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  1. Nutrition & Diet Planning App
  2. Process
  3. Encounter documentation
Process · Encounter documentation

Encounter documentation

Move a visit from arrival to measured and attributed clinical evidence.

Step by step

  1. Encounter Clinical Coordinator

    The Clinical Coordinator schedules a patient with a clinician and marks arrival when the person presents.

    • Identify visit, patient, clinician and state
    • Updates Encounters, Patients, People
  2. Observation Licensed Clinician

    The Licensed Clinician records a metric, value, unit and observation time against the visit.

    • Attach measured value, unit and recorder
    • Updates Observations, Encounters
  3. Draft note Licensed Clinician

    The clinician writes an attributed note that explains findings and next actions.

    • Attribute clinical text to its author
    • Updates Clinical notes, Encounters
  4. Note signing Licensed Clinician

    The author reviews and signs the note when ready.

    • Record signed state and signature time
    • Updates Clinical notes
    ApprovalA person approves before the work moves on.
  5. Completion Clinical Coordinator

    The team marks the encounter completed when its required visit work is done.

    • Show that the visit work has ended
    • Updates Encounters
Clinical Coordinator
Manages the visit state; Licensed Clinician records and signs clinical evidence; Clinical Reviewer can read the care record.

Set up Nutrition & Diet Planning App your way.

Start free, then use Proto to change fields, steps and approvals before your team goes live.

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