Both fields for diagnoses on discharge are required, while only the primary diagnosis is required on admission. If there is no associated diagnosis on discharge, you must look up "None" to satisfy the requirement.
Type at least the first three (3) letters of the diagnosis. For more than one associated diagnosis, you can type criteria for each, separated by commas. You can record only a single principal diagnosis.
Press ENTER or click Search. Diagnoses matching your criteria are listed on the right.
For associated diagnoses, multiple search parameters will generate multiple sets of results, one for each parameter. Select from one set of results (which may be None of the following) to be presented with the next.
To highlight a diagnosis for selection, click its line or press the down/up arrows. Highlight Take as typed to enter the diagnosis as you typed it. To highlight more than one item, hold down the CRTL key while clicking.
To search using different criteria, click None of the Following, then repeat the previous steps.
Click Add (ALT+A) or press ENTER to select the highlighted diagnoses.
Repeat the process until all diagnoses applicable to this visit are listed.
Click OK (ALT+O).