• Problem-based notes (beta) allows users to organize the Assessment section by problem. 
  • Each problem can be assigned an ICD-10 diagnosis code. 
  • When the note is pushed to the Athena EMR, each problem and its ICD-10 code are input together into Athena’s Assessment section.

Getting Started

  • On iOS, make sure you are on version 1.1.0 or later.
  • On Android, make sure you're on version 1.0.6 or later. 
  • You will see a + New Problem link in the Assessment section of your note when you have problem-based notes enabled in your profile.
  • Reach out to Customer Success if you still need assistance. 

Adding Problems

  • To add a problem, say: Suki, the first problem is <problem name>
  • Phrases that work best to add problems are:

       Suki, the first problem is...

       Suki, the next problem is...

  • Tips for adding problems:
  1. Remember to say Suki first
  2. After you say the problem name, pause and wait for a new section associated with the problem to appear

Editing and Deleting Problems

  • If Suki made an error transcribing the problem name, you can fix it by tapping on the problem name and using the keyboard to edit.

  • To delete a problem, tap on the section as if you were starting dictation, and then tap the x in the upper right corner.

Looking Up, Changing, and Confirming Codes

  • When your problem name is very specific, Suki will find a matching ICD-10 code and add it automatically
  • Often Suki will not find an automatic match. In that case, an Add Code button will appear after you finish dictating in the section. 
  • You can wait until you’re done with the note and assign all the codes at the end.
  • When you finish the note by saying or tapping “I’m Done,” a Confirm Codes window will appear. 
  • Tap on a problem to look up and assign a code, or to change a code that's already been assigned.
  • You do not have to assign ICD-10 codes to all problems if you prefer not to. Suki will still allow you to finalize the note with unassigned codes.
  • You can also add codes while you're editing the note. Tap the Add Code button to look up ICD-10 codes.
  • To change a code that has already been assigned, tap on the code
  • Options to “change code” or “remove code” will appear
  • Suki’s ICD-10 look-up feature, and any codes Suki can match based on the doctor’s specific problem names, are not a substitute for the doctor’s clinical judgement. Suki may present pre-existing diagnoses from available patient records as the top results in the ICD-10 look-up. However, doctors are responsible for entering the best code in each case and confirming its accuracy.

Sending the Note to Athena

  • When the note is input into Athena, Suki will also send the ICD-10 codes.
  • Text under each problem header will be input into the field associated with the diagnosis code in Athena.

  • If you or your clinic staff adds diagnoses to the Assessment section in Athena, Suki ingests these diagnoses and presents them as the top results in the ICD-10 look-up.
  • Text will be input into the fields associated with these existing diagnoses when Suki sends the note to Athena.
  • In a future release, these pre-existing diagnoses will appear as more prominent options when you add problems to the note.

Future Releases

  • When you tap the + New Problem link or say “Suki add a problem,” the blank problem name field will be editable by voice. Currently users are only able to type in a blank problem name field. Users can add problems by voice in the beta release by speaking a full sentence such as "Suki the next problem is diabetes."
  • Suki will present options within the note itself for the next problem the doctor might want to add. These options will be drawn from the diagnoses in the patient's current encounter, and the patient's problem list. In the beta release, the patient's existing diagnoses are incorporated only in the ICD-10 look-up not in the note itself.
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