The ‘Diagnoses’ section of Shepherd’s Admin contains all of the diagnoses that can populate within the ‘Assessment’ section of a patient’s SOAP. These are all from the AAHA database and have their own SNOMED CT Concept ID.
To get to the ‘Diagnoses’ section of Admin:
Select ‘Admin’
Select ‘Diagnoses.’
When you’re in the diagnoses section, you’re able to do a few things:
Search for a diagnoses
Sort diagnoses
View diagnoses
Edit diagnoses
Search for Diagnoses
To search for a diagnosis, type its name into the search bar at the top left of the screen. The list below will automatically filter to results that have the text you’ve typed in.
Searching broad terms is a great way to see all the specific diagnoses that are available for similar symptoms.
Sort Diagnoses
The diagnoses list will automatically be sorted A to Z. If you want to change the sort order to Z to A, select the arrows to the right of ‘Diagnosis.’
View a Diagnosis
To see specifics about a diagnosis, select the ‘view’ icon (looks like an eye) on the right side of the screen under ‘Actions.’
Viewing a diagnosis allows you to see its:
Preferred Description
Acceptable Descriptions
SNOWMED CT Concept ID
Subset (AAHA, AAEP, SAS)
Status
Discharge Instructions
Editing a Diagnosis
There are a few ways to edit a diagnosis.
Select the diagnosis in the ‘Diagnoses’ section of Admin
View a diagnosis (see above) and Select the ‘Edit’ button at the bottom
Regardless of how you get into editing a diagnosis, you’ll be able to:
Activate/deactivate it
Add discharge instructions
Activating or Deactivating a Diagnosis
If you’re finding that there are similar diagnoses in the database(s) you’re using, you can deactivate any diagnoses that you feel are the same as another diagnosis. Whittling down the number of diagnoses and reducing diagnosis redundancy is a great way to ensure consistent care across all patients, as well as minimize the amount of confusion on medical records and in discharge instructions.
To activate or deactivate a diagnosis:
Toggle the ‘Active’ switch to the right (activated) or the left (inactivated).
Select the ‘Save’ button.
Adding Discharge Instructions to a Diagnosis
Adding auto-populating discharge instructions to a diagnosis is a huge time saver. After the discharge instructions have been saved, they’ll populate whenever the diagnosis is added to the patient’s medical record.
To add custom discharge instructions to a diagnosis:
Select into the freeform text field and
Add/edit the discharge instructions to your liking.
Select the ‘Save’ button
The discharge instruction box is a fully formattable text field, so you can edit everything from font size to color. You can even add pictures.
To add attachments to the discharge instructions:
Select 'Browse Files' under the Discharge Instruction Files section.
Upload the pdf file
Select the Save button
Note: pdf files are the only supported file type to be uploaded into Discharge Instructions.
Remember that these discharge instructions are meant to be generic instructions that can apply to any patient with this diagnosis. You’ll be able to edit them on an individual basis within the patient’s SOAP.
Adding Additional Diagnosis Subsets
While Shepherd’s standard diagnosis database is AAHA, there’s also the option to add in diagnoses from the AAEP (American Association of Equine Practitioners) and the SAS (Small Animal Specialty) databases, as well.
To activate additional Diagnosis Databases:
Select ‘Admin’
Select ‘Clinic Settings’
Select ‘Edit Clinic Settings’
In the bottom right corner in the ‘Diagnoses Settings’ box, select the toggles to activate them
Select the ‘Save’ button at the bottom
