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Keep your attention on the care encounter.
Record the conversation and clearly state your own findings and agreed actions.
Hysio Skin Therapy
Hysio organises a skin therapy care encounter from care request and skin status to procedure, interpretation and aftercare. What the client reports, what you see and what you measure stay separate.
A structured report in your professional terminology
From care encounter to report
Hysio turns spoken information into a report. Choose the report format for the conversation you are documenting.
Document
Record the conversation and clearly state your own findings and agreed actions.
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More attention for the conversation, less typing afterwards.
State relevant information, your own findings and agreed actions aloud so you can find them in your report.
The information appears under the headings of your chosen report format, so you can review each section.
Check names, facts and agreed actions. Edit the text where needed before using the report in your records.
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Quick answer
Hysio brings skin therapy information together for each care encounter, with room for skin history, inspection, palpation, indication-specific measurements and agreed aftercare. The origin stays visible, so that a client perspective that was voiced does not turn into an observation, and an observation does not turn into a measured value.
Here you can see, for each contact, what Hysio records about skin status, scars and oedema, and what you assess yourself as a skin therapist.
Hysio Skin Therapy Treatment Session is the documentation format for a skin therapy treatment session in which a procedure was actually carried out, such as manual lymphatic drainage, compression therapy or scar therapy. The structure follows Summary, S. Subjective, O. Objective, A. Analysis and P. Plan, the progress-note layout that the NVH guideline on skin therapy record keeping (Huidtherapeutische dossiervoering) names for a treatment session. What the client reports, what you see and feel, and what you make of it therefore sit in separate parts. A first assessment belongs to the intake, not to this format. [1] [3]
For a skin therapy intake with care request, skin history, expectations and treatment context, Hysio Skin Therapy Intake is the format in the skin therapy record. The layout runs from Summary and Referral and route, via history taking, examination and analysis, to the skin therapy treatment plan. The referral route, a referral or direct access, stays a source fact and does not become a screening judgement. If the client does not mention a skin location, earlier treatment or measurement, that field stays empty instead of being filled in. [1] [4]
Hysio Skin Status and Procedure Report is for skin status, inspection, palpation, measurements actually taken and a procedure carried out within one contact. This format has no letter scheme, but uses the parts Skin Status and Procedures, Skin Therapy Analysis and Hysio Supplementary. A circumference measurement, volumetry, pitting test or Stemmer sign only gains meaning with method, location, side and time of measurement. Consent for a separate procedure is distinct from agreement with the treatment plan and is never inferred from it. [1] [5]
For an evaluation of skin goals, progress, repeat measurements, client perspective and aftercare, Hysio Skin Therapy Evaluation and Aftercare is the format. The eight parts run from the evaluation framework with treatment goals, via treatment progress, findings and goal achievement, to follow-up, aftercare and discharge. A repeat measurement you have not taken stays open; no difference, volume or trend is calculated. What the client says about improvement stays a report and does not become an established treatment outcome. [1] [6]
Hysio Skin Status and Procedure Report organises the spoken information within the skin therapy record according to the role it had in the contact. A statement from the client is written in indirect speech, your inspection and palpation stand as your own observation, and a measurement carries its method, location, side and value. An announced procedure stays an intention and is never recorded as carried out. Unintelligible or missing speech is not reconstructed, but stays open until you fill it in yourself. With voice-driven reporting in skin therapy, a measurement therefore always remains recognisable as a measurement. [1] [2] [5]
For a treatment session, the report layout for skin and oedema care stays a documentation format and is not a source of professional content. Hysio does not choose a treatment, compression aid, product, device or setting, does not calculate a score, volume or difference, and does not make a dermatological diagnosis. No referral, urgency or billing code comes out of it either. If pain or itching is not mentioned, it stays unknown, not absent. Only you add a skin therapy conclusion or treatment choice. [1] [2] [3]
In the skin therapy record, the skin therapist separates the client's account, skin inspection, palpation, a measurement taken and their own assessment according to their actual origin. What the client says about itching, tightness or a heavy feeling stays a report in indirect speech. What you see in colour, surface or scar characteristics is your observation. A response during a test is a client response and not yet a result. Only you name the result and the professional interpretation. [1] [2] [3]
