Assessment and Plan Details

NextGen® Therapy Suite Help 30.3.13.0

Assessment and Plan Comments

Use the Comments (Assessments) and Comments (Plan) fields to record observations, additional information, instructions and plans that do not have discrete data fields for that purpose. You can type text into the field or use saved phrases from a “My Phrases” set. See Add Comments. The Review Comments link above the field opens a window where you can review comments entered in all sections of the patient’s chart. You can also review and copy comments that were captured on previous encounters with that patient. For more information, see Review, Modify, and Copy Comments. Parent topic: Assessment/Plan Panel

NextGen® Therapy Suite Help 30.3.13.0

Assessment/Plan Panel

In the Assessment/Plan panel, you can document therapy-specific diagnoses, goals, and treatment plan details including diagnostics, referrals, and PT Orders. Assessment/Plan panel Prognosis Ordering Dx and Treating Dx Assessment and Plan Comments Treatment Goals Plan Details Assessment and Plan Details Parent topic: Chiro Single Visit

NextGen® Therapy Suite Help 30.3.13.0

Add Details for a Treating Diagnosis

Select a treating diagnosis from the Treating Dx grid. This opens the four fields below: Impressions/Comments, Differential Diagnosis, Patient Plan, and Provider Plan. Enter details into each field as needed. Chiro A/P Details template Select Save. Parent topic: Assessment and Plan Details

NextGen® Adaptive Content Engine Help Enterprise 8

Enter Additional A/P Details

You can document additional information such as a differential diagnosis, plan details, or comments for the assessment on the Assessment/Plan Details template. On the My Plan (PT) template, click the A/P Details tab. The Assessment Plan Details template opens. Assessment Plan Details To add or update the working assessment, select an assessment in the Today's Assessments grid. Type or dictate patient data in the Impression/Comments, Plan Details, Differential Diagnosis, and Provider Details. For a follow-up visit or disposition is needed, place the order. To send the task to the pre-configured recipient, click Quick Task. Click Save & Close. Parent topic: Assessment/Plan Panel Related concepts Shared Working Assessment

NextGen® Adaptive Content Engine Help Enterprise 8

Open the Assessment / Plan Details Template

Some specialties (for example, Cardiology) access the Assessment Plan Details template differently. For more information, go to NextGen Healthcare Success Community, and download the latest specialty guide of NextGen® Adaptive Content Engine for instructions if the following does not apply: Open NextGen® Enterprise EHR. Open the SOAP template. In Assessment / Plan, select A/P Details in the navigation bar. The Assessment Plan Details template opens. Assessment Plan Details Enter Assessment Plan Details You can enter comments, differential diagnoses, and details on the patient plan, provider plan, and today's orders for a selected assessment on the Assessment/Plan Details template in the A/P Details tab. Parent topic: Open the Assessments Tab Parent topic: Entering Assessments, Impressions, Differential Diagnoses, and Associated Details Parent topic: Document Assessments and Plans

NextGen® Adaptive Content Engine Help Enterprise 8

Assessment/Plan Panel

The Assessment/Plan panel provides a summary of the assessments and plan information for the patient for the current encounter. In Physical Therapy, assessments for the encounter are selected at the beginning of the encounter, therefore the Assessments/Plan panel grid displays the previously selected assessment(s). Assessment/Plan Document the Treatment Plan on My Plan Enter Additional A/P Details Provides information on using the Assessment/Plan Details template Place a Follow-up/Disposition Order Follow this procedure to place a follow-up visit and/or enter a disposition. Cosign or Review Orders Shared Working Assessment Group of templates that share the selected assessment. Parent topic: Objective Template

Assessment and Plan Details

Recommendations

Assessment and Plan Comments

Assessment/Plan Panel

Add Details for a Treating Diagnosis

Enter Additional A/P Details

Open the Assessment / Plan Details Template

Assessment/Plan Panel

Assessment and Plan Comments

Assessment/Plan Panel

Add Details for a Treating Diagnosis

Enter Additional A/P Details

Open the Assessment / Plan Details Template

Assessment/Plan Panel