Clinical Productivity

Documentation Template Library

Governed snippet packs speed SOAP charting while preserving quality controls. Draft snippets require approval before they become available to clinicians.

Snippet Catalog

Tenant-scoped templates with status and audience controls.

Weekly MVA Follow-up Subjective

APPROVED

Scope: SOAP_SUBJECTIVE • Audience: THERAPIST • v1

Patient reports persistent cervical and lumbar tightness after motor-vehicle collision. Symptoms fluctuate with driving and prolonged desk work.

Homecare Plan - Hydration and Mobility

APPROVED

Scope: SOAP_PLAN • Audience: ALL_CLINICAL • v1

Homecare plan: hydration target 2L/day, diaphragmatic breathing twice daily, and gentle thoracic mobility sequence 10 minutes nightly.

Claim Narrative - Functional Limitation

APPROVED

Scope: CLAIM_NARRATIVE • Audience: BILLING_REVIEWER • v1

Services target documented functional limitations affecting activities of daily living; treatment progression and response are reflected in encounter objective and assessment sections.

PT Objective - Gait Deviation

APPROVED

Scope: SOAP_OBJECTIVE • Audience: ALL_CLINICAL • v1

Objective: Antalgic gait pattern observed with reduced stride length on the affected side.

Chiro Assessment - Segmental Dysfunction

APPROVED

Scope: SOAP_ASSESSMENT • Audience: ALL_CLINICAL • v1

Assessment: Segmental dysfunction noted with restricted joint play and compensatory paraspinal guarding.

AI + Rule-based Suggestions

Suggestion ranking uses free-text context and approved tags. Human confirmation remains required.

Weekly MVA Follow-up Subjective

Score: 15

Preview Merge

Subjective: Pain has improved from 7/10 to 5/10 with weekly therapy. Patient reports persistent cervical and lumbar tightness after motor-vehicle collision. Symptoms fluctuate with driving and prolonged desk work.

Specialty Packs

Chiropractic: 1/1 approved

Massage Therapy: 3/3 approved

Physical Therapy: 1/1 approved