Encounters
AI-powered clinical documentation and encounter management
SJ
Sarah Johnson
PT-2024-001
Active Patient
Insurance Verified
MMJ Certified
Renewal Due in 10 Days
Encounter Date
Jan 15, 2026
Provider
Dr. Mary Smith
Visit Type
Certification Renewal
Status
In Progress
State
California
00:14:32
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AI Clinical Intelligence
Detected Symptoms
94% confidence
Awaiting input...
Suggested ICD Codes
No codes detected
Treatment Suggestions
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Encounter Progress
3
Consultation
4
Treatment Decision
5
Certification
6
Compliance Review
7
Complete
Clinical Snapshot
Primary Conditions
Chronic Pain
Anxiety
Insomnia
Current Medications
Ibuprofen 400mg
PRN
Melatonin 5mg
HS
Allergies
NKDA (No Known Drug Allergies)
Risk Flags
Previous anxiety reaction to high THC
Treatment Twin
CBD Dominant
Recommended
Pain relief
+42%
Anxiety reduction
+38%
Side effect risk
Low
Balanced THC/CBD
Pain relief
+65%
Sleep improvement
+52%
Side effect risk
Moderate
High THC (Night)
Use Caution
Sleep improvement
+78%
Pain relief
+71%
Side effect risk
High
AI Visit Autopilot
Automated documentation generation
Chief Complaint
Chronic lower back pain and anxiety management
Key Findings
- History of failed conventional treatments
- No contraindications for medical cannabis
- Previous certification expired 10 days ago
Diagnosis 1
M54.5
Low back pain - Qualifying condition per CA regulations
Diagnosis 2
F41.1
Generalized anxiety disorder - Qualifying condition
E/M Code
99214 - Level 4
Modifier
-25 (Significant, separately identifiable)
Estimated Reimbursement
$185.00
Certification Details
Issuing Physician
Dr. Mary Smith (License #A12345)
Issue Date
Jan 15, 2026
Expiration
Jan 15, 2027
Patient Limit
6 oz dried cannabis / 6 mature plants
Smart Actions
Documentation