Where does the diagnosis list come from?

QuickEMR 8 has a central diagnosis code database. This means that unlike past versions of the software, diagnosis codes may not be customized, added, nor deleted. This standardization improves performance, reduces bugs, and makes the system more stable and reliable for our users and their billing systems. The diagnosis code list is populated and maintained using the CMS ICD-10 CM master list and is update along with that list, usually on October 31st of each year. While older diagnosis codes may be viewed they may not be added to a note once retired or promoted by CMS.

How do I add or edit a diagnosis code?

Upon creating a case the Diagnosis Codes will be empty. Select the "Add/Edit Diagnosis" button (as shown in the screenshot below. 

If you do not see the Diagnosis Codes:

For case: select the "Case Info" tab on the left sidebar, then scroll down a little if you still do not see it.

For note: select the "General" tab on the left sidebar.

A modal window will open showing a list of diagnosis codes. The available diagnosis are on the left while the currently selected diagnosis are on the right. Enter some text into the "Code" or "Description" filters to narrow down the list. When you find the desired value select it on the left to make it populate on the right. If the wrong value is selected use the "Del" link to remove it from the selections. When finished select "Insert Selections" button at the bottom right of the modal. 

Automation Rule:

If the most recent note on a case has it's diagnosis codes changed, the diagnosis list on the case will also change to match them. No other notes will be affected. 

How do I populate Diagnosis Codes on a note?

QuickEMR has several automated rules that populate the note diagnosis list in order to reduce overall workload. Those rules are as follows:

1. Diagnosis codes will always populate from the most recent note on file for the given case (excluding deleted or cancellation notes). Nearly all notes will be populated in this way.
2. If no note exist for a given case or the most recent note does not have any diagnosis codes, the diagnosis codes will be copied from the case.
3. If the case does not have any diagnosis codes and a note from a template case is selected in the note create form, the diagnosis codes will copy from the template note.
4. If the case does not have any diagnosis codes and a template case is specified in the note create form, but a note is not selected from that template case, the diagnosis codes will copy from the template case.

Why are my diagnosis codes not updating?

1. The diagnosis codes on a case are mostly for quick-reference of the patients most recent diagnosis. They are rarely used for any of the automation rules. When in doubt the most recent note (excluding cancellations) will determine the diagnosis codes for newly created notes.
2. Changing the diagnosis codes on a note will not affect any other existing notes. If the note is the most recent for the case it will update the case diagnosis.
3. Changing the diagnosis on the case only will have no effect on existing notes, nor creating new notes.
4. Diagnosis will not copy from deleted notes. Diagnosis will not copy from cancellation notes.