Document Subjective Information for a PT/OT Screening

NextGen® Therapy Suite Help 30.3.13.0

Document a PT or OT Patient Screening

Before you begin Ensure that a patient encounter is created in NextGen® Enterprise PM and the patient is checked in. Document a PT or OT patient screening before you complete a patient evaluation. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Homepage template, and then in Visit Type, select Screening. Select the Screening tab to open the NTS Screening. In each panel, document the patient screening information, and then in the Clinical Impression/Plan panel, complete the signoff information. Document Subjective Information for a PT/OT Screening Document subjective information for a physical or occupational therapy screening. Screening Objective Panel Clinical Impression/Plan Panel Patient Follow-up Panel Parent topic: Using NextGen Therapy Suite

NextGen® Therapy Suite Help 30.3.13.0

Copy Subjective Comments from a Screening to a PT/OT Single Visit

Before you begin Record subjective comments for a patient in the NTS Screening template. You can copy subjective comments from a patient screening to the subjective comments in the NTS Single Visit template. The text is appended to existing text in the field. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Single Visit template. In the Subjective panel, select Get Screening to make the encounter, onset dates, and dates of injury available in the Past Screening Encounter Dates window. Select an encounter date from the list, and then select OK. The subjective comment from the encounter date is copied to the Subjective panel. Parent topic: Single Visit Subjective Panel

NextGen® Therapy Suite Help 30.3.13.0

Single Visit Subjective Panel

Use the Subjective panel on the NTS Single Visit template to document the patient’s history. The Subjective panel also gives you access to additional templates to document the patient’s limitations, work demands, and specialty subjective information. In the Job Title, Work Status, and Last Worked fields, you can document the patient’s workplace and work status information. Note: These fields share the same values from the Job Title, Work Status, and Last Worked fields on the NTS Homepage template. The Ordering Diagnosis grid pulls data entered on the NTS Homepage template. To update Ordering Diagnosis information, open the NTS Homepage template. The Surgery and Past Medical History grids display any history that was captured in a NextGen Healthcare application for the patient. You can edit past medical history and add family and social history. If precautions or contraindications were entered on the NTS Homepage template, they display in the Precautions/Contraindications field, where y

NextGen® Therapy Suite Help 30.3.13.0

View Subjective Comments from a Patient’s Initial Evaluation Visit

If you are tracking a patient's progress, you can review the subjective findings from the patient's initial physical or occupational therapy evaluation. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Single Visit template. In the Subjective panel, select the Initial Eval Subjective link. The Initial Eval Subjective window opens with the date and subjective comments from the patient’s initial evaluation. Parent topic: Single Visit Subjective Panel

NextGen® Therapy Suite Help 30.3.13.0

Document and Review Patient Pain for a Physical or Occupational Therapy Visit

You can document the patient's pain levels for the current day, when they are at rest, and when they are active. You can also review the pain history within the case to assess the patient's pain levels over time. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Single Visit template, and then expand the Subjective panel. Enter the pain levels in Today, At Rest, and During Activity. Optional: To review the patient's pain levels over time within the case, select the Pain link. The Pain History template opens with the pain details of all the encounters related to the case. To document the pain experienced during the patient's daily functions, select Function in Subjective Grid to open the Function template. Optional: To view historical pain levels from the Function template, select the Previous Pain Grid link. The Previous Pain Grid template opens with pain data from previous versions. You cannot modify these pain values. New pain l

NextGen® Therapy Suite Help 30.3.13.0

View Injury History within a Case

If any of the patient's past chief complaints and injury details in the case were documented in NextGen® Therapy Suite versions 3.0.11.0 and earlier, you can view them, but you cannot add, edit, or delete them. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Single Visit template. In the Subjective panel, select the Historical Injury Grid link. The Injury Subjective View grid displays the patient's case history of chief complaints and associated injuries. Parent topic: Single Visit Subjective Panel

Document Subjective Information for a PT/OT Screening

Recommendations

Document a PT or OT Patient Screening

Copy Subjective Comments from a Screening to a PT/OT Single Visit

Single Visit Subjective Panel

View Subjective Comments from a Patient’s Initial Evaluation Visit

Document and Review Patient Pain for a Physical or Occupational Therapy Visit

View Injury History within a Case

Document a PT or OT Patient Screening

Copy Subjective Comments from a Screening to a PT/OT Single Visit

Single Visit Subjective Panel

View Subjective Comments from a Patient’s Initial Evaluation Visit

Document and Review Patient Pain for a Physical or Occupational Therapy Visit

View Injury History within a Case