Patient Encounters: Difference between revisions

Latest revision as of 16:07, 20 June 2025

Clinical Documentation

VEHRDICT makes clinical documentation faster, more accurate, and more efficient. With advanced dictation and speech recognition technology, providers can transcribe encounter notes simply by speaking. This hands-free approach minimizes errors and saves time. AI-enhanced features organize and analyze data intelligently, ensuring comprehensive and compliant records — allowing you to focus more on care and less on paperwork.

**Encounter List** – View and manage past clinical visits.

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Documentation Overview

Every patient visit is automatically logged and displayed in a structured format.
Each encounter captures:

 * Appointment details
 * Vitals, immunizations, and prescriptions
 * External procedures
 * Billing and diagnosis codes

VEHRDICT integrates seamlessly with dictation and transcription — all documentation appears directly within the patient chart.

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Starting an Encounter

Tutorial Video – Starting a new patient encounter step-by-step.

Option 1: From the Patient Dashboard

Open the Patient Dashboard for the appropriate patient.
Select Appointments from the top menu.
Click an existing appointment or create a new one.
Click the appointment, then select Start Encounter from the menu.

Option 2: From Appointments View

Click Appointments in the left sidebar.
Choose an appointment from the calendar.
Click Start Encounter.

Option 3: From the Encounters Tab

Navigate to Patient > Encounters.
Click Add New.
Enter encounter details and click Save.
This method can be used to start encounters manually without using the appointment module.

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Viewing and Managing Encounters

Encounter List

View all visits recorded for a patient.
Entries are sorted chronologically, with newest at the bottom.
Each item includes:

 * Date/time
 * Visit type
 * Provider
 * Notes
 * Linked documents (e.g., transcription, H&P)

Timeline Chart

Displays encounters in a scrollable visual timeline.
Simplifies navigation through a patient's clinical history.
Supports fast access to diagnoses, services rendered, and billing codes.

Adding Encounter Data

From the patient’s dashboard, click the Encounters tab.
Select an encounter or click Add New.
You may enter data manually or:

 * Use the microphone icon to dictate a new entry via VEHRDICT AI.
 * Use quick-action buttons in the top-right for adding vitals, diagnoses, prescriptions, and more.

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By utilizing VEHRDICT’s smart encounter tools and voice-powered documentation, providers can streamline their workflow, reduce documentation time, and ensure every encounter is accurately captured in the patient's chart.

@@ Line 1: / Line 1: @@
-All information related to a patient visit is intuitively documented in WebShuttle 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.  WebShuttle EHR seamlessly integrates with dictation and medical transcription so that all documents appear in the patients chart for each encounter.  WebShuttle displays each patient encounter in a timeline chart that intuitive and easy-to-read.  All diagnoses and billing information is clearly presented within the encounter so that invoicing and billing are complete and efficient.
+== Clinical Documentation ==
-In order to start an encounter you need to first navigate to the dashboard of the patient.
+'''VEHRDICT''' makes clinical documentation faster, more accurate, and more efficient. With advanced dictation and speech recognition technology, providers can transcribe encounter notes simply by speaking. This hands-free approach minimizes errors and saves time. AI-enhanced features organize and analyze data intelligently, ensuring comprehensive and compliant records — allowing you to focus more on care and less on paperwork.
+<div style="text-align:center; margin: 1em 0;">
+[[File:encounter_list_nx.jpg|thumb|center|600px|'''Encounter List''' – View and manage past clinical visits.]]
+</div>
-[[File:Dashboard.png|800px]]
+---
+== Documentation Overview ==
-This can be done by searching for the patient under the search tab, clicking on the patient, then at the top of the screen click '''Appointments.''' Click on the appointment scheduled and click the yellow '''Start Encounter''' button.
+* Every patient visit is automatically logged and displayed in a structured format.
-Another option to start an encounter is to go to '''Appointments''' where you'll see a list of all scheduled appointment, then click on an appointment and click '''Start Encounter.'''
+* Each encounter captures:
+  * Appointment details
+  * Vitals, immunizations, and prescriptions
+  * External procedures
+  * Billing and diagnosis codes
+* VEHRDICT integrates seamlessly with dictation and transcription — all documentation appears directly within the patient chart.
+---
-[[File:encounter.jpg|800px]]
+== Starting an Encounter ==
+<div style="text-align:center; margin: 1.5em 0;">
+[[File:VEHRDICT-HowTo-Encounter_-_4K.mov|thumb|center|700px|'''Tutorial Video''' – Starting a new patient encounter step-by-step.]]
+</div>
-To create an encounter with a patient, click on '''Patient''' > '''Encounters.'''
+=== Option 1: From the Patient Dashboard ===
+# Open the '''Patient Dashboard''' for the appropriate patient.
+# Select '''Appointments''' from the top menu.
+# Click an existing appointment or create a new one.
+# Click the appointment, then select '''Start Encounter''' from the menu.
-[[File:Encountersarrows.jpg|800px]]
+=== Option 2: From Appointments View ===
+# Click '''Appointments''' in the left sidebar.
+# Choose an appointment from the calendar.
+# Click '''Start Encounter'''.
-Then select "Add New" to create the new encounter. Enter information regarding the encounter then click '''Save.'''
+=== Option 3: From the Encounters Tab ===
+# Navigate to '''Patient > Encounters'''.
+# Click '''Add New'''.
+# Enter encounter details and click '''Save'''.
+# This method can be used to start encounters manually without using the appointment module.
-[[File:Addnew.jpg|800px]]
+---
+== Viewing and Managing Encounters ==
+=== Encounter List ===
-==Encounters==
+* View all visits recorded for a patient.
+* Entries are sorted chronologically, with newest at the bottom.
+* Each item includes:
+  * Date/time
+  * Visit type
+  * Provider
+  * Notes
+  * Linked documents (e.g., transcription, H&P)
-All information related to a patient visit is intuitively documented in WebShuttle 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.  WebShuttle EHR seamlessly integrates with dictation and medical transcription so that all documents appear in the patients chart for each encounter.  WebShuttle displays each patient encounter in a timeline chart that intuitive and easy-to-read.  All diagnoses and billing information is clearly presented within the encounter so that invoicing and billing are complete and efficient.
+=== Timeline Chart ===
+* Displays encounters in a scrollable visual timeline.
+* Simplifies navigation through a patient's clinical history.
+* Supports fast access to diagnoses, services rendered, and billing codes.
-In order to start an encounter you need to first navigate to the dashboard of the patient, select the encounters tab, and either add a new encounter or select one from the encounter list shown below.
+=== Adding Encounter Data ===
-[[File:PatientDashboard_Encounters.jpg|800px]]
+# From the patient’s dashboard, click the '''Encounters''' tab.
+# Select an encounter or click '''Add New'''.
+# You may enter data manually or:
+  * Use the microphone icon to dictate a new entry via VEHRDICT AI.
+  * Use quick-action buttons in the top-right for adding vitals, diagnoses, prescriptions, and more.
-Next you will be taken to a screen that displays a list in chronological order of all encounters associated with the patient. The newest encounters will populate at the bottom of this list.
+---
-[[File:PatientDashboard_EncountersList.jpg|800px]]
+By utilizing VEHRDICT’s smart encounter tools and voice-powered documentation, providers can streamline their workflow, reduce documentation time, and ensure every encounter is accurately captured in the patient's chart.
-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.