Use Cases
See how TranslateMed handles the most common medical document scenarios with verified code mappings.
Dental Treatment Plans
German dental plans use GOZ/BEMA procedure codes and FDI tooth numbering — completely different systems from the US CDT codes and Universal numbering that American dentists use.
A patient relocating from Munich to Chicago brings their Heil- und Kostenplan (treatment and cost plan) from their German dentist. Their new US dentist needs to understand planned procedures and continue treatment.
Behandlungsplan: Zahn 36: Kronenversorgung, Vollkeramikkrone GOZ 2210 Faktor 2.3 BEMA 20a Zahn 46: Wurzelkanalbehandlung GOZ 4050 Faktor 3.5 (Begründung: verkalkte Kanäle) Befund: FDI 36 MOD Karies, FDI 46 Pulpitis
Treatment Plan: Tooth #19 (lower left first molar): Crown, porcelain/ceramic GOZ 2210 → CDT D2750 (porcelain fused to high noble metal) BEMA 20a → CDT D2740 (porcelain/ceramic crown) Tooth #30 (lower right first molar): Root canal treatment GOZ 4050 → CDT D3330 (endodontic therapy, molar) Note: Faktor 3.5 = elevated complexity. Document calcified canals for US insurance. Findings: #19 MOD caries, #30 Pulpitis
- FDI 36 → Universal #19 (tooth numbering)
- FDI 46 → Universal #30 (tooth numbering)
- GOZ 2210 → CDT D2750 (crown procedure)
- GOZ 4050 → CDT D3330 (root canal — molar)
- BEMA 20a → CDT D2740 (ceramic crown)
- GOZ Faktor system explained for US billing context
Prescription Records
Prescriptions contain drug brand names, dosing conventions, and regulatory classifications that differ fundamentally between countries. A translated prescription isn't safe unless the drug itself is translated.
A German expat in the US needs to continue their medications. They bring prescriptions from their Hausarzt (family doctor) listing German brand names that no US pharmacy carries.
Rezept: 1. Metamizol-Natrium (Novalgin) 500mg 3×1 Tablette täglich bei Bedarf 2. Pantoprazol (Pantozol) 40mg 1×1 Tablette morgens 3. Diclofenac (Voltaren) 75mg retard 1×1 Tablette bei Bedarf BtMG: Kein BtM-Rezept erforderlich
Prescription Translation: 1. Metamizole Sodium (Novalgin) ⚠️ BANNED in United States since 1977 Risk: Agranulocytosis (potentially fatal) US alternatives: Acetaminophen, Ibuprofen (physician assessment required) 2. Pantoprazole (Pantozol → US: Protonix) 40mg ATC: A02BC02 — Proton pump inhibitor 1 tablet daily, morning. US equivalent available. 3. Diclofenac (Voltaren) 75mg extended-release ATC: M01AB05 — Available OTC (topical) / Rx (oral) in US Note: "retard" = extended-release formulation, not delayed-release Controlled substance note: No controlled substances on this prescription. German BtMG ≠ US DEA scheduling — verify each medication.
- Novalgin → Metamizole → ⚠️ BANNED in US (agranulocytosis)
- Pantozol → Protonix (pantoprazole) — ATC A02BC02
- Voltaren 75mg retard → Voltaren XR (extended-release)
- BtMG classification → DEA schedule comparison
- "retard" formulation term clarified (extended-release)
- OTC vs. Rx status differences flagged
Discharge Summaries
Hospital discharge summaries encode diagnoses in national ICD-10 variants, procedures in national coding systems, and medications by local brand name. Every element needs system-level translation.
A US insurance company receives a claim with a German hospital discharge summary attached. The diagnoses are coded in ICD-10-GM, procedures in OPS codes, and all medications are German brands.
Entlassbrief — München Klinik Hauptdiagnosen: I10.00 Essentielle Hypertonie, benigne E11.9 Diabetes mellitus Typ 2, ohne Komplikationen K04.0 Pulpitis Prozeduren: OPS 5-231 Operative Zahnentfernung Medikation: Metformin (Glucophage) 1000mg 1-0-1 Ramipril (Delix) 5mg 1-0-0 Sortis 20mg 0-0-1
Discharge Summary Translation — Munich Clinic
Diagnoses:
ICD-10-GM I10.00 → ICD-10-CM I10
GM I10.00 = benign essential hypertension (subtype)
CM I10 = essential hypertension (no benign/malignant distinction)
Confidence: Approximate — CM lost subclassification
ICD-10-GM E11.9 → ICD-10-CM E11.9
Type 2 diabetes without complications. Exact match.
ICD-10-GM K04.0 → ICD-10-CM K04.01 or K04.02
GM K04.0 = Pulpitis (undifferentiated)
CM requires: K04.01 (reversible) or K04.02 (irreversible)
Action: Review clinical notes for specificity.
