Medical Documentation

Use

As of January 1st, 1989, all hospitals in Austria must record important medical and administrative data for patients receiving inpatient treatment. They must also create a machine-readable report at regular intervals, listing all the data entered for patients discharged during the relevant period, and pass it on to the relevant federal state funds. For more information, see Scoring (Austria) .

The following classification systems are available and in maintenance for use as of January 1st, 2002:

  • Diagnosis entry using diagnosis key ICD-10 BMGF 2001

  • Selected individual medical services (according to current service catalog BMGF (currently for 2005))

The Federal Ministry of Health and Women's Affairs (BMGF) continuously evaluates the diagnosis key and the service catalog and adjusts them according to the current status of medical science.

In addition, since March 1st, 1998, hospital bodies that belong to the procedure and diagnoses-oriented hospital financing system (LKF) are required to supply the federal state funds with intensive care reports containing data on the severity of the illness and the nursing and therapy effort. Since January 1st, 2002, this only applies to patients being treated at adult intensive care units.

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