Document HPI of Patients

NextGen® Orthopedic Suite Help 80.2.14.0

Document HPI for Fracture Care

You can document the history of the present illness (HPI) for fracture care. You can enter the patient's chief complaint, and access the IORTShpi Fx template from any of the following fracture care templates. Single Fx Multi Fx Poly Trauma On the appropriate fracture care template, in the History panel, enter the patient's chief complaint, and then click HPI. The IORTShpi Fx template opens displaying the chief complaint in the CC field. IORTS HPI FX template Note: The Outside Diagnostic Studies section displays the details documented on the Intake template. You can add or edit the data in this section. Enter the date of injury. In Body Area, indicate which side of the body is injured, click the blank field, and then select the injured body part from the list. To describe the injury, select the appropriate options from the following: Pain. You can click the Level field, and select the pain level from the list. Swelling. Deformity. Numbness, Tingling. You can enter the details of the num

NextGen® Orthopedic Suite Help 80.2.14.0

Document Patient History for Post-Operative Visits

You can document a patient's history such as details of the last injection, pain, medications, and allergies for a post-operative visit. On the Non Billable Visit template, expand the History panel. Enter the details of the last injection in the following order: Click the Last Inj field, select the last injection date, and then click OK. Enter the duration of the relief in hours, days, weeks, and months. Enter the details of pain as follows: Indicate the severity of the pain. Click the Pain Scale field, and select the pain scale from one to ten from the list. Click the Status % field, select the percentage of the pain status, and then click OK. Select one of the following to indicate the pain status. B. Better S. Same W. Worse In the Ambulatory Aids/Braces, Assoc Symp, and Function/Activity Level sections, do the following: Click the blank field, select the appropriate condition from the window, and then click OK. Indicate the applicability of the selected condition. Note: You can ente

NextGen® Orthopedic Suite Help 80.2.14.0

Add a Chief Complaint

You can add up to six chief complaints. If the patient has complaints that were not captured on Intake, you can add them on Billable Visit. Click on a blank HPI # link. The first of a series of picklists opens. Select items in the picklists. Each selection opens the next picklist. Picklists for chief complaint When you have selected an item in the fourth picklist, or at any time that you click Close, the picklists close. To type a complaint, click the Free Text button. The IORTShpi Freetext Mr template opens. Chief complaint text Click any Chief Complaint field to add text to describe the complaint and click Save & Close. Edit or Delete a Chief Complaint Parent topic: Patient History

NextGen® Orthopedic Suite Help 80.2.14.0

Document Past Medical History for Fracture Care

You can document the pre-operative information for fracture care of patients. You can use the FC Past Med Hx template in the fracture care workflow to document a patient's history and pre-surgical checklist for fracture care procedures. On the FC Past Med Hx template, click the Chief Complaint field, and select the reason for visit from the list. The lists open for selecting side of the body, body part, and complaint. Select the affected side of the body, body part, and complaint from the corresponding lists. Add or update the pharmacy, as needed. Make the desired changes in the following sections. Diagnosis Orthopedic Surgical History Allergies Medical History Surgical History Medications Social History Family History Review of Systems Note: These sections are automatically filled with the data documented on the Intake template. You can add, edit, and remove the data as needed. To add details of the patient's employer, click Add below the Employer field. In the Pre-Surgical Checklist

NextGen® Orthopedic Suite Help 80.2.14.0

Patient History

You can review, add, and update the patient histories. The History panel on the Billable Visit template enables you to select the visit type and review the diagnoses, histories, medications, allergies, and review of systems of a patient. You can also add or update the details of the history of present illness (HPI). The following grids are automatically filled with the data documented on the Intake template. You can add, edit, and remove the data as needed. Diagnosis Orthopedic Surgical History Allergies Medical History Surgical History Medications Social History Family History Review of Systems History panel on the Billable Visit template Visit Type Quick Visit Add a Chief Complaint Document HPI of Patients You can document a history of present illness (HPI) for chief complaints. Signing Off Patient Histories After you review and update the patient histories, you can sign off the data to bill for the visit. Parent topic: Billable Visits Related concepts Patient Intake Details

NextGen® Orthopedic Suite Help 80.2.14.0

Add Sports Details and Hobbies of Patients

You can add hobbies and the details of sports for the fracture care of a patient. To add the sports details of the patient, do the following: On the appropriate template, double-click the Sports field. The IORTSsport_xp window opens. IORTS Sports XP template Click the Sport field, and on the sports window, select the sport that the patient played. Click the Current Level of Competition field, and on the sport level window, select the patient's competition level. Click the Expected Level of Competition field, and on the sport level window, select the expected competition level of the patient. Click Save, and then click Close. The IORTSsport_xp window closes. The details of the sports are added to the Sports field on the IORTShpi Fx template. To add hobbies of the patient, do the following: On the IORTShpi Fx template, double-click the Hobbies field. The IORTShobby_DM_xp window opens. IORTS Hobby XP template In the Hobbies/Interests field, type the hobbies of the patient. Click Save, and

Document HPI of Patients

Recommendations

Document HPI for Fracture Care

Document Patient History for Post-Operative Visits

Add a Chief Complaint

Document Past Medical History for Fracture Care

Patient History

Add Sports Details and Hobbies of Patients

Document HPI for Fracture Care

Document Patient History for Post-Operative Visits

Add a Chief Complaint

Document Past Medical History for Fracture Care

Patient History

Add Sports Details and Hobbies of Patients