What you’re looking at
The heading is Records. A Refresh button sits beside it. Four tiles run across the top:
Below them, two shortcuts — Send for signature and New patient — then the three queues as tabs, each carrying its own count: Conflicts (n), Signature chase (n) and Unfiled (n).
Conflicts — decide what the chart says
When a patient answers an intake question differently from what is already on their chart, the answer waits here rather than overwriting anything.1
Read the two values side by side
The table is four columns — Field, On the chart, Patient answered and Decision. A blank chart value shows as a dash.
2
Accept or reject
Accept writes the patient’s answer to the chart. Reject keeps what you already hold. Both are recorded.
3
Handle an insurance answer differently
Coverage needs a payer chosen from your hospital’s own list, so an insurance row offers Add from Insurance tab instead of Accept — it takes you to the patient’s insurance tab to enter it properly.
4
Check the trail
Below the queue, Recent activity — including answers applied automatically lists what has already been decided, including the answers that needed no human at all.
Signature chase — remind, or re-send
Everything you have sent a patient and not yet had back appears here, with Patient, Waiting on, Sent, Last opened, Reminders and Status. Last opened is the most recent time the patient opened that item — “today”, “3 days ago”, or Not opened if they never have. It separates a patient who has not seen the request from one who looked and stopped, which is the difference between “did the email arrive?” and “is something on the page stopping them?”. It shows a dash when that time could not be looked up just now; a dash never means “not opened”. On a narrow screen the column is hidden. The Waiting on column names the item, and tags it when it is not a document: a form is waiting on an answer, an envelope is waiting on a signature in a signature request. That matters because the remedy is different — a form is chased through the form’s own invite list, a signature request through its tracking page, and a document through Forms → eSignatures. Only people who are on a patient’s record appear here. A form or a signature request sent to a contact or to a bare email address is tracked on the form or the signature request itself, not on this desk. This desk uses the same list as the patient’s Documents & forms tab, so an item never shows one state here and another on the chart. An item whose link has run out leaves this desk straight away, and the patient’s record shows it as Expired — there is nothing left to chase on a link that no longer opens. Send it again from the patient’s record. Status is the column that tells you what to do, and it has five values:An expired link needs re-sending, not another reminder. A reminder points at a link that no longer works, so the patient gets a nudge to a dead end and you get another row in the queue. Read the status before you act.
Old document signing links — owners and managers
Owners and managers see a notice above the queues while anything still depends on the earlier document signing links:- how many documents sent with those links are still waiting, and the date the last of those links stops working;
- how many appointment defaults still send an old document template, with their names.
Unfiled — give every file a folder
Uploads that arrived without a home. Each row shows the Patient, the File, how long ago it was Uploaded, and a File it button that opens that patient’s record on its Documents & forms tab so you can put it where it belongs. Empty state: All clear — “Every uploaded file has a folder.”The queues are capped
Each queue shows only its first hundred rows: “Showing the first 100 conflicts. Resolve some to see the rest.” and “Showing the 100 oldest open requests.” That is a limit on the triage view, not on your data — the complete list is always in Documents.Who can do this
The desk checks no role of its own — anyone who can reach the Records group can open it. Records needs the Records care area in Settings → Facility, and an owner controls which roles see the group under Settings → Role Navigation. If your hospital requires two-factor and your session is not verified, the queues are replaced by “Two-factor verification is required to view records queues.” No individual permission governs anything here — the document permissions in the staff sheet are recorded against a person but no screen reads them:
Enforcement is opt-in per person — a colleague never saved in the permissions sheet is unrestricted, and the sheet warns “Saving starts enforcing”. A denied action is recorded; an allowed one is not, so hiding Records from a role tidies a sidebar rather than securing anything.
Check it worked
- An accepted conflict leaves Conflicts, and the chart shows the patient’s answer.
- Conflicts to review falls by one for each decision.
- A re-sent document shows a new Sent time and its status is no longer Link expired.
- A filed upload leaves Unfiled and is findable on the patient’s record.
Common issues
A conflict will not accept
A conflict will not accept
Refresh — someone else may already have decided it — then try again. An insurance row never accepts here by design; use Add from Insurance tab.
A patient says they never got the reminder
A patient says they never got the reminder
Check the status first. Link expired cannot be fixed with a reminder; re-send the document from Documents.
Resolving conflicts does not shorten the list
Resolving conflicts does not shorten the list
Only a hundred are shown at a time. As you resolve them, the next oldest take their place.
I cannot find a specific document here
I cannot find a specific document here
Records only shows what is outstanding. Use Send for signature, which opens Forms → eSignatures, for the full list.
The tiles all read a dash
The tiles all read a dash
The page is still loading. Give it a moment or select Refresh; a dash is “not known yet”, not zero.
FAQ
Why does the patient's answer not just overwrite the chart?
Why does the patient's answer not just overwrite the chart?
Because a patient filling in a form at home and a clinician recording something at a bedside are different kinds of evidence. A person decides which one the chart keeps.
What gets applied automatically?
What gets applied automatically?
Answers with nothing to disagree with — a field the chart holds no value for. Those appear under Recent activity rather than in the queue.
Where do the chase thresholds come from?
Where do the chase thresholds come from?
Settings → Facility, under the records chase settings. They are hospital-wide, not per document.
Is this the same as the Documents screen?
Is this the same as the Documents screen?
No. Records is the triage queue for what needs a person today; Documents is the complete ledger, where documents are sent, resent and cancelled.
How do files end up unfiled?
How do files end up unfiled?
An upload that arrived without being attached to a patient’s folder — commonly from a bulk upload or an emailed-in file. Filing it is the whole fix.