Clinical Classifications Tagging
In this tutorial, you will learn how to activate the Clinical Classification tagging field. This classification setting refers to the physical exam findings by body system (i.e.: Physical injury, Neurologic disease, …)
See the glossary of definitions of all the clinical classification terms.
Watch a Video Tutorial
Displaying Clinical Classification Tags
Note: Users with Admin or Super Admin status are able to access the Classification Tagging in Settings.
Because of the automatic tagging, the Classification Fields are hidden by default. If you want to manually use the Classification Fields (which includes Circumstances Of Admission, Clinical Classifications, and Categorization of Clinical Signs), there is a setting under General WRMD Settings you need to activate in order to show these tagging fields.
Step 1
To access your account settings, click on the arrow next to your name in the top right corner and choose settings from the drop-down menu.
Step 2
On the left sidebar under the WRMD panel, click on the Classification Tagging link.
Step 3
In the new panel, click Yes under the Show Classification Fields. Enabling this tagging feature will allow you to tag Circumstances of Admission directly on the patient record.
Using Clinical Classification Tags
Once you have enabled the visibility of the tagging feature, you will be able to tag the patient’s Clinical Classifications directly into their record.
Step 1
On the patient record, click on the Continued Care tab. Then, scroll down to the Diagnosis Panel on the patient’s record. Under Clinical Classification, click the Add Tag directly in the textbox.
Step 2
Choose the appropriate tag from the drop down menu. You may add multiple tags by continuing to click on terms relevant to the situation. Once you have clicked on the terms, they will appear in the textbox.
Step 3
Once you have your tags listed, you can click on the downward arrow to expose a new menu option. Click on whether the condition is confirmed or suspected. Confirmed tags will appear blue. Suspected tags will appear yellow.
Step 4
To permanently delete the tag from your patient’s list, click on the red Delete button in the drop down menu.
Step 5
To ensure your information is saved, click on the green Update Patient button.
Customizing Terms for Clinical Classification Tags
The terminology in this list is pre-populated with terms from the Clinical Wildlife Health Initiative (modified and added to minimally). You may use the terms in the classification tagging fields as-is or add custom terms for specific classifications that your hospital encounters.
Step 1
Access your account settings by clicking on the arrow next to your name in the top right corner and choosing settings from the drop-down menu.
Step 2
On the left sidebar under the WRMD panel, click on the Classification Tagging link.
Step 3
You will be taken to the Classification Tagging page. You will see a description of the Classification Tagging system. You will also see a warning about the consequences of editing or deleting any customized terms you created. While we welcome and encourage customization, please heed the warning.
You will also see a list of all the tags for each of the three classifications.
If you edit a custom term, all saved terms for your patients with that term will update from the old term value to the new term value. If you delete a custom term, all saved terms for your patients with that term will be permanently deleted as well. This CAN NOT be undone. If you need to move an existing custom term to a different location in the terminology hierarchy then please ask us for help.
Step 4
Click on the Clinical Classifications Tab. Since your custom term must be assigned to an existing root or leaf node of the terminology hierarchy, locate the root term. You can subcategories to your term as well in the same manner as explained below.
a. For example, let’s assume you want to specify a window strike physical injury. To add this to the classification, find the root setting (in this case, physical injury).
b. Under Physical Injury, click the green Add child term button.
c. Add your customized term in the new box that appears. Click return on your keyboard to confirm it.
Step 4
To edit or remove your custom term, click the edit or remove button. But be careful!! Remember, that by editing or removing terms all saved terms for your patients with that term will update from the old term value to the new term value. If you delete a custom term, all saved terms for your patients with that term will be permanently deleted as well. This CANNOT be undone. If you need to move an existing custom term to a different location in the terminology hierarchy then, please ask us for help.
Step 5
When you have finished customizing terms, click the green Update Classification Settings button.
