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This page covers care plan steps on plans assigned to a patient. Step statuses and scheduling are not available on templates — only on active patient care plans. For how to configure step fields, see Care Plan Step Types.

Step Statuses

Every step in a care plan has a status that reflects where it is in the patient’s treatment journey.
StatusWhat it means
PendingThe step has not been acted on yet. It is waiting for someone to take action.
ScheduledAn appointment has been booked or a task has been created for this step. The step is linked to an actual appointment or task in the system.
CompletedThe step is finished — the appointment was attended or the task was done. This is a final status and cannot be changed.
SkippedThe step was intentionally skipped by staff. It will not be acted on.
MissedThe linked appointment was marked as a no-show. The patient did not attend.

Status Transitions

Not every status change is allowed. The table below shows which transitions are valid.
FromCan change to
PendingSkipped
ScheduledCompleted, Skipped, or back to Pending
MissedBack to Pending (to reschedule)
SkippedBack to Pending (to re-activate)
CompletedCannot be changed (final)
Key points to keep in mind:
  • You cannot directly complete a Pending step — it must first be Scheduled. For appointment steps, you schedule manually by clicking Schedule Appointment. For task steps, the system automatically creates the task and marks the step as Scheduled when the scheduled date arrives.
  • Once a step is Completed, it stays Completed. This cannot be undone.
  • Both Missed and Skipped steps can be reset to Pending if you want to try again.
  • Scheduled steps are the most flexible — they can be completed, skipped, or reset to Pending.

Automatic Status Updates

Step statuses stay in sync with their linked appointments and tasks. When the status of an appointment or task changes, the care plan step updates automatically:
When this happensThe step becomes
Appointment is completedCompleted
Appointment is marked as no-showMissed
Appointment is cancelledSkipped
Task is completedCompleted
Task is cancelledSkipped
You do not need to update the step manually in these cases — the system handles it for you.

Change a Step’s Status

1

Open the Patient's Care Plan

Go to the patient’s profile and open the care plan you want to update.
2

Select the Step

Click on the step you want to update. Its details appear on the right side of the page.
3

Change the Status

Find the Status field. The menu shows only the valid transitions from the current status — you will not see options that are not allowed.
4

Confirm the Change

Select the new status. The change takes effect immediately.
The status field only appears on care plans that have been assigned to a patient. It is not available on templates.

Overdue Steps

If a step is still Pending after its scheduled date has passed, it is marked as overdue. Overdue steps appear with a red alert icon and red date text so they stand out on the timeline. These steps need attention — either schedule the appointment, complete the task, or change the step’s status.

Schedule an Appointment from a Step

When an appointment step is Pending and has at least one service selected, a Schedule Appointment button appears in the step details. This lets you create a calendar appointment directly from the care plan.
1

Open the Care Plan

Go to the patient’s profile and open the care plan.
2

Select a Pending Appointment Step

Click on a Pending appointment step that has services configured.
3

Click Schedule Appointment

Click Schedule Appointment on the right. This takes you to the appointment form.
4

Review Pre-filled Details

The appointment form is pre-filled with:
  • The patient already selected
  • The services from the step
  • The scheduled date from the step
  • Any provider notes from the step
5

Complete and Save

Review the details, make any changes, and save the appointment. The step automatically updates to Scheduled and links to the new appointment.

Check-in Integration

During appointment check-in, the system suggests the next pending care plan step for the patient. If the patient has an active care plan with a pending appointment step, it shows up as a suggestion with the appointment details pre-filled so you can quickly schedule the next visit. See Care Plan Suggestions for details.

Understanding Progress

Progress shows how far along a patient is in their care plan — how many steps are completed out of the total (e.g., “3 of 8 steps”). If a step repeats, each iteration counts separately toward the total. For details on how progress is calculated and displayed, see Progress Tracking.