Pediatric SIG

NextGen® Enterprise EHR Help

Manually Build a Pediatric SIG Code

The pediatric calculator is unavailable for multi-ingredient medications being prescribed to a pediatric patient. In cases where no Pediatric IG code is available for the selected medication, you can manually build a SIG code. From the list of pediatric SIG codes, select Calculator. Calculator button The Pediatric Dosing Calculator window opens. Pediatric Dosing Calculator window In the Dose field, enter the dose. Select a unit of measure from the list. For Frequency, select a frequency from the list. The system calculates the SIG based on the patient's age and weight. Pediatric Dosing Calculator SIGs To display dosing range information, select . Dosing Range Information Note: By default, the display includes only the age range applicable to the selected patient. Select the Display All Ranges link to display all available ranges. Select OK. The Pediatric SIG you have built is assigned to the selected medication. Parent topic: Select a SIG Related concepts Pediatric 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

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

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

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

File Maintenance Help for NextGen® Enterprise 8

Hiding Pediatric Vaccines Recommendations for Adult Patients

You can hide pediatric vaccine recommendations from displaying for adult patients over 18 years of age. When you select this practice preference, the Immunizations module displays the following information. The Chart View displays: All vaccines on a patient's chart (pediatric or adult) All vaccines recommended for adults only (up until patient's age) Status of adult vaccines only The Recommendation View displays: All vaccines recommended for adults only Status of adult vaccines only The Create New Immunization Order window displays: All vaccines set up in the Vaccine favorites (in File Maintenance) Status of adult vaccines only. Note: For the Tdap vaccine only, the system does not consider the Ignore Pediatric Recommendation for Adults practice preference when calculating the Tdap Immunization status for adults or patients 11 years of age and older. Parent topic: Orders Module Practice Preferences Setup