Record an Excision Procedure

NextGen® Adaptive Content Engine Help Enterprise 8

Biopsy

When you determine that a biopsy is required for a patient, you can perform the following procedure: Scheduling a biopsy test. Performing the procedure to collect the specimen or specimens. Recording the pathology results details. Intake Staff Workflow to Schedule a Biopsy Encounter When the provider determines that a biopsy is required, the intake staff follows the required procedure. Schedule a Biopsy Encounter on the SOAP Template You can schedule a biopsy encounter on the SOAP template. Schedule a Biopsy Encounter with GET You can schedule a biopsy encounter on the GET template. Document a Biopsy Procedure You can document procedure for a patient with a specific complaint on whom you expect to perform a biopsy. Record Biopsy Results You can enter into the application the details of biopsy results that are returned from a lab in a non-electronic form. Parent topic: Predominant Procedures for Provider

NextGen® Adaptive Content Engine Help Enterprise 8

Document Excision Procedure Care Details

On the SOAP template, go to the bottom of the template and select the Procedures icon. The Udp Procedure Picklist opens. Click Excision/Repair and click OK. The Procedure dermatology excision 1 template opens. In the Today's Assessment grid, select or add a finding to be excised. The Procedure Excision panel is populated with a diagnosis for the selected finding. In the Procedure Excision panel, do the following:. Select the appropriate option for Benign or Malignant. Examine the excision site location with the patient and select the Patient verified site check box. To document the number of the room in which the excision took place, click RM#. If collecting a sample for pathology, type the name of the lab in the Path Lab field. Type the accession number received from the pathology lab in the Accession # if excising a biopsied finding. To add an indication, select from the Indication 1 picklist or click the blank line and type a non-listed indication. To add additional indication, clic

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Biopsy Procedure

On the SOAP template, go to the bottom of the template and select the Procedures icon. The Udp Procedure Picklist opens. Click Biopsy/Destruction/Shave Removal. The Biopsy/Destruction/Shave - Procedures template opens. In the Pre-Procedure Care panel, after explaining the details of the procedure to the patient select the relevant options. Note: To add more information about the consent, select the Consent link. In the Procedure Care section, select No for Are you performing a procedure on a biopsy proven malignancy?. In the Site Details section, click Procedure and select Biopsy from the resulting list. Select a method. Use the resulting Search window to select the specific condition. Select a Status. Document the Location and Site Specific fields. Click Quantity and select the number of items to be biopsied. Select an Indication. Select the anesthesia being used from the picklist and enter the amount used in milliliters. To add the procedure to the Today's Procedures grid, click Add.

NextGen® Adaptive Content Engine Help Enterprise 8

Document Excision Repair Details

On the SOAP template, go to the bottom of the template and select the Procedures icon. The Udp Procedure Picklist opens. Click Excision/Repair and click OK. The Procedure dermatology excision 1 template opens. In the Today's Assessment grid, select or add a finding to be excised. The Procedure Excision panel is populated with the diagnosis for the selected finding. In the Repair panel, do the following : To select the type of repair performed, click Repair Type. Select the anesthesia being used from the picklist and enter the amount used in milliliters. To add Undermining details, select the No or Yes option as appropriate. If you select Yes, indicate the size of the undermining in centimeters in the cm field. To add a dermal suture type, select from the Dermal suture 1 picklist or click the blank line, and type a non-listed dermal suture type. To add an additional dermal suture type, click Dermal suture 2. To add an epidermal suture type, select from the Epidermal suture 1 picklist or

NextGen® Adaptive Content Engine Help Enterprise 8

Document the Excision of a Skin Cancer

On the day of the excision procedure, the intake staff follows a standard intake workflow specifying the specialty as Dermatology and visit type as Surgical Visit. The intake staff records demographic and medical information following the guidelines established by the practice. On the Home Page - Dermatology template, review the patient information entered by the intake staff. On the Histories template, review the patient information and add information, if necessary. On the SOAP template, do the following: In the Reason for Visit panel, document complete details of the reason for visit or add additional reasons for visits, if necessary. In the Review of Systems panel, click Derm - ROS, and fill in the details in the Dermatology -ROS template. On the SOAP template, go to the bottom of the template and select the Procedures icon. The Udp Procedure Picklist opens. Click Excision/Repair. The Procedure dermatology excision 1 template opens. Click the Yes option for the Are you performing a

NextGen® Adaptive Content Engine Help Enterprise 8

Predominant Procedures for Provider

The Predominant Procedures document details about the common dermatological patient encounters. The Predominant Procedures explain how to use the templates to perform the desired task or to record the required details about the patient. Biopsy You can decide to perform a biopsy after examining the patient. Biopsy Log The biopsy log is the master list that stores all biopsies for the entire practice. Biopsy/Destruction/Shave - Procedures You can use the Biopsy/Destruction/Shave - Procedures template to record activities associated with a biopsy, destruction or shave procedure. Record an Excision Procedure You can document excision of a non-cancerous finding. Generic Dermatology Procedure You can document any type of dermatology procedure using the Generic Dermatology Procedure template. Blue Light Treatment for Actinic Keratosis You can document the blue light treatment for Actinic Keratosis. Cosmetic Injectable Template You can record each injectable using the Cosmetic Injectable templ

Record an Excision Procedure

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