Signoff Patient Document

NextGen® Enterprise EHR Help

NextGen® HIE Documents

In NextGen® Enterprise EHR Categories tab, you can view the imported, and exported Health Information Exchange (HIE) document categories in the My Categories tab based on user-level configuration. To view a specific HIE document, you can expand the appropriate HIE document category, and select the required item. The following are HIE document categories. HIE Documents, displays only imported HIE documents. HIE Documents (Sent), displays only exported HIE documents. HIE Consent, displays only HIE consent documents. The following CDA validation icons appear with the HIE documents. The icon indicates that a document passed CDA validation. The icon indicates that a document did not pass CDA validation. If neither icon appears indicates that a document is not yet validated. The following PAQ status icons appear with the HIE documents. The icon indicates the PAQ pending item. The indicates the PAQ rejected item. The indicates the PAQ approved item. For more information, go to NextGen Healthc

NextGen® Enterprise EHR Help

View Provider Signoff Details from Encounter History

You can view the current signoff details and comments from the previous provider for a pending, rejected, or signed off PAQ item. You can add new provider signoff comments only if the selected item is signed off or rejected. Open NextGen® Enterprise EHR, and select a patient from the Patient Lookup window. Open the Workflow module. Select the Provider Approval Queue tab. In the Pending tab, select an item from the list.A preview of the item is displayed in the viewing pane. Select Chart.The Encounter History tab opens, with the item selected is attached to. Select the button. Select the item to view the current signoff details and comments, and select the button. Select Provider Sign-off Details.The Provider Sign-off Details window opens. The window shows the current signoff status, the rendering provider, the reassigned provider, if applicable, and comments. Add any necessary comments if the item is signed off or rejected. Note: After the comment is saved for the selected item, you ca

NextGen® Enterprise EHR Help

Sign off a Multi-user Document

You must be a provider to sign off the document from the Encounter History or Categories tab. If you are a delegate for a provider, you must sign off the document from the Provider Approval Queue (PAQ). You cannot reject a document you open from the Encounter History or Categories tab; you must reject it from the PAQ. If you need to revise the document that was sent to you for signoff, the best practice is to regenerate the document from the patient chart using the applicable template. If you edit the current document directly by entering free text, your changes are overwritten if another user regenerates the document. Regenerating the document disables multi-user signoff and removes the document from the PAQ of all signees. The document is returned as a single-user signoff document to the PAQ Pending tab of the encounter provider for review. The encounter provider may initiate multi-user signoff for the regenerated document. Log on to NextGen® Enterprise EHR as a PAQ-enabled provider.

NextGen® Enterprise EHR Help

PAQ Document Signoff by Multiple Providers

Multiple providers on a patient care team can sign off the same document sent by the encounter provider to each designated signee's Provider Approval Queue (PAQ) Pending PAQ tab in the Workflow module. Only the encounter provider or the provider's delegate can initiate multi-user signoff and select additional signees. The multi-user signoff document is read only and remains in Pending status until all the designated signees or their delegates have signed it. If a document is rejected or regenerated by any signee, all existing signatures are erased, and the document is returned to the Pending PAQ of the encounter provider for review and further action. The encounter provider can restart multi-user signoff for the document and select the previous or new signees. Note: At this time, multi-user signoff is only available for PAQ documents. For more information on the following features, go to NextGen Healthcare Success Community, and download these documents: PAQ - Workflow Module Guide for

NextGen® Enterprise EHR Help

Sign off or Reject a Multi-user Document from PAQ

Do one of the following: Log on to NextGen® Enterprise EHR as a Provider Approval Queue (PAQ)-enabled provider. If you are a provider's delegate, log on with your own credentials, and select the PAQ-enabled provider you are the delegate for in the provider list at the top of the NextGen® Enterprise EHR main window. Open the PAQ Pending tab in NextGen® Enterprise EHR. The most recent item added to the PAQ is selected by default and appears in the viewing pane on the right. If the default item is not the document for signoff, locate the document, and select to open it. You can view the electronic signatures at the bottom of the document. Note: If the encounter provider has not signed off a document that has been rejected by another signee, Sign-off and Sign-off with Actions are disabled, and you cannot sign off the document. Review the document for accuracy. Look at any comments beneath the document that were entered by the encounter provider or other signees or that were system generate

NextGen® Enterprise EHR Help

Initiate Multi-user Signoff on a Pending PAQ Document

Do one of the following: Log on to NextGen® Enterprise EHR as a Provider Approval Queue (PAQ)-enabled provider. If you are a provider's delegate, do the following: Log on with your own credentials. In the provider list at the top of the NextGen® Enterprise EHR main window, select the PAQ-enabled provider you represent. Open the PAQ Pending tab in NextGen® Enterprise EHR. From the pending items list, locate and select the document to work on. The document window opens on the right. To send the document to previously selected signees in an action set, select the action set name from the Sign-off with Actions list at the bottom of the document window. The document is removed from the encounter provider's list of pending PAQ items and sent for signoff. If a multi-user signoff document becomes a single-user signoff document through regeneration while the PAQ is open, a message may appear indicating that the document has changed since its last retrieval. Select OK to close the message window

Signoff Patient Document

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