When recording a Reason for Prescription, a Reason for Contact or a Procedure in Clinical, you are given the opportunity to either select text entries from the DOCLE coding system, or free-type your own entries as seen in the following image.

If you choose to use free-text rather than the supplied DOCLE text entries when recording a diagnosis, those entries may be overlooked when conducting searches or during drug interaction checking.

In order to account for this, the Diagnosis Coder was developed to provide a means by which free-text entries could be associated with supplied DOCLE text entries.

Using the Diagnosis Coder

Locate and double-click the MedicalDirector Maintenance icon from your desktop. The MedicalDirector Maintenance window appears.

Select the Database Tasks > Clinical menu item.

Double-click

If this is the first time you have tried to run the Diagnosis Coder during this session of working in MedicalDirector Maintenance, you will be prompted to select a Configuration, and enter your Username and Password.

The Diagnosis Coder appears.

Select an uncoded diagnosis entry from the list on the left side of the window.

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.

Upon finding a match, select the matching coded diagnosis in the lower-right window.

Click to link the uncoded diagnosis to the coded diagnosis.

Click to change the uncoded diagnosis to the coded diagnosis to fix a spelling mistake or a common typing error.

Click OK to save the details.