If you're onboarding, work through the page in order: each section builds on the one before it. For those already onboarded, use this page as a refresher and opportunity to review Anima's most advanced features for greater efficiency.
What this guide covers
1. Creating Teams
Teams group Anima users together (e.g. Coding, Admin, Prescribing, Medical Secretaries) so work can be assigned to a team rather than an individual. They're the foundation for shared inboxes, automatic assignment, and workflows — so they are best to set up early and regularly review.
Setting up teams lets you:
Share work across multiple people instead of it landing with one person
Automatically assign documents to a group using workflows
Create custom views in your Documents dashboard
Manage requests, documents, and tasks more efficiently
How to create a team
Open Anima and go to Settings (bottom left) → Organisation Settings → Availability & Assignment
Scroll to the bottom and click Create New Team
Enter a clear, role-based team name (e.g. Coding, Admin, Prescribing)
Click the + (plus) icon to add team members
Once created, the team can be used to assign tasks, requests, and documents, to build auto-assignment rules, to route documents via workflows, and to filter across Triage and Documents.
💡 Best practice: Create teams before setting up workflows. Group users by role or responsibility, and keep names simple to refine later. You'll need Admin permissions to see the Teams section.
Full detail: How to create and use teams in Anima
2. Important Settings Review
A few additional settings are worth reviewing to tailor Anima Documents to how your practice works.
Reminder to always Save Changes when updating settings.
Admin Permissions
To update Organisation Settings (including creating Workflows and managing teams), a user needs to have Admin permissions. To be given Admin permissions, speak to your practice leads.
To give a user Admin permission rights, head to Settings > Organisation Settings > Manage Team > Edit permissions role.
Saving to Record options
Control what Annie saves to the patient record to ensure record entries are reflective of what you're looking for.
Found under Settings > Organisation Settings > Documents - Processing.
Users can choose to include or exclude:
Summary: Annie-generated document summary.
Sender information
Recipient information
Anima document URL: A URL that provides a web-based view of the letter. NOTE: If you turn this off a paperclip attachment of the patient letter will still be added to record.
Append tasks to document entry: When saving a document to the patient record, append Medication change and GP action required tasks to the document entry (Additional fields).
If you're looking for a reduced/clean view of the patient record, we'd recommend removing the Anima URL and Appended Tasks.
Custom Letter Types
Anima ships with a default list of common letter types. You can add your own on top of these so they're available for filtering, routing workflows, and filing to your EHR.
Go to Organisation Settings → Document Processing tab
In the Letter Types section, open the Custom Letter Types panel and click Add
Enter the name (up to 300 characters) and click Confirm
Click Save Changes at the top of the page
⚠️ If your practice uses SystmOne, any custom letter types must also be added to the Permitted Options list in SystmOne — otherwise SystmOne will reject it when filing. More details here.
💡 Tip: Once a custom letter is created, you may notice that Annie might not auto-detect these letter types just yet. That's ok! The Active Learning loop will kick in such that the more you correct/apply your custom letter type, the more Annie will learn to apply this Letter Type in future letters.
Custom Task Titles
To add a custom Task title that the team frequently uses, head to Settings > Organisation Settings > Documents - Intake > Scroll to the bottom of the page.
Further Tasking guidance:
3. Custom Views
Custom views are saved, filtered inboxes on the Documents dashboard. Rather than working from one large undifferentiated pile, each view shows only the documents that match a filter you define — and your team can switch between views in a single click. Custom views that you create will be visible for all members of the practice.
A view can be built around almost any combination of filters, for example:
Who it's assigned to — specific teams or individuals (e.g. Reception team's documents), so each person or team works from their own list rather than a shared pile.
Letter type — a view for one or several important letter types (e.g. Discharge Summaries, or Administration + Patient Information for the secretaries), so a key category never gets buried.
Suggested vs not-suggested tasks — separate the documents where Annie has suggested a task (GP action, medication change) from those with none, so clinical follow-ups are reviewed first and more thoroughly, followed by letters without GP Action or Med Changes detected.
How to Create Custom Views
Documents Homepage
Plus icon on the top right of page ("+ Add Custom View")
Enter a View Name
Apply all necessary filters (seen just below the view name).
