NextGen Knowledge Center

Document a Posterior Exam

Ophthalmic providers can document Posterior exam findings in the Physical Exam panel. A more detailed Posterior exam can be documented on the Posterior Exam Detail template.
  1. You can document a posterior exam in the following areas.
    • In the Physical Exam panel, navigate to the Posterior section.
    • For a more detailed exam, click the Posterior link.
    Previosuly documented findings appear in the current encounter fields.
  2. Review and update the exam findings.
  3. To exclude an examination of the optic nerve:
    • Select the Exclude check box in the Disc (ON) section.

      An Exclusions window appears.

      exclusions window

    • Select an option in the Reason section.
    • Select a specific reason from the list that appears, and click Save & Close.
      Data fields for Disc (ON) are hidden, and the selected reason for not performing an exam of the optic nerve appears.
      disc on section

  4. To save the documented values as the default values, click the Quick Save, and enter a name for the template. This feature enables you to use the same values while documenting the same template during future encounters.
  5. To load the previously documented default values into the current template, click the Quick Load . For more information on the Quick Load and Quick Save functionalities, go to NextGen Healthcare Success Community, and download the latest Getting Started User Guide for NextGen® Adaptive Content Engine.
  6. To close the detailed template, click OK.