Before saving to the skin therapy record, the skin therapist compares skin location, body side, method, value, unit and time of measurement with the original note. Then check that a statement from the client has not been written down as your own observation, that an intended procedure is not recorded as carried out, and that each consent moment belongs to the right purpose. A test without a stated result should stay recorded that way. Only when origin and terminology are correct do you save the text. [1] [2] [3]
For the skin therapy record, no automatic integration with every medical record system is promised. You transfer the text yourself and review it in your own system. Pay particular attention to skin location, side, measurement method, measurement date and the correct aftercare version, because exactly those details shift when cutting and pasting. Who may save and which version applies is set out by your practice in its own record policy. The transfer therefore stays human work. [1] [2] [3]
For the skin therapy record, the skin therapist chooses between treatment session, intake, skin status and evaluation based on the actual purpose of the contact. A procedure carried out with a direct client response belongs to the treatment session. A first assessment with care request and treatment plan belongs to the intake. A separate examination moment with inspection, palpation and measurements belongs to the skin status. A review of goals, repeat measurements and aftercare belongs to the evaluation. If in doubt, the format that factually describes the contact is the right fit. [1] [2] [6]
The skin therapist records the referral and the care request in the skin therapy record with source, time of contact and the client's own words. In Hysio Skin Therapy Intake this sits under Referral and route, separate from history taking and examination. Note whether someone comes in via a referrer or via direct access; that is a source fact and not a judgement about indication or urgency. If the client's expectation is missing, that line stays empty. [2] [4]
In the skin therapy record, skin history and expectations come from the client's words, but they answer different questions. Skin history describes the course: since when, after which operation, radiotherapy or wound, and what has been tried before. The expectation describes what someone hopes for from the treatment. So do not put them in one sentence. Your inspection, palpation and measurement form a third source. With voice-driven admin too, that source gets its own location and time of measurement. [2] [4]
Within Huidtherapeutisch Methodisch Handelen (the methodical skin therapy process), you record inspection and palpation in the examination phase, after history taking and before analysis and treatment plan. In Hysio Skin Status and Procedure Report they have their own headings under Skin Status and Procedures, alongside examination context, tests and measurements. Inspection describes colour, shape, surface and scar characteristics; palpation describes mobility, consistency and pitting. No cause or treatment choice is derived from those findings by the report itself; that step stays your work. [2] [5]
Only copy a description of a scar from the note in which location, side and time of contact belong together. Describe colour, thickness, pliability, mobility and length in the unit the source gives, without converting or rounding. With POSAS 3.0, the version used, the completed scale and the measurement date belong with it, because the client's assessment and yours stay separate. If two notes contradict each other, keep both sources and correct only after checking. [2] [5]
In the skin therapy record, the skin therapist gives oedema findings the same certainty as the source. Write what you measured and felt: circumference in centimetres at a named measuring point, volume with the method used, pitting or the Stemmer sign with your own assessment. A decrease in circumference is a measurement outcome and not proof that the compression therapy worked. With voice-driven reporting, a measurement that was not carried out stays open. [2] [5]
In the skin therapy record, the skin therapist chooses, for pain or itching, the context that makes the contact understandable: location and side, when the complaint arises, what triggers or relieves it, and whether it occurred during or after a procedure. If the client uses a scale such as VAS or NRS, record the number given together with that scale. Background that adds nothing to this contact does not belong in the report. You decide what remains necessary. [2] [3]
In the skin therapy record, only link POSAS 3.0 to a measurement you actually took. Note the version, which scale was completed, the scar location and side, the outcome and the date taken, as far as the source mentions them. The scale the client completes and the scale you complete as observer stay separate and are never swapped or added together. A score is not assigned on the basis of a photo. You assess what the outcome means clinically yourself. [2] [5] [10]
