How to add ICD 10 diagnosis and treatment plan in the patient encounter
This guide provides step-by-step instructions on how to add ICD-10 diagnosis and treatment plans in a patient encounter. It explains how to search for common diagnoses using the ICD-10 quick list, select specific diagnoses, search the full ICD-10 list, and add treatment plans including nutritional advice and additional care instructions.
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7 steps
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19 seconds
Ilarahealth
1
In the patient encounter navigate to "Diagnosis and Plan"
2
Utilize the ICD-10 quick list to search for common diagnosis. Just start typing the name or code and the system will return the diagnosis.
3
Select the specific diagnosis you would like to pick from the search result.
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For multiple diagnosis, simply repeat the process.
4
Use the full ICD-10 list to search from the whole list. Enter the code or type the name of the diagnosis and select it.
5
For treatment plan, open the "Treatment Plan" section
6
Add Nutritional advice
7
Add additional care instructions. This includes any nursing procedures done.