Patient Encounters

VEHRDICT makes clinical documentation faster, more accurate, and incredibly efficient. With our state-of-the-art dictation and speech recognition technology, healthcare providers can effortlessly transcribe and manage encounter notes and clinical data by simply speaking. This hands-free approach not only saves valuable time but also reduces the common errors associated with manual data entry. Our AI-enhanced features further streamline the process by intelligently organizing and analyzing the captured data, ensuring that every piece of information is correctly placed within the patient’s record. With VEHRDICT, you can trust that your clinical documentation will be comprehensive, compliant, and up to date, freeing you to focus more on patient care and less on paperwork.

All information related to a patient visit is intuitively documented in Vehrdict EHR. From the time a patient appointment is created until the time the patient completes the visit or call, all information is stored for the encounter. All information about immunizations, vitals, external procedures, and prescriptions are documented. Vehrdict EHR seamlessly integrates with dictation and medical transcription so that all documents appear in the patient’s chart for each encounter. Vehrdict displays each patient encounter in a timeline chart that is intuitive and easy-to-read. All diagnoses and billing information are clearly presented within the encounter so that invoicing and billing are complete and efficient.

Starting an Encounter

To start an encounter, follow these steps:

Navigate to the Patient Dashboard. This can be done by searching for the patient under the search tab. Click on the patient, then at the top of the screen click Appointments

Create an Encounter

1. Navigate to the Patient Dashboard:
   • This can be done by searching for the patient under the search tab.
   • Click on the patient, then at the top of the screen click Appointments.
   
   • Click on the appointment scheduled and click the yellow Start Encounter button.
   
2. Alternatively, start from Appointments:
   • Go to Appointments where you'll see a list of all scheduled appointments.
   • Click on an appointment and then click Start Encounter.
3. Create an Encounter:
   • Click on Patient > Encounters.
   • Select Add New to create the new encounter.
   
   • Enter information regarding the encounter then click Save.

Viewing and Managing Encounters

1. Encounter List:
   • All information related to a patient visit is intuitively documented.
   • From the time a patient appointment is created until the time the patient completes the visit or call, all information is stored for the encounter.
   
   • Immunizations, vitals, external procedures, and prescriptions are documented.
   • The system integrates with dictation and medical transcription, so all documents appear in the patient’s chart for each encounter.
2. Timeline Chart:
   • Vehrdict displays each patient encounter in a timeline chart that is intuitive and easy-to-read.
   • All diagnoses and billing information are clearly presented within the encounter, ensuring that invoicing and billing are complete and efficient.
3. Adding Encounter Data:
   • Navigate to the dashboard of the patient, select the encounters tab, and either add a new encounter or select one from the encounter list.
   • The encounter list displays all encounters in chronological order, with the newest encounters populating at the bottom.
   • To add a new data point to the encounters list, select from the menu options in the top right corner of the page or click the microphone icon and have Vehrdict AI create a new encounter for you.