Clinical

A flag indicating whether a hospital readmission record has been voided, retracted, or logically deleted from the system. Enables downstream reporting systems to exclude invalid encounters from readmission rate calculations and quality measure attribution logic.

A free-text or coded narrative field capturing the clinical reason, context, or nature of a hospital readmission encounter. Used to supplement structured diagnosis codes with human-readable detail supporting care management, utilization review, and clinical documentation workflows.

Granular clinical or administrative information associated with a specific hospital readmission encounter, including encounter-level attributes such as admission type, unit, or clinical notes. Supports detailed utilization review, case management escalation, and inpatient outcomes analysis.

The date on which a patient was discharged from a hospital readmission encounter. Used to calculate length of stay for the readmission, determine episode duration, and support CMS quality measures tracking outcomes following unplanned return hospitalizations.

The date by which a payment or billing obligation associated with a hospital readmission claim is expected to be fulfilled. Used in revenue cycle management to track accounts receivable aging, payer remittance timelines, and claim follow-up workflows.

The total length of time, typically expressed in days or hours, that a patient remained hospitalized during a readmission encounter. Used to calculate inpatient length of stay, benchmark against clinical targets, and assess resource utilization patterns in readmission management programs.

The date on which a hospital readmission record, authorization, or associated benefit coverage becomes active and applicable. Used in utilization management and claims processing to validate that readmission services fall within covered authorization or benefit period windows.

The electronic mail address associated with the patient, care coordinator, or clinical contact linked to a hospital readmission encounter. Used to facilitate post-discharge communication, transition of care outreach, and readmission prevention program notifications.

A flag denoting whether a hospital readmission was classified as an emergency admission, as opposed to elective or urgent. Used in quality reporting and CMS readmission metrics to distinguish unplanned emergency returns from scheduled readmissions when calculating penalty-relevant readmission rates.

The date marking the conclusion of a hospital readmission encounter or an associated readmission tracking period. Used in episode-of-care analytics, authorization expiration tracking, and outcomes measurement to define the temporal boundary of the readmission event.

The specific clock time at which a hospital readmission encounter concluded, typically corresponding to the patient discharge moment. Combined with readmission start time to calculate precise inpatient duration and support operational reporting on bed utilization and throughput efficiency.

The health plan or program enrollment state of a member at the time of hospital readmission, indicating whether active coverage applied during the encounter. Used in claims eligibility validation, coverage verification workflows, and population health reporting to confirm benefit applicability.

The identifier of the clinical or administrative user who manually entered or created the hospital readmission record in the system. Used for data provenance, audit logging, and quality assurance to trace data entry accountability and support correction workflows when readmission records require review.

The patient's ethnic background or cultural heritage recorded at the time of hospital readmission. Used in quality analytics to identify disparities in 30-day readmission rates across demographic groups and support population health equity reporting.

The date on which a readmission record, authorization, or associated care management plan becomes invalid. Used in utilization management to enforce time-bound inpatient approvals and ensure readmission tracking data remains current within clinical data warehouses.

The unique identifier assigned to a readmission event by an external system such as a payer platform, HIE, or referring facility. Enables cross-system reconciliation of inpatient return encounters across hospital networks, claims systems, and care coordination platforms.

The facsimile number associated with the facility, care team, or contact responsible for managing a readmission event. Used to facilitate transmission of clinical documentation, discharge summaries, and follow-up orders between hospitals and post-acute care settings.

The charge amount billed or assessed in connection with a hospital readmission encounter. Used in revenue cycle management and payer penalty calculations, particularly under CMS Hospital Readmissions Reduction Program (HRRP) reimbursement adjustment workflows.

The given name of the patient associated with a hospital readmission event. Used to confirm patient identity during readmission intake, match records across admissions, and support accurate linkage of readmission encounters to the correct member or beneficiary.

A boolean indicator identifying whether a patient was readmitted to a hospital within 30 days of a previous discharge. Used in quality reporting, CMS hospital readmission reduction programs, and value-based care analytics. A key metric for measuring care transition quality and post-discharge follow-up effectiveness.