Manually Build a Pediatric SIG Code

NextGen® Enterprise EHR Help

Pediatric SIG

For patients who are eighteen (18) years old or younger, you can add a Pediatric Sig code. The Medications module, by default, displays Pediatric Sigs for all patients under the age of 19. The pediatric sigs for the selected medication display in a list based on the following order: Unit of measure in alphabetical order. Dose for each unit of measure in ascending order. Frequency for each unit of measure/dose and then alphabetical order. Duration in alphabetical order for a specific frequency and dose. Use of Pediatric Sigs and Dosing in the Medications module requires the following: The user must be licensed for pediatric sigs. The Universal Preference Use Pediatric Sigs from FDB must be set to TRUE. A weight must be entered for the patient and display in the Medications module. Parent topic: Select a SIG

NextGen® Enterprise EHR Help

Select a Pediatric SIG Code

Open NextGen® Enterprise EHR and open the medication module. Select a medication. Enter the required medication information. Do one of the following: Hover over Add Sig. Select Add Sig. Select the automatically populated SIG Code. The most commonly used Pediatric SIG from First Data Bank appears. Pediatric SIG Clear the Common Sigs check box to display all available SIG codes. Available SIG codes If no pediatric SIG Code for the selected medication exists, select Calculator to display the Pediatric Dosing Calculator window. Note: The pediatric calculator may be unavailable for multi-ingredient medications being prescribed to a pediatric patient. Select one or more of the following: All Once 2 Times 3 Times 4 Times Select a SIG Code or manually build a Pediatric SIG Code. The selected pediatric SIG is automatically assigned to the selected medication. Selected pediatric SIG Parent topic: Select a SIG Related tasks Manually Build a Pediatric SIG Code Enter Required Medication Information

NextGen® Enterprise EHR Help

Renew Medications

You can renew any medication that was prescribed to a patient and subsequently saved to a patient's chart. The Start Date field in the Medications List automatically displays the date a medication is first prescribed. The first time a medication is dispensed in a renew chain, both the Original Start Date and Start Date fields in the Medications List display the same date. When the medication is renewed, the Original Start Date field remains the same while the Start Date field reflects the date of the renewal. Highlight the Inactive medication to renew. Select Renew. The Medications module displays the prescription status information for the selected medication above the medication name. The following status is displayed: Medication is Inactive Medication Was Prescribed In A Different Practice Encounter is Locked for This Medication Depending on the prescription status of the medication, you may not be able to renew the selected medication. Note: If the Units field is blank when you are

NextGen® Enterprise EHR Help

Select a SIG

After you enter the required medication information, you must select a SIG. Open NextGen® Enterprise EHR and access the Medications module. Select a medication. Enter all required medication information. Select or build a SIG. The selected SIG is automatically assigned to the medication. If the SIG contains more characters than the display allows, the text is truncated. If you hover the cursor over the truncated text, a tooltip displays the complete SIG. If the SIG exceeds the 140-character maximum for electronic prescriptions, an alert appears next to the SIG text. Select a SIG You can change the quantity and the interval of the medication by either typing the values or using the arrows to select the appropriate values. Change the quantity and the interval of the medication If you made any changes to the SIG, you must select Accept. The Dose Range window opens displaying the message that the dosage resulting from the SIG built exceeds the maximum daily dose. Select OK. The SIG and the

NextGen® Enterprise EHR Help

Open the SIG Builder

Enter all required medication information. Perform any one of the following: Hover over or select the Add Sig link. Select the automatically populated SIG to change it. Hover over or select the Edit Sig link. The availability of an automatically populated SIG in the advanced SIG builder depends on the information provided by the third party, First Databank. The Sig Builder window opens. Sig Builder window Note: For a pediatric patient, the list is filtered by pediatric SIGs. To clear the existing SIG, select Clear Sig. Parent topic: SIG Builder Related tasks Enter Required Medication Information

NextGen® Adaptive Content Engine Help Enterprise 8

Add Additional SIG Configuration

The Additional SIG Configuration panel enables practices to add additional SIGs. An additional SIG category may be Other SIG instructions and can include: Take with food, Take at the same time everyday instructions. A medication needs to be associated with these additional Sig’s to use them in the Order Management template. Open the Medication Configuration template. Expand the Additional SIG Configuration panel. Modify Additional SIG Instruction Categories panel Select the Category field to select the configured category from the list. Select the Medication SIG field to select an option, or select the blank line in the list to enter the SIG text. The list displays all the available SIGs in your library. Select the Additional SIG field, and enter an additional SIG. The information gets printed on the medication label. Select the Link Med ID field to link a medication, and select an active medication option from the list. Select Add. The entered information appears in the grid. Modify A

Manually Build a Pediatric SIG Code

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