Press Save.
💡 Hint: You almost always want apply a Status as a filter to filter out saved letters. Processed by Annie and Pending Review are almost always the two key ones to apply.
Example Custom Views
For those starting out with custom views, here is what we'd suggest as a great starting point is a 3-tier system of outstanding letters.
(1) "High Priority" view
Status:
Processed by AnnieandPending Review.Priority:
High.
Creating Workflows (see below) where certain sets of documents and letter types are marked as High Priority will allow team members to instantly surface these in a custom view. It means team members can make a concerted effort that even with capacity constraints or backlog difficulties, the most clinically urgent letters are always completed first.
(2) "Medium Priority" view
Status:
Processed by AnnieandPending Review.Suggested Tasks:
With Tasks.
There may always be certain Letter Types that need to be completed first (see above) but the next batch of important documents are likely those where Annie has detected GP Actions or Medication Change. Completing all letters in Medium Priority provides added assurance that the coding team generate tasks in shorter timeframes, unblocking clinicians and pharmacy team members from delivering necessary patient care.
(3) "Low Priority" view
Status:
Processed by AnnieandPending Review.Suggested Tasks:
Without Tasks.
It goes without saying that letters which are not marked as high priority and have no suggested tasks are more likely to be treated with less urgency. We also see many Anima practices use a 'Low priority' view as a custom view for junior coders or less experienced administrative team members to review letters. This reserves clinicians and more senior or experienced team members to focus on complex letter types in the High and Medium priority views.
4. Workflows
A workflow automatically actions documents as they arrive in Anima based on the rules you set. Instead of every document being reviewed and assigned by hand, workflows do the triaging work so a higher percentage of documents land with the right team and more accurate information.
In practice, this means:
Important letters are surfaced instantly. No longer will there need to be a team member who reviews and identifies every high priority letter.
The right work reaches the right team. Results to your coding team, administration to your secretaries, safeguarding to a dedicated senior reviewer. Sorted by rules, not by hand.
Fast-track Routine documents. Documents that don't need a human (e.g. 111s) can be marked Ready to Save and bulk-filed.
Apply specific coding rules. Ensure that specific codes are considered or always applied to specific document sets.
How to build a workflow from scratch
Go to Settings → Organisation Settings → Documents - Workflows tab.
Scroll to the bottom and Click Create New Workflow.
Name it clearly — e.g. "Urgent discharge letters" or "Secretaries — admin"
Add criteria — the conditions a document must match to trigger the workflow. A document must match all criteria you set.
Add actions — what happens when a document matches.
Save, then order your workflows using the up/down arrows.
💡 Hint: Only one Workflow can be applied to a Letter so they run in order of top to bottom. Place more specific or urgent workflows higher on the list. Also use the toggle next to each workflow to enable or disable it at any time.
Build Workflows using the Workflow Library
You don't have to build every workflow from scratch. The Workflow Library gives you ready-made templates, built from the most powerful automations across 700+ practices. Import one, tweak it to suit your practice, and you're routing correctly from day one.
To use it: go to Settings → Workflows → Workflow Library, find a template, and click Import Workflow. Once imported it behaves exactly like a workflow you built yourself — edit its criteria, actions, and order at any time.
Document Criteria
Applying document criteria means sets the scope of the letters which are included in the workflow. Key Document Criteria to use:
Annie Tagged: AI-detected topics which Annie identifies through the content of the letter (e.g. Safeguarding, Mental health, DNA, Diabetic eye screening, GLP-1).
Letter Type: The document's detected letter type (e.g. Discharge Summary, Administration, Patient Information).
Contains any of these keywords: The specified words/phrases appearing in the document. Only needs to have one of the keywords to be applicable.
Contains all of these keywords: The specified words/phrases appearing in the document. Only needs to have all of the keywords to be applicable.
Suggested Tasks: To include Letters that either have Annie-detected
GP action required,Medication change, orNo suggested tasks.
💡 Hint: Criteria has an AND logic, meaning The more criteria you add, the more prescriptive your Workflows can be. E.g. if you add a criteria that it must be a Discharge Summary letter type, and you also add a criteria for 'Contains all of these keywords', the letter must be a Discharge Summary AND include all key words in order for the Workflow to apply.
