Table 3. Implementation outcomes.

Study	Quality of care	Evidence of clinical outcomes
Deutscher et al 17		The outcome in the study was FS, defined as an operationally as the patients’ perception of their ability to perform functional tasks described in the FS items. It represents the ‘activity’ dimension of the ICF.
Buyl and Nyssen 19		Although it does not provide data on the effectiveness of physiotherapy intervention, one of the studies establishes, in its structural model, the need to record the results and changes in functionality.
Häyrinen23		The contents of the physiotherapist’s registration, organised by headings, are the evaluation of outcomes (outcome of care follow-up treatment plan) and a status documentation results of tests performed for example, the Berg Balance Test, the Box and Block test, the Straight Leg Raising test, measurement of hand grip strength or Visual Analogue Scale.
Kauhanen et al 18		The response to treatment and the effectiveness of CR is rarely documented (existing only in 35% of the notes).
Scholte et al 16	One of the benefits of using EHRs is that they serve as a tool to facilitate completeness of administering the medical process. They found evidence for this because there were fewer missing values in the EHR data than in the survey data for three out of four quality indicators. EHRs are normally completed during or right after the consult with the patient, making it easier to answer questions on the communication process with the patient. At the least, it can help mistakes be more easily retrieved, increasing transparency and accountability. Using the EHRs for quality measurements saves valuable time as clinicians do not have to complete additional surveys for quality assessments next to the regular administration of their patients. The administration is done electronically in the EHRs during or right after the therapy session, and the data can be directly extracted without further action from the therapist. That is time better spent on patient care and may potentially lead to an indirect positive effect on the quality of care. EHRs present a possibility for continuous and automated data extraction for real-time monitoring of the quality of care and for providing direct feedback to patients, medical professionals and health insurance companies.
Wingood et al 21		The Patient Specific Functional Scale was documented at the time of the initial and subsequent evaluations.

CR, cardiac rehabilitation; EHR, electronic health record; FS, functional status; ICF, International Classification of Functioning.