Point-of-Care Module > Point-of-Care Encounter Window
You can add a diagnosis for a patient by using the Show Category or Search features, or directly from the Diagnosis tab.
Adding a Diagnosis by CategoryAdding a Diagnosis by Category
To add a diagnosis for a patient by a category:
Show Categories Button
On the Diagnosis tab, tap the Show Categories button. The Diagnosis Categories Description box is displayed.
Select the diagnosis from the Diagnosis Categories Description list. A list of diagnosis codes is displayed.
Select the appropriate Diagnosis Code checkbox. You can select more than one at a time.
You are not required to select a category from the Diagnosis Categories Description box prior to selecting a code. If you prefer, you can select a Diagnosis Code from the original list displayed on the Diagnosis tab.
Next Page Button
Tap the Next Page button displayed next to the diagnosis. The next tab is automatically displayed.
If you need to enter additional diagnosis codes or you forgot to enter a code, tap on the tab for which you need to add codes and make your selection. You are able to add or edit information until you tap Finish.
Adding a Diagnosis Code from a SearchAdding a Diagnosis Code from a Search
Use the Search feature when adding diagnosis codes that are not found on the ticket.
To use the Search feature to add a diagnosis code:
On the Diagnosis tab, tap Search. The Search Results window is displayed.
Do one of the following:
Use the Version field to select the ICD code set to search.
In the Code field, enter the code number and tap Find.
In the Desc field, enter the code description and tap Find.
Tap All.
The Search Results section displays the diagnosis code.
After the appropriate code is found, tap Add. The code is added to the Selected Items section.
Tap Next Page. The Pre-Treatments tab is displayed.
Adding a Diagnosis Code from the Diagnosis TabAdding a Diagnosis Code from the Diagnosis Tab
To add a diagnosis from the Diagnosis tab:
On the Diagnosis tab, select the appropriate Diagnosis Code checkboxes. You can select more than one at a time.
Tap Next Page. The Pre-Treatments tab is displayed.
If you do not need to enter information on a particular tab, you can skip it and select the tab for which you need to enter information.