The unit of work in Swiss and German ergotherapy is not the session — it is the physician's prescription: 9 units in Switzerland, extendable to 18, then 27. V2 is built around that spine: it plans whole blocks, adapts them to real progress, and produces the reports that keep the prescription cycle moving — in the recipient's language.
Drafts a whole block against the Foundation → Growth → Consolidation phase model, scaled to 9, 18, or 27 sessions. Rule-based checkpoints every 3–4 sessions compare ratings to the expected corridor; off-corridor cases trigger a recalibration draft — revised remaining sessions plus a pre-filled physician report for the extension. Slower progress reshapes the plan; faster progress pulls consolidation and caregiver carryover forward. Always as a draft.
The week view carries therapy, school visits, parent meetings, and report deadlines. Each session chip knows its place in the block — and warns when remaining units won't fit before the prescription's validity ends, when a report is due before a physician visit, or when cancellations start eating the block.
One documented truth, rendered per recipient: physician (Verlaufsbericht for the follow-up prescription), insurer (medical necessity, measurable outcomes), teacher (classroom strategies, no diagnosis, consent-gated), parents (plain language, in the family's language), practice director (aggregated utilization and outcomes, no case details).
A photo of the Verordnung becomes parsed prescription fields. A voice memo becomes a transcript feeding the session note. School questionnaires, standardized scores (Sensory Profile 2, M-FUN), prior reports, photos of work products — parsed, summarized, attached to the case. Faces and names are refused at the door.
UI in DE, Swiss German, FR, IT, EN, ES. More importantly: the language of the record is separate from the language of the UI — the physician's report renders in High German (Swiss orthography, ss not ß), the parent letter in the family's Spanish, from the same approved content. The therapist attests each translation.
A toggle, not a tier: every recommendation exposes its "why" (Ayres SI®, motor learning, OTPF-4 references), checkpoints come with supervision-prep questions, and the week view surfaces reflective prompts before supervision. Senior therapists switch it off; new graduates keep a structured thinking partner.
Twelve things that don't appear in a feature list but decide whether v2 survives contact with a Swiss or German Praxis. Each is a design input, not a footnote.
Intake, planning, reporting, and revenue all hang off the Verordnung cycle. If v2 models sessions but not prescriptions — validity windows, remaining units, report-before-renewal — it automates the wrong loop.
In CH, pediatric developmental cases often run via IV (disability insurance), not KVG — different goals (participation, schooling) and different report formats than illness-framed insurer reports. DE adds GKV vs PKV and the new Blankoverordnung, where the therapist owns frequency and duration but carries more documentation duty.
Sick children, school holidays, no-shows: a 9-unit block rarely runs in 9 weeks. Absence handling, validity-window math, and "will this block finish before the Verordnung expires?" warnings are core planning logic, not edge cases.
Swiss German is a UI comfort and a therapy-room reality — but no report is ever written in it. CH documents use High German with Swiss orthography (ss, not ß), CHF, and DD.MM.YYYY. The language system must separate UI language, record language, and recipient language.
Who may receive what? Separated parents with joint custody, school reports needing parental consent, photos needing their own consent line. v2 treats consent as structured, per-recipient state that gates exports — not a checkbox in a PDF.
revDSG (CH) and GDPR (DE) treat health data as specially protected; practices will ask where the servers are before they ask what the AI does. CH hosting for CH customers, EU hosting for DE, processing agreements, and a plain-language data map are sales collateral, not legal fine print.
Software that recommends therapy adaptations can drift into MDR / Swissmedic territory, and the EU AI Act watches health AI closely. V2's architecture is also its regulatory posture: drafts only, therapist decides, no autonomous clinical output — documented as such from day one.
The quiet fear about AI reports is fraud: outcomes polished to win continuations. V2 inverts it into a feature — reports cite only documented ratings, and the audit trail proves it. That guarantee is worth more to a Praxis than any writing quality.
Months-long pediatric waitlists are the norm. Efficient documentation is capacity: every saved minute is a waitlist minute. The director report should say so — minutes saved, blocks completed on time, children seen sooner.
Substitution is a weekly reality in group practices. A case must be handable: a structured handover pack — current block state, active cues, contraindications, next planned session — generated in one click, without exposing the whole record.
Therapy happens in schools, homes, and gyms with dead zones. Notes and ratings must capture offline and sync later; the one moment the therapist has 90 seconds to document cannot depend on connectivity.
Clinical records carry ~10-year retention duties in both markets. Export-everything (open formats, no lock-in) and versioned plan snapshots aren't features — they're the condition under which a careful Praxisleitung signs at all.
V1 loop in daily use. Measure minutes saved per session; collect the friction list.
Verordnung spine, report studio DE/FR, CH hosting, consent model. IV vs KVG report formats validated with real physicians.
Heilmittelverordnung + Blankoverordnung flows, EU hosting, GKV report formats. Mentor mode as the wedge for new graduates.