Patient Criteria
Teams can further restrict criteria based on the Age group of the patient as well as Patient status.
Actions
Actions are the specific items you want to happen to the documents which match the scope of the criteria. Key actions teams use:
Assign to: Auto-assign documents to a person or team.
Set priority: Mark documents as high or low priority.
Coding rules
Add these codes: Always have specific SNOMED codes added to the letter.
Consider these codes: Strongly encourage Annie to consider specific codes (they may not be applied if totally irrelevant)
Remove codes: Remove any codes that Annie has suggested - will only use codes that you add or consider in the workflow.
Tasking
Create a new task: A specific task is automatically generated and assigned when the document enters the platform. (Note: Workflows cannot auto create Tasks if you wish them to be sent into SystmOne)
Suggest a task: A specific task will show up in the 'Suggested' list alongside Medication Change and GP Action. (Note: This is recommended for those sending Tasks to SystmOne).
Set Status as
Ready to Save: The letter will be moved out of the 'processed' or 'assigned' views and sit in theReady to Saveview on your Documents dashboard.
Added tips for full Workflow utilisation
Broad criteria for broader actions
A good rule of thumb when building workflows: broad criteria for broad actions, tight criteria for precise actions.
Where the action is "loose" and low-risk (i.e. assigning to a team or setting priority) you can afford to keep criteria broad. The worst case is a document lands in a team's inbox or is unnecessarily marked as high priority, which is easy to correct. A single criterion (a letter type or an Annie tag) is usually enough.
Where the action is precise or very consequential (i.e. marking a document Ready to Save, or applying specific coding rules) you'll usually want to layer multiple criteria so the workflow only fires on exactly the right documents. Combine things like patient criteria (e.g. age 18–65), a full set of keywords, suggested-task conditions, and letter type. The tighter the match, the more confident you can be that an automatic, consequential action is correct.
"Ready to Save" for faster filing
As you become more experienced with Anima, there is likely a growing number of letters that you wish to be efficiently processed in seconds. That's where the "Ready to Save" workflows come into action. Whether they be 111s, adult DNAs with no suggested tasks, new patient registration forms, you can create Workflows for these document sets so that they automatically move to Ready to Save.
From there, a team member can routinely review Ready to Save can run through each letter in seconds, and then head to the Documents Homepage, select all, and Queue for saving - sending them all to the patient's record.
"Suggest a Task" is our newest and most advanced action
Suggested Tasks is our newest workflow action, and it expands Tasks beyond your standard GP Action and Medication Change suggestions. With it, you can have a workflow recommend any kind of task, including administrative ones, on the document sets where it's relevant.
What makes it powerful is its dual purpose:
A built-in reminder. You can set a workflow to always suggest a task for a specific document set, even when that task won't apply every time. It keeps the action front-of-mind for coders, so they're prompted to look out for it rather than relying on memory.
An efficiency shortcut. Because the workflow presents the task title, details and team assignment, the coder doesn't have to build it from scratch. If the suggestion is relevant, they accept it and the fully-formed task is generated in a few clicks.
Suggest a Task reminds your team of the task they need to watch for, and removes the effort of creating it when needed. Just remember it's a suggestion — the coder stays in control and confirms, edits, or skips it on each document.
5. High-Impact Code Warning
The High-Impact Code Warning adds a brief, intentional checkpoint when a clinically significant code is about to be saved to a patient's record. Routine coding stays fast; the most consequential codes get a final confirmation before they reach the record.
How it works: When a coder saves a document, Anima checks whether Annie suggested and applied a code from your high-impact list. If so, the coder sees a warning and can either Confirm and save, or Go back to check the document. Codes that a team member manually searched and added never trigger the warning — so nothing is blocked unnecessarily.
How to turn it on:
Go to Settings → Organisation Settings → Documents — Processing
Find High-Impact Code Warning and toggle on Show warning for custom list of codes
Enter your custom list of codes
Click Save Changes
Once enabled, the warning is active for everyone processing documents in your organisation.
Full detail: High impact code warnings




