Add Problem to the Problem List

NextGen® Adaptive Content Engine Help Enterprise 8

Add Problems in the Problem List

You can add a problem to the problem list of a patient. Open NextGen® Enterprise EHR. Open the Histories template. In the Problem List panel, select Add/Update. Enter a problem in the diagnosis search window, and select Search. Select the problem from the list of the search result, and select Select. Select the applicable ICD code, and select Select. The application automatically fills the associated values in the Fully Specified SNOMED Description, Problem Description, ICD Description, and ICD Code fields in the Problem List panel. Note: For all new problems, the Mark as Chronic check box is selected by default. In Clinical Status, select the status of the problem. In Onset Date, enter the date of onset. In Resolved Date, enter the date when the selected problem is resolved. If the problem is not chronic, to mark the problem as a secondary condition, select Secondary Condition. To add the selected problem to the tracked problem list, select Marked as Tracked Problem. To add the proble

NextGen® Adaptive Content Engine Help Enterprise 8

Add a New Problem to a Patient's Problem List

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. On the Care Transitions tab, expand the Problem List after Discharge panel, and then click Add. The Problems window opens. Click Add Problem. A search window appears. Add Problem Window Note: Problems are stored in the database and displayed using SNOMED® CT (SNOMED Clinical Terms). Search for the problem by typing a full or partial name of the problem in the search box. Note: The Add to My Tracked Problems option is selected as a default. Click the desired problem. Click Select to display and add any additional details. Make any necessary changes to the problem. Click Accept to add the problem to the list. The following options are also available: Options List Re-Code: to change or edit the problem code. Resolve: to set resolve date for the problem. Set Chronic: to add the problem to the patient’s chronic problems. Delete: to remove the problem. Resources: available information about the pr

NextGen® Adaptive Content Engine Help Enterprise 8

Add Cardiac Problems to Problem List

You can add a cardiac problem to the Problems List on the Histories- Cardiology template. Open NextGen® Enterprise EHR. Open the Histories- Cardiology template. Click the Problem List and click Add/Update. A diagnosis search window opens. Enter a problem in the diagnosis search window and click Search. Select a problem from the list and click Select. The Fully Specified SNOMED Description, Problem Description, ICD Description, and ICD Code have been added and displayed in the Problem List panel. For all new problems, Mark as Chronic has been selected by default. Select clinical status, side, and site in Problem List. Click Onset Date and select the date of onset. Enter an approximate date if the exact onset date is unknown. To select the date when the problem was resolved, click Resolved Date. To mark the problem as a secondary condition, select Secondary Condition if the problem is not chronic. To add the selected problem to the tracked problem list, select Marked as Tracked Problem.

NextGen® Adaptive Content Engine Help Enterprise 8

Select an Assessment from Clinical Problems

On the Add or Update Assessment template, Clinical Problems section, filter the grid by selecting Show chronic, Show my tracked problems, or No active problems. Assessments Select a Clinical Problem item from the grid. A system check determines if there was a previously mapped ICD code for that clinical problem for the open patient chart. If there is a previously saved mapping, that ICD code is added to the ICD description and ICD Code fields to be used for today’s assessment. The Clinical Problems section includes the Systematized Nomenclature of Medicine - Clinical Terms (SNOMED - CT®) problem list (from the Concept Id column on the Problem List tab in the Problems module). The system translates the selected diagnosis into a SNOMED® code and saves it in the Clinical Problems section. Note: The SNOMED list contains healthcare concepts with unique meanings and formal, logic-based definitions organized into hierarchies. The list provides the ability to consistently index, store, and ret

NextGen® Enterprise EHR Help

Problem List Toolbar

The problem list toolbar is located above the problem list. Problem List The problem list toolbar provides the following options: Refresh: Updates all information that you entered and accepted in the Problem List tab. Preferences: Displays a list of settings for: The data display area for column display. Grouping problems. Enabling selections for SNOMED searches. Deleted Items: Displays the Deleted Items window which lists all deleted problems from the Problem List tab. Status Selection: Enables you to specify whether you want the data display area to only show the problems with Active status. Show My Tracked Problems Only: Displays only those problems that you added to your tracked problems list. Show Chronic Problems Only: Displays only those problems you specified as Chronic. Parent topic: Problem List Related concepts Multiple Selections Setup for Problem Search Related tasks Mark a Problem as Chronic Add a Problem to the Tracked Problems List Filtering Problems in the Problem List

NextGen® Enterprise EHR Help

Problem List

The Problem List tab enables you to view the details of the active, inactive, resolved, and unresolved problems of a patient and update them as needed. You can record and update a patient’s problems using the Systemized Nomenclature of Medicine - Clinical Terms (SNOMED-CT®) concept. SNOMED-CT® is a standard vocabulary used to express clinical terms. SNOMED-CT® is comprised of descriptive terms or synonyms related to a clinical concept and provides links between different concepts. The problem list is demographic and is not associated with an encounter. After you record a problem if you need to use it as a diagnosis for billing, you must add the problem to the billing ICD list. Problem List View and modify the details of problems in the problem list. Problem List Data Entry Area The problem list data entry area displays options for managing patient problems. Managing Problems and ICD Codes Parent topic: Diagnosing Patient Problem

Add Problem to the Problem List

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