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Add a New Diagnosis
Add a New Diagnosis
You can add a diagnosis for today’s visit.
On the
Assessment and Plan
panel, to filter the patient's diagnoses, select one of the following options above the
Diagnosis
grid:
Orthopedic
Medical
Click
Add
under the
Diagnosis
grid to launch the
Common Assessment
template or click
ProblemIT
if using IMO.
Select a diagnosis or diagnoses to add to the patient’s diagnosis histories.
Click
Save & Close
.
NextGen® Orthopedic Suite Help 80.2.14.0
Add the Patient's Diagnoses
You can add a diagnosis to the grid in either of two ways. If you are licensed for Problem Intelligent Medical Objects (IMO) functionality, click the Problem IT button under the grid to launch IMO to add a diagnosis. To use the Inf Common Assessment template, click the Add button under the Diagnosis grid. Select Orthopedic to add an orthopedic-specific diagnosis or the Medical option for all other diagnoses. Click Add under the Diagnosis grid. The Inf Common Assessment template opens. If the template is blank or you want to use a different common assessment, click the Common Assessments field, select a page from the picklist and click OK. Headers and categories are in bold font Items with a plus sign open picklists or code options to choose from Anything with a Description and Code enters directly into the grid. Common Assessment picklist The Inf Common Assessment template displays the corresponding diagnoses. Select one or more diagnoses. The codes you selected appear in the Diagnosis
NextGen® Orthopedic Suite Help 80.2.14.0
Add a Diagnosis to Plan
The Diagnosis grid displays the patient’s diagnoses. You can add a diagnosis for today’s visit or use one from the Diagnosis grid. Filter the grid by selecting the Orthopedic or Medical option above the Diagnosis grid. Click Add under the grid to launch the Common Assessment template or click Problem IT if using IMO. Select a diagnosis to add to the patient’s history. Click Save & Close. Select a diagnosis from the Diagnosis grid to add it to today’s plan. The selected diagnosis moved to the Diagnosis field. Note: For the multi-fracture template, you can select the second and third diagnosis from the Diagnosis grid and the diagnosis are assigned to the Fracture 2 and Fracture 3 field respectively. Fracture Care Procedure Code Add Date of Injury, Initial Rx, and Global Date Submit the Fracture Care Code Parent topic: Assessment and Plan Panel - Single Fracture Parent topic: Assessment and Plan for Multiple Fracture Parent topic: Assessment and Plan (MDM) Panel Related concepts Diagnosis
NextGen® Orthopedic Suite Help 80.2.14.0
Add New Diagnoses from the Common Assessment Template
The Diagnosis grid displays the patient’s diagnoses. The grid defaults to Orthopedic to show Orthopedic-specific diagnoses. The Medical options displays other clinical diagnoses. Click Add under the grid to launch the Common Assessment template. Select a diagnosis to add to the patient’s history. Click Save & Close. Select Diagnoses for Today’s Visit Add Fracture Care Procedure Codes Parent topic: Assessment and Plan for Multiple Fracture Related concepts Diagnosis Details of Patients
NextGen® Orthopedic Suite Help 80.2.14.0
Add Today’s Diagnosis
To add a diagnosis for today’s visit, select the diagnosis in the Diagnosis grid. The diagnosis appears in a field under Today’s Diagnosis. Repeat step 1 for all diagnoses you want to list for today’s encounter. To associate one or more of the selected diagnoses with this plan, select the Dx for This Plan check box for all applicable listed diagnoses. Note: If a diagnosis is not listed in the Diagnosis grid, click Add to open the Common Assessments template or Problem IT to open the IMO template. Parent topic: Assessment and Plan for Non-Billable Post Op Visits Related concepts Diagnosis Details of Patients
NextGen® Orthopedic Suite Help 80.2.14.0
Add an Assessment
Click the Add - Remove button below the Today’s Diagnosis grid. The IORTS FV Add Assess template opens. IORTS FV Add Assess template Double-click the diagnosis in the patient’s Diagnosis grid to add it to the Today’s Diagnosis grid. Note: If a diagnosis is not in the Diagnosis grid, you can find and add it by using the Add button (or the Problem IT button if your practice is configured to use IMO). Click Close. The diagnosis is added to the Today’s Diagnosis grid. Parent topic: Assessments Parent topic: Submitting Charges to Finalize a Visit Parent topic: Diagnosis/Procedure Information Panel
NextGen® Orthopedic Suite Help 80.2.14.0
Assessment and Plan (MDM) Panel
The Assessment and Plan panel enables the provider to select the diagnosis for today’s plan, and enter today’s plan, next visit information, and verbal counseling. Assessment and Plan panel on the Non Billable Visit template The Diagnosis grid shows the patient’s diagnoses. The system defaults to the Orthopedic option to view Orthopedic-specific diagnoses. The Medical option displays other diagnoses. Add a Diagnosis to Plan Enter Plan Information Parent topic: Non-Billable Post-Op Visit Workflow
