How a chart gets done
Pick a template, or describe one
Each visit opens with its service loaded and the template that fits, so a neurotoxin chart asks for dilution and an IV chart asks for catheter gauge. For a house protocol, describe it in plain words and Dolce AI drafts a custom template.
Record what you did
For a neurotoxin, enter product, lot number, expiration and a dilution of 1.0, 2.0, 2.5 or 4.0 mL, then map units on the face. Total units fill in from the map. For filler, log syringes, tissue plane and needle or cannula.
Dolce AI drafts the note
When the treatment is charted, click Generate SOAP. Dolce AI drafts the note from your fields and map and suggests ICD-10 and CPT codes. You read the draft, fix what needs fixing and move on.
Sign, lock and print
Sign with a typed e-signature that logs timestamp, IP address and device. The note locks, and later changes need an amendment with a reason. Print the note with codes, injection map and amendment history.