Client related documents that may contain clinical information are called chart items. Chart items are accessed under Charts main menu option or via the Chart Items report. Pretty much the entire system is designed to generate chart items, which is the only type of documents that can lead to billing. In general a provider will create a Chart Item, set its status to Completed, and then digitally sign it by entering their password. Then a clerk or administrator reviews the Chart Item and either flags it as on hold or sets its status to Approved and then Final. Chart items are eligible to be billed once their status is set to "Final" by a clerk or administrator.