AI documentation in physiotherapy

The draft carries what was said in the room, and nothing that happened in silence.

Written by the aurii team

Objective findings reach the note by being spoken as they are taken, or typed into the draft before signing.

What aurii hears, and what it misses

A joint moved, a muscle palpated, a gait watched, a goniometer read: none of it is audio. A finding reaches the note by being spoken as it is made, or typed into the draft afterwards.

  • Reaches the draft on its own: history, aggravating and easing factors, reported pain, adherence to the program, what was explained to the patient
  • Reaches the draft only if it is spoken: range of movement, strength grades, special test results, palpation findings, what was treated and for how long
  • Typed in before signing: scores totalled after the session, and measures read off a device without comment

Speaking the objective findings out loud

Say the finding as it is taken, in the words the note should carry. "Knee flexion one hundred and twenty degrees, pain reported at end range" is a finding the draft can carry. The same measurement read silently off the goniometer is not.

Outcome measures and scored tools

A score spoken in the room reaches the draft; a questionnaire filled in at reception, or a total worked out afterwards, does not.

aurii does not calculate a score, grade a functional measure, set a diagnosis or choose an intervention.

The treating clinician remains responsible for the clinical content. Clinical safety.

The exercise program

What was prescribed, at what load, how often, and what to do if it flares is said out loud, so the draft carries it.

aurii does not build the program, send it to the patient or track whether it was done. The note records what was prescribed and what the patient was told.

Classes, hydrotherapy and a shared treatment area

Consent covers everyone whose voice is captured. A class, a hydrotherapy group or a gym floor with other patients in earshot cannot be recorded on one person's agreement, and one refusal ends it. A curtained cubicle is the same: the audio does not stop at the curtain.

Those sessions are documented the way the practice does now. The wording for asking, and what to do when a patient says no.

Compensable patients and the reports they generate

A report for workers compensation, compulsory third party or NDIS work is drafted from the session it documents.

Certificates of capacity are on work capacity and injured worker consultations, and functional evidence for a plan reviewer is on NDIS reports and therapy documentation.

aurii in a physiotherapy practice

aurii captures the session on the clinician's device and drafts the session note and any report to a referrer or an insurer. The physiotherapist corrects each one and signs it.

The signed note and the signed report are filed in the patient record by the practice, because there is no two-way synchronisation with practice management software. Billing items are captured at the bedside against the episode, for your practice to claim. Billing.

Questions from the treatment room

Capture runs for the session the patient agreed to. It hears what is said, so a finding made in silence reaches the note only by being spoken as it is taken, or typed into the draft before signing.

Not on one participant's consent. Everyone whose voice is captured has to agree, and a single refusal ends it for the whole session.

Not in the shipped starter set, which is written for general and cardiology work. The template set.

This is general information for Australian physiotherapy practices, not clinical, legal or financial advice.

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