First visit field date is being set by the date the chart was created instead of the date of the first appointment. Offices apparently have just been living with this instead of reporting this issue, and manually resetting it on each patient.
This messes up data in Pearl as well as Lighthouse first visit patient surveys not being sent out, as the first visit field date is before the patient was ever seen unless you wait to create charts when the patient shows up. Most offices book patients ahead of time and a very small portion are same day appointments.
I just spoke with a rep for ticket #6694374 and was basically told this is how it works and everyone just manually resets it. This is not how things work in actual offices. In reality, we report issues that don't work and get them fixed.
Carestream is supposed to work the way clients need it to rather than clients having to manually do workarounds, especially when there's existing data fields that can be used to easily swap the functionality to look at.