Issues with Certain Vital Signs Templates

Issue ID: 49801, 50343, 50546, 50587, 50603, 50613, 50779, 50952, 51031, 51191, 51580, 51627, 52115, 52501, 53026, 53431, 53432, 53438, 53440, 53462, 53463, 53465, 53501, 53504, 53507, 53597, 53598, 53599, 53672, 55589

Updated: March 24, 2015

The Issue

NextGen Healthcare has identified issues in certain NextGen® Ambulatory KBM vital sign templates. In response, we have started a formal review of all NextGen Ambulatory KBM vital sign templates. Here is a list of affected templates and corresponding information to date:

Version(s) Problem # Issue Description Template Name Actions Required Affected NextGen® 49801 Vital Signs Do Not Display on the Cardiology Doctor Cardiology Doctor Data Until this issue is resolved, users Ambulatory Data Template should navigate to the CARD Doctor KBM v.8.3 to Data template by utilizing the v.8.3.7 template icon in the History toolbar.

This issue has been fixed in NextGen Ambulatory KBM v.8.3.8. NextGen® 50343 Date Column Is Not Displayed On Vital Signs Grid Post- This issue occurs on the following Until this issue is fixed, users should Ambulatory Upgrade templates: view the dates for all vital signs KBM v.8.3 to using the Record Vital Signs v.8.3.7 • Home Page template. • Home Page – Allergy • Home Page – Behavioral Health This issue has been fixed in NextGen • Home Page – Cardiology Ambulatory KBM v.8.3.8. • Home Page – Dermatology • Home Page – Gastroenterology ASC • Home Page – Obstetrics • Home Page – OPH • Home Page – ORT • Home Page – PC • Home Page – Physical Therapy

NextGen® 50546 Blank Entries Incorrectly Display on Vital Signs Grid OPH Vital Signs Until this issue is resolved, users Ambulatory should select the incorrect entry in KBM v.8.3 to the grid and then click Remove to v.8.3.7 delete the blank entry from the Vital Signs grid.

This issue has been fixed in NextGen Ambulatory KBM v.8.3.8. NextGen® 50587 Adult Vital Signs template does not contain Neck, Adult Vital Signs This issue has been fixed in NextGen Ambulatory Waist, and Hip Measurement Fields Ambulatory KBM v.8.3.6. KBM v.8.3.5 Head Field Does Not Display Below Growth Percentile

NextGen® 50603 Centimeter field on Pediatric Over 2 Year Old Vital Pediatric Over 2 Years Old Vital Signs Until this issue is fixed, users should Ambulatory Signs Template Incorrectly Changes document information in the cm KBM v.8.3.5 field after documenting information to v.8.3.7 into the lb. field.

This issue has been fixed in NextGen Ambulatory KBM v.8.3.8. NextGen® 50613 Head Circumference in Inches Field may not calculate Pediatric Under 2 Years Old Vital Signs Until this issue is fixed, users can Ambulatory correctly on the Pediatric Under 2 Years Old Vital Signs manually enter the correct KBM v.8.3 to template. converted value into the inches v.8.3.8 field. Users must include three or more decimal places when manually updating for more accurate results. NextGen® 50779 BMI Percentile Does Not Display On Pediatric Over 2 Pediatric Over 2 Years Old Vital Signs This issue has been fixed in NextGen Ambulatory Years Old Vital Signs Template Ambulatory KBM v.8.3.8. KBM v.8.3.5 to v.8.3.7 NextGen® 50952 Blank Entries for Orthostatic Vital Signs Incorrectly Orthostatic Vital Signs Until this issue is resolved, users Ambulatory Display on Vital Signs Grid should select the incorrect row on KBM v.8.3.5 the Vital Signs grid and then click to v.8.3.7 Remove to delete the blank entry from the grid.

