Code a Diagnosis

Before you begin

Procedure

  1. Locate and double-click the MedicalDirector Maintenance icon from your desktop. The MedicalDirector > Maintenance window appears.
  2. Select the Database Tasks > Clinical menu item.

  3. Double-click Diagnosis Coder. If this is the first time you have tried to run the Diagnosis Coder during this session of working in MedicalDirector Maintenance, select a Configuration, and enter your Username and Password.
  4. The Diagnosis Coder appears.

  5. Select an uncoded diagnosis entry from the list on the left side of the window.
  6. In the upper-right text box to the right of the window, begin to type a corresponding (or closest matching) diagnosis code. The lower-right window will begin to populate with DOCLE entries that match your text.
  7. Upon finding a match, select the matching coded diagnosis in the lower-right window.
    • Click Link to link the uncoded diagnosis to the coded diagnosis.
    • Click Correct to change the uncoded diagnosis to the coded diagnosis to fix a spelling mistake or a common typing error.
  8. Click OK to save the details.

Results