You can either enter or search and select a diagnosis for a patient's procedure. You must select at least one diagnosis for the patient. To enter up to 12 diagnoses for a procedure, you must select Allow twelve diagnoses under the EHR tab in thePractice Preferences window in File Maintenance.
- Open NextGen® Enterprise EHR.
- Open Procedures window in Procedures modules.
- In Diagnosis field, enter a diagnosis.
If a diagnosis code does not exist in the patient's chart, a message appears confirming that add the diagnosis to the patient's chart.
- To add the diagnosis, select Yes.
- To continue adding the procedure without adding the diagnosis to the patient's chart, select No.
- To select a Diagnosis, select the ellipsis button.
- Select the preference icon
and select the columns to display.
The selected columns appear in the search window.
- In the search window, enter one of the following: Diagnosis Key, ICD Code, or description.
- Select Search.
Note: By default, the search window displays the patient's established diagnosis for selection. You can perform a search only if there is a pending diagnosis.
The search results appear.
- Select a diagnosis from the search results, and do one of the following:
- To exit the search window with the selected diagnosis code, select Select.
- To exit without saving your search results, select Cancel.
- Select the ellipse button corresponding to Admitting Diagnosis.
The
Admitting Diagnosis Selection window opens.
- Select the admitting diagnosis from the list and select OK.
The selected item gets added to Admitting Diagnosis.