View Injury History within a Case

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

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

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

Past Medical History

Any past medical history entered in the NextGen® Enterprise EHR appears in the Past Medical History grid. You can add additional items to it from the NTS Sp PMH template. You can also add family and social history for the patient, but those do not appear in the grid. Past Medical History grid in the Subjective panel Add Past Medical History Add Past Medical History from a Search 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

Add Surgery Information to an Audiology Visit

You can document the patient's past and upcoming surgeries and indicate whether they pertain to the injury you are treating. Open a patient record, and then in Encounter History, expand a case and select an encounter. Open the NTS Audiology Single Visit template, and then select a visit type. In the Subjective panel, select Surgery Hx to open the NTS Surgery template. The Surgical History grid displays any documented past surgeries for the patient. The Surgery Related to Therapy Episode grid displays surgeries related to the current episode of care. Select Surgery Description, and then do one of the following in the Surgeries list: Select a surgery name, and then select OK. Select the first blank line, select OK, and then enter a custom description. Enter the surgery date and CPT4 code. Select Add. In the confirmation message, do one of the following: If the surgery is related to today’s treatment, select Yes. The surgery information appears in both the Surgical History and Surgery Rel

View Injury History within a Case

Recommendations

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

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

View Subjective Comments from a Patient’s Initial Evaluation Visit

Past Medical History

Single Visit Subjective Panel

Add Surgery Information to an Audiology Visit

View Injury History within a Case

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

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

View Subjective Comments from a Patient’s Initial Evaluation Visit

Past Medical History

Single Visit Subjective Panel

Add Surgery Information to an Audiology Visit