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if a patient has an apt at say 0900 and I look at my EMR at 0900 and they have not arrived, I might move on to something else until they arrive, but if I get caught up in something and don't check back frequently enough, the patient may arrive and wait. if there was an audible ring or ding or alarm on my end when the med sec does mark the patient as arrived, then it woudl catch my attention and they wouldn't have to wait.