How is the diagnosis added to the chart?
You can enter a diagnosis on the chart at any time by clicking on the ADD DX button on the Physician Documentation screen. You will be directed to a list of potential diagnoses. Depending on which diagnosis is selected, you may be directed to a dialog box to provide additional information. More than one diagnosis can be entered. You can also enter a diagnosis on the Review and Print screen by clicking on the ADD DIAGNOSIS button. This will bring you to the same list and it will also allow you to enter a customized diagnosis. If you do add a customized diagnosis,it will not be automatically coded on the chart.
