Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
The date a member was formally discharged following an inpatient or observation stay during which a physical examination was conducted. Used in care transition workflows, post-discharge follow-up scheduling, and claims adjudication to establish the episode of care end boundary.
The target date by which a member's next physical examination is due based on their age, health plan benefit schedule, or clinical care plan. Used in preventive care outreach, HEDIS gap closure programs, and member engagement campaigns to prompt timely wellness visit completion.
The total time elapsed during a member's physical examination encounter, from start to completion. Used in clinical workflow analysis, provider productivity reporting, and encounter billing validation to ensure appropriate time-based evaluation and management coding is applied.
The electronic mail address associated with the member or provider contact record linked to a physical examination encounter. Used to facilitate digital communication for appointment reminders, result notifications, care gap outreach, and follow-up instructions related to the wellness visit.
Flag identifying whether a physical examination was conducted under emergency circumstances. Used in clinical documentation to distinguish routine physicals from urgent evaluations, affecting triage priority, billing codes, and care coordination workflows in EHR systems.
The calendar date on which a physical examination was completed or concluded. Used in clinical scheduling and documentation systems to calculate exam duration, track provider productivity, and ensure timely completion of required periodic health assessments within care management workflows.
The clock time at which a physical examination was completed. Combined with start time to calculate total encounter duration for provider billing, resource utilization reporting, and clinical workflow analysis in scheduling and EHR documentation systems.
The username or identifier of the clinical staff member who recorded the physical examination findings into the system. Used for audit trail purposes, data quality accountability, and workflow tracking in EHR documentation and clinical data governance processes.
The self-reported or recorded ethnic background of the patient at the time of physical examination. Used for population health analytics, health disparity reporting, and culturally competent care planning, supporting compliance with federal demographic data collection requirements in clinical systems.
The date after which a completed physical examination is no longer considered current or valid for clinical, occupational, or insurance purposes. Used to trigger re-examination alerts, track compliance with periodic health screening schedules, and manage clearance validity in care management systems.
A reference identifier assigned by an external system, such as a referring facility or third-party platform, to uniquely identify a physical examination record. Enables cross-system matching and data reconciliation when exchanging clinical encounter data across integrated healthcare networks.
The facsimile number associated with the facility or provider location where a physical examination was conducted. Used for transmitting examination results, referral documentation, and records requests to external providers, insurers, or employers requiring physical examination reports.
The charge amount billed for performing a physical examination, reflecting the applicable CPT code fee schedule or contracted rate. Used in revenue cycle management to support claims submission, patient cost estimation, and financial reporting for preventive care services.
The given first name of the patient or individual who underwent the physical examination. Used for patient identification, demographic verification, and accurate record matching within clinical documentation and health information management workflows to prevent misidentification errors.
A binary or coded indicator applied to a physical examination record to signal a specific condition, such as incompleteness, abnormal findings, follow-up required, or administrative hold. Used in clinical workflows to prioritize review and action by care teams or administrative staff.
The prescribed or recommended interval at which a patient should receive a physical examination, such as annually or every two years. Used in preventive care scheduling, care gap identification, and population health management programs to ensure adherence to clinical screening guidelines.
The complete legal name of the patient who underwent the physical examination, combining first, middle, and last name components. Used for formal documentation, insurance verification, identity matching across systems, and generation of official clinical reports or clearance letters.
The gender identity or biological sex recorded for the patient at the time of a physical examination. Used to guide clinically appropriate screening recommendations, reference normal lab value ranges, and support demographic reporting in population health and quality measurement programs.
The blood glucose measurement recorded during a physical examination, typically captured as a fasting or random value in mg/dL. Used to screen for diabetes and prediabetes, monitor metabolic health trends, and inform clinical decision-making within preventive care and chronic disease management programs.
The insurance group plan number associated with the patient at the time of a physical examination. Used to verify coverage eligibility, determine preventive care benefits, and route claims correctly to the appropriate payer contract during billing and revenue cycle processing.