In the skin therapy record, record the treatment goal, the consent given and the follow-up appointment as three separate facts. Note what the goal is based on, what exactly the client agreed to and who carries out the follow-up and when. Agreement with a treatment plan, consent for a separate procedure and consent for sharing data are different moments; one never follows from the other. A plan is also not yet the same as carrying it out. You safeguard that coherence. [2] [3]
For follow-up appointments, Hysio Skin Therapy Treatment Session is the documentation format closest to an ongoing course of treatment: the appointment lands under P. Plan, in the contact in which it was made. If you close the treatment episode, aftercare, check-ups and handover belong in the evaluation and aftercare format instead. The moment the appointment is made therefore determines the appropriate report structure, not the topic. The documentation format selects nothing itself. [2] [3]
At discharge, the skin therapy record keeps apart the outcome according to the client, your latest findings, the measurements actually repeated and the agreed aftercare. Only compare a repeat measurement with an earlier measurement at the same point, with the same method and side. A check measurement that was not carried out stays open. For aftercare, note what you gave the client, for example compression, skin care or self-management, and when someone comes back. The final conclusion and the approval stay your work. [2] [6]
The NVH sources give the substantive standard of skin care; article 34 governs the protected training title, without registration in the BIG register and without statutory disciplinary law. In addition, the general care rules apply: the WGBO for the duty to keep records and consent, the Wkkgz for complaints and the GDPR (AVG) for personal data. Professional standard and legislation therefore have different sources, and you note for each point which of the two you follow. A practice arrangement also stays recognisably local. [7] [8] [11]
The NVH guideline from 2017 describes which skin history, observations, measurements, goals and aftercare belong traceably in the record. It follows the phases of Huidtherapeutisch Methodisch Handelen (the methodical skin therapy process): screening or referral, history taking, examination, analysis, treatment plan, treatment, evaluation and discharge. Only use the part that applies to your contact, and note the document version. A local working arrangement also stays recognisably a practice arrangement and not a national standard. [8]
A skin therapist holds a legally recognised training title, but is not registered in the BIG register on that basis. Title protection runs via article 34 of the Wet BIG; the statutory disciplinary law of article 3 does not apply here. You are, however, bound by the WGBO, the Wkkgz and your own professional standards. If you also work in a second care role, that status belongs separately in the record and is not mixed with the skin therapy role. [11]
If the Wkkgz applies, the skin therapy practice documents complaint facts and follow-up without attaching its own legal judgement to them. Note who reported what and when, which treatment or procedure it concerned, which steps were taken and which agreement followed. Keep that record separate from the client's treatment record. Which complaints procedure and disputes body apply is decided by your practice itself and set out in its own procedure. [13]
The appropriate retention period follows from the treatment relationship and applicable rules; the NVH guideline is not an independent source of a period for this. If the contact falls under a medical treatment agreement, the WGBO period of twenty years applies from the moment the data was recorded, or longer where good care practice requires it. For work outside that agreement, your practice assesses the legal basis separately. Note which relationship, version and period were assessed, and check again when something changes. [8] [12]
Kwaliteitsregister Paramedici (the Dutch quality register for allied health professionals) assesses, among other things, continuing professional development for skin therapists and does not grant any authority under article 3 of the Wet BIG. A quality registration says something about work experience and continuing education within a period, not about title protection or disciplinary law. In your practice information, name the register, the criteria applied and the validity date you have seen. Register criteria are revised, so consult the register page before you publish that status anywhere. [9] [11]
For a skin treatment, you record which question about treatment or procedure was asked, which answer the client gave and at what moment. Four consent moments stay separate: contact or data exchange with the general practitioner (GP), agreement with the treatment plan, approval for a message in the case of direct access, and consent for a separate or reserved procedure. None of these is inferred from another. Silence is not consent, and you review the text before saving. [4] [8]
A handover contains only necessary skin information, the right recipient and a recognisable distinction between what the client reported and what you established. Check purpose, legal basis and scope beforehand: a referrer rarely needs the full record. You only share clinical photos when the purpose requires it and the client has consented to it. Check the destination before you send, and use the sending method your practice has agreed for this. [6] [8] [12]
