The report to the health record within five days

Are you a physical therapist? Discover the FSE integration

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    Regulatory obligation 2026

    FSE 2.0: What's New for Physiotherapists?

    From 31 March 2026, every physiotherapist - freelance or in a private facility - is obliged to feed the Electronic Health Record 2.0 with reports of the services provided. The documents must be sent to the regional FSE gateway. within 5 days from the performance, in CDA2 format and digitally signed.

    BeebeeDoc automates the entire process: from physiotherapy reports to transmission to the FSE, without changing your workflow. No manual steps, no additional software.

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    CDA2 physiotherapy report

    Automatic generation of physiotherapy outpatient reports in the CDA2 format required by the Ministry, with ICD-10 diagnoses for musculoskeletal and neurological pathologies.

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    Integrated digital signature

    Sign PAdES with OTP or CAdES via Namirial directly from the patient's record: the rehabilitation report is legally validated in one click.

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    Il ciclo riabilitativo resta nei termini

    Firmato il referto della seduta, la trasmissione al gateway FSE della tua regione parte da sola: i cinque giorni di legge si rispettano senza segnare scadenze su un promemoria.

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    Ministry of Health · FNOFI

    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 National Federation of Physiotherapists' Orders (FNOFI) and the technical specifications of Legislative Decree 34/2020.

    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.

    1

    Complete the session in BeebeeDoc

    Record the functional assessment, ICD-10 diagnosis (e.g., M54.5 low back pain, G81 hemiplegia), the treatment performed, and clinical notes. BeebeeDoc automatically generates the CDA2 document.

    2

    Sign the report between sessions

    Un click apre la firma PAdES con OTP sul telefono, in alternativa la CAdES tramite Namirial. Si firma anche dal tablet, senza tornare alla scrivania fra un paziente e il successivo.

    3

    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.

    4

    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.

    Domande frequenti sul FSE 2.0 per i fisioterapisti

    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.

    L’obbligo riguarda l’attività sanitaria, non il modo in cui è organizzata: studi privati e strutture accreditate alimentano entrambi il fascicolo. Quali documenti rientrino nel proprio caso lo dicono la normativa e la propria regione.

    Va inviato il documento previsto, non ogni annotazione di lavoro. Il referto di fine ciclo e la relazione sono documenti; gli appunti di seduta restano nella cartella clinica e non escono dallo studio.

    Sì, si trasmette una versione aggiornata che sostituisce la precedente nel fascicolo. La versione corretta resta tracciata nel gestionale insieme alla data del nuovo invio.

    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.

    Dall’erogazione della prestazione a cui il referto si riferisce: la normativa prevede che ogni prestazione sanitaria entri nel FSE entro cinque giorni. In BeebeeDoc la trasmissione parte subito dopo la firma digitale del referto, quindi il termine si rispetta senza un invio manuale e senza tenere a mente una scadenza per ogni paziente in carico.

    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.

    BeebeeDoc is not just FSE 2.0. Discover all the features of the software gestionale per fisioterapisti: diary, medical records, electronic invoicing and much more.

    Freelancer
    Medical Office
    Outpatient clinic

    • A full 15 days
    • No credit card
    • No minimum term