Options for Adding Diagnosis Codes

Tabs	Description
Previous	Displays the diagnosis codes previously added to that patient's chart.
Popular	Displays the diagnosis codes commonly used by the provider. Codes are added to the Popular section after being added for two or more times.
Suggested	Displays relevant diagnosis codes based on the NextGen® Ambient Assist generated note.
Search	Displays the diagnosis codes when you search for assessments. You can enter or dictate the patient conditions or symptoms to search for multiple assessments at a time.

NextGen® Mobile Help

Add Diagnosis from Today's Visit

Open NextGen® Mobile. Open the Patient Chart view. Select Today's Visit. Note: You must add or select an unlocked encounter. Select Diagnosis (Dx).The Diagnosis view opens displaying the previously added diagnosis codes of the patient in the Previous section. Note: If you generate a NextGen® Ambient Assist note, the Diagnosis view opens displaying the suggested diagnosis codes based on the ambient generated note in the Suggested section. You can select the more More button button for the transcribed content as evidence for the suggested diagnosis codes. You can also provide feedback on the suggested diagnosis. Suggested tab displaying suggestions for ambient note Select diagnosis codes based on the patient's conditions and symptoms. Optional: Select Search, and then enter or dictate the patient conditions or symptoms to obtain the related diagnosis codes. Select Add.The Diagnosis (Dx) section in Today's Visit displays the added diagnosis codes. Parent topic: Options for Adding Diagnosi

NextGen® Mobile Help

Managing Today's Visit

The Today’s Visit workflow provides an intuitive, single-screen for the entire clinical documentation workflow. In the Today's Visit tab on the Patient Chart view, you can review and add clinical documentation to the patient's encounter. You can turn on or turn off the Today's Visit tab in Admin Console and NextGen® Mobile Cloud Portal for different product groups in your clinic. Today’s Visit is turned on by default for NextGen® Mobile Pro, NextGen® Mobile Plus, and NextGen® Mobile free users. Today's visit view NextGen® Ambient Assist is integrated with NextGen® Mobile and NextGen® Enterprise EHR for sending notes without having to copy and paste. You can select the feedback Feedback icon icon to enter your comments and submit to the NextGen® Mobile team. You can move this feedback icon to your required position on Today's Visit. Add Documentation in the SOAP Notes You can add narrative documentation or natural conversation in the SOAP notes. Documenting SOAP Clinical Notes You can u

NextGen® Mobile Help

Search for Diagnoses Codes

Open NextGen® Mobile. Open a patient chart. Select the Diagnostic icon. To add a diagnosis to the encounter, select Add Diagnosis. The Add Diagnosis view opens. Add diagnosis for a patient encounter Enter your search criteria in the Search field. You can enter incomplete phrases. The list of codes matching your query appears. Some codes are multi-tiered, indicated by arrow icon. To view the encounter type or any other category associated with the code, select Arrow icon. A list of the available category types appears. Select the desired category type. The associated codes appear. To add a diagnosis code from the search results list, select the desired diagnosis code or select a diagnosis, and then select Add to add the code to the patient encounter. The selected diagnosis code is added to the patient encounter. Parent topic: Add Diagnoses Codes to Patient Encounters

NextGen® Mobile Help

Add Diagnoses Codes to Patient Encounters

Open NextGen® Mobile. Open a patient chart. The Patient Chart view opens. Patient Chart view Select the Diagnostic icon. The Diagnosis view opens with the active diagnoses codes applied to the patient. It also displays the patient's demographic and encounter details. To add a diagnosis to the encounter, select Add Diagnosis. The Add Diagnosis view opens. Add diagnosis for a patient encounter Select a diagnosis from Previous Patient Diagnosis or Commonly Used Diagnosis or search for a diagnosis code powered by IMO® terminology, enter a search criteria in the Search field, and then select a diagnosis from the search result. A view opens listing the details about the diagnosis code and other suggestions from the IMO database. Diagnosis code details To add a diagnosis code to the patient encounter, select Add. The diagnosis code is added to the encounter. Search for Diagnoses Codes You can search for a diagnosis code using the IMO Terminology. Parent topic: Entering Diagnosis Code

NextGen® Adaptive Content Engine Help Enterprise 8

Add a Diagnosis Code for Diagnosis

Click OK on the alert message. Select the procedure billing details in the grid. The data appears in the corresponding fields above the grid. Do one of the following: Click the Dx Description 1 and select the diagnosis code from the list. Click Cancel on the list. The diagnosis search window opens. Search and select the required diagnosis. The selected diagnosis and the associated code appear in the Dx Description 1 and Code fields respectively. If applicable, repeat the above steps for Dx Description 2 through Dx Description 4 to add additional diagnosis. Note: The diagnosis selected in the Dx Description fields uploads in the Today's Assessments grid on the Add or Update Assessment template. Click Update. If you add additional data in the grid, the Verify Charges button appears in the Procedure Billing panel. Note: If the value is not associated with a procedure code, then the system uploads the default procedure billing code available for each procedure in the Procedure Documentatio

NextGen® Enterprise EHR Help

Add Diagnoses to Order Items

Before you begin Ensure that you select the Require Assessment Status check box under Assessment in the Practice Configuration template to prevent adding any of your diagnosis selections in CPOE, to the following: As a new problem (Dx) under the selected encounter. As a new assessment under the My Plan tab in the SOAP, Intake, and other generated NextGen® Adaptive Content Engine templates. As a new assessment in the Diagnoses tab. Note: For more information on practice templates, go to NextGen Healthcare Success Community and download the latest Practice Configuration Template User Guide for NextGen® Adaptive Content Engine. You can select diagnoses in the Assign Diagnosis section, which displays the patient's diagnoses for the current and any previous encounters, and add them to your order items. Note: For an immunization order item, Computerized Physician Order Entry (CPOE) automatically adds the default ICD-10-CM Z23 diagnosis code. Open CPOE. Select an order item. Note: You can sel

Options for Adding Diagnosis Codes

Recommendations

Add Diagnosis from Today's Visit

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Add Diagnoses Codes to Patient Encounters

Add a Diagnosis Code for Diagnosis

Add Diagnoses to Order Items

Add Diagnosis from Today's Visit

Managing Today's Visit

Search for Diagnoses Codes

Add Diagnoses Codes to Patient Encounters

Add a Diagnosis Code for Diagnosis

Add Diagnoses to Order Items