The skin therapist decides on the professional skin assessment, the relevance of a measured value and the text that is ultimately kept. If you work in a practice with several practitioners, agree who reviews and who saves the final version. A student or assistant can do preparatory work, but the substantive conclusion stays with the practitioner who had the contact. Hysio organises the information and does not pass judgement on skin status, outcome or follow-up. [2] [3]
For an NVH document, look at both the year of publication and the scope, and check whether a newer version replaces the passage you use. The professional profile (Beroepsprofiel Huidtherapeut) and the documentation guideline are two different documents with their own revision cycle; note the version or consultation date of both. If a local working arrangement differs, keep it visibly separate. Only adopt a new passage after you have established which old text it replaces. [7] [8]
A POSAS score, oedema measurement or other skin therapy outcome only belongs in the record when you actually took it. In practice this includes circumference measurement, volumetry, pitting test, the Stemmer sign, POSAS 3.0, DLQI, VAS or NRS. For each measurement, note the instrument, the location and side, the value with unit and the date. There is no mandatory core set for this profession, and a missing score is not calculated. [2] [5] [10]
In a treatment session on skin, scars or oedema, the skin therapist uses the terminology of their own profession and not that of a neighbouring profession. Manual lymphatic drainage, compression therapy, donning training and scar therapy belong to this profession; physiotherapy concepts such as mobilisation or range of motion do not. You only copy a dermatological diagnosis word for word, with the doctor as the source. Keep each term linked to location, side and time of measurement, and check before saving that it says exactly what you meant. [2] [3] [7] [8]
The skin therapist leaves the relevant part of the skin therapy record empty when the source says nothing about inspection or palpation. A characteristic that was not mentioned stays unknown and is not written down as normal or absent. If you did carry out a test without stating the result, it stays recorded that way and no value is made up for it. Ask for what you still need, or note visibly that this information is missing. [2] [5]
When there is a contradiction about scar characteristics, the skin therapist keeps both statements in the skin therapy record with their source, moment and wording. If the client says the scar feels more pliable while your palpation shows stiffness, those are two findings side by side and not an error. You simply adopt a clear correction made during the same contact. If the contradiction remains, make visible which item needs verification, and only correct from the original note. [2] [3]
The boundary around oedema findings is that the report layout for skin and oedema care describes and does not interpret. An increase in circumference or a positive Stemmer sign is not turned into a staging, nor into a cause, nor into an indication for compression. No volume difference is calculated, and a report of heaviness does not turn into an objective finding. What the measurement means clinically and which follow-up goes with it, you decide within the limits of your own expertise. [2] [5]
With unexpected pain, itching or a worrying skin finding, the skin therapy record first describes what the client reports and then what you see and feel, with location, side and moment. Also state what you did and which follow-up you agreed together, for example consultation with the general practitioner (GP). The documentation format does not determine urgency itself, does not propose a referral and does not turn your observation into an 'all clear' or 'not all clear' judgement. You make and record that decision yourself. [2] [3]
In the skin therapy record, the client's description of itching or pain stays separate from your inspection and palpation, and both in turn from a measurement taken with method, location and time of measurement. Information from a referrer or doctor is given its source. A plan or intention stands apart from what was actually carried out. Only then does your assessment follow, which brings these parts together without deriving a cause or effect from them by itself. [5]
A POSAS score or other skin measurement is only included if the skin therapist actually took that scale. A missing score, classification, oedema stage or billing code is not filled in and not calculated. Version, location, side, value and date stay as the source gives them, without conversion to another unit or scale. A treatment goal or free skin description is not converted into a code. You assess the clinical meaning yourself. [2] [3] [10]
Perceived skin improvement and an objective skin measurement stay two different outcomes. So write that the client reports less tightness and that the circumference at a named point has decreased, without merging the two into one result. A change between two measurements does not prove that the treatment caused it; that comparison is absent in a record contact. Phrase your interpretation as a professional judgement, recognisable alongside the findings it rests on. [2] [6]
