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Specialty 24

Physical Medicine & Rehabilitation (PM&R)

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Physical Medicine & Rehabilitation (PM&R) — Atlas

This specialty validates a distinct constitutional property of accountability (Volume II). Its canonical case, obligation architecture, and constitutional relationships are transcribed from the ratified specialty corpus.

Active constitutional concepts

  • Constitutional specialty
  • Canonical case
  • Constitutional property

Next: Review the canonical case and obligation architecture, then compare related specialties.

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Constitutional summary

Canonical case

Functional Rehabilitation Without Demonstrable Translation of Functional Goals into Executable, Measurable Obligations

Constitutional first cause

The patient acquires a functional deficit requiring rehabilitation. Not the injury. Not the surgery. The functional loss. Canonical Chain Functional deficit identified. ↓ Baseline functional assessment. ↓ Patient goals elicited. ↓ Goals translated into measurable capabilities. ↓ Disciplines assigned. ↓ Therapy accepted. ↓ Progress measured. ↓ Goals revised. ↓ Capabilities verified. ↓ Transition to community.

Obligation architecture

The ratified corpus records this specialty’s canonical case but does not enumerate a step-by-step obligation architecture. The obligation chain will be rendered here when it is frozen in the corpus — no chain is fabricated (Constitution Article IV §15).

Constitutional observations

What The Engine makes visible

Every therapist may complete every visit. Every physician may complete every note. The patient may still never regain the specific capabilities necessary to return to independent life. Why? Because no one ever converted: "Improve mobility" into "Walk safely 150 feet with a cane." The accountability failure is not therapy. It is the absence of operational definitions.

Constitutional relationships

Validated constitutional properties

Related specialties (shared properties)

Demonstration

No worked demonstration is provisioned for this specialty in this build. Occupational Medicine (Specialty 25) is the first domain and carries the worked demonstration; the constitutional architecture above is shared across specialties.