Diagnosis Codes should NOT update
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Valerie Peppers
When you change the diagnosis code for a client mid treatment, this should NOT be updated on previously created/old notes.
An original diagnosis should remain on the old notes, because that was what the individual was dealing with at that time. By updating the old notes automatically in the system, you are changing their medical/psychological diagnosis, which is obviously a problem.
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Tina Koro (IntakeQ)
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Tina Koro (IntakeQ)
We’d love your feedback!
We’re working on a new feature: Diagnosis Archiving. Here’s how it will work:
When a diagnosis is archived, it will no longer be selectable in new Chart Notes, but it will remain visible in:
-Prior Chart Notes (for historical accuracy)
-The Patient Diagnosis tab (with a visual indicator showing it’s archived)
We’d appreciate your input on the following:
If you use the "Current Diagnosis" question on Chart Notes, would you prefer:
A) Archived diagnoses are automatically excluded from populating on new notes
B) Archived diagnoses still populate on new notes
When archiving a diagnosis, would it be helpful to see a list of all patients who currently have that diagnosis listed on their Patient Diagnosis tab?
Additionally, we’re working on disallowing edits to diagnosis codes to ensure historical notes remain accurate. Instead:
-You’ll be able to archive the old diagnosis
-And create a new one with the updated description or code
Do you see any concerns or edge cases with this approach?
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Tina Koro (IntakeQ)
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Amy Zipp
Tina Koro (IntakeQ) I am not clear how this will impact multiple licensed provider practices seeing the same human for diffrent tissues but potentially the same diagnosis. Meaning, if we have someone with MS seeing PT and OT at the same time, then what's this going to look like...The better thing that would bring you all larger prartices #s and more variety of marketing is to address the inability to have multiple cases (open or closed) on the same person. It goes beyond diagnosis...having the ability to have 1 human with "tabs" for various cases would allow various practitioners at the same organization to see someone with different diagnoses, Pinned Notes, Goals, Insurance, etc. We have various licenses which then have to deal with the diagnosis code stuff above but it goes way beyond that because if we get asked for notes on someone that had a concussion post-MVA but also was seen for fitness or a post-partum issue by a different provider...it's a nightmare to pull up the notes and and export is even worse. Last week we had someone who'd been seen for vertigo by PT, fitness by PT and then shoulder by OT and we needed to justify to insurance the requested MRI by the doc and getting through all the stuff was a timeline nightmare. Until cases get to being a part of what is being done, it seems like archiving might just create more chaos in the single chart area /person.
Tyson Edwards
We don't automatically update Dx codes. If this happened to you, can you tell me what happened?
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Valerie Peppers
Tyson Edwards
I believe this has been fixed since your system now includes a timeline for diagnoses to be valid.
Previously what happened :
- Clinician updated the diagnosis code for the client, as their diagnosis had changed.
- All past appointment notes now showed the new diagnosis instead of maintaining the old diagnosis. These notes were locked and should not have been automatically updated.
Laurie Schlosser
I don't think it currently does. The process is to put an end date on the old DX and then add the new one. That way the previous notes all keep the previous DX and new documentation gets the new one.