Launch Reconciliation from the Medical Summary Utility

NextGen® Enterprise EHR Help

Launch Reconciliation from NextGen® Enterprise EHR

Before you begin To perform a clinical reconciliation from NextGen® Enterprise EHR, you must first import a patient's Continuity of Care Document (CCD) or Consolidated Clinical Document Architecture (C-CDA), or have completed a patient medication history request. Open NextGen® Enterprise EHR. Select a patient. To reconcile all clinical data for a patient (referred to as All mode), select Clinical Reconciliation from the View menu. Note: You can also access the Clinical Reconciliation module in All mode from the Medication Review pop up template, a customized Medical Records or Demographics template or pop up. For more information on templates, go to NextGen Healthcare Success Community and download the latest Templates User Guide forNextGen®Enterprise EHR. To reconcile specific clinical data, such as medications or problems or results (referred to as Module mode), select the appropriate module and then select the Reconcile button. The Clinical Reconciliation window opens, and displays

NextGen® Enterprise EHR Help

Reconcile Clinical Data

The Import tab enables you to review clinical data stored in a patient's chart and reconcile the data with contents of an imported document or of a patient medication history file. Note: The following procedure shows the basic steps for performing reconciliation. Detailed procedures appear later in this section. Open the Clinical Reconciliation module from NextGen® Enterprise EHR, the Data Share module, or the Medical Summary Utility and then select a document. Select the Import tab. For an overview of the screen layout, refer to Layout of the Import Tab. Under the Import tab, there is a second set of clinical data tabs. The reconcile a particular type of clinical data, select the corresponding tab, such as Medications, Meds Administered, and so on. If you opened Clinical Reconciliation from a specific module, such as Medications or Problems, then Clinical Reconciliation displays only the tab corresponding to that module. You can use the scroll button to scroll to the tab you want. Bef

NextGen® Enterprise EHR Help

Select Documents to View

The Documents panel contains a list of categories for documents that were imported from an external system, (such as an Health Information Exchange (HIE)), and completed request for patient medication history files from an ePrescribing vendor (such as SureScripts®). The number and names of categories are set up during NextGen® Clinical Interface Bundle and/or ePrescribing implementation and may vary. Launch the Clinical Reconciliation module from NextGen® Enterprise EHR, the Data Share module, or the Medical Summary Utility. In the Documents pane, select HIE Documents (Sent) or HIE Documents, then select one of the listed documents. The following icons indicate the types of available documents: Icon Description Imported document Replacement document Addendum On Demand document Snapshot document (occurs when an on-demand document is unavailable, but an available copy is retrieved from the repository) Imported document from another practice or external system In the right pane, select th

NextGen® Enterprise EHR Help

View Reconciliation History

The Reconciliation History tab displays the history of actions performed when you select the Confirm button in either of the following places: On the Import tab of the Clinical Reconciliation module. Within the Import tab, the screen is subdivided into an EHR pane listing items that are already present in NextGen® Enterprise EHR, and an Import pane listing items that are available for import from an external system. The Reconciliation History tab reports all confirmed actions on items in the Import pane, except the None action (which is not logged). The Reconciliation History tab does not log actions performed on items in the EHR pane. On the one-click reconciliation window of the CDA Viewer. All Confirm actions are logged, even if no data was queued for reconciling. Open the Clinical Reconciliation module from NextGen® Enterprise EHR, the Data Share module, or the Medical Summary Utility. The Clinical Reconciliation window opens. Select a document. Select the Reconciliation History ta

NextGen® Enterprise EHR Help

Process Items in the EHR Section

The EHR section displays clinical items from the patient's chart based on the Import tab selected (Medications, Medication Allergies, and so on). For each item listed you can choose to perform an action. Select the type of clinical data you want to reconcile. Process items in the Import section. Select the item you want to reconcile. Items to Reconcile Select an item in the Action column. Selecting an Action Select one of the following actions action (if any) to perform: Keep - No action is taken. Stop - Stop a medication. Delete - Delete the item from the patient's chart. Resolve - Resolve a medication allergy or problem. By default, all clinical items in the EHR section have a default action of Keep. Note: You cannot delete a clinical item in a locked encounter or added by another practice in the enterprise (namely, enterprise chart). Match/Unmatch clinical items as needed. Your proposed changes display in the Reconciliation Summary section. Summary of Proposed Changes Confirm your c

NextGen® Enterprise EHR Help

Process Items in the Import Section

The Import section displays the clinical data available for import based on the Import tab selected (Medications, Medication Allergies, and so on). For each item listed you can choose to perform an action. All items in the Import section have a default action of Add if they do not exist or match to an item in the patient’s chart. If the Clinical Reconciliation module determines that an item in both the EHR and Import sections match, it sets the Import action to Ignore automatically. Select the type of clinical data you want to reconcile. Select the item you want to reconcile. Items to Reconcile To view additional clinical information, slide the scroll bar at the bottom of the Import section right. Select a column header to sort data in ascending/descending order. If you are on the Medications tab or the Medications Administered tab, you can right-click the Import section and select Apply Default Sort to display the original view. To display a medication's National Drug Code (NDC), a me

Launch Reconciliation from the Medical Summary Utility

Recommendations

Launch Reconciliation from NextGen® Enterprise EHR

Reconcile Clinical Data

Select Documents to View

View Reconciliation History

Process Items in the EHR Section

Process Items in the Import Section

Launch Reconciliation from NextGen® Enterprise EHR

Reconcile Clinical Data

Select Documents to View

View Reconciliation History

Process Items in the EHR Section

Process Items in the Import Section