Adding diagnosis

To add a diagnosis, click Add Diagnosis from the main diagnosis tab.

This will open the add new diagnosis screen.

You should first choose the Type of diagnosis, from a choice of Primary, Related, Unrelated, or Provisional.

You can only add one Primary Diagnosis, so once this has been added, you will not be able to select Primary again.

Next, find the relevant diagnosis by either using the search box or browsing the hierarchy.

Searching for a Diagnosis

Depending on your organisation’s configuration of Care Partner this is where you can search different coding classification systems for specific diagnosis codes. In the example below, you can search by code in ICD-10 , by diagnosis term, or by scrolling through the diagnosis tree. Once you begin to type a diagnosis, any possible matches will appear highlighted in the panel below.

To add the diagnosis you have searched for, click the row and it will turn purple showing that it has been selected.

Searching for ICD-10 codes

If you want to search for a diagnosis using ICD-10 codes, as you begin to type the code, any possible matches will appear highlighted in the panel below.

The results will filter as you type. Click the relevant diagnosis and it will turn purple to indicate that it has been selected.

If you know where a diagnosis sits within the hierarchy, you can browse for it by clicking on each level until you reach the bottom level (the darker shade of purple indicates the bottom level).

Once you have selected the required diagnosis, type in the date or select the date the diagnosis was given to the Service User.

Associated Involvement

Open involvements can be associated to a diagnosis. This allows users to identify the involvements that are relevant to the diagnoses and which diagnoses are relevant to particular involvements.

Use the dropdown to select one or more open involvements to associate.

Associated Activity

Closed activities can be associated to a diagnosis. This allows users to associate information to support a diagnosis, e.g. Consultant letters, etc.

When you are adding a diagnosis to the service user’s record, click Associate Activity.

This will open the activities list in a pop-up box. You can filter the activities as necessary to find the applicable one.

Select the activity you need to use as evidence of the diagnosis and click the USE button.

You can also click on the form/activity name, shown in blue. This will open a new browser tab with the activity for you to check the details and the uploaded attachment.

Close the tab when you are ready and continue to Associate Activity as necessary.

If you’ve selected the wrong Activity, you can click the Remove button and add another one.

Click Save Changes.

If a diagnosis has been associated to an Activity, this will be displayed within the Activity navigation bar.

Service User Details

At the bottom of the Add new diagnosis screen, select Yes/No for the question Is the Service User aware of the Diagnosis? and fill in the text box for the Service User’s view of the Diagnosis, if necessary.

Click Add Diagnosis at the bottom of the screen to add the Diagnosis to the Service User’s record.

The chosen Diagnosis is created, and the main diagnosis screen will display with the diagnosis added.

When a diagnosis has an associated activity, there will be an icon next to the diagnosis name on the summary screen and on the diagnosis screen to indicate that there is an association.

Once Diagnoses are added to a service user record, they will also be displayed on the service user’s summary screen.