You can document the review details of a patient's history in the generated encounter document.
You can also document the review status of medical, surgical, family, and social histories on the template.
- Open NextGen® Enterprise EHR.
- On the Histories template, select the History Review link.
The History Review template opens.
- In Med/Surg/Interim Hx, Family, and Social, select the applicable option.
- Detailed document enables you to view all the details entered in the Histories template in the encounter document.
- Reviewed, updated enables you to indicate that you have reviewed and updated the patient's histories.
- Reviewed, no changes enables you to indicate that you have reviewed the patient's histories but made no changes.
- History unobtainable enables you to indicate that the information is not obtainable and enter the reason in the corresponding field.
- Select Save & Close.
Note: Each reviewed area (Med/Surg, Family, and Social Histories) contributes to the Evaluation and Management coding.
