Document the Interim History

NextGen® Ophthalmic Suite Help 2022.2

Manage Patient's Disease

You can manage the patient's disease in the Medical/Surgical/Interim panel on the Histories template. Open NextGen® Enterprise EHR. Open the Histories template and select the Medical/Surgical/Interim panel. Select Add.By default, NextGen® Enterprise EHR fills the Specialty field with the current specialty. Note: The Configure Medical Surgical and Family History system template is used to configure the conditions, surgical procedures, sub-items of a condition/procedure, management items, and associated SNOMED codes. The Past Medical History template opens. Past Medical History To add an item to the Medical or Surgical panel, select the respective check box for the condition or surgery.The Onset Date in the Medical panel field or the Date in the Surgical panel field and the Details icon appear beside the selected item. To add problems that are not available on the Past Medical History template, use the Other field. To enter the first appearance date of the condition, use Onset Date in th

NextGen® Ophthalmic Suite Help 2022.2

Document the Interim History

From the Histories template, expand the Medical/Surgical/Interim panel and then click Interim History. The Interim History window opens. Select an encounter type. If an encounter type does not appear in the list, you can manually enter it. Click the Problem field. If problems are added during previous encounters, the Patient Problems template opens. If there are no problems from previous encounters, then a search window opens. Do one of the following: From the patient problems list, select an existing problem. From the search window, search for and select a new problem and then click the Add to Problem List button. Note: If you manually enter the problem, the Add to Problem List button is not enabled. In the Management field, enter the therapy or procedure performed on the patient. Select the current date and then the provider who performed the therapy or procedure. If a provider does not appear in the list, you can manually enter their name. Enter admission details, discharge details,

NextGen® Ophthalmic Suite Help 2022.2

Patient's Medical History

The Medical/Surgical/Interim panel enables you to document the medical or surgical history of the patient. If no medical or surgical history exists, you can select the No relevant past medical/surgical history check box. You can filter the past history records by selecting the required check boxes. By default, the Show All check box is selected. Medical/Surgical/Interim panel On the Past Medical History template, the medical conditions and the surgical procedures associated with the current specialty appear alongside a check box in the respective panels. The Medical and Surgical panels include individual and grouped conditions or procedures. The individual conditions or procedures includes only a check box. The grouped conditions or procedure include [+] sign adjacent to the condition which indicates that the condition, or procedure includes sub-items. The conditions or surgical procedures, or sub-items with an asterisk (*) indicate that the condition or procedure, or sub-item is not a

NextGen® Orthopedic Suite Help 80.2.14.0

Add Medical History

You can add medical history such as diseases, disorders, and surgical procedures of a patient. On the appropriate template, in the Medical History section, click Add. The Past Medical History template opens. Past Medical History template Note: By default, the Specialty field displays Orthopedics. In the Medical and Surgical panels, do the following steps for the options without a link. Select the desired check box. The details Details icon icon and a blank date field appear. Click the date field. The Date Selection window opens. Click the calendar icon, and select the date when the disease or disorder first appeared or when the surgery is performed for the patient. Note: You can also enter the date in the field. To add the documented details to the grid in the Past Medical History panel, click Add To Grid. To document additional details for the selected option, click the details Details icon icon. The Manage Past Medical/Surgical History template opens. Manage Past Medical/Surgical His

NextGen® Therapy Suite Help 30.3.13.0

Add Surgery Information to the NTS Homepage Template

You can document the patient's past and upcoming surgeries and indicate whether they pertain to the injury you are treating. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Homepage template, and then select a visit type. Below the Surgery grid, select Add to open the NTS Surgery template. Select Surgery Description, and then do one of the following in the Surgeries list, do one of the following: Select a surgery name, and then select OK. Select the first blank line, select OK, and then enter a custom description. Enter the surgery date and CPT4 code. Select Add. In the confirmation message, do one of the following: If the surgery is related to today’s treatment, select Yes. The surgery information appears in both the Surgical History and Surgery Related to Therapy Episode grids. If the surgery date occurs after the patient completes treatment, the numbers in the Days and Weeks columns appear as negative numbers. If the surgery

NextGen® Ophthalmic Suite Help 2022.2

Document the History Review

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. History Review 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

Document the Interim History

Recommendations

Manage Patient's Disease

Document the Interim History

Patient's Medical History

Add Medical History

Add Surgery Information to the NTS Homepage Template

Document the History Review

Manage Patient's Disease

Document the Interim History

Patient's Medical History

Add Medical History

Add Surgery Information to the NTS Homepage Template

Document the History Review