Select a Pediatric SIG Code

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 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

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

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® Enterprise EHR Help

Prescribe a New Medication

You can prescribe a new medication to a patient from the Medication Search window. Note: NextGen® Enterprise EHR automatically checks a new prescribed medication against the patient’s other prescribed medications and displays an alert if a drug interaction exists. NextGen® Enterprise EHR displays an alert for inactive ingredients with the associated allergic reactions and the percentage of available formulation that contains the inactive ingredients. Open NextGen® Enterprise EHR. Open Medications module. Select Prescribe New. The Medication Search window opens. Search for a medication. Note: If you select a medication that is a duplicate of an active or a pending medication for the patient, or if you select a medication that has contraindications to an existing patient's diagnosis, NextGen® Enterprise EHR displays a warning message. Enter the medication's details. Select a SIG and enter additional medication information. Perform a manual drug interactions check. Save the prescribed med

File Maintenance Help for NextGen® Enterprise 8

SIG Code

The SIGs master file contains a complete list of all medication dosage instructions. This master file is usually populated during installation; data initially stored in the master file is dependent on the original NextGen database. You can enter additional SIG Codes. To add or modify a SIG code: Do one of the following: To add a new item, select Open Menu , and then select New. To modify an existing item, select the item in the list, select Open Menu , and then select Open. You can also double-click open the item. Note: You can enter an asterisk ( * ) to list all the records. The Add/Modify SIG Information window displays. Field Description Key Enter a standard abbreviation for the dosage instructions. If you are adding a new SIG Code, enter a unique key. Description Enter a full description. Note Enter additional information. If you want to hide the item in the list, select the Hide check box. Select Next to add another item or select OK to return to the List window. Note: If you are

Select a Pediatric SIG Code

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