Document the OB Postpartum Visit Template

NextGen® Adaptive Content Engine Help Enterprise 8

Document Pregnancy Outcome

The postpartum template is used and completed by a provider. Select the Postpartum tab. Select Pregnancy Outcome link. The Pregnancy Outcomes template opens. Pregnancy Outcomes template Note: The nurse or medical assistant uses the link and the provider uses the panel to document instead. On the Pregnancy Outcome panel, you can highlight a line in the pregnancy grid and print out a summary of this pregnancy in a (newly-created) document. This would only be done when all of the information is entered for the particular pregnancy by the provider. Document the pregnancy entry type, pregnancy number, and termination type/type of delivery at a minimum. However, you can also select to enter the date, sex of the baby, whether full term or preterm, and complications. Select Add to Grid. The pregnancy outcome information is added to the pregnancy grid at the bottom of the template, enabling you to add additional babies, if necessary. Select Save & Close. Parent topic: OB Postpartum Template

NextGen® Adaptive Content Engine Help Enterprise 8

OB Postpartum Template

The OB Postpartum template is accessed during a postpartum visit. To document a postpartum visit, select Obstetrics as the specialty and OB - Postpartum or Document Pregnancy Outcome as the visit type. Note: The OB Postpartum visit type can only be used after every pregnancy. If a patient is seen for a wound check after delivery, you must select the Post-Operative Visit. If a patient has just delivered and the practice want to document the details of the delivery immediately, you can select the Document Pregnancy Outcome visit type. The OB Postpartum template includes addition of the Postpartum Details and Pregnancy Outcome panels. The need to compile these data into a single template is necessary for a better workflow. The OB Postpartum template is created and opened from the Postpartum tab and reflects the compilation of the data from the Postpartum Detailsand Pregnancy Outcome panels as well as the additional 8.3.10 panels (Reason for Visit; Pregnancy Outcomes; Vital Signs; Assessme

NextGen® Adaptive Content Engine Help Enterprise 8

Document Reason for Visit in OB Postpartum template

Select the Postpartum tab. Open the Reason for Visit panel: Enter any additional text in the Introduction field. The Introduction field automatically displays a statement describing the patient's age, gender, and reason for visit. The same statement appears on the Reason for Visit panel of the SOAP template. To view the nurse/MA comments, select the Intake Comments link to open the Intake Comments template. Do one of the following: Select the postpartum check reason for visit from the left pane. Select the Additional / Manage link and select the postpartum check option in the Reason for Visit template. Open the Postpartum Details – HPI template and enter the required information. To enter information in the Diagnostic History Entry template, select Diagnostics. To view the chief complaint and reason for visit in the Hopi Notes template, select Comments. Document Postpartum Details You can enter information in the Postpartum Details -HPI template Parent topic: Document the OB Postpartum

NextGen® Adaptive Content Engine Help Enterprise 8

Document Vital Signs in the OB Postpartum Template

Select the Postpartum tab. Select Add in the Vital Signs panel. The Adult Vital Signs template opens. Enter the Vital Signs information. Select Save and Close. The information displays in the Vital Signs grid. Vital Signs Parent topic: Document the OB Postpartum Visit Template

NextGen® Adaptive Content Engine Help Enterprise 8

Document Pregnancy Outcome in the OB Postpartum Template

Select the Postpartum tab. In the Pregnancy Outcome panel, select Add/Update. The Pregnancy Outcomes template opens. Enter the applicable information in the Pregnancy Outcomes template. The entered information displays in the Pregnancy Outcome grid. Verify the parity values are correct. Pregnancy Outcome grid Select the OB Problem List link. The OB Problem List template displays with the most recent pregnancy information in a new grid view. You cannot edit the information in the OB Problem List template. Select an entry in the Pregnancy Outcome grid. To generate the pregnancy outcome document , select the Pregnancy Outcome Document button. Note: The Details text box is read-only and no comments can be entered here. Parent topic: Document the OB Postpartum Visit Template

NextGen® Adaptive Content Engine Help Enterprise 8

Document Physical Exam in the OB Postpartum Template

Select the Postpartum tab. Select the Physical Exam panel. Do one of the following: Select the Postpartum Exam option from the left pane. Select the Additional link and select the Postpartum Exam option from the picklist. The Postpartum Exam template opens. Postpartum Exam Select the One Page Exam link. The GYN-PE template opens. Enter the applicable information in the General Exam section in the Postpartum Exam template . If you select the All others normal/negative check box, the Normal check box is selected for all the fields. Enter the applicable information in the Breast Exam section. Select the Breast Exam link. In Breast- Physical Exam select the All others normal check box, the Normal check box is selected for all the fields. Select the Genitourinary link. Enter any applicable information in the Genitourinary Female - Physical Exam template. Select Save & Close. Enter the applicable information in the Genitourinary Exam section. Enter comments in the Additional Physical Exam Co

Document the OB Postpartum Visit Template

Recommendations

Document Pregnancy Outcome

OB Postpartum Template

Document Reason for Visit in OB Postpartum template

Document Vital Signs in the OB Postpartum Template

Document Pregnancy Outcome in the OB Postpartum Template

Document Physical Exam in the OB Postpartum Template

Document the OB Postpartum Visit Template

Document Pregnancy Outcome

OB Postpartum Template

Document Reason for Visit in OB Postpartum template

Document Vital Signs in the OB Postpartum Template

Document Pregnancy Outcome in the OB Postpartum Template

Document Physical Exam in the OB Postpartum Template