Convert free-text diagnoses and procedures (Host mode)

Path: Patient > General > Diagnoses

Preqrequisite: To convert free text, you need to have the appropriate privilege granted.

After synchronization from field mode, free-text diagnoses and procedures must be converted to the ICD-9, ICD-10, or both codes depending on the ICD-10 effective date and your agency's policy.

1. In the Patient component, select a patient.
2. Go to General > Diagnoses.
3. Click the Medical Diagnoses, Procedures, or Inpatient Diagnoses tab. Free-text diagnoses and procedures are shown in the Free Text section.
4. Click the ellipsis icon next to the free-text diagnosis or procedure. All free-text diagnoses or procedures are prefilled in the Select Diagnosis/Procedure Dialog.
5. Double-click a diagnosis or procedure to add it to the Search field. If no search results appear, try rephrasing the description.
6. After finding the corresponding diagnosis or procedure, double-click it to move it to the Selected section. Note: To delete a diagnosis or procedure from the Selected section, double-click it.
7. Click OK.
   1. The selected diagnoses are added in the corresponding sections.
8. Save your changes.

Important: If the diagnosis is identified as primary and the patient does not use diagnoses groups, make sure that this diagnosis is selected as primary in the Admissions & Status window. For patients with diagnoses groups, make sure that you set the sequence in a group because this cannot be done in field mode.

If you converted the diagnoses that were added earlier in the assessment, make sure that the assessment is refreshed. For details, see About inpatient diagnoses workflows and Reporting diagnoses in assessments.