Procedures:
OPS 5-231 → CPT D7210 (surgical removal of erupted tooth)
Medications:
Glucophage 1000mg → Glucophage 1000mg (same brand, available in US)
Delix 5mg → Altace (ramipril) 5mg — ATC C09AA05
Sortis 20mg → Lipitor (atorvastatin) 20mg — ATC C10AA05 - ICD-10-GM I10.00 → ICD-10-CM I10 (subtype lost — documented)
- ICD-10-GM K04.0 → K04.01/K04.02 (specificity gap flagged)
- OPS 5-231 → CPT D7210 (procedure code crosswalk)
- Delix → Altace (ramipril brand mapping)
- Sortis → Lipitor (atorvastatin brand mapping)
- German dosing notation (1-0-1) → US convention
Vaccination Records
Vaccination records use national schedule codes, local vaccine brand names, and country-specific documentation formats. Moving between countries means translating the entire immunization context.
A family immigrating from India to Germany needs their vaccination records translated for school enrollment and local physician registration. Indian vaccine names and schedule codes differ from the German STIKO recommendations.
Immunization Record — India BCG: Given at birth (Government Hospital, Mumbai) OPV: 0, 6, 10, 14 weeks (Oral Polio) Pentavalent: 6, 10, 14 weeks (DPT + HepB + Hib) MR: 9 months, 16 months (Measles-Rubella) TT: 10 years, 16 years JE: 12 months (Japanese Encephalitis)
Vaccination Record Translation — India → Germany BCG: Given at birth ✓ Note: Not part of current STIKO schedule. No action needed. Polio (OPV): 3 doses oral ✓ STIKO equivalent: IPV (inactivated). May need IPV booster per STIKO. Pentavalent (DPT+HepB+Hib): 3 doses ✓ Maps to German schedule: DTaP-IPV-Hib-HepB (Infanrix hexa) Status: Primary series complete. MR (Measles-Rubella): 2 doses ✓ STIKO requires MMR (includes Mumps). Mumps component missing. Action: Administer 1 dose MMR to complete schedule. TT (Tetanus toxoid): 2 boosters ✓ STIKO equivalent: Td or Tdap booster. JE (Japanese Encephalitis): 1 dose Not required in Germany. Document for travel history.
- Indian Universal Immunization Programme → STIKO schedule
- OPV (oral) → IPV (inactivated) — formulation difference
- MR → MMR — mumps component gap identified
- Pentavalent → DTaP-IPV-Hib-HepB equivalent mapped
- JE vaccine flagged as travel-only (not needed in Germany)
- Schedule completion status assessed against target country
Medical Tourism Records
Patients returning from medical procedures abroad bring records encoded in the destination country's healthcare system. Continuity of care requires translating every code, drug, and clinical term back to the home country's system.
An American patient returns from dental and cosmetic surgery in Bangkok. Their Thai hospital records use ICD-10-TM codes, Thai GPO drug identifiers, and FDI tooth numbering that their US follow-up physician needs to interpret.
ใบสรุปการรักษา — โรงพยาบาลบำรุงราษฎร์
รหัส ICD-10-TM: K35.80 ไส้ติ่งอักเสบ
รหัส ICD-10-TM: Z96.5 รากฟันเทียม
หัตถการ: ผ่าตัดไส้ติ่ง (ส่องกล้อง)
ยา: Paracetamol GPO 500mg ทุก 6 ชม.
Amoxicillin 500mg วันละ 3 ครั้ง 7 วัน
ทันตกรรม: ฟัน FDI 11 — ครอบฟันเซรามิค Discharge Summary — Bumrungrad International Hospital Diagnoses: ICD-10-TM K35.80 → ICD-10-CM K35.80 Acute appendicitis, unspecified. Exact match. ICD-10-TM Z96.5 → ICD-10-CM Z96.5 Presence of tooth-root and mandibular implant. Exact match. Procedure: Laparoscopic appendectomy → CPT 44970 Medications: Paracetamol GPO 500mg → Acetaminophen (Tylenol) 500mg q6h Amoxicillin 500mg TID × 7 days (same in US) Dental: FDI 11 → Universal #8 (upper right central incisor) Ceramic crown → CDT D2740 Follow-up recommendations translated for US continuity of care.
- ICD-10-TM → ICD-10-CM diagnosis codes
- Thai procedure codes → CPT 44970 (laparoscopic appendectomy)
- Paracetamol → Acetaminophen (Tylenol) — naming convention
- FDI 11 → Universal #8 (tooth numbering)
- Thai ceramic crown → CDT D2740
- Thai GPO drug identifiers → US NDC equivalents
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