This issue has been fixed in NextGen Ambulatory KBM v.8.3.8. NextGen® 51031 Height in Inches Does Not Convert to Feet on Adult Adult Vital Signs Until this issue is resolved, users Ambulatory Vital Signs Template should enter the height in feet and KBM v.8.3.5 inches or in centimeters. to v.8.3.7 This issue has been fixed in NextGen Ambulatory KBM v.8.3.8. NextGen® 51191 Total Inches Field Does Not Calculate To Other Fields Adult Vital Signs Until this issue is fixed, users may Ambulatory on Adult Vital Signs Template document the information in the KBM v.8.3.5 Feet and Inches fields instead of the to v.8.3.7 Total In field.

This issue has been fixed in NextGen Ambulatory KBM v.8.3.8. NextGen® 51580 37.2 Degrees Celsius Incorrectly Calculating on the Adult Vital Signs This issue has been fixed in NextGen Ambulatory Adult, Pediatric Under 2 Years, and Pediatric Over 2 Pediatric Ambulatory EHR v.5.8 HF91 and EHR v.5.7, Years Vital Signs Templates v.5.8 UD1 HF32. v.5.8 and v.5.8 UD1

NextGen® 51627 Weight in Pounds Does Not Accurately Display on Record Vital Signs Until this issue is resolved, users Ambulatory Record Vital Signs Grid should select the Include all vitals KBM v.8.1 to into the document check box and v.8.1.7, v.8.3 click Save. The user should then to v.8.3.8 generate the Master document to review all vital signs records with the weight in pounds.

This issue has been hotfixed in NextGen Ambulatory KBM v.8.3.8. NextGen® 52115 Alert For No Blood Pressure For Right/Left Arm Does This issue occurs on the following This issue will be fixed in a future Ambulatory Not Display templates: release. KBM v.8.3.5 to v.8.3.8 • Adult Vital Signs • Pediatric Over 2 Years Old Vital Signs • Pediatric Under 2 Years Old Vital

NextGen® 52501 LONIC Codes Incorrectly Clear SNOMED Codes for This issue occurs on the following This issue has been hotfixed in Ambulatory Abnormal BMI templates: NextGen Ambulatory KBM v.8.3.8. KBM v.8.3.1 to v.8.3.8 • Adult Vital Signs • ASC - Vital Signs - OPH • Pediatric Over 2 Years Old Vital Signs • Pediatric Under 2 Years Old Vital • Vital Signs (Lite)

NextGen® 53026 Underweight Alert Incorrectly Displays Instead of Adult Vital Signs This issue has been hotfixed in Ambulatory Overweight Alert NextGen Ambulatory KBM v.8.3.8. KBM v.8.3.5 to v.8.3.8 NextGen® 53431 Vital Signs Documented on HPI Templates Do Not This issue occurs on the following This issue has been fixed in NextGen Ambulatory Display On the Master or Intake Note Documents templates: Ambulatory KBM v.8.3.8. KBM v.8.3.5 to v.8.3.7 • Anticoagulation History • ASC – Anterior Laser – OPH • ASC Anesthesia – OPH • ASC Home – OPH • ASC Postop Nursing – OPH • ASC Postop Orders – OPH • ASC Pre-anesthesia – OPH • ASC Preop Nursing • Asthma • BH – Nursing Note • BH – Nursing Note Short • BH – Psychopharm • Care Guidelines • CHM – Annual Nurse Encounter • CHM – Health Assessment • CHM – Nurse Chronic Care • CHM – Nurse Protocol • CHM – TB Latent Initial • CHM – TB Latent Subsequent • CHM Intake • CHM Provider Set • CHM Transfer Receiving • ENT Postop Visit Anterior Laser – OPH • Eyeasc Preanethetic Tab2 • Generic Disease Management • GYN – PE • HIV • Home Blood Pressure Readings • Home Page • Home Page – Allergy • Home Page – Behavioral Health • Home Page – Cardiology • Home Page – Dermatology • Home Page – PC) • Hysteroscopy/ablation/sterilization • Intake • Intake – Allergy • Intake - Cardiology • Intake – Dermatology • Intake – OPH • Intake –Mohs Procedure (proc_mohs_intake) • Intraocular Injection – OPH • Medicare Preventive – HPI • NSG Shunt Eval Exam • Nutrition Assessment • OB Postpartum Visit • Objective – Physical Therapy • Peds Over 3 yrs – PE • Peds School Camp • Peds Under 3 yrs – PE • Posterior Laser – OPH • Preceptor Note • Pulse Oximetry Details • Record Vital Signs • Retina Office Procedure – Office Procedure – Other – OPH • Retina Office Procedures – Lasers – OPH • SOAP • SOAP – Allergy • Soap – Cardiology • SOAP – Dermatology • SOAP – Gastroenterology • Subjective – Physical Therapy • Surgery Schedule – OPH • View of vital_signs • Vital Sign History • Vital Signs – OPH • Vital Signs [Lite]

