Question:

Why is the new Medical Insight option not available when creating a Call Online?

Answer:

For the Offline platform, the button is available if the user has create access to the Medical Insights object and the zvod_More_Actions field is on the Call layout in the zvod_buttons page layout section.

For Online, the Medical Insights related list needs to be placed on the Account page layout.

Related Documentation:

CRM Help Documentation: Key Medical Insights  

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