The report to the health record within five days

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.

The obligation concerns the healthcare activity, not the way it is organised: private practices and accredited facilities both feed the health record. Which documents apply in your own case is set out by the law and by your region.

The document required must be sent, not every working note. The end-of-cycle report and the summary are documents; session notes stay in the clinical record and do not leave the practice.

Yes, an updated version is transmitted and replaces the previous one in the health record. The corrected version stays logged in the practice management software along with the date of the new submission.

The physiotherapist must submit outpatient reports relating to physiotherapy and rehabilitation services provided. This includes the initial functional assessment, rehabilitation plan, session reports with ICD-10 diagnoses, procedures performed, and clinical notes. The document must be in HL7 CDA2 format and digitally signed.

From the delivery of the service the report refers to: the law provides that every healthcare service enters the FSE within five days. In BeebeeDoc transmission starts right after the digital signature of the report, so the deadline is met without a manual submission and without keeping a deadline in mind for every patient in your care.

Management software accredited by the Ministry of Health is required for transmission to the FSE 2.0 and that supports the generation of CDA2 documents for physiotherapy reports. BeebeeDoc is accredited and offers specific features for physiotherapists: ICD-10 codes for musculoskeletal conditions, a structured rehabilitation plan, and SNOMED CT terminology for physiotherapy procedures.

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.