Abstract: In general the invention is directed to systems, methods, and/or software modules which may analyze a patient's drug history, and optionally other data, and derive a probable diagnosis for the patient based on rules.

Abstract: In one example, this disclosure describes a method determining a resource utilization value, via one or more computers. The method may comprise receive dated patient healthcare data comprising information about one or more of diagnosed conditions, delivered services or procedures, severity indicators, or resource utilization data associated with any delivered services or procedures. The method may further comprise receiving selection input comprising one or more resource type parameters. After receiving selection input, the method may further comprise determining a resource utilization value based at least in part on the patient healthcare data and the selection input.

Abstract: In general the invention is directed to systems, methods, and/or software modules which may analyze a patient's drug history, and optionally other data, and derive a probable diagnosis for the patient based on rules.

Abstract: A method of creating a classification system for rating the nature and severity of health care requirements, including obtaining a set of medical disease codes, categorizing the medical disease codes into major disease categories, and categorizing the medical disease codes in each major disease category into episode disease categories based on severity.

Abstract: In general the invention is directed to systems, methods, and/or software modules which may analyze a patient's drug history, and optionally other data, and derive a probable diagnosis for the patient based on rules.

Abstract: A method of creating a classification system for rating the nature and severity of health care requirements, including obtaining a set of medical disease codes, categorizing the medical disease codes into major disease categories, and categorizing the medical disease codes in each major disease category into episode disease categories based on severity.

Abstract: In general the invention is directed to systems, methods, and/or software modules which may analyze a patient's drug history, and optionally other data, and derive a probable diagnosis for the patient based on rules.

Abstract: A method of creating a classification system for rating the nature and severity of health care requirements, including obtaining a set of medical disease codes, categorizing the medical disease codes into major disease categories, and categorizing the medical disease codes in each major disease category into episode disease categories based on severity.

Abstract: A comprehensive set of risk groups explicitly identifies groups of individuals with multiple interacting co-morbid conditions, and which explicitly identifies the severity of illness level. This allows accurate prediction of future health care resource needs of an entire population, while simultaneously helping the health care provider isolate problems to identify changes in care to reduce costs and improve quality.