Before saving to the skin therapy record, compare skin location, body side, measurement method and measurement date with the note they come from. Then go through four questions: is each finding with the right source, is an intended procedure not written down as carried out, does each consent moment belong to its own purpose, and has missing information stayed open? Finally, remove every sentence that independently adds a conclusion, measured value or treatment choice. Then you approve the text. [2] [6]
If you look at the cost of Hysio as a skin therapist, you will find three plans: Starter €20, Pro €40 and Unlimited €80 per month, excl. VAT. With yearly billing, you pay for ten months and get twelve. There is no separate professional rate for skin therapy. See the pricing page for the current terms. What voice-driven reporting costs and which documentation format suits a contact are two separate considerations. [14]
Skin data, treatment locations and any images are only processed if they are needed for the agreed care purpose. As a practice, set out who may view, edit, save and send the skin therapy record, and on what legal basis you use clinical photos. Keep the data processing agreement and your record of processing activities in order, and describe the documentation support in your own privacy policy. This responsibility stays with the practice and does not shift to a supplier. [15] [16]
For the skin therapy record, the skin therapist compares writing by hand with dictation. Writing by hand takes time, but keeps you close to your own wording. Dictation produces a literal text that you then organise yourself into history, examination and plan. A general chatbot does not know your measurement methods, scar scales and consent moments and does not keep sources apart. Profession-specific documentation adds exactly that organisation. With every way of working, your own check before saving stays decisive. [2]
A skin therapy practice can assess Hysio, including the profession-specific skin formats, for 14 days. During that period, test recording, organising and transferring into your own system. Choose one recognisable type of contact, for example an oedema or scar treatment, and check whether skin location, side, measurement method and date are correct. Note how much time corrections take. Afterwards, discuss with your team what you actually saw. [14]
Arrange the route of the text yourself: there is no automatic integration with every medical record system, so you copy the report and paste the text into the right part of the record. Describe oedema, skin status and a measurement actually carried out with the same accuracy in that system as in the source, because location, side, unit and date shift fastest when cutting and pasting. Then check formatting, headings and date, and adapt the text to your own field layout. [2]
The skin therapist checks before saving whether skin location, measured value, treatment goal and aftercare come from the right source. Organise that as a fixed step: who reviews, at what moment, and how do you recognise that a report is ready. Agree who saves the final version and how you keep a correction traceable. In the first weeks, take samples and discuss what you come across. That way, review stays a working arrangement and not an incidental act. [2] [3]
Correct a POSAS score, skin location or measurement date from the original skin note and not from memory. Only fix the error, for example the completed scale, the side or the date, without quietly changing the treatment goal or aftercare along with it. Keep the earlier version traceable, so it stays visible what was there. Note who reviewed the correction and which version your practice policy keeps. If you are unsure about the source, leave the value open instead of estimating it. [2] [3]
If a treatment goal or consent is missing from the skin therapy record, the skin therapist first checks the intake or treatment plan source of the same contact. A measurement outcome or aftercare note may not replace that answer, and consent for one purpose does not apply to another. If it is nowhere to be found, ask at the next contact or visibly mark the item as unknown. Never fill anything in from routine or from an earlier report. [2] [3]
Always measure any time savings in a skin therapy evaluation for the same type of contact, otherwise you are comparing two different things. Note separately the minutes for dictating, for reviewing skin location and measured value, for corrections, for aftercare and for transferring into your record. Start with a baseline measurement of your current way of working over a few weeks. No practice figure has been established for skin therapy, so use your own measurement and not a general savings percentage. [2]
Start the introduction with one type of skin contact and appoint a skin therapist who reviews the first report texts. Set out how you check skin location, measurement method, value and date, who may save and how a correction stays traceable. Arrange the privacy agreements and the record route before you start, not afterwards. Only expand to a second type of contact when source fidelity, terminology and the transfer into your own record demonstrably go well. [2]
Hysio creates the report. You remain responsible for what you save in the record.