Body map and guided assessment

Saving body-map findings is switched on for the hosted ArkCloud service, so you can save and confirm findings today.

Mostly during an initial evaluation or re-evaluation, to record the site, side and what you found there. It lives on the episode, not inside a note, so findings recorded once stay on the episode and can be added to any later note after you confirm them.

The body map offers 20 regions and Other (describe in note), in this order. Each can also be found by typing in Search regions, which is the keyboard and screen-reader route to the same panel.

Rehab → Episodes → open the episode → Evaluation → Anatomical findings

1. Choose the region on the map (switch between Front and Back) or type it in Search regions.
2. If the region has a side, choose it. A left knee and a right knee are separate sites with separate findings.
3. Answer the guided questions that apply. A Yes ticks the matching items below; No and Unsure are kept as answers and tick nothing. Skip any you did not ask.
4. Tick what applies in each list: Common conditions, Symptoms, Examination findings, Functional limitations, Relevant history, Treatment context, Special tests.
5. For every special test you tick, choose Positive, Negative or Inconclusive. A ticked test with no result cannot be saved.
6. Choose Save selections without confirming to keep your work without asserting it, or Confirm findings to record them under your name. Only confirmed findings can reach a note.

For one symptom that needs more detail, open Record one symptom in detail to add the symptom type, a 0-10 severity (blank means not scored), an onset type and a note. That is saved as a confirmed finding. Describe findings in your own words suggests a site, side and finding from a typed sentence for you to confirm; it is a fixed text reader, not AI, and never suggests a condition.

A red-flag question answered Yes ticks a "Red flag screen" history item and shows this prompt:

"Screening item answered yes. Consider whether medical review is needed before or alongside treatment, and document your reasoning. This is a screening prompt, not a diagnosis."

It never names a condition and never blocks you; the decision about onward referral is yours.

Exactly what the rules produce for six common regions. Conditions are a selection; questions, tests and measure suggestions are complete. Every region also gets the general questions and red-flag screens for weight loss, cancer history, fever and constant night pain. All wording is draft.

• Each Common conditions list carries the caption "Commonly seen at this site. Suggestions only - not a diagnosis."
• A condition you tick carries no ICD-10 code and never sets the episode's diagnosis.
• A special test result is recorded, not interpreted.
• The lists and questions are draft and the panel says so: "These lists have not yet been through clinical review."
• A separate feature that lists conditions consistent with confirmed findings exists but is switched off and has no clinical sign-off.

• Confirm is disabled: a ticked special test has no result. The panel names it.
• "Structured anatomy recording is not enabled": saving is switched off for that deployment. It is on for the hosted service.
• The region I need is not listed: choose Other (describe in note) and describe it.
• No outcome measures are suggested: your clinic has not approved any for that region, or no finding has been saved there yet.