Create or update the medical record

Trigger: A patient encounter concludes, new diagnostic results arrive, or administrative details change.

1. Capture patient demographic and clinical encounter data
2. Verify patient identity against existing system records
3. Input provider notes, diagnoses, and procedural codes
4. Append external documentation like lab results and imaging reports
5. Review record entries for clinical completeness and compliance
6. Commit updates to the centralized electronic health record

Outcome: The patient's electronic medical record is fully updated, validated, and securely stored for clinical reference and billing.