1. In the patient record, select Diagnosis & Problems from the dark blue menu on the left.
2. Click the +Add button to the top left of the Diagnosis or Problem sections of the screen, as appropriate.
3. Type the name of the Diagnosis or Problem you wish to document into the yellow search field.
4. Click the magnifying glass button to the right of the search field.
5. In the Search window click once on the appropriate Diagnosis or Problem to select it.
6. You can add the selected Diagnosis or Problem to your Favourites using the Add to Favourites button.
7. Click OK.
8. Complete the Type, Confirmation, Classification and Comments fields as appropriate.
9. Click OK.

If you tick the “File to Past Medical History” button to the left of the OK button in step 8, the Problem will be added to the Patient Medical History and will be viewable in the Histories menu item or in the Histories component on the workflow.

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Updated: 23 August 2024