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Schedule a Blue Light Encounter on the SOAP Template
On the
Intake - Dermatology
template, select an appropriate reason for visit.
The corresponding HPI template opens.
Complete the HPI template and select
Save & Close
.
On the
SOAP
template, go to the
Physical Exam
panel, and click
Full Skin
.
The
Dermatology Quick Exams - PE
template opens.
Select
Quick exam defaults
and select
Actinic Keratosis
from the list.
The system populates the template with the currently defined default settings for actinic keratosis.
To add a diagnosis, select
Assessment
and select actinic keratosis.
In the
Treatment
section, do the following:
Select
Other Treatment
and then select
Blue Light
from the list.
Note:
If the Blue Light option is not available, then select the blank field at the top of the list and enter
Blue Light Therapy
.
To add the procedure date, select the
Schedule in
option and select a time frame from the list.
Make any other necessary entries on the template.
To add the record to the grid, select
Add
.
Select
Save & Close
.
The system adds the record to the
Treatment Summary
of the
Assessment / Plan
panel of the
SOAP
template.
NextGen® Adaptive Content Engine Help Enterprise 8
Schedule Blue Light Treatment with GET
On the Intake - Dermatology template, select an appropriate reason for visit. The corresponding HPI template opens. Complete the HPI template and select Save & Close. On the GET template, from the Findings list , click Actinic Keratosis (AK). Click the image at the location that corresponds to the location of the AK on the patient. The application places a marker at that location and creates a record in the grid below the image. Click the link in the name column for the record. The Dermatology Quick Exams - PE template opens. Select Quick exam defaults and select Actinic Keratosis from the list. The system populates the template with the currently defined default settings for actinic keratosis. To add a diagnosis, select Assessment and select actinic keratosis. In the Treatment section, do the following: Select Other Treatment and then select Blue Light from the list. Note: If the Blue Light option is not available, then select the blank field at the top of the list and enter Blue Ligh
NextGen® Adaptive Content Engine Help Enterprise 8
Record a Blue Light Treatment
The intake staff follows a standard intake workflow specifying the specialty as Dermatology and visit type as Office Visit. The intake staff records all other 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 modify it if necessary. On the SOAP template, in the Reason for Visit panel, document the complete details of the reason for visit or add additional reasons for visits if necessary. In the Review of Systems panel, click Derm - ROS in the left navigation pane. The Dermatology -ROS template opens. Click the Procedures quick link. The Procedures template opens. In the Others section, to open the Generic Procedures template, click Generic. Click the first Description field within Indications and select the patient's diagnosis for Actinic Keratosis. To add indications, click Description
NextGen® Adaptive Content Engine Help Enterprise 8
Blue Light Treatment for Actinic Keratosis
You can document the diagnosis of actinic keratosis (AK), order a blue light treatment for the AK, and perform the treatment therapy. Typically, the diagnosis and treatment are performed during separate encounters. The intake staff follows a standard intake workflow for a typical office visit encounter. The intake staff records all other demographic and medical information following guidelines established by the practice. Before you can use this workflow, ensure that the following definitions exist for your practice: A CPT4 code (96567) in the practice's CPT4 code library for the Photodynamic Therapy. An HCPCS code (J7308) in the practice's HCPCS code library for the Levulan Kerastick. A SIM Code in the SIM Library for the Photodynamic Therapy. A Blue Light Treatment entry on the picklist for the Other Treatment field on the Dermatology Quick Exam - PE template. For more information on CPT4 and HCPCS codes, go to NextGen Healthcare Success Community, and download the latest System Admi
NextGen® Adaptive Content Engine Help Enterprise 8
Schedule a Biopsy Encounter on the SOAP Template
On the Intake - Dermatology template, select an appropriate reason for visit. The corresponding HPI template opens. Complete the HPI template and select Save & Close. On the SOAP template, go to the Physical Exam panel, and click Full Skin. The Dermatology Quick Exams - PE template opens. Select an entry from the Today's Quick Exams grid or add an assessment. The system populates the template with data for the selected assessment. In the Treatment section, select the Biopsy option, and select a method from the Biopsy procedure list. To select a time frame from the list, select the Schedule in option, and select a value from the list. Select the location where the biopsy needs to be performed in the Site specific section. Make any other necessary entries on the template. To update the record to the grid select Update. Select Save & Close. On the SOAP template, in the Assessment / Plan panel, the system adds a record. Parent topic: Biopsy
NextGen® Adaptive Content Engine Help Enterprise 8
Schedule a Biopsy Encounter with GET
On the Intake - Dermatology template, select an appropriate reason for visit. The corresponding HPI template opens. Complete the HPI template and select Save & Close. Open the GET template, and select an appropriate finding from the Findings list. Click the image at the location that corresponds to the location of the finding. The system places a marker at that location and creates a record on the grid below the image. Click the link in the name column for the record. The Dermatology Quick Exams - PE template opens. Select an entry from the Today's Quick Exams grid or add an assessment. The system populates the template with data for the selected assessment. In the Treatment section, select the Biopsy option, and select a method from the Biopsy procedure list. To select a time frame from the list, select the Schedule in option, and select a value from the list. Select the location where the biopsy needs to be performed in the Site specific section. Make any other necessary entries on t
NextGen® Adaptive Content Engine Help Enterprise 8
Routine Visit or Specific Complaint
You must follow the normal office visit procedure as follows: Document a Reason for Visit Fill in the appropriate History of Present Illness (HPI) template Complete a Review of Systems Perform a Physical Examination A patient who has come in to address a specific complaint such as acne, rash, warts, or lesions, might require a biopsy or non-surgical treatment. Based on the results of the skin examination, you may choose to schedule or perform any of the following: Biopsy to rule out skin cancer. Cryosurgery to treat actinic keratosis, seborrheic keratosis, or viral wart. Blue light (photodynamic) treatment for actinic keratosis. Topical treatment for eczema, certain warts, actinic keratosis, or certain basal and squamous cell cancers. These findings also may require a biopsy. As a provider, your actions depend on whether you intend to bill for an office visit, a procedure, or both. If you plan to bill the patient for an office visit, you can select the Office Visit visit type. In addit