How to add a diagnosis to a client's health record/chart?

How to add a diagnosis to a client's health record:

When you have a client’s health record/chart open it shows 4 tabs across the top: Personal Information, Involved Clinicians, Diagnoses and Client’s Chart. 

wP8FBxWgDVugQAAAABJRU5ErkJggg==

 

Click on the third tab: Diagnosis

 

B5lNJlfo6x3gAAAAAElFTkSuQmCC

The client may already have some diagnoses recorded from previous visits or other clinicians.  At the bottom is a button to Add Diagnosis. Click on it.

A Diagnosis #new form will pop-up.

Fill in the Client, Doctor/Clinician and the Diagnosis in ICD-10 format or as Plain text.  Hit Ok to save or Close if you are not saving the diagnosis.

 

 

Article Details

Article ID:
31
Rating :