A method and system is provided for recording a health care event, optimizing medical procedures and calculating reimbursement. The method includes: acquiring metadata comprising a patient identifier, a practitioner identifier, a health care site identifier, an entry time and a medical reason for the health care event; receiving a reimbursement request; generating a procedures list based on the medical reason; selecting a procedure; generating a list of required data types and a list of required quality data for the procedure; acquiring raw data comprising the procedure, a medical device identifier, an entry time and one or more quality data from the medical device for the procedure; and calculating a reimbursement for the health care event based on the procedure, the medical device identifier, the required quality data and the quality data from the medical device. The method implements iterative learning using the collected data to determine optimal health care procedures.