Creating, editing, and managing clinical entries in Dermi Atlas, including appointment dates, image workspaces, comparison groups, tags, notes, and real-time synchronization.
Clinical entries are the primary unit of documentation in Dermi Atlas. Each entry represents a patient visit or appointment and serves as a container for clinical notes, images, and image comparisons. Entries are always associated with a specific patient and track the appointment date, the physician who created them, and any tags applied.
Before creating entries, a patient record must exist. For guidance on patient records, see Managing Patients.
To create an entry, navigate to a patient's entries page and select "Create Entry." The system creates a new entry with the following defaults:
After creation, the system redirects to the new entry's detail page. The patient's entry count is incremented and the patient's last appointment date is updated to reflect the new entry.
The entry detail page is organized into a header area and three collapsible sections.
Each section can be expanded or collapsed independently. The visibility state is saved per entry and persists across sessions.
The appointment date is displayed in the entry header as a datetime picker. It is editable at any time, and changes are synced in real time via WebSocket.
The appointment date serves two purposes:
The workspace is the entry-level image area where images from the patient's image pool are organized for a specific visit.
Images are added to the workspace from the patient's image pool. To add images, select one or more images using checkboxes in the pool view, then add them to the workspace. The same image can appear in multiple entries' workspaces.
Images in the workspace are grouped by creation date, with one group per day. Three zoom levels are available for thumbnail sizing, selectable through the zoom control buttons. Sort order can be set to ascending or descending by date.
For each image in the workspace, the following information is shown:
Images can be removed from the workspace without deleting them from the patient's image pool. If an image in the workspace is also part of any comparison group, it must first be removed from the comparison group to remove it from the workspace.
Comparison groups organize images for before-and-after analysis within an entry.
Selecting a comparison group opens the full comparison modal. The modal provides split-screen and overlay comparison tools. Canvas performance settings apply to the modal display.
The notes field is a plain text textarea for recording clinical observations. Changes are synced via WebSocket in real time.
Tags can be directly applied to the entry through the tag management drawer. Tags are organized by category with color coding, and tags can be selected to toggle assignments. Duplicate prevention ensures the same tag name within the same category cannot be assigned twice. Tag changes are automatically synced.
Inherited tags are automatically derived from the tags assigned to images currently in the workspace. These tags are read-only and cannot be directly assigned or removed on the entry. The label "Auto-inherited from images in Workspace" is displayed alongside inherited tags. Inherited tags update when workspace images change (images added or removed) and are displayed in alphabetical order.
All entry data is synchronized in real time:
The entries list for a patient displays entry cards with the following information:
Two sort modes are available, each supporting ascending or descending order:
Items per page can be set to 5, 10, 20, 50, or 100.
Entry deletion is available from the options menu on the entry detail page. To confirm deletion, the exact phrase "PERMANENTLY DELETE ENTRY" must be typed.
On deletion:
After deletion, the system redirects to the patient's entries list. For information on how deleted records are retained, see Configuring Data Retention for Deleted Records.
Entry creation requires a valid license. Editing entry content (appointment date, notes, tags) is also restricted when the system is unlicensed.
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