What procedure should be followed to enter a free text diagnosis in referral processing?

The preferred procedure for entering a free text diagnosis in referral processing involves utilizing the Diagnosis form specifically designed for this purpose. This method ensures that the diagnosis is accurately documented in the electronic health record system, adhering to the protocols established for referral processing. By entering the diagnosis in the designated Free Text Diagnosis section of the form, healthcare providers can maintain a comprehensive and organized record for future reference, ensuring that all pertinent information is readily available to those involved in the patient's care.

Using the dedicated Diagnosis form not only helps in keeping the records compliant and precise, but it also facilitates easier retrieval of information for subsequent reviews, audits, and care decisions. This method enhances the overall efficiency of the referral process and supports patient safety, as it reduces the risk of miscommunication or errors that can occur with alternative methods.