You are able to add a diagnosis to an Encounter through the "Assessment and Plan" section. In this section, click on the link that reads "Add Diagnosis". A box will then appear that will allow you to search for the diagnosis that you require. The ICD-9 code associated with the diagnosis will also be displayed. Note: by default, the system will display the past 5 diagnoses associated with this patient from past signed encounters.
Adding a Diagnosis to an Encounter
How to add a diagnosis to an Encounter
Written by Ingrid Spence