Clinician Quick-Reference Card

1. Log in to your workspace

Open atlas.adherence.cc in Chrome or Edge

Click Tracks A+B · Researcher card

Enter your key (prefix matches your role: NP- · PA- · RN- · MD- · PHRM- · CC- · RES-) → Verify Access

Time-saving tip Bookmark atlas.adherence.cc?key=YOUR-KEY to skip the entry screen entirely.

2. Log a patient (Daily Intake Panel)

Click ⚕ Daily Intake · Quick Entry at the top of your dashboard to expand it

Enter Patient ID (your internal code, e.g. PT-042)

Add Medication and Condition (optional but recommended for billing)

Answer the rapid 3-item screen (30 seconds). Score <2 auto-triggers Sentinel flag

Add clinical notes. Tick "Flag for full ZOE" if full MMAS-8 needed today

Click Log Patient →. Entry appears in MTM Audit Log instantly

3. Run a full ZOE voice assessment

Click New Assessment → in the MMAS-8 panel

Patient enters country, medication, condition on consent screen

Click 🎙 Start with ZOE — hand device to patient or hold near them

ZOE speaks each question. Patient responds naturally. ZOE interprets and scores

After Q8, ZOE generates a SOAP clinical note automatically (2–3 seconds)

A follow-up card appears showing next assessment date (7/14/30 days by score)

ZOE requires mic permission Chrome will ask for microphone access the first time. Click Allow. ZOE will not work in Safari.

MMAS-8 Score Reference

Score	Level	Action
8	High adherence	Maintenance. Follow-up 30 days
6–7.99	Medium adherence	Targeted counseling. Follow-up 14 days
Below 6	Low adherence	Intervention required. Follow-up 7 days

Adherence Patterns

INA · Intentional

Patient chooses not to take medication. Side effects, doubts, cost. Needs motivational counseling — reminders alone will not work.

UNA · Unintentional

Patient intends to take but forgets or has access barriers. Pill organiser, alarm, blister pack. Most common pattern.

Mixed Pattern

Both INA and UNA present. Often polypharmacy. Address barriers first, then motivation.

High Adherence

Fully adherent. Positive reinforcement. Document for clinical record. Follow-up 30 days.

Sentinel Alerts — When they fire

Urgent (red) — INA pattern, score <4, or ZOE clinical flag. Act within 7 days.

Moderate (amber) — Medium adherence. Follow-up in 14 days.

✓

Routine (green) — High adherence. Scheduled 30-day reassessment.

Sentinel alerts appear in the right sidebar of your dashboard. Click "Mark Reviewed" when actioned to clear the queue.

Follow-Up Link

After every ZOE session, click "📋 Copy reminder link" on the follow-up card. Paste into SMS, email, or patient portal. The link opens a pre-filled ATLAS assessment for that patient.

MTM Billing — CMS CPT Codes

Code	When to use	Time
99605	Initial comprehensive MTM encounter — first time seeing this patient for adherence. ATLAS auto-assigns on first log.	First 15 min
99606	Follow-up targeted MTM — patient seen before. ATLAS auto-assigns after first encounter.	First 15 min
99607	Additional time — INA pattern or complex cases requiring extended counseling. ATLAS auto-assigns for INA + score <4.	Each add. 15 min

Auto-assignment logic ATLAS automatically suggests the correct CPT code in the MTM Audit Log based on whether this is a first or follow-up encounter and the adherence pattern. Always verify against your payer's current requirements before submission.

Export for Billing

Scroll to MTM Audit Log section at the bottom of your dashboard

Use the CPT filter dropdown to see specific encounter types

Click ↓ Export PDF for a print-ready audit document, or ↓ Export CSV for electronic submission

The PDF includes patient ID, date, CPT code, score, adherence level, pattern, condition, intervention documented, and instrument name with license reference

International Equivalents

Country	Equivalent service
United Kingdom	MUR (Medicines Use Review) · NMS (New Medicine Service)
Australia	HMR (Home Medicines Review) · RMR (Residential Medication Management Review)
Canada	MedsCheck · Annual Pharmaceutical Opinion
EU / EEA	Pharmacist consultation codes — varies by member state

MAP PE Domain Analysis

Available Researcher tier+. Every MAP result shows a PE Domain Profile — composite score + three domain bars. Formula: PE = (A × E × C)^1/3.

Domain	Source questions	What it measures
A · Architecture	Q2, Q3, Q6	Belief, motivation, intentional skipping
E · Execution	Q1, Q4, Q5, Q8	Habitual reliability, everyday behaviour
C · Context	Q7	Perceived regimen burden and friction

Constraint label on result screen After every MMAS-8 submission, the result modal shows which domain is lowest: Architecture-constrained → motivational counseling; Execution-constrained → habit systems; Context-constrained → regimen simplification. CSV export adds mmas_pe · mmas_a · mmas_e · mmas_c columns automatically.

PEACS — Predictive Emergence

PE = (BASE × MVMT × STRATA)^1/3. Scores range 0–1. Above 0.70 predicts sustained adherence.

Dimension	What it measures	Window
BASE	Foundation — how consistently patient follows regimen under normal conditions	30 days
MVMT	Flexibility — adherence maintained across disruptions (travel, illness, schedule changes)	7 days
STRATA	Social determinants — housing, transport, support, health literacy, treatment beliefs	90 days

PE Zone	Score	Clinical meaning
Optimal	≥ 0.85	High predicted stability — routine follow-up
Good	0.70–0.84	Generally stable — light monitoring
Moderate	0.55–0.69	Instability risk — targeted intervention
Poor	< 0.55	High risk — priority intervention, check STRATA

Data Exports

Export MMAS CSV All MMAS-8 cohort records with individual Q scores, patterns, demographics

Export PEACS CSV PEACS records with BASE, MVMT, STRATA dimensions and PE score

MTM Audit PDF Formatted audit document for CMS / payer submission

MTM Audit CSV Spreadsheet for electronic billing system import

SOAP Note Individual patient SOAP note generated by ZOE — copy into patient record

Troubleshooting

Cannot reach validation server Check internet connection. ATLAS requires active connection. Try mobile data hotspot.

ZOE not responding to voice Microphone permission must be allowed in Chrome. Check browser settings → Privacy → Microphone. ZOE does not work in Safari or Firefox.

Patient submitted under wrong workspace Contact info@adherence.cc with your key prefix and the approximate timestamp. Records can be moved between workspaces.

Export shows zero records Ensure you are logged in with your workspace key (green chip top-left shows your key). Explorer mode does not allow export.

Support

Email: info@adherence.cc
Platform: atlas.adherence.cc
Keys: keys.adherence.cc
Verify cert: keys.adherence.cc/verify
Docs: docs.adherence.cc
Include your key prefix (first 8 chars) in support emails.