Terms, briefly explained.

Created from the structured data capture and sent automatically to the practice management system after you sign. There is no manual export.

Taking the patient's medical history: current complaints, previous illnesses, medication, family.

Written report to co-treating doctors, for example with a referral.

Doctors must record examination, diagnosis and treatment completely in the patient record (Section 630f of the German Civil Code (BGB)).

Classification for active substances and medicinal products.

Contract between the practice and a service provider that governs how the service provider processes patient data on behalf of the practice.

The result of an examination, for example a physical examination or a lab test.

Independent, state-designated testing organisation. It assesses whether a medical device and the manufacturer's quality management meet the MDR.

Comes at the start of every data capture and pre-filters the input fields. You only see what fits the case.

Audit catalogue of the German Federal Office for Information Security (BSI) for secure cloud services.

The mark with which the manufacturer declares that its product meets all EU requirements. Without CE, no distribution in the EU.

The medical determination of a disease. The diagnosis is always made by the doctor.

The list of diseases that come into question for certain complaints and have to be distinguished from one another.

An app on prescription that patients use themselves and that health insurers reimburse. DocPad is not a DiGA, because it is used by doctors.

Software for doctors that captures medical history and examination as structured data and accompanies the diagnostic process. Certified Class IIa medical device.

The EU General Data Protection Regulation. Health data is considered particularly worthy of protection under it.

The planned European Health Data Space, intended to make health data usable across the EU.

All of a patient's information is in one place in structured form, across all visits.

The patient's explicit agreement to the processing of their data. It can be withdrawn at any time.

The record provided by the health insurer, which holds the insured person's findings and documents.

One patient visit, from start to finish. When the episode is closed, the report goes to the practice management system.

European database on medical devices, in which manufacturers, products and certificates are registered.

A diagnosis that turns out to be wrong, incomplete or delayed.

The guide supplied by the manufacturer that describes the purpose, operation and limits of the product.

How safely and easily a product can be operated in real everyday use. Tested for medical devices according to IEC 62366.

If a junior doctor signs, the episode automatically goes to the supervisor for countersignature and only closes after that.

All information about a person's physical or mental health. It may only be processed under strict conditions.

A care model in which the GP practice is the first point of contact and coordinates further treatment.

Whoever places a medical device on the market under their own name and is legally responsible for it.

A modern international standard for exchanging health data between systems. FHIR describes the format, not the content.

DocPad runs in the STACKIT cloud (Schwarz Digits) in Germany. STACKIT holds a C5 attestation and is certified to ISO 27001.

The German version of the International Classification of Diseases. It is used for billing and statistics.

Standard for the life cycle of medical device software, from planning and testing to maintenance.

A reviewed, frozen state of the knowledge model. This is how new medicine gets into the product without redeveloping the app.

The ability of different systems to exchange data in a way that both sides understand it correctly.

The interface that doctors and medical assistants use to work with DocPad in the practice.

German FHIR-based specifications that define how hospital systems exchange data.

International standard for quality management for medical devices.

Standard for risk management for medical devices. Risks are identified, assessed and reduced as far as possible.

International standard for information security. Certified providers have had their security processes audited.

A medical assistant from your team who knows DocPad in more depth. She is the internal contact person and trains new colleagues.

The hospital counterpart to the PMS.

Medium risk class. A Class IIa product must be assessed by a notified body before it may carry the CE marking.

Software that gives doctors information and prompts for medical decisions. The decision stays with the human.

The assessment procedure that ends with a clear answer on whether a product complies with the MDR.

The facility's administration area. This is where user accounts, facilities and departments are managed.

International standard for coding laboratory values and measurements.

EU Regulation 2017/745 on medical devices. Since May 2021 it has set out the requirements a medical device must meet before it may be placed on the market in the EU.

Software that is itself a medical device because it serves a medical purpose. It is subject to the same obligations as a physical device.

The heart of DocPad. Diagnoses, symptoms, findings, attributes and locations, coded according to SNOMED CT and ICD-10. It is versioned content, not program code.

A product that, according to its manufacturer, serves a medical purpose, such as diagnosing or treating diseases. Software on its own can also be a medical device.

She organises the practice workflow and handles many steps of patient admission.

An internal tool that doctors use to extend the knowledge model. Every new content version is reviewed, frozen and only then rolled out.

A facility in which several doctors, often from different specialties, work together.

Manufacturer and distributor of DocPad. Based in Bavaria, made in Germany, developed by doctors.

The connector through which DocPad talks to practice management systems. One FHIR-based connection instead of a separate link for each PMS. Hospital information systems can also be addressed.

The manufacturer's obligation to keep monitoring its product after market launch and to evaluate feedback.

Data is altered so that it can no longer be attributed to a person without additional information.

The central software of a medical practice for appointments, patient master data, documentation and billing.

The defined processes a manufacturer uses to make sure development, production and support run in a controlled way. For medical devices, the standard ISO 13485 applies.

Partner of PI Health that runs the generic FHIR connector to the practice management systems.

Medical devices are divided into Classes I, IIa, IIb and III according to their risk. The higher the class, the stricter the assessment.

The patient's condition across twelve body systems at a glance. The further an arm extends, the more the system is affected. Unremarkable systems stay green.

A defined connection through which two programs exchange data.

A single, signed observation within an episode, for example one contact with the patient. This way it is always clear who captured what and when.

The world's most comprehensive clinical terminology. Every clinical term has a unique code there, whatever the language.

Data in fixed, coded fields instead of free text. Only then can it be analysed, compared and shared.

Medical history and findings are recorded using predefined, coded selection fields instead of free text.

Final usability test with real users. It shows that the product can be used safely.

Help with DocPad is available at support@docpad.cloud.

The secure network of the German healthcare system that connects practices, hospitals, pharmacies and health insurers.

A unique identifier that makes every medical device traceable.

DocPad has contracts with and access to medatixx, garrioPRO, Abasoft and other systems.

DocPad shows not just today's visit but how a patient has developed over time.

Data is transformed so that only authorised persons can read it, both in transit and at rest.

Shows a patient's entire documented history, separated into outpatient, emergency and inpatient.

Since May 2026, DocPad has been certified as a Class IIa medical device under the MDR. The notified body is Scarlet NB B.V. with identification number 3022.

The binding description of what a medical device is intended for. It determines what the manufacturer may say about its product.

DocPad is intended for supportive, cross-indication documentation and for accompanying the diagnostic process by the treating physician. The diagnosis is always made by the doctor.

The knowledge model organises medicine into twelve body systems. Capture in DocPad is structured the same way, and this is how the Round Tree shows them.