A diagnosis anchors the patient’s clinical journey. Record what condition was identified, treatments planned, and how the patient is progressing.
Step 1 — Open a patient record
Navigate to Diagnostics in the sidebar, then click Patients. Find and click the patient you wish to diagnose.
Step 2 — Create a new diagnosis
On the patient’s workspace, click Add Diagnosis. A form opens where you enter:
- Condition: The ICD code and description (e.g., Essential hypertension).
- Assessment date: When the diagnosis was made.
- Notes: Clinical findings and reasoning.
Step 3 — Save and view recommendations
Click Save. The system automatically generates recommended treatments based on clinical guidelines. Review and adjust as needed.
Step 4 — Manage diagnoses over time
From the patient’s Diagnoses tab, see all active and resolved diagnoses. Click any diagnosis to:
- View the full assessment and recommendations.
- Link prescriptions and treatment plans.
- Mark resolved when the patient has recovered.