A
system and method for determining an updated
disease classification code for a patient within a managed care
population consisting of (i) a patient condition
processing unit for receiving a plurality of patient-related data, (ii) a diagnosis repository
database coupled to the patient condition
processing unit for storing a preestablished
disease classification code for the patient, and (iii) a
disease classification code application tool designed to convert medical chart data of the patient into an observed
disease classification code for the patient wherein the observed
disease classification code is forwarded to the patient condition
processing unit and stored in a diagnosis repository
database as the updated
disease classification code. The updated disease classification code can then be forwarded to the treating physician, reimbursement agency, or any other agency requiring such data. The patient-related data can consist of analog or
electronic information relating to patient descriptions, including diagnosis, symptoms, exacerbations and treatment made by the treating physician, patient enrollment data, patient enrollment data, laboratory data,
prescription drug data, insurance claims data, data from a diagnostic medial device (such as a heart monitor), etc.