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Muted change refers to the initiation of therapy tracks within the system. The session begins with a case for a patient named Andrea, created for training purposes, dated October 26th. This setup helps illustrate how the system prompts for additional documents as part of the normal process when starting an episode of care. To begin therapy tracks, users can click the "start new track" link. Instead of redirecting to a new tab, a document window opens, allowing for the entry of diagnosis information and CPT codes for the treatment plan. This functionality ensures the system recognizes the initiation of a new document, with the first document being essential in this process.