Copy of How to Enter a Diagnosis in Sunwave

This article is for staff/providers entering a patient diagnosis in a chart.

*Initial Setup is required for diagnosis. Diagnosis type must be labeled and defined through the list of values under Practice Setup in the left menu bar.

Open

In List of Values, select the EMR Module and entity Diagnosis Codes. Here you will define what Diagnoses you want to appear in a chart, ie, Psychiatric, Medical, Substance Abuse etc.

Open

Once the diagnosis is configured you are able to enter one in a patient chart.

 Instructions

There are two ways to enter a diagnosis in Sunwave, one is through the menu button in a chart and the other is by copying into the header from a form.

*You must have the permission in your user profile to add a diagnosis.

Adding a Diagnosis Through the Menu Button

• In a patient chart, go to the menu button in the top right hand corner and select the diagnosis type you wish to add.

• Click on Diagnosis and a pop up box will appear that allows you to enter diagnosis.

• You will select the plus sign and start typing the name or icd 10 code and your diagnosis list will prepopulate for you to choose from.

Adding a Diagnosis through a Form

• In a form with the ICD-10 component added you are able to both copy from the header (menu diagnosis) as well as copy up into the header.

• It is important to note that this feature must be added to a form from the realm you are diagnosing in. For instance if you copy an H and P from another realm. You will remove the component and then add it fresh from the realm you are adding to.

In the form with a section for Diagnosis, you can add the diagnosis

 Related articles