Title: How to Add and Manage Diagnosis Information in Embark EMR

Introduction: Accurate recording and management of diagnosis information are critical in providing quality care and appropriate treatment for clients. Embark EMR simplifies this process by allowing healthcare providers to efficiently add and manage diagnosis details directly within a client’s profile. This guide will walk you through the steps to add and update diagnosis information under the “Treatment Information” tab in Embark EMR.

Accessing the Treatment Information Tab:

1. Navigate to the Client’s Profile:
   • Open the client’s profile with whom you wish to update or add diagnosis information.
2. Open the Treatment Information Tab:
   • Within the client’s profile, locate and click on the “Treatment Information” tab. This section houses all medical and treatment-related records.

Adding a New Discipline:

1. Initiate Adding a Discipline:
   • Click the “Add New Discipline” button located in the top right corner of the Treatment Information tab.
   • Enter the name of the discipline you wish to add (e.g., Psychology, Physical Therapy) and confirm by clicking “Add”.
2. Access the Newly Added Discipline:
   • Once a discipline is added, a new section specific to that discipline will appear on the screen.

Managing Discipline and Adding Diagnosis:

1. Edit Discipline Information:
   • Click the three vertical dots located at the top right corner of the discipline detail box.
   • Select “Edit” from the dropdown menu to open the modal for managing the discipline information.
2. Add Diagnosis Information:
   • Within the discipline modal, locate and click the “Add Diagnosis” button.
   • A new input field will appear where you can enter the diagnosis code and the diagnosis name.
   • After entering the required information, click “Add” to save the diagnosis to the client’s profile.

Finalizing and Reviewing Diagnosis Information:

• Once added, the diagnosis information will be listed under the specific discipline within the Treatment Information tab.
• Review the added details to ensure accuracy and completeness.

Conclusion: Adding and managing diagnosis information in Embark EMR is designed to be a straightforward process, helping healthcare providers maintain accurate and accessible medical records for each client. By following these steps, you can ensure that all relevant diagnosis information is correctly captured and easily retrievable, supporting effective treatment planning and ongoing care management.

Tips for Best Practice:

• Regularly review and update diagnosis information as new assessments are conducted or when existing conditions evolve.
• Ensure that all entered diagnosis codes are current and align with the latest medical coding standards to avoid any discrepancies in treatment records and billing.

By keeping these guidelines in mind, healthcare providers can maximize the functionalities of Embark EMR to enhance the accuracy and efficiency of client treatment documentation.