Managing the qualifier list for assessment entries

When you record an assessment or diagnosis for a visit, you can select a qualifier for the assessment. A qualifier can include side-of-the-body, upper vs lower, etc. Any user with access to the SOAP form or consult letter form can modify options in the Qualifier list.

Steps

1.

Open the SOAP form or Consult Letter form. See Starting SOAP notes.

2.

In the ASSESSMENT field, search for and select a medical problem. The Qualifier field appears beside the ASSESSMENT field.

3.

Double-click the Qualifier field label. The qualifier Field List window opens.

4.

Perform one of the following actions:

To add a qualifier, in the bottom row, type the name.

To edit a qualifier name, click the line, and then modify the text as needed.

To delete a qualifier, click the location line, and then on your keyboard, press Delete.

5.

When you are done, click Close Form .