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The tutorial begins with the concept of "muted change," which relates to initiating therapy tracks within the system. It showcases an example involving a patient named Andrea and illustrates how case creation is dated, specifically October 26th for training purposes. The system prompts users for additional documents as part of the episode of care process. To start therapy tracks, users can click the "start new track" link, which opens a document window instead of a new tab for entering diagnosis information and CPT codes. This approach allows the system to recognize that a new document is being initiated, streamlining the documentation process.