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Therapy

Therapy modules are custom built for each discipline and follow similar documentation models:

  • Evaluations - are custom built and are generally designed for a specific purpose. As an example, outpatient PT as a back eval and a knee eval. Each eval leads the therapist through specific questions including both subjective and objective information. It is possible for the therapist to create multiple evals for the same patient.
  • Plan of Treatments - are created initially and updated throughout the patient episode. They include:
    • Diagnosis
    • Assessments
    • Patient Goals
    • Therapy goals
    • Intervetions
    • Treatment plans
  • Sessions - are created for various encounters with the patient as well as MD progress notes and discharge notes. Components of the session include:
    • Subjective
    • Objective
    • Pain
    • Assessment
    • Goals
    • Charges
    • Plan