Record Keeping
Please read the Standard for Professional Practice: Record Keeping and its accompanying Guide before you work through this E-Learning Module.Key Purpose of Record Keeping
As an essential part of physiotherapy care in every practice setting, the key purpose of record keeping is to manage health information for the benefit of the patient.Learning Objectives
- To describe the purpose and legislative requirements of documentation and health records retention
- To increase understanding of physiotherapists' responsibilities for record keeping through an interactive educational module.
- To increase independence in the application of the record keeping standard in practice.
Video Chapters
Interactive QuizChapter 1: General Expectations
Chapter 2, Part 1: Clinical Records Part I (Essential components, care maps, inter-professional records, consent, auditing)
Chapter 2, Part 2: Clinical Records Part 2 (Assessment, treatment, discharge, electronic records)
Chapter 3: Financial and Equipment Records
Chapter 4: Confidentiality, Access, Retention, Disposal
Static PDF Versions
Interactive QuizChapter 1: General Expectations
Chapter 2, Part 1: Clinical Records Part I (Essential components, care maps, inter-professional records, consent, auditing)
Chapter 2, Part 2: Clinical Records Part 2 (Assessment, treatment, discharge, electronic records)
Chapter 3: Financial and Equipment Records
Chapter 4: Confidentiality, Access, Retention, Disposal
References & Resources
Standard for Professional Practice: Record KeepingGuide to the Standard for Professional Practice: Record Keeping
Physiotherapists’ Privacy Requirements in Ontario
Briefing Note to the Health Care Consent Act
The Health Care Consent Act (HCCA)
Personal Health Information Protection Act (PHIPA)
Information and Privacy Commissioner/Ontario
Consent and Capacity Board/Ontario
Practice Scenarios
