How to add diagnosis and procedure in progress note chart

< 1 min read

Adding Diagnosis in the chart #

  • Go to EMR
  • From Summary, select the progress note you want to work on
  • In the chart, a menu on the right is displayed
  • From the menu, click on the ‘+’ sign with Diagnosis
  • A pop-up opens with a list of diagnoses that are in the system
    • You can also search for a diagnosis by writing the name on the search bar
  • Click ‘+Add
  • The diagnosis will be added in the chart
  • Additionally, you can add a diagnosis to favourites by clicking the star with the diagnosis

Adding procedure in the chart #

  • From the right menu, click on the ‘+’ sign with Procedure
  • A pop-up will open
  • Select the Diagnosis for which you are performing the procedure
  • Search for the procedure you want to add
  • Click on the ‘Add‘ button to add the procedure
  • Depending on the type of procedure you selected, you will be prompted to enter in the procedure details
    • The details might include: billing site, location of procedure, size, quantity, method, additional information etc.
  • Fill in the relevant details and click on the Save button
  • Procedure will be added in the chart

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