Dev:Diagnoses

Diagnose catalogs

Diagnoses are stored in hierarchical diagnose catalogs, e.g. ICD-10. Where diagnoses are:

• Hierarchically Grouped, e.g. by organs, specializations, ...
• Described (e.g. by code, name, ... )
• Localized, attributed to organ-structures as potential localizations (e.g. Left/Right eye)

Describe a time-based state of a patient

Diagnoses can be added to a patient by the doctor with a diagnose date. This can happen as part of a regular encounter or by adding historical data. Upon entering the diagnose, the doctor has to define a diagnose state and the localization of the diagnose. The potential localizations come from the diagnose catalogs, there exist these diagnose states.

• suspected
• ruled out
• active (default state)
• condition after

Please note that diagnose states will change over time! Also localizations can change. So a once diagnosed diagnose with a patient will stay over all time, just the status and localizations may change over time.

Describe the reason for billing

When it comes to billing medical services, each service must be attributed to one of the diagnoses ever diagnosed with the patient. This is because health insurances do not pay treatment without indication.