Clinical Impression and Diagnosis

This section was compiled by Frank M. Painter, D.C.
Send all comments or additions to:

This page is devoted to a full description of what is considered “complete” patient file documentation, as described by National Associations and Third party Payors. It is the intention of this page to inform our profession of the most efficient means of communicating patient information, as well as outlining what is considered adequate documentation.

Jump to: Association Recommendations Articles  
Patient Satisfaction Cost-Effectiveness Safety of Chiropractic

Exercise + Chiropractic Chiropractic Rehab Integrated Care

Headache Adverse Events Disc Herniation

Chronic Neck Pain Low Back Pain Whiplash Section

Conditions That Respond Alternative Medicine Approaches to Disease

Association Recommendations


Clinical Impression and Diagnosis
Clinical Guidelines for Chiropractic Practice in Canada.

Clinical Impression
in Adobe Acrobat PDF (28 KB)
as a Word document (61 KB)
ICA's Clinical Protocols and Guidelines for
the Practice of Chiropractic

Clinical Impression
Vertebral Subluxation in Chiropractic Practice (2008)
This is an Adobe Acrobat file (1.34 MB).
Clinical Impression starts on page 60 of 318.

Clinical Impression
Guidelines for Chiropractic Quality Assurance and Practice Parameters
~ a.k.a. The Mercy Conference
  Refer to Section VI


Articles About Clinical Impression and Diagnosis

The ICD–10 Diagnosis Page
A Chiro.Org collection

Here's most of the codes you are likely to use, arranged by category.

The Content of Chiropractic Practice
Chiropractic in the United States: Training, Practice, and Research

AHCPR Publication No. 98–N002 December 1997
Two studies of national scope have tried to describe what chiropractors actually do in practice. The first was a national survey of over 5,000 practicing chiropractors (Christensen, 1993), which asked what conditions patients presented with or had concurrently. The second, using data collected from the office records of a cluster sample of chiropractors, looked at the presenting symptoms the chiropractors recorded in charts and at diagnoses recorded for insurance purposes .

Diagnoses and Treatment Recommendations on Workers Compensation
Medical Certificates for Back and Neck Pain
Medical Journal of Australia 2000 (Oct 16);   173:   419–422

In recent years, national and international guidelines and systematic reviews -- some evidence-based -- have established standards for diagnosis and treatment of people with back or neck pain, [5–10] including the most recent National Health and Medical Research Council (NHMRC) guide to acute pain management [11] and the definitive publication on classification of pain by the International Association for the Study of Pain (IASP). [12]

Proactive Care Through an Evolving Diagnosis: A Case Report
David D. Juehring, D.C., D.A.C.R.B.

Proper case management and treatment comprise the ongoing interplay of the patient's subjective complaints and objective findings. These components should be continually monitored to follow the progression of symptoms needed to arrive at a flexible and evolving working diagnosis.


Since 2–18–2001

Updated 7-09-2021

                       © 1995–2021 ~ The Chiropractic Resource Organization ~ All Rights Reserved