✨ FSE 2.0 Accredited Software · Aesthetic Surgery
FSE 2.0 Software for Aesthetic Surgery — Accredited by the Ministry of Health
BeebeeDoc is the management software for cosmetic surgery practices accredited for the Electronic Health Record 2.0. It manages pre- and post-operative records, digital informed consent forms, surgical reports in CDA2 format, clinical photographs, and automatic transmission to the regional FSE gateway. All integrated into your surgical workflow.
Are you a cosmetic surgeon? Discover the FSE integration.
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ESF 2.0
Compliant surgical reports
CDA2
HL7 tracings for aesthetic procedures
5 days
Automatic sending within the legal timeframe
GDPR
Protected surgical data
Regulatory obligation 2026
FSE 2.0: What's New for Cosmetic Surgeons?
From 31 March 2026, cosmetic surgeons who provide healthcare services (reconstructive, therapeutic, post-traumatic or post-oncological interventions) are obliged to feed the Electronic Health Record 2.0 with surgical reports. The documents must be sent to the regional FSE gateway. within 5 days from the intervention, in CDA2 format and digitally signed.
BeebeeDoc automates the entire process: from the pre-operative record, to the digital informed consent, to the surgical report, to clinical photographs, and to the transmission to the EHR, without changing your workflow. No manual steps, no additional software.
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CDA2 physiotherapy report
CDA2 structured surgical report, outpatient discharge letter, complete description of the procedure performed, including operating times, intraoperative complications, and automatic digital signature. Automatic transmission to the EHR.
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Integrated digital signature
Sign PAdES with OTP or CAdES via Namirial directly from the patient record: the surgical report is legally validated in one click.
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Guaranteed delivery within 5 days
Automatic transmission to the regional FSE gateway immediately after signing. You can meet the 5-day requirement without having to worry.
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Ministry of Health · SICPRE
FSE 2.0 Accredited Software for Physiotherapists
BeebeeDoc is registered among the software enabled for the transmission of clinical documents to the FSE 2.0, in compliance with the guidelines of the Italian Society of Plastic, Reconstructive and Aesthetic Surgery (SICPRE) and the technical specifications of Legislative Decree 34/2020.
Features for Physiotherapists
FSE 2.0 integrated into your physiotherapy practice
From the rehabilitation plan to the signed report sent to the FSE: everything happens within BeebeeDoc, without interrupting your sessions.
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CDA2 surgical report
Generate the surgical report in CDA2 HL7 format directly from the operating room. Procedural description, ICD-10 diagnosis, complications, and surgical outcome: all automatically compiled into the ministerial record.
HL7 CDA2 · Rehabilitation report
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Digital informed consent
Structured digital informed consent, signed by the patient with OTP, legal timestamp, and automatic integration into the EHR. Complete acquisition trail and signing timestamp.
AgID qualified signature
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Transmission to the ESF
After signing, the surgical report is automatically sent to your region's FSE gateway. Real-time status: received, processed, error. Always within the 5-day timeframe required by law.
Regional Gateway
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ICD-10 for aesthetic and reconstructive procedures
Specialized ICD-10 library for aesthetic procedures: Z12.89 cosmetic screening, Z41.1 reconstructive plastic surgery, facelift, rhinoplasty, breast augmentation, liposuction, blepharoplasty, and others. Intelligent autocomplete with specific diagnoses and procedures.
Coded diagnoses
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Post-operative follow-up
Document the rehabilitation treatment plan with objectives, number of scheduled sessions, techniques used, and patient progress. Everything is automatically converted into the CDA2 tracing.
Clinical documentation
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Clinical photographs and documentation
Official clinical terminology for physiotherapy procedures: mobilizations, manual therapy, electrotherapy, therapeutic exercise. SNOMED CT and LOINC coding ready for the ministerial tracing.
Standard terminologies
How it works
From rehabilitation session to FSE in a few seconds
The workflow is designed for the physiotherapist who works between a table and a desk. No additional software, no manual exports.
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Document the pre-intervention
It captures digital informed consent, standardized preoperative photographs, a complete medical history, patient assessment, and surgical planning. BeebeeDoc automatically structures the data in the CDA2 document.
