Clear source context
Keep the conversation and draft together, so a reviewer can check what was actually discussed.
A clinical documentation workflow built around the conversation, source context and the clinician’s final review.
Start with the patient’s words and the encounter context.
Organize the encounter in the practice’s note format.
Keep review, edits and final approval with the care team.
BUILT AROUND REVIEW
Keep the conversation and draft together, so a reviewer can check what was actually discussed.
Mark information that was not captured rather than filling in examination findings or decisions.
The care team reviews the draft. EHR access and any final write require authorized integration.