Diagnoses

Jennifer Eggerton

Jul 27, 2026

466

Purpose	Add, review, and maintain current and past client diagnosis records using ICD-10 codes.
Who should do this	CAREWare users who are authorized to enter or review client clinical information.
Use this guide when you need to	Add a diagnosis, update diagnosis details, or review active diagnoses for a client.
Main warning	Select the correct diagnosis status. Only records marked Active appear in the Active Diagnoses list.

Quick path
Client record > Diagnoses > All Diagnoses > Add

Before you begin

Open the correct client record.
Confirm that ICD-10 diagnosis codes have been activated under Clinical Setup.
Confirm that your user account has permission to add or update diagnosis records.

Add a diagnosis to a client record

Step 1. Click Diagnoses in the client record menu.

Step 2. Click All Diagnoses.

Step 3. Click Add.

All Diagnoses buttons

Item	When to use it
View	Use when reviewing diagnosis details.
Add	Use when adding a diagnosis for the client.
Delete	Use only when a record should be removed.
Back	Use when leaving the All Diagnoses list.
Print or Export	Use when a printed or exported list is needed.
Column Visibility	Use to customize the diagnosis list display.

Step 4. Enter the date of the diagnosis.

Step 5. Search in the ICD10 Code/Description box. Search by the diagnosis name or by the ICD-10 code.

Step 6. Complete Diagnosis Details, Assessment (Definitive, Presumptive, or Unknown), Status (Active, Inactive, or Resolved), Date Resolved, and Comment.

Step 8. Click Save.

Review active diagnoses for a client

The All Diagnoses list includes active, inactive, and resolved diagnoses. The Active Diagnoses list shows only diagnoses with an Active status.

From All Diagnoses, click Active Diagnoses.

Active Diagnoses buttons

Item	What it does	When to use it
View	Opens the selected diagnosis record.	Use when reviewing diagnosis details.
Back	Returns to the Client Diagnoses menu.	Use when leaving the Active Diagnoses list.
Print or Export	Prints or exports the active diagnosis list.	Use when a printed or exported list is needed.
Column Visibility	Changes which columns appear in the list.	Use to customize the active diagnosis display.

Troubleshooting and common questions

Why does a diagnosis not appear in Active Diagnoses?

Confirm that the diagnosis Status is set to Active. Inactive and Resolved records remain available under All Diagnoses.

How can I find a diagnosis code?

Search the ICD10 Code/Description box by diagnosis name or ICD-10 code, then select the correct result.

Related References

Item	What it does	When to use it
Clinical Setup	Activate and maintain ICD-10 diagnosis codes.	Use when a needed diagnosis code is unavailable.

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