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How to Enter Anatomy Diagnosis Details in EMR

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How to Enter Anatomy Diagnosis Details in EMR

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Once the chart is signed off, the following label will appear.

Steps to Enter Diagnosis and Anatomy Details

Step 1: Log In and Access Patient Profile

  • Log in to your EHR dashboard.

  • Click on Patient, select the specific patient, then go to Consult and click View.

Step 2: Open Diagnosis Information

  • Navigate to the Diagnosis Info section.

Step 3: Select Anatomy

  • Click on Anatomy, then choose either the Male Body or Female Body based on the patient’s gender.

  • You’ll see four anatomical views: Front, Back, Left, and Right.

Step 4: Document Details for Each View

  • Start with Front and select the area where you wish to document a diagnosis.

  • Enter a brief description of the issue.

  • Click Save to store the information.

Step 5: Repeat for Other Views

  • Repeat the process for Back, Left, and Right profiles if needed, adding specific notes for each anatomical perspective.


 

This method ensures a clear, visual representation of the diagnosis on specific body areas, enhancing detail and accuracy in patient records.

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