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Sign the report between sessions
One click to start PAdES signing with OTP on your smartphone or CAdES via Namirial. You can also sign from your tablet between patients.
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Automatic sending to the regional FSE gateway
BeebeeDoc transmits the signed physiotherapy report to your region's FSE. Confirmation of admission is provided in real time, always within the 5-day legal period.
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Complete archive and tracking
Every submitted physiotherapy report remains in your archive with an updated status. You always have proof of submission for each patient and each rehabilitation cycle.
Compliance & Security
Complies with all regulations for cosmetic surgery
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Legislative Decree 34/2020
Relaunch Decree · FSE Mandatory for Private Physiotherapy Practices and Self-Employed Professionals from March 31, 2026
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GDPR & Health Data
Rehabilitation data of patients treated in compliance with EU Regulation 2016/679 and Legislative Decree 196/2003
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SICPRE & Medical Association
Compliant with SICPRE guidelines for the digitization of aesthetic surgical documentation
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HL7 Italy
CDA2 Standard according to HL7 Italia guidelines for physiotherapy outpatient reports
Frequently Asked Questions
FSE 2.0 for physiotherapists: everything you need to know
Are physiotherapists required to use FSE 2.0?
Yes. From March 31, 2026, all healthcare professionals—including freelance physiotherapists and those working in private facilities—are required to submit reports of services provided to their Electronic Health Record 2.0, as required by Legislative Decree 34/2020 (Relaunch Decree) and subsequent implementing provisions.
What documents must a physiotherapist submit to the FSE?
Cosmetic surgery falls under the FSE obligation when it represents a healthcare service (reconstructive, post-traumatic, post-oncological, or therapeutic procedures). Purely cosmetic procedures are not formally covered by the obligation, but recording the documentation in the FSE is highly recommended for: legal protection of the surgeon, medical-legal traceability, continuity of care, and transparency of informed consent.
How long do I have to send the report to the FSE?
The law requires that every healthcare service be entered into the EHR within 5 days of its provision. With BeebeeDoc, the transmission occurs automatically immediately after the report is digitally signed, ensuring compliance with deadlines without any manual intervention.
Is specific software needed for physiotherapists for FSE 2.0?
The informed consent must include: a description of the procedure, specific risks (complications, unguaranteed results), treatment options, realistic expectations, pre-operative photos, and authorization to use the images in the EHR. BeebeeDoc provides pre-filled templates specifically for aesthetic procedures, digital patient signature with a legal timestamp, and automatic integration into the EHR.
Do aesthetic practices with multiple surgeons need to coordinate their FSE management?
Aesthetic practices with multiple surgeons must ensure coordinated access to patient records, tracking of who has added/modified documents (audit trail), visibility of colleagues' reports for continuity of care, and maintaining security and privacy. BeebeeDoc supports multi-user management with granular permissions and automatic synchronization to the EHR.
Which documents must be registered before the intervention in the ESF?
Preoperative documentation must include: signed informed consent, standardized clinical photos (lateral, frontal, and three-quarter views), anthropometric measurements, complete medical history, risk assessment, detailed surgical plan, and realistic patient expectations. BeebeeDoc provides structured templates and integrations with clinical photography devices.
What to include in post-operative documentation?
Postoperative documentation includes: a complete surgical report describing the procedure, a discharge letter, detailed postoperative instructions, initial photographs of the results, a follow-up plan with check-up dates and times, a description of the postoperative course, and any management of complications. All documentation must be recorded in the EHR within 10 days of surgery.
Does BeebeeDoc also work for physiotherapy practices with multiple practitioners?
Yes. BeebeeDoc is a cloud-based management system that supports practices with multiple physiotherapists, each with their own digital signature certificate. Each professional independently signs and transmits their reports to the EHR, with a shared practice-wide archive for managing patients and rehabilitation cycles.
BeebeeDoc is not just FSE 2.0. Discover all the features of the cloud management software for physiotherapists: diary, medical records, electronic invoicing and much more.
Freelancer
One of our experts will evaluate and plan the best solution for migrating data from your management system.
Medical Office
For various specialist figures who share the work environment
Outpatient clinic
For more complex clinical structures where different professional figures cooperate
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