Domain
Clinical
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,087 clinical terms
The concentration or potency of a medication dispensed or administered during a healthcare encounter, typically expressed in units such as mg or mcg/mL. Used in pharmacy and clinical documentation systems to ensure accurate medication administration, support dosing safety checks, and maintain complete prescribing records.
A partial financial sum representing a subset of charges or costs associated with a healthcare encounter, calculated before all adjustments, contractual allowances, or additional line items are applied. Used in revenue cycle management and claims processing to support billing reconciliation and encounter-level cost reporting.
The date on which a surgical procedure was performed during or associated with a healthcare encounter. Used in clinical documentation, surgical case management, and claims adjudication to establish procedure timelines, coordinate post-operative care, validate surgical billing codes, and support outcomes reporting.
A unique identifier assigned by the source healthcare system to a specific encounter record. Used as a primary key for linking encounter data across clinical, administrative, and claims systems, enabling accurate record matching, deduplication, audit tracking, and longitudinal patient encounter history analysis.
A reference identifier pointing to the intended destination resource, provider, facility, or care goal associated with a healthcare service encounter in EHR and care management systems. Used in referral routing workflows, FHIR-based care plan linkage, population health outreach targeting, and interoperability data exchange to direct and track care delivery accountability.
The National Uniform Claim Committee (NUCC) Healthcare Provider Taxonomy code identifying the provider's clinical specialty or type of service rendered during an encounter. Used in claims adjudication, provider credentialing, and network management to validate specialty-specific billing, apply correct reimbursement rules, and support provider directory accuracy.
The patient's body temperature recorded as a vital sign during a clinical encounter, typically measured in degrees Fahrenheit or Celsius. Used to assess febrile conditions, monitor infection, track post-operative status, and support clinical decision-making in inpatient, outpatient, and emergency care settings.
The date on which a healthcare service encounter officially ends or is closed in EHR, hospital administrative, and claims data systems. Used to calculate length of stay, determine claim end dates for institutional billing (UB-04), validate authorization expiration alignment, and support discharge disposition tracking in utilization management and readmission analytics pipelines.
The precise time-of-day value recorded for a healthcare service interaction within EHR and claims systems. Used to sequence clinical events, resolve duplicate encounters, support audit trails, and calculate service durations across inpatient, outpatient, and telehealth settings.
System-generated datetime stamp recording when a clinical encounter was created or modified in EHR or claims systems. Used in audit trails, SLA monitoring, integration event sequencing, and resolving duplicate encounter records in downstream analytics pipelines.
A descriptive label or formal name assigned to a healthcare encounter, summarizing the visit type, chief complaint, or clinical purpose. Used in clinical documentation and patient record navigation to provide a human-readable identifier that supports encounter categorization, retrieval, and longitudinal care record organization.
Aggregated monetary or unit sum across all service lines within a single healthcare encounter, derived from claims or EHR billing records. Used in cost analysis, claims adjudication reconciliation, and value-based care reporting across PBM and payer systems.
The total number of healthcare service interactions recorded for a patient or population within a defined period. Used in clinical analytics to measure utilization patterns, care frequency, and resource consumption across inpatient, outpatient, and emergency visit types.
Classification type for encounter within Eligibility processes in Healthcare implementations. Used for reporting, integrations, and downstream analytics.
Standardized unit of measure applied to a healthcare service interaction, such as days, visits, or units of service as defined by CMS or payer guidelines. Used in claims adjudication, utilization reporting, and fee schedule validation within EHR and billing systems.
The most recent date on which an encounter record was modified in the clinical or administrative system. Tracks documentation changes, coding corrections, or billing updates applied after the original encounter was created, supporting audit trails and data integrity workflows.
Indicates the clinical urgency or triage classification assigned to a patient encounter, such as emergent, urgent, or routine. Used in care coordination and utilization management to prioritize resource allocation and assess appropriateness of care setting for the visit type.
Quantitative data point captured during a healthcare service interaction, including clinical measurements or financial amounts stored in EHR or claims records. Used in quality metric calculations, risk stratification models, and downstream analytics within payer and provider data systems.
A sequential version number assigned to an encounter record each time it is updated or reprocessed. Enables tracking of record history and ensures downstream systems reference the most current encounter data, supporting claims adjudication accuracy and clinical documentation integrity.
The five or nine digit postal code associated with the location where a healthcare encounter occurred. Used in population health analytics, geographic utilization studies, and network adequacy assessments to analyze care access and service distribution across regions.