NextGen® 53432 Vital Signs Entered Through Custom Encounters Do This issue occurs on the following Until the issue is fixed, users should Ambulatory Not Display On the Provider – OPH and Intake – OPH templates: manually update the measured date KBM v.8.3 to Templates to the encounter date by selecting v.8.3.7 • Adult Vital Signs the Measured Date field and • ASC –Vital Signs – OPH changing the date to the same date • CHM Vital Signs as the encounter. • Home Blood Pressure Readings • Pediatric Over 2 Years Vital Signs This issue has been fixed in NextGen • Pediatric Under 2 Years Vital Signs Ambulatory KBM v.8.3.8. • Pulse Oximetry Details • Pulse Oximetry Details 2 • Vital Signs – OPH • Vital Signs [Lite] • Vital Signs History – Oph

NextGen® 53438 Pain Scale Field Does Not Change to Ready Only After Adult Vital Signs This issue has been fixed in NextGen Ambulatory Selecting Unobtainable Checkbox Ambulatory KBM v.8.3.8. KBM v.8.3.5 to v.8.3.7 NextGen® 53440 Abnormal BMI Alert Message Displays Even After This issue occurs on the following This issue has been fixed in NextGen Ambulatory Deleting BMI Data templates: Ambulatory KBM v.8.3.8. KBM v.8.3 to v.8.3.7 • vital_signs_adult • vital_signs_under2

NextGen® 53462 Height, Weight, Site Fields Incorrectly Display as Read- Pediatric Under 2 Years Vital Signs This issue has been fixed in NextGen Ambulatory Only After Selecting Unobtainable BP Ambulatory KBM v.8.3.8. KBM v.8.3.5 to v.8.3.7 NextGen® 53463 Temperature Values Containing A Decimal Incorrectly This issue occurs on the following Until the issue is fixed, users should Ambulatory Display In The Celsius Field templates: document the temperature without KBM v.8.3 to the decimal, then move the cursor v.8.3.7 • Adult Vital Signs to where the decimal should be and • Pediatric Over 2 Years Vital Signs add it to the value. • Pediatric Under 2 Years Vital Signs This issue has been fixed in NextGen Ambulatory KBM v.8.3.8. NextGen® 53465 Pain Scores Do Not Correspond Between HAQ-DI and Adult Vital Signs This issue has been fixed in NextGen Ambulatory Adult Vital Signs Templates Ambulatory KBM v.8.3.8. KBM v.8.1 to v.8.1.7, and v.8.3 to v.8.3.7 NextGen® 53501 Abnormal BMI Incorrectly Displays As Black Instead Of Adult Vital Signs This issue has been fixed in NextGen Ambulatory Red Ambulatory KBM v.8.3.8. KBM v.8.3.5 to v.8.3.7 Pain Scale Field Does Not Change to Read Only After Selecting Unobtainable Check Box

Alert For No Blood Pressure In Right Or Left Arm Does Not Display

Obese Alert Does Not Display

Pulse Ox Rest Does Not Display In Red When Outside the Normal Range

NextGen® 53504 Out of Range Values May Not Display in Red After Adult Vital Signs This issue has been fixed in NextGen Ambulatory Closing and Reopening the Adult Vital Signs Template Ambulatory KBM v.8.3.8. KBM v.8.3.5 to v.8.3.7 NextGen® 53507 Low Blood Pressure Alert Does Not Display This issue occurs on the following This issue has been fixed in NextGen Ambulatory templates: Ambulatory KBM v.8.3.8. KBM v.8.3.7 • Adult Vital Signs to v.8.3.7 • Pediatric Over 2 Years Old Vital Signs • Pediatric Under 2 Years Old Vital Signs

