Information Documented for a Contact Lens Evaluation

Panel/Section	Description
Reason for Visit	Displays previously documented reason for visit and HPI information for the encounter; this information can be reviewed and updated; this is the same panel as on other templates.
Visual Acuity	Displays previously documented exam findings; a new exam can be documented; this is the same panel as on other templates.
General Information	Used to document specific patient information related to wearing contact lenses.
Contact Lens History section	Displays historical information for up to two prescriptions; each prescription is displayed in separate grids for each eye.
Current Contact Lens Prescription section	Used for the prescription of the contact lenses the patient is currently wearing and to evaluate how the patient is doing with the current prescription.
Slit Lamp Evaluation section	Enables you to document a brief exam or view findings from an exam performed previously during the encounter, such as on the Oph EyeTech template.
Contact Lens Fit Analysis	Enables providers to document how a contact lens fits a patient for multiple trial lenses. Contact lens prescriptions and findings are saved to separate grids for OD and OS. Contact lens prescriptions can be selected from the grids and copied to the prescription fields in the Contact Lens Prescription section.
Contact Lens Prescription section	Enables providers to review and update up to two prescriptions for contact lenses and select details for the contact lenses to be dispensed or ordered for the patient. The prescription can be for trial lenses or the final contact lens selection. Note that trial lenses do not appear in the printed prescription since they are dispensed but not yet prescribed.
Lens(es) Dispensed/To Be Ordered section	Used to document details for lenses being ordered or dispensed, along with instructions to the patient for wearing and care, and instructions for the order. Billing codes are also selected here, which are submitted on the Finalize – OPH template.

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Document a Contact Lens Fitting and Evaluation Visit

Depending on the practice, workflow on the Contact Lens Evaluation - OPH template may begin after intake or after preliminary exams performed by a technician. Any information previously documented during the encounter appears in the corresponding data fields on the Contact Lens Evaluation - OPH template. This information can be reviewed and updated as appropriate. In the Reason for Visit panel, the provider reviews the technician's documentation, makes updates, and signs-off on the HPI information. In the Visual Acuity panel, enter exam findings or review and update previously documented results. visual acuity panel In the General Information panel, enter or review and update the patient information related to wearing contact lenses. general information panel In the Contact Lens History section, review and select the current contact lens prescription from the grids. contact lens history panel The prescription values appear in the fields of the Current Contact Lens Prescription section.

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Document Patient Consent for Receiving Contact Lens Prescription

Before you begin To document patient consent, you must enable the Eyeglasses and/or Contact Lens Consent section on the Eye Configuration practice template. You can document the patient's consent to receive a paper or digital copy of their contact lens prescription. Then, you can generate a consent document to obtain the patient's signature. On the Contact Lens Evaluation - OPH template, in the Contact Lens/Eyeglasses Consent section, expand the Contact Lens Consent/Prescription panel. For more information on enabling the Contact Lens/Eyeglasses Consent section, go to NextGen Healthcare Success Community and download the latest Setup Guide for NextGen® Ophthalmic Suite. If the section is already enabled, go to Step 2. To indicate the patient's preference to receive their contact lens prescription, select Paper Copy or Digital Copy. If you select Paper Copy, the Patient refuses to sign that they have received the contact lens prescription check box appears next to the Print RX 1 and Pri

NextGen® Ophthalmic Suite Help 2022.2

Contact Lens Evaluation

Depending on the practice, workflow on the Contact Lens Evaluation - OPH template may begin after intake or after a technician performs preliminary exams. Any information previously documented during the encounter appears in the corresponding data fields on the Contact Lens Evaluation - OPH template. This information can be reviewed and updated as appropriate. You can document prescriptions and fitting details for contact lenses and maintaining a historical record of trial and final contact lenses worn by the patient on the Contact Lens Evaluation - OPH template. contact lens evaluation - oph Information Documented for a Contact Lens Evaluation Access the Contact Lens Evaluation Template Document a Contact Lens Fitting and Evaluation Visit Document Patient Consent for Receiving Contact Lens Prescription Document the patient's consent and how they choose to receive their contact lens prescription. Record the Patient's Refusal to Sign for Contact Lens Prescription Parent topic: Workflows

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Document an Ophthalmic Postoperative Exam

Depending on the practice, documenting a post-op visit on the Postoperative Exam - OPH template may begin after Intake or after preliminary exams performed by a technician. Information previously documented for the encounter appears in the corresponding data fields on the Postoperative Exam - OPH template. This information can be reviewed and updated as appropriate. Review and update the procedure information in the General Information section at the top of the template. Document the following details for each procedure, as appropriate: Read-only date fields across the top display the date each exam was most recently performed and documented including, Dilated exam, Gonioscopy, OCT/HRT for optic nerve, and Visual Fields. postoperative exam - oph template Enter the Reason for Visit. Enter the Visual Acuity and click Save. Record the (Intraocular Pressure)IOP and click Save. Document the External exam. Document the Slit Lamp exam. If appropriate, document details for the intraocular lens

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Lensometry/Refraction Exams

The Lensometry/Refraction panel or section displays current encounter exam findings, as well as findings for the last five encounters, in separate grids for OD and OS on the Prelim Exam - OPH and Provider - OPH tab templates. lensometry refraction panel data The Lensometry/Refraction panel is found on multiple templates, including: Home Page - OPH– displays historical data Prelim Exam – OPH – used for technician workflow Provider – OPH – used for provider workflow Oph EyeTech – used for documenting preliminary exam findings Lensometry and refraction findings are documented on the Oph EyeTech template on the Lensometry/Refraction panel. The Oph EyeTech template opens when you click the Add button. lensometry refraction panel For Lensometry and refraction findings fields with a blue arrow to the right, you can click the field and type in data using free text or click the blue arrow and select values from the lists or onscreen numeric keypads that open for the field. Enter values for one

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Information Documented on the Postoperative Exam Template

The Postoperative Exam - OPH template includes the following panels and sections: Panel/Section Description General Information section Review or document general information about the surgery, such as procedure and location, status post-procedure, days post-op, and surgeon Reason for Visit (with History of Present Illness) panel Review or document a reason for visit and HPI information for the encounter Visual Acuity exam panel Review or document visual acuity exam findings IOP exam panel Review or document visual acuity exam findings Examination section Review or document exam findings for External, Slit Lamp, and Posterior exams. Document intraocular lenses (IOL) that were implanted during cataract surgery Patient Instructions/Advice section Select advice and instructions for the patient Medications section Patient medications can be reviewed, reconciled, and documented. Internal Physician Notes section Providers use this section to keep historical notes that do not appear in genera

Information Documented for a Contact Lens Evaluation

Recommendations

Document a Contact Lens Fitting and Evaluation Visit

Document Patient Consent for Receiving Contact Lens Prescription

Contact Lens Evaluation

Document an Ophthalmic Postoperative Exam

Lensometry/Refraction Exams

Information Documented on the Postoperative Exam Template

Document a Contact Lens Fitting and Evaluation Visit

Document Patient Consent for Receiving Contact Lens Prescription

Contact Lens Evaluation

Document an Ophthalmic Postoperative Exam

Lensometry/Refraction Exams

Information Documented on the Postoperative Exam Template