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Episode Diagnosis

In VetView 5.0, the Diagnosis record group remains its own “smart object” in the medical record. However, it has become more tightly integrated with Documents and Problems, so that a Diagnosis can also be added as a Problem and SOAPed, or a Diagnosis can be added directly through a Document as appropriate.

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Diagnosis in VetView 5.0 can be approved in the same manner as Documents. Click on the check mark on the Diagnosis row to approve individual diagnosis, or you can approve them all at once at the same time as Document approval.

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Diagnosis in the Document Approval Window

In VetView 5.0 the Diagnosis approval is identical to the Document/Request

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TBDapprovals and they are handled in the same window.

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Request Diagnosis

Diagnosis can be submitted by clinicians outside of the attending unit. These Diagnosis appear in the Diagnosis group and can be reviewed by the attending clinical team and either promoted to an Episode diagnosis, or left as a Request diagnosis.

This gives the clinical team the opportunity to choose what diagnosis to promote to the Master Problem List for the patient.

Review Request Diagnosis

The Request Diagnosis appear in the main Diagnosis section. The attending clinical staff can review them and choose to add the Request Diagnosis as an Episode Diagnosis, or Delete the diagnosis instead.

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Accept Request Diagnosis

If you choose to accept the diagnosis as an Episode Diagnosis, you will have all the options for any other episode Diagnosis, including the chance to Add to MPL and indicate it is a Primary diagnosis.

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Print Diagnosis

If you print the Diagnosis, only Episode Diagnosis will appear. Request Diagnosis that were not approved by the clinical staff will not appear on the printed report.

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