Record and eSign a Therapy Session

A session is one therapy appointment within the episode. The physiotherapist schedules it, then records what actually happened — the modalities delivered, the exercises performed, the patient’s pain, and any consumables used — and finally eSigns it. Signing is the moment that matters: it locks the note as a tamper-evident record and turns the session into a billable event.

Who / when: Tobi the physiotherapist schedules and signs sessions; a Physiotherapy Assistant may record (deliver) a prescribed session, but only a physiotherapist signs it. Both work on the therapy detail screen. A modality is a treatment method (manual therapy, exercise therapy, electrotherapy, hydrotherapy, gait training, and so on).

Schedule the session

1. Tobi — open the episode from Physiotherapy → Referral Worklist.
2. Tobi — in the Session Log block, press Schedule Session, pick the therapist and the date and time, and Schedule. The session appears in the log as Open.

Note

Each session opens its own visit (an Outpatient encounter stamped to the Physiotherapy department). That is what lets the session’s charge land in the right cost-centre later — you do not have to do anything for this to happen.

Record what happened

1. Tobi — on the session row, press Record to open the session form.
2. Tobi — confirm Patient attended. (If the patient did not turn up, leave it unchecked and give a no-show reason — a no-show is recorded but never billed.)
3. Tobi — add the Modalities Delivered (each with an optional note), the Exercises Performed (with sets and reps), a Pain Score (0–10) and a Progress Note.
4. Tobi — record any Consumables Used. Pick each one from the stock-item search so it is inventory-linked, and set the quantity.

Caution

Pick consumables from the stock picker, not as free text, whenever the item is something you hold in stock. A stock-linked consumable draws the item down from inventory (oldest-expiry-first) and flows through to cost-of-goods; a free-text item is logged on the note but does not draw stock or feed cost.

eSign the session

1. Tobi — enter your 6-digit eSign PIN in the session form.
2. Tobi — press Record & Sign. The session is saved, the consumables draw down, the note locks (a signed session is read-only), and the PHYSIO-SESSION charge is raised.

Tip

Not ready to sign? Pressing Record (Sign Later) without a PIN saves the clinical content and draws the consumables, but the session stays Open and is not billed until it is signed. Come back, press Record, and sign when you are ready.

You can also record outcome measures (e.g. an Oswestry Disability Index score) in the Outcome Measures block to track the patient’s progress over the episode, and when the goals are met, discharge the patient from the Discharge block.

What happens next

The signed session has now produced two charges’ worth of value — the assessment and the session — and any stock it consumed has left inventory. The next guide follows that money: how the charge becomes revenue and how the session shows up in Veona Pulse.

Follow the trail

• Previous: Assess the Patient and Author a Treatment Plan
• Next: How a Session Bills and Feeds Pulse
• Related: The Universal eSign Signature