I too find the initialization of a new encounter a bit confusing and think this experience should be improved. By default when you open the MRE the system should start with a blank encounter with todays system date. Today it defaults to the most recent encounter and you need to click CNTL-N to clear the note other than PHM, SH, FH. MEDs and Allergies. I believe the prior designers intent was to manage some of this with the buttons for "Overwrite all fields" and "Keep existing CC, HPI and ROS" but that only works when you select the option to use a prior visit as your starting point. I would suggest that we provide a user preference that when you start a new encounter the system defaults to a blank encounter with todays date simulating the CNTL-N (new Note) action and save a click by default. If you then want to use a prior encounter you have that option using the drop down. Thoughts?