Clinical

Classification tier assigned to a hospital readmission, such as inpatient, observation, or emergency. Used in utilization management and CMS quality reporting to distinguish the type of return visit, determine reimbursement applicability, and assess readmission penalty calculations under hospital value-based programs.

Standardized alphanumeric code assigned to identify and classify a hospital readmission event across clinical and administrative systems. Used in claims processing, quality measure reporting, and care management platforms to uniquely reference the return encounter and link it to the originating index admission.

Dollar amount representing the patient's coinsurance liability for a hospital readmission encounter after the deductible has been met. Used in member cost-sharing calculations, explanation of benefits processing, and financial counseling workflows to determine the patient's proportional share of readmission costs.

Free-text narrative field capturing supplemental clinical or administrative notes related to a hospital readmission event. Used by care managers, utilization reviewers, and clinical staff to document context, rationale, or observations that are not captured in structured data fields for the return visit.

Date on which the hospital readmission encounter was formally concluded, typically corresponding to the inpatient discharge date. Used in length-of-stay calculations, care management tracking, and quality reporting to measure the duration and outcomes of return hospitalizations following an index admission.

Flag designating that a hospital readmission record contains sensitive or restricted clinical information requiring heightened privacy protections. Used in access control workflows to limit visibility of records involving behavioral health, substance use, HIV, or other federally protected conditions under 42 CFR Part 2 or HIPAA.

Fixed out-of-pocket dollar amount owed by the patient at the time of a hospital readmission, as defined by the member's health plan benefit structure. Used in patient financial responsibility calculations, claims adjudication, and member billing workflows to apply the correct cost-sharing obligation for the return inpatient visit.

Total direct and indirect expense incurred by the healthcare system or payer for a hospital readmission encounter. Used in financial modeling, value-based care analytics, and readmission reduction programs to quantify the economic impact of unplanned return hospitalizations and evaluate intervention cost-effectiveness.

Numeric tally representing the total number of hospital readmission events recorded for a patient, cohort, or facility within a defined measurement period. Used in quality benchmarking, CMS readmission penalty calculations, and population health analytics to track frequency of return hospitalizations and evaluate care transition outcomes.

Country associated with the facility or patient location at the time of hospital readmission. Used in international patient services, cross-border claims processing, and geographic reporting to identify readmission events occurring outside the primary service region or country of the originating index admission.

Username or system identifier of the individual or automated process that initially created the readmission record in the clinical or administrative system. Used in audit trail documentation, data governance, and accountability tracking to establish record provenance and support compliance reviews of readmission data entry.

Calendar date on which the readmission record was first entered into the clinical or administrative system. Used in data governance, audit logging, and workflow tracking to establish record provenance, measure documentation timeliness, and support reconciliation of readmission data across health information systems.

Timestamp indicating the exact time at which the readmission record was initially created in the clinical or administrative system. Used alongside the created date in audit trail documentation, system integration logging, and data quality monitoring to establish precise record provenance for hospital readmission events.

Serum creatinine level measured at the time of hospital readmission, used to assess renal function and identify acute kidney injury. Elevated values may indicate deterioration since prior discharge and inform clinical risk stratification and care planning decisions.

The calendar date on which a patient was readmitted to a hospital facility following a prior inpatient discharge. Used in quality reporting, CMS readmission penalty calculations, and population health analytics to measure care transitions and post-discharge outcomes.

The precise date and timestamp recording when a patient was readmitted to a hospital facility following a prior discharge. Enables accurate calculation of time-between-encounters, supports clinical handoff workflows, and is used in readmission risk modeling and outcomes analysis.

The DEA registration number associated with the prescribing or treating clinician at the time of hospital readmission. Used to track controlled substance prescribing patterns across inpatient stays and support regulatory compliance and care continuity documentation.

The recorded date of patient death occurring during or following a hospital readmission encounter. Used in mortality reporting, outcomes measurement, and quality analytics to evaluate readmission-related fatality rates and assess post-discharge clinical risk management effectiveness.

The member deductible dollar amount applied to costs incurred during a hospital readmission encounter. Used in claims adjudication and member cost-sharing calculations to determine patient financial liability when readmission occurs within a benefit period.

The date on which a hospital readmission record was marked as deleted or voided within the clinical or administrative data system. Used for audit trail maintenance, data governance, and ensuring accurate readmission counts in quality and utilization reporting.