Clinical documentation
Treatment activities
What the patient actually did in the session, one row per exercise or task, with the dose, the help needed, what you changed and how they responded. Interventions say which kinds of treatment you gave; activities say what was done and how much, which is what you need to progress the next visit.
Written for: Physical therapists · Occupational therapists · Speech-language pathologists · Billing staff
Status
| Capability | Status | What that means here |
|---|---|---|
| Treatment activities with dosage and response | Available | Up to 30 activities per visit, each with a name, category, sets, reps, resistance or load, minutes, assistance, modifications and the response observed today. They appear in the note's Objective lines. |
| Start from last visit and treatment history | Available | Offers the most recent earlier visit's activities as unticked rows; only rows you tick as done today are added, marked as started from a previous visit, with the response left blank. Treatment history lists earlier visits' activities, newest first. |
| Interventions provided, with focus | Available | Choose what you did from the service families offered for the episode's discipline (all of them on a multidisciplinary episode), then what it focused on and an optional detail. The list is a draft vocabulary. |
| Charges created from interventions or activities | Not available | Recording an intervention or activity never creates or changes a charge. The billable service comes from the service the visit was booked under, or one recorded by hand, and an administrator posts the charge. |
Record an activity
Treatment activities are part of Quick Capture on an unsigned visit note.
- On the visit note, open Document this visit and find Treatment activities.
- Type the Activity performed (up to 80 characters, for example "Sit to stand from standard chair") and choose its Category from the intervention list.
- Choose Add activity.
- Fill in what applies. Any field can stay empty; an empty field is left out of the note rather than guessed.
| Field or control | What it means |
|---|---|
| Sets / Reps | Whole numbers: sets 1-50, reps 1-999. |
| Resistance / load | As you would write it, for example "3 lb" or "red band" (up to 60 characters). |
| Minutes | 1-240. |
| Assistance | Independent, Modified independent, Supervision, Contact guard assistance, Minimal, Moderate or Maximal assistance, Dependent / total assistance - or Not recorded. |
| Modifications | What you changed to make it possible or harder today (up to 200 characters). |
| Movement and response observed today | Movement quality and how the patient responded (up to 300 characters). |
A visit holds up to 30 activities. They are saved with the rest of Quick Capture, and saving again corrects this visit only - an earlier visit's record is never rewritten.
How activities appear in the note
Each activity becomes one Objective line with only the parts you recorded, in a fixed order: sets and reps, resistance, minutes, assistance; then modifications and response. Build from your selections (no AI) and the AI draft both use these lines.
Example (synthetic patient)
PT, left knee
Activity: Mini squats · Therapeutic exercise · 3 sets, 10 reps · Supervision · response "knee valgus on the left, corrected with a cue".
Note line: "Activity: Mini squats (3 x 10, supervision / stand-by); response: knee valgus on the left, corrected with a cue."
Example (synthetic patient)
OT, hand therapy
Activity: Putty pinch, right hand · Fine motor / dexterity training · 3 x 10 · resistance "soft putty" · modifications "tip pinch only".
Example (synthetic patient)
SLP, swallowing
Activity: Effortful swallow · Swallowing (dysphagia) treatment · 2 x 10 · Minimal assistance. Cue levels and trial accuracy are recorded separately in Speech trials today.
Prior activities at the next visit
Start from last visit and treatment historyAvailable
Offers the most recent earlier visit's activities as unticked rows; only rows you tick as done today are added, marked as started from a previous visit, with the response left blank. Treatment history lists earlier visits' activities, newest first.
- On the new visit note, choose Start from last visit.
- ArkCloud lists the activities from the patient's most recent other visit you can see, under "From the visit on" its date, each with its dose. None is ticked: "Tick only what the patient did today. Nothing is added until you choose."
- Tick what the patient did today and choose Add N performed today.
- Each added row is marked "started from a previous visit - check the values". Its dose, assistance and modifications are carried over for you to adjust; the response is blank, because today's response has not been observed yet.
Treatment history lists the patient's recorded activities across visits, newest first, grouped by visit date, with the response recorded at each and a marker on any visit whose note is still unsigned. You see only activities on notes you are allowed to read: a colleague's unsigned note stays private to them and their supervisors.
If there is no earlier visit with activities, ArkCloud says "No earlier visit with recorded activities was found for this patient."
Activities and interventions never become charges
Charges created from interventions or activitiesNot available
Recording an intervention or activity never creates or changes a charge. The billable service comes from the service the visit was booked under, or one recorded by hand, and an administrator posts the charge.
Quick Capture says it on screen: "Recording an activity does not create a charge." There is no procedure code, unit or price on an activity or an intervention, and the service families shown in Quick Capture carry no code. The billable service comes from elsewhere:
1ArkCloud Rehab
Service recorded
From the catalogue service the visit was booked under when the visit is completed, or added by hand with Record service on the encounter.
2ArkCloud Rehab
Visit note signed
Signing releases the service from waiting on documentation.
3ArkCloud Rehab
Ready to bill
Billing checks run; holds such as an incomplete note are shown, never silently fixed.
4ArkCloud Rehab
Post charge
An administrator reviews the row and posts the charge.
See Charge capture for the billing side.
What this does not do
- It does not copy the last visit forward. Only rows you tick are added.
- It does not pick exercises from the exercise library; type the activity name. Home exercise programmes are managed separately.
- It does not infer the response, the assistance level or progress.
- It is not offered on evaluations, the plan of care, progress reports or discharge summaries - only on visit notes.
Troubleshooting
- Add activity is disabled: enter a name and choose a category, or the visit already has 30 activities.
- Start from last visit finds nothing: no earlier visit you can see has recorded activities.
- Last visit's activities are missing from the history: they are on a colleague's unsigned note; they appear once it is signed.