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Add a Problem to a Patient Chart
Open the Problems Module.
On the
Problem List
tab, select
Add Problem
.
The
Problem Search
window opens.
To search for the patient's problem, do the following:
In the search field, enter the problem description in full or in parts.
Select
Search
.
The problem search results appear.
Select a problem, and then select
Select
to add the problem to the patient's encounter.
Close the
Problem Search
window.
The selected problem is added to the
Unresolved
group in the problem list.
Note:
By default, the
Problem Status
of the new problem is set to
Active
.
Note:
For a new problem created from a template trigger, the
Problem Status
is set to
Active
and
Verification Status
is set to
Confirmed
by default.
Modify the problem list data entry fields.
To add the problem to patient's record, select
Save
.
Modify the Problem List Data Entry Fields
Indicate that a Patient Has No Active Problems
You can view the patient chart which has no active problems for the selected patient.
Related tasks
Modify the Problem List Data Entry Fields
Open the Problems Module
NextGen® Enterprise EHR Help
Delete a Problem in the Problem List
Open the Problems Module. Select the patient's encounter that contains the problem you want to delete. Note: You can delete a problem from a patient's problem list if the problem is not assigned to a locked encounter. Select the problem in the problem list. Do one of the following: Right-click the problem, and then select Delete. On the problem list data entry area toolbar, select Delete. The Delete Problem message prompts you to confirm if you want to delete the problem. Select Yes to delete the problem. If the problem was not entered in error, clear the Entered in error check box. Select Refresh in the problem list toolbar to view the updated problem list. Note: All deleted problem list entries are displayed in the Deleted Items window. To view deleted problems, from the problem list toolbar, select Deleted Items. Parent topic: Managing Problems and ICD Codes Related tasks Open the Problems Module
NextGen® Enterprise EHR Help
Categorize a Problem
You can categorize a patient's problems as Resolved, Inactive, or Unresolved. Each newly added problem is automatically listed as Active. Select the patient's encounter to specify a status. Open Problems module. Select the problem in the Problem List data entry area. Note: If there is more than one instance of a Problem, select the top level displayed for the Problem to resolve all of the listed instances or select a specific Onset Date of the problem to resolve the particular instance. If you are resolving multiple instances of the same Problem, a warning message displays. Select the Yes button. Select the Problem Status list in the Problem List data entry area and select Active, Inactive, or Resolved. If you are setting the status to Resolved, enter a resolved date by using the Resolved Date calendar. Select the Accept button. If you try to close the Problem module without saving your changes, a message prompts you to save or cancel the changes. NextGen® Enterprise EHR automatically
NextGen® Enterprise EHR Help
Modify the Problem List Data Entry Fields
You can modify the problem list data entry fields for problems selected in the Problems List tab. Open the Problems Module. From the problems list, select a problem. Verify that the information entered in Concept ID, Description and Fully Specified Name are correct. To modify the Onset Date, select the arrow and use the calendar. To modify the Resolved Date, select the arrow and use the calendar. If you select a date in the future, NextGen® Enterprise EHR displays a warning message. Selecting a correct Resolved Date enters the user's ID in the read-only Resolved By field and activates the Resolved Reason field. If you have selected a Resolved Date, enter a reason for resolving the problem in the Resolved Reason field. From the Problem Status list, select a status. The available options are: Active Inactive Resolved Recurrence Relapsed Remission If you select Active or Inactive, the system removes the Resolved Date and any data entered in the Last Addressed (this information is not dire
NextGen® Enterprise EHR Help
Indicate that a Patient Has No Active Problems
If the selected patient has no known problems in the chart, the No Active Problems check box displays in the Problems module. When a new problem is added, the check box is automatically disabled by resetting the indicator. What does resetting mean-that it disappears or the box clears? When a currently active problem is resolved and there are no other active problems listed for the patient, the indicator is reset and the check box is enabled. Open NextGen® Enterprise EHR, and select a patient from Patient Lookup window. Select an encounter from the Encounter History tab or create a encounter. Open Problems module. On the Problems List tab, select the check box to document within the patient chart that the patient has no active problems. Problem List Parent topic: Add a Problem to a Patient Chart Related tasks Open the Problems Module
NextGen® Enterprise EHR Help
Filtering Problems in the Problem List
You can set criteria on the problem list toolbar to specify the problems you want to view in the problems list. You can view active, tracked, and chronic problems. Open the Problems Module.. In the problem list toolbar, select the Status Selection list, and do one of the following: To view all active and resolved problems, select Show All Statuses. To view only the active problems, select Show Active Problems Only. To view the problems that you added to your tracked problems list, select the Show My Tracked Problems Only check box. To view the problems that are specified as chronic, select the Show Chronic Problems Only check box. Parent topic: Problem List Related tasks Mark a Problem as Chronic Add a Problem to the Tracked Problems List Open the Problems Module
NextGen® Enterprise EHR Help
Problems Module
The Problems module enables you to list and maintain specific medical problems and diagnosis information related to each patient. When you use the Problems module to add medical problems to the patient's medical record, they are categorized as either active or resolved. All of the problems added to a patient's medical record appear under the Encounter History tab. From the Problems module, you can: Set a specific date for the onset of a problem. Provide a description and fully specified name of a problem. Assign a concept ID and a billing code. Indicate whether a problem is chronic. Specify when, how, and by whom a problem was resolved. Search for all providers within the enterprise to assign the responsible provider. The Problems module has two tabs, the Problem List tab and the Billing ICD List tab. Each tab has a data display area and a data entry area, and each tab has its own features and functions for both areas. Note: If the instructions reference problems and you are using the
