Including diagnosis in assessment
Answered

At the company I worked for prior to opening my private practice, we had an EHR that was cumbersome in many ways, but it had a few features that seem oddly lacking from Simple Practice. It would seem to me like when we have a 90791 - assessment, we should be able to put the diagnosis code right in the assessment, the same way we can add the diagnosis elsewhere in the chart, and that this diagnosis should automatically populate to the rest of their chart, rather than having to write the assessment and then enter it separately elsewhere. 

Also, i'd like better formatting in the assessment templates. In some notes we can select bold, underline, bullet points, etc. but that feature is missing from some templates such as assessments. Personally when writing eval's I copy & paste from a PDF of the DSM-5 and then edit the text to fit the client. I would like to be able to, for instance, have the DSM-5 text italicized, and the language specific to the client bold, all right next to one another.

What would be really great would be if the assessment feature in SP were advanced enough that we could select a diagnosis and then have a form pre-populate a checklist of diagnostic criteria. Then we check which boxes the client meets for that disorder, and then there would be space to elaborate. I could create a template for that but it would take me an insanely long amount of time to make it. However, since it's SP's full time job, why not make a template the rest of us can use that has that feature?

Also, the treatment planning template is a little weird to me... needs a section for suggested treatment modality (eg. family therapy)

2 comments

  • 0
    Comment actions Permalink
    Avatar
    Nicole “Nikki” Schwartz

    I would love that for treatment planning or other kind of note, especially the Dx code and the criteria. Good ideas!

    I would love that for treatment planning or other kind of note, especially the Dx code and the criteria. Good ideas!

  • 0
    Comment actions Permalink
    Avatar
    Ruth

    Hi Stephanie and Nicole, thank you for your feedback. Please add your feature request to our Ideas and Suggestions Board for future consideration: http://simplepractice.uservoice.com/ . For now, you can add your Assessment as a Progress Note Template in order to have it include the client's diagnoses. Thank you for these suggestions, we look forward to reviewing them and continuing the conversation in our Ideas and Suggestions Board! 

    Hi Stephanie and Nicole, thank you for your feedback. Please add your feature request to our Ideas and Suggestions Board for future consideration: http://simplepractice.uservoice.com/ . For now, you can add your Assessment as a Progress Note Template in order to have it include the client's diagnoses. Thank you for these suggestions, we look forward to reviewing them and continuing the conversation in our Ideas and Suggestions Board!