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Clinical care

Update a symptom or diagnosis

This flow describes how to change a symptom or a diagnosis that you already recorded. MANSOQ stores each of them as a condition. Use this flow when the patient improves, or when a provisional finding becomes confirmed. Pre-requisites - You or a…

3.1 · versioned documentation · 3 min read

Overview

This flow describes how to change a symptom or a diagnosis that you already recorded. MANSOQ stores each of them as a condition. Use this flow when the patient improves, or when a provisional finding becomes confirmed.

Pre-requisites

Permissions

Permission Access
Can view clinical data about patients View the symptoms and the diagnoses of the patient
Can Read encounter related clinical data View the symptoms and the diagnoses of the encounter
Update Encounter related clinical data Change a recorded symptom or diagnosis

Steps

1. Open the symptom screen or the diagnosis screen

Go to the Overview tab of the encounter.

For a symptom, select the edit (pencil) icon in the Symptoms section. You can also press the keyboard shortcut s.

For a diagnosis, select the edit (pencil) icon in the Diagnoses section. You can also press the keyboard shortcut d.

The records of the encounter show in a list. Each record shows in its own row.

2. Change the values

Change the values that you need. You can change these fields on a saved record:

Component What it captures
Status Active, Recurrence, Relapse, Inactive, Remission, or Resolved.
Verification Unconfirmed, Provisional, Differential, Confirmed, or Refuted.
Severity Mild, Moderate, or Severe.
Note Free text about the record.

Note: The Verification value Entered in Error shows only if the record already has that value. To retract a record, see Mark a symptom or diagnosis as entered in error.

Note: For a diagnosis you can leave the Severity field empty. The field then shows "Choose severity".

To add a note, open the more-options (⋮) menu of the row. Select Add notes. Select Show notes to open the note text. Select Hide notes to close the note text.

3. Know the fields that you cannot change

You cannot change the Onset Date of a saved record. The field is unavailable after the first submission.

You cannot change the clinical term of a saved record. To correct a wrong term, mark the record as entered in error. Then record the correct term.

4. Submit the changes

Select Submit.

Expected Outcome

Related

Concepts:

Flows:

Source evidence

References are pinned to the private MANSOQ source repository. Repository access is required to open these links.