Document Alcohol and Caffeine Use

NextGen® Orthopedic Suite Help 80.2.14.0

Add Confidential History

You can enter confidential history for social history problems (Alcohol or Drug use abuse, Psychiatric, Abuse or Incarceration, sexual practices or STI’s) for a patient. Click the Confidential History link below the Social History grid. Confidential- Alcohol/Drug template The Confidential- Alcohol/Drug template opens. Enter patient-specific data in the applicable fields. Use the side navigation to navigate to templates for other confidential history. To include confidential histories with patient consent on the documents, select the Include all confidential information in the social history document with patient permission check box. Click OK to return to the Intake template. For more information, go to NextGen Healthcare Success Community, and download the Getting Started User Guide for NextGen® Adaptive Content Engine. Parent topic: Patient Intake Details

NextGen® Therapy Suite Help 30.3.13.0

Document Alcohol and Caffeine Use

You can document alcohol and caffeine consumption for the patient. Select Alcohol/Caffeine on the side navigation. Enter information about the patient’s alcohol and caffeine use in the applicable fields. Social History template with Alcohol/Caffeine documented For the question Do you drink alcohol?, if you select the Yes or Formerly option, additional fields open so you can enter information on type and amount of alcohol. Enter the details in those fields. Select Save & Close or use the left side navigation links to open templates to document other social history. Parent topic: Add Family/Social History

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Patient's Alcohol Use

You can document the alcohol consumption details of a patient on the Confidential – Alcohol/Drug template. Open NextGen® Enterprise EHR. To open the Confidential – Alcohol/Drug template, do one of the following: In the Social panel on the Histories template, select the Confidential History link. In the History Summary panel on the Intake template, select the Confidential link. Confidential Alcohol In the Alcohol Use section, enter the age at which the patient had started drinking alcohol. Indicate if the patient has sought treatment for alcohol abuse. If you select Yes, then do the following: Enter the date of the last treatment for alcohol abuse. Enter the number of treatments taken for alcohol abuse. Indicate if the patient is involved in a 12-step program. If you select Yes, select Currently or Formerly. Indicate if the patient has had withdrawal problems, seizures, or blackouts from alcohol or drugs. Indicate if the patient has required emergency medical attention due to intoxicati

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Patient's Alcohol Use

You can document the alcohol consumption details of a patient on the Confidential – Alcohol/Drug template. Open NextGen® Enterprise EHR. Open the Histories template. In the Social panel, select the Confidential History link. The Confidential - Alcohol/Drug template opens displaying the links to the confidential templates, in the left pane. Confidential - Alcohol/Drug In the Alcohol Use section, enter the age at which the patient had started drinking alcohol. Select Yes or No to indicate if the patient has sought treatment for alcohol abuse. If you select Yes, then do the following: Enter the date of the last treatment for alcohol abuse. Enter the number of treatments taken for alcohol abuse. Select Yes or No to indicate if the patient is involved in a 12-step program. If you select Yes, select Currently or Formerly. Select Yes or No to indicate if the patient has had withdrawal problems, seizures, or blackouts from alcohol or drugs. Select Yes or No to indicate if the patient has requi

NextGen® Adaptive Content Engine Help Enterprise 8

Document a Patient's Drug Use

You can document the drug use of a patient on the Confidential – Alcohol/Drug template. Open NextGen® Enterprise EHR. To open the Confidential – Alcohol/Drug template, do one of the following: In the Social panel on the Histories template, select the Confidential History link. In the History Summary panel on the Intake template, select the Confidential link. In the Drug Use/Abuse section, indicate the patient's use of drugs. If you select No, no other documentation is required in this section. If you select Yes or Formerly, enter the age at which patient had started using drugs, the drug type, frequency of drug use, and route. If the patient had used the drug earlier and has now quit, select Quit. Indicate if the patient has sought treatment for drug abuse. If you select Yes, enter the number of times the patient is treated and the date of the last treatment. Select Outpatient or Inpatient to indicate the type of treatment. Indicate if the patient is involved in a 12-step program. If y

NextGen® Adaptive Content Engine Help Enterprise 8

Categories in Social History

You can use different sections in the Social history to document the history of a patient. The following categories are available in the Social history. Category Description Tobacco/Vaping Use Enables you to document the tobacco usage for a patient. Includes the attempts to quit, second-hand (passive) tobacco exposure and to screen the patient for vaping, and document additional vaping details. Alcohol/Caffeine Enables you to document the alcohol and caffeine use for the patient. Statuses/General Enables you to document the patient's general demographic information including race, ethnicity, preferred language, country of birth, educational levels, employment, military experience, social support, and housing. The Current status field is read-only and displays the details documented on the Update Patient Information template. Lifestyle Enables you to document the lifestyle details. Includes sleep patterns, activities, exercise, religious information, home environment and safety, and rec

Document Alcohol and Caffeine Use

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Categories in Social History