begin a Testing Only Visit You can use the Testing Only visit type for patients allergy testing only. Prick/ID/Challenge Test Panel You can document the test result in the Prick/ID/Challenge Test panel on the Testing - Allergy template. Challenge Tests Panel You can use the Challenge Tests panel to enter the administration and other test data for previously ordered challenge tests. Provider Workflow for Allergy Testing You can review the patient's medical summary details on the Home Page template and then proceed to the SOAP and Finalize templates. Parent topic: Allergy and Immunology Related concepts Allergy and Immunology

Pulmonary Function (Spirometry) Testing

Recommendations

Enter Pre-Treatment Values for Spirometry

Asthma Workflow

Document Nebulizer Pre-Treatment Details

Record Pulmonary Function Testing Results

SOAP Template

Allergy Testing Workflow

Pulmonary Function (Spirometry) Testing

Enter Pre-Treatment Values for Spirometry

Asthma Workflow

Document Nebulizer Pre-Treatment Details

Record Pulmonary Function Testing Results

SOAP Template

Allergy Testing Workflow