ICBCphysioBeta

AI Form Writer

ICBC CL489F Progress Report

AI-drafted narratives for ICBC physiotherapy progress reports. Your patient's PHI stays in your browser.

Your patient’s data never leaves this tab. Clinical shorthand is sent to our private AI to draft narratives. Names, DOB, PHN, and claim numbers are filled into the PDF locally. Open your browser’s network tab to verify.

Clinical context

De-identified clinical inputs. Sent to our private AI to draft narratives. No names, no dates, no claim numbers.

Sent to AI

Patient age band*

Used for pronoun + age-appropriate phrasing. Never the exact DOB.

Patient sex (for pronouns)*

Weeks since date of accident*

Mechanism of injury*

Generic mechanism only. Do NOT include location, vehicle details, or identifiers.

Primary body region affected*

Working diagnosis (clinical shorthand)*

Number of treatment sessions to date*

Weeks since last formal assessment*

Initial subjective findings — bullets*

Clinical shorthand from your assessment-1 notes. No names, no dates.

Initial objective findings — bullets*

Current subjective findings — bullets*

Current objective findings — bullets*

Stated barriers to recovery (bullets)*

Patient's stated goals (bullets)*

Any relevant pre-accident conditions?*

If yes — describe briefly (bullets)

Leave blank if no prior conditions.

Any medical investigation or specialist referral?*

If yes — list investigations / referrals (bullets)

Employment at date of accident*

Job title (generic — e.g. 'office worker')

Use a category, not the employer. Skip if retired / unemployed.

Returned to pre-accident duties and hours for work?*

Do you expect full return to pre-accident function with continued physio?*

Patient + practitioner identifiers

Filled into the PDF in your browser. Never leaves this tab — check your network inspector.

Stays in browser

Patient first name*

Patient last name*

Date of birth (dd/mmm/yyyy)*

PHN*

ICBC claim number*

Date of accident (dd/mmm/yyyy)*

Date of report (dd/mmm/yyyy)*

Date of this assessment (dd/mmm/yyyy)*

Date of previous assessment (dd/mmm/yyyy)

Date of first visit (dd/mmm/yyyy)*

Recommended reassessment date (dd/mmm/yyyy)

Practitioner first name*

Practitioner last name*

Practitioner number*

Vendor number*

Invoice / reference number

Payee name*

Payee address — line 1

Payee address — line 2

Still required: Patient age band, Patient sex (for pronouns), Weeks since date of accident +16 more

What the AI drafts

11 narrative blocks + 8 structured picks

Subjective findings — initial

Paragraph describing the patient's reported symptoms AT THE TIME OF INITIAL ASSESSMENT. Include location, frequency, duration, intensity. Use 'the patient' — no names. Use relative time ('at initial assessment following the MVA'), not absolute dates.

Subjective findings — current

Paragraph describing the patient's CURRENT reported symptoms, contrasting implicitly with initial. Same rules: 'the patient', relative time only.

Objective findings — initial

Paragraph of objective clinical findings at initial assessment — observation, ROM, strength, neurological, palpation, special tests. Clinical register. 'The patient', relative time.

Objective findings — current

Paragraph of current objective findings. Highlight improvements, persistent deficits, any regressions. Clinical register.

Primary barrier 1

One short paragraph (2–4 sentences). The most significant barrier to recovery from the patient's stated barriers. Classify (Functional / Physical / Psychosocial / Employer / Medical / Compliance) and describe its impact on recovery.

Primary barrier 2

Second most significant barrier. Same format. Leave empty only if no second barrier exists.

Primary barrier 3

Third barrier. Same format. Can be omitted if not applicable.

Primary goal of physiotherapy treatment

One SMART goal (Specific, Measurable, Achievable, Relevant, Time-bound). Draws on the patient's stated goals. Example: 'Restore pain-free C-spine rotation to 80° bilaterally within 6 weeks, enabling return to full-time desk work.' No names, no absolute dates — use 'within N weeks'.

Prognosis — return to pre-accident function

Short paragraph supporting the 'expects full recovery' answer. Cite current trajectory and remaining deficits. Do NOT speculate beyond the inputs.

Active rehabilitation recommendation rationale

Short paragraph justifying active-rehab recommendation. Align with 'activeRehabRecommendation' structured output.

Work status comments

Short paragraph describing current work status and any modifications / accommodations in place.

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