At end of consult when switching to a new patient and the previous patient record closes down, Heidi recognizes this. If note has been pushed to MR, Heidi starts a new session with the new chosen patient. note has not been pushed Heidi states: "You have not pushed the note to the record, If you open the next patient your note will be lost. Continue?" This will be yes/ no prompt to click to answer if answer yes, new session created for the next chosen patient. If answer no, Heidi ask: "Push note?" with yes or no and then repeat above steps depending on answer.