haiguslugud

Haiguslugud are medical case histories or patient records that document an individual's health status and care over time. They are created and maintained by healthcare professionals during consultations and may exist as paper files or electronic health records. Haiguslugud help clinicians understand past illnesses, current symptoms, diagnoses, treatments and outcomes, enabling informed decision-making and continuity of care.

Typical content includes personal information, past medical history, allergies, current complaints, physical findings, diagnostic test results, diagnoses, prescribed medications, immunizations, family medical history, lifestyle factors, and notes on treatment plans and follow-ups. They may also include hospital admissions, procedures, and prognosis.

The main purposes are to guide diagnosis and treatment, coordinate care among providers, document clinical decisions for legal and billing reasons, and support quality assurance and research, often in anonymized form. Access to haiguslugud is restricted to authorized health personnel, subject to patient rights and data protection laws. Patients may request access to their own records and corrections where needed, and data sharing typically requires informed consent or a legal basis.

In many health systems haiguslugud are stored electronically as part of electronic health records, enabling more consistent documentation, interoperability, and secure sharing through established digital channels, while preserving privacy and audit trails.