Encounter to signed note

Step by step

1. Begin encounter Monitoring Clinician

   Monitoring Clinician confirms arrival and records the actual start of care.

   • Arrived → in progress
   • Updates Encounters

2. Record observations Monitoring Clinician

   Each measurement stays with the encounter and its recorder.

   • Measurement linked to visit
   • Updates Observations, Encounters

3. Draft note Monitoring Clinician

   The clinician writes an attributed clinical note for the visit.

   • Draft note attributed
   • Updates Clinical notes, Encounters

4. Review documentation Clinical Reviewer

   Clinical Reviewer checks the note against the encounter and open tasks.

   • Note and work checked
   • Updates Clinical notes, Care tasks
   ApprovalA person approves before the work moves on.

5. Sign note Monitoring Clinician

   The author attests to the note and records its signed time.

   • Draft → Signed with signed time
   • Updates Clinical notes, People
   ApprovalA person approves before the work moves on.

6. Complete encounter Monitoring Clinician

   The clinician resolves outstanding tasks and records the actual end time.

   • Awaiting review → Completed with end time
   • Updates Encounters, Care tasks

Monitoring Clinician

, Clinical Reviewer, Care Coordinator.