Set Clinical Status or Resolved Date for Problems

NextGen® Adaptive Content Engine Help Enterprise 8

Problem List

You can record, modify and manage problems in the Problems List on the Histories-Cardiology template. The Problem List section enables you to do the following. Record, modify and retrieve patient's clinical problem list. Document patient's chronic conditions and secondary problems. View the problems from the past encounters. Update the problem details. Add Cardiac Problems to Problem List You can add a cardiac problem to the Problems List on the Histories- Cardiology template. Update Cardiac Problems You can update a cardiac problem in Problems List on the Histories template. Parent topic: Document Cardiac Problems

NextGen® Adaptive Content Engine Help Enterprise 8

Update Existing Cardiac Problems

During a medical evaluation, if the details of a patient's documented cardiac problem need to be changed, you can modify the problem with the latest details in Problem List on the Histories - Cardiology template. When you modify a cardiac problem, if the SNOMED® code is changed, the existing problem record is updated as follows. In Cardiac Problem List, the problem record has been overwritten with new details. In Problem List, the old record is retained and a new problem record has been added. For example, if you modify a patient's Chest Pain Syndrome to ACS, there are two records; one for Chest Pain Syndrome and the other for ACS. Note: If you choose not to retain the old record in Problem List, you can either delete it from the Problems module or change the status of the old problem to resolved. For more information about deleting a problem, go to NextGen Healthcare Success Community, and download the latest Problems Module User Guide for NextGen® Enterprise EHR. Open NextGen® Enterp

NextGen® Adaptive Content Engine Help Enterprise 8

Document Cardiac Problems

The Problems panel enables you to document, search for, and select the chronic and secondary conditions of a patient's problems. Open NextGen® Enterprise EHR. Open the Histories - Cardiology template. Click the Problems panel. In the Cardiac Problems List, click a link to open the template. The template associated with the link opens. Enter a date in the Date PopUp template and click Accept. In the Comments section, enter the history and details of the problem. Note: In case the patient has no problems, this field does not need to be added. Card CH Valvular Click Accept. The resulting window opens with all problems listed on the Problem List. Do one of the following on the problem list. Choose to add the current problem as a new problem. Merge it into an existing problem as a problem note. If you want to add a new problem, click Add new problem, and select the appropriate problem description from the resulting window. Click Select. The problem has been added to the Cardiac Problem List

NextGen® Adaptive Content Engine Help Enterprise 8

Update Cardiac Problems

You can update a cardiac problem in Problems List on the Histories template. Open NextGen® Enterprise EHR. Open the Histories- Cardiology template. Click the Problem List. Select a problem in the problem list grid. The fields below the grid get filled with the problem details. Make the required updates. Click Add/Update. Parent topic: Problem List

NextGen® Adaptive Content Engine Help Enterprise 8

Add Cardiac Problems to Problem List

You can add a cardiac problem to the Problems List on the Histories- Cardiology template. Open NextGen® Enterprise EHR. Open the Histories- Cardiology template. Click the Problem List and click Add/Update. A diagnosis search window opens. Enter a problem in the diagnosis search window and click Search. Select a problem from the list and click Select. The Fully Specified SNOMED Description, Problem Description, ICD Description, and ICD Code have been added and displayed in the Problem List panel. For all new problems, Mark as Chronic has been selected by default. Select clinical status, side, and site in Problem List. Click Onset Date and select the date of onset. Enter an approximate date if the exact onset date is unknown. To select the date when the problem was resolved, click Resolved Date. To mark the problem as a secondary condition, select Secondary Condition if the problem is not chronic. To add the selected problem to the tracked problem list, select Marked as Tracked Problem.

NextGen® Adaptive Content Engine Help Enterprise 8

Add a Problem in the Problem List

You can add a problem to the problem list of a patient. Open the Histories template. In the Problem List panel, click Add/Update. The Problems template opens. Click Add Problem. A search window open. Enter the full or partial name of the problem in the field at the top of the search window. Click Search. A list of search records displays under the Description column. Select a problem and click Select. Note: To add the selected problem to the tracked problem list, select the Add to My Tracked Problems check box. The selected record displays in the Problem List module. From the Problem Status list, select the status of the problem. If the selected problem is chronic, select the Chronic check box, otherwise select the Secondary Condition check box. Note: The Onset Date field displays the current date. You can enter an approximate date if the exact onset date is unknown. In the Resolved Date field, enter the date when the selected problem was resolved. Click Accept. The problem is grouped

Set Clinical Status or Resolved Date for Problems

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