For CliniciansClinical Documentation
Clinical Documentation
Guides for creating clinical documentation using charts, voice transcription, and AI assistance
Clinical Documentation
Clinical documentation tools help clinicians create comprehensive, compliant patient records efficiently.
Documentation Tools
Chart Creator
Create structured clinical charts:
- Building custom chart templates
- Form-based documentation
- Data validation and compliance
- Chart organization and navigation
See the Chart Creator guide for detailed information.
Voice Transcription & AI Charting
Hands-free documentation with voice:
- Voice-driven note creation
- AI-generated prompts
- Real-time transcription
- Structured data mapping
See the Voice Transcription & AI Charting guide for detailed information.
Documentation Workflow
- Select Visit: Choose the visit to document
- Select Task: Pick the task type to document
- Choose Method: Use chart creator, voice, or manual entry
- Complete Documentation: Fill in all required fields
- Review and Save: Review documentation and save to chart
Best Practices
- Complete Documentation: Ensure all required fields are filled
- Timely Entry: Document visits promptly after completion
- Accuracy: Verify information before saving
- Compliance: Follow documentation standards and requirements
Quick Links
- Visit Management - Schedule and manage visits
- Patient Management - Manage patient information
- Getting Started - Platform overview