NextGen® 53597 Alerts Incorrectly Display After Selecting “Add” A Pediatric Under 2 Years Vital Signs This issue has been fixed in NextGen Ambulatory Second Time From the Vital Signs Grid Ambulatory KBM v.8.3.8. KBM v.8.3.6 to v.8.3.7 NextGen® 53598 Respiratory and Pulse Alerts Incorrectly Overlap on Pediatric Under 2 Years Vital Signs This issue has been fixed in NextGen Ambulatory Pediatric Under 2 Years Vital Signs Template Ambulatory KBM v.8.3.8. KBM v.8.3.5 to v.8.3.7 NextGen® 53599 Alert For Out Of Range Blood Pressure Does Not Pediatric Under 2 Years Vital Signs This issue has been fixed in NextGen Ambulatory Display Ambulatory KBM v.8.3.8. KBM v.8.3.6 to v.8.3.7 NextGen® 53672 Regular Pulse Radio Button Incorrectly Displays on Adult Vital Signs Until this issue is fixed, users Ambulatory Adult Vital Signs Template should, when documenting an KBM v.8.3 to irregular pulse, select the v.8.3.7 “Irregular” text instead of the radio button.

This issue has been fixed in NextGen Ambulatory KBM v.8.3.8. NextGen® 55589 Irregular Pulse Alert Does Not Display This issue occurs on the following This issue will be hotfixed for clients Ambulatory templates: on NextGen Ambulatory KBM KBM v.8.3 to v.8.3.8. v.8.3.8 • Anticoagulation History • ASC - Anterior Laser - OPH • ASC Anesthesia - OPH • ASC Home - OPH • ASC Postop Nursing - OPH • ASC Preop Nursing - OPH • Asthma • BH - Nursing Note • BH - Nursing Note Short • BH - Psychopharm • Care Guidelines • CHM - Health Assessment • CHM - Home • CHM - Nurse Protocol • CHM Annual Nurse • Chm Intake • Chm Nurse Chronic Care • CHM Provider Set • Chm Tb Latent Subsequent • Chm tb latient initial • CHM Transfer Receiving • Chronic Conditions - Hpi • ENT-Postop Visit • Eyeasc Postoporders • Eyeasc Preanesthetic • Generic Disease Management • GYN - PE • HIV • Home Page • Home Page - Allergy • Home Page - Behavioral Health • Home Page - Cardiology • Home Page - Dermatology • Home Page - OPH • Home Page - PC • Hysteroscopy/ablation/sterilization -GYN • Intake • Intake - Allergy • Intake - Cardiology • Intake - Dermatology • Intake - Mohs Procedure • Intake - OPH • Master IM • Nsg Shunt Eval Exam • NUTRI ASSESSMENT • OB Postpartum Visit • Objective - Physical Therapy • Peds Over 3 yrs - PE • Peds School Camp • Peds Under 3 yrs - PE • Posterior Laser - OPH • Preceptor Note • Record Vital Signs • Retired Eyeasc Preanesthetic Tab2 • SOAP • SOAP - Allergy • Soap - Cardiology • SOAP - Dermatology • SOAP - Gastroenterology • Subjective - Physical Therapy • Surgery Schedule - OPH • Vital Signs - OPH

Status

Clients who are experiencing any of these issues can link their practice and be kept up to date on the status on the Client Support Center website (http://csc.nextgen.com). Just navigate to the Known/Fixes Issues tab, select the affected product from the navigation bar and filter by the Issue ID.

All NewsFlashes can be found in the NewsFlash Archive section under the Known/Fixed Issues tab on the Client Support Center website (http://csc.nextgen.com).

Clients who become aware of any potential critical issues should report them by following the process found here.