A patient encounter generates documents, which are scanned into OnBase. As the documents are indexed, OnBase sends an HL7 message to Epic to register the document with the patient encounter. The analyst accesses and views the document through Epic using the OnBase Analysis window. From the Analysis window, the analyst creates and assigns deficiencies to individual physicians. When the analyst finishes creating and assigning deficiencies, notifications are sent to the assigned physicians' In Basket.