Or. Admin. Code § 848-040-0160 - Standards For The Documentation of a Reassessment

(1) When a physical therapist is required to perform a reassessment under OAR 848-040-0155, the record of the reassessment shall include at a minimum:

(a) Subjective status of patient;

(b) Objective data from tests and measurements conducted;

(c) Functional status of patient;

(d) Interpretation of above data;

(e) Any change in the plan of care;

(f) Any change in physical therapy goals (including patient goals); and

(g) A notation that the record is of a reassessment.

(2) After a physical therapist performs and documents a reassessment, either the physicaltherapist or a physical therapist assistant may prepare a progress summary of the patient's physical therapy status based upon the physical therapist's performance of a reassessment.

Notes

Or. Admin. Code § 848-040-0160

PTLB 6-2004, f. & cert. ef. 12-29-04; PTLB 1-2007, f. 3-13-07, cert. ef. 4-1-07; PTLB 2-2008, f. 12-16-08, cert. ef. 1-2-09; PTLB 3-2017, amend filed 11/28/2017, effective 1/1/2018; PTLB 3-2018, amend filed 08/16/2018, effective 9/1/2018

Statutory/Other Authority: ORS 688.160

Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210