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Dream Factory by TruBridge Ideas Portal
Categories Health History
Created by Cristin Shehan
Created on Apr 25, 2025

Allow generic selection of medical condition in Health History

Nurses are generally tasked with documenting a patient's Health History. When adding 'problems' they're forced to pick from the ICD10 listing. Their understanding of the Health History is to get a general documentation for a provider's review - not to provide a diagnosis. It takes a while and ends up having a nurse randomly pick a dx which is often incorrect. For example, if a patient has Hypertension...there are dozens of codes and options and if there is a generic - it doesn't pull to the top. Need an easier way to enter these histories in without having to "be a coder."

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