Back to Glossary

Domain

Clinical

EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation

16,101 clinical terms

appointment instructionappt_instr

Specific pre-visit or post-visit directions provided to a patient in connection with a scheduled appointment, such as fasting requirements, medication adjustments, or follow-up care steps. Stored in scheduling and patient communication systems to support care compliance, safety, and patient engagement.

appointment labelappt_lbl

The descriptive display text assigned to a scheduled patient visit in EHR scheduling systems. Used to visually identify appointment types on calendars and worklists, distinguishing visit categories such as follow-up, new patient, or procedure-specific encounters across clinical scheduling workflows.

appointment noteappt_nt

Free-text annotation entered by clinical or administrative staff on a scheduled patient visit record. Captures special instructions, patient-reported concerns, preparation requirements, or coordination details relevant to the upcoming encounter to inform care team members before and during the visit.

appointment procedure dateappt_proc_dt

The calendar date on which a clinical procedure linked to a scheduled patient visit is performed or expected to be performed. Used in EHR scheduling and clinical documentation to coordinate pre-procedure preparation, resource allocation, and post-procedure follow-up care planning.

appointment rangeappt_rng

The defined time span or value boundaries associated with a scheduled patient visit, such as acceptable scheduling windows or measurement reference intervals. Used in clinical scheduling systems to manage appointment availability, duration constraints, and to ensure visits are booked within clinically appropriate timeframes.

appointment resultappt_rslt

The recorded outcome of a scheduled patient visit, capturing findings, test results, or status conclusions documented after the encounter is completed. Used in clinical workflows to close the appointment loop, trigger follow-up actions, and populate longitudinal patient records with visit-specific clinical outcomes.

appointment routeappt_rte

The delivery channel or access pathway through which a scheduled patient visit is conducted, such as in-person, telehealth, phone, or home visit. Used in scheduling systems to allocate appropriate resources, assign correct facility or virtual meeting links, and support care access reporting across service delivery modes.

appointment strengthappt_str

The documented medication dosage concentration associated with a scheduled patient visit when the encounter involves medication administration or review. Captured in clinical scheduling and medication management systems to ensure correct drug strength is prepared and verified prior to the patient appointment.

appointment surgery dateappt_surg_dt

The specific calendar date on which a surgical procedure tied to a scheduled patient visit is planned or executed. Used in perioperative scheduling systems to coordinate operating room resources, anesthesia teams, pre-operative assessments, and post-surgical recovery planning within clinical workflows.

approval admission dateappr_admn_dt

The inpatient facility entry date tied to a prior authorization or permission grant record in utilization management systems. Captured as a date field in EHR and payer platforms; used to validate authorization timelines, trigger concurrent review workflows, and align claims adjudication with approved admission windows in hospital billing systems.

approval discharge dateappr_dsch_dt

The authorized date on which a patient is approved for hospital discharge as part of a payer or utilization management permission workflow. Used in prior authorization and care management systems to align clinical discharge planning with payer-approved length-of-stay decisions, supporting claims adjudication and post-acute care transition coordination in institutional settings.

approval emergency indicatorappr_emerg_ind

A binary flag identifying whether a prior authorization or service approval request has been submitted or processed under emergency circumstances, bypassing standard review timelines. Used in utilization management systems to trigger expedited clinical review and ensure timely access to medically urgent services for health plan members.

approval history present illnessappr_hpi

The narrative description of a member's current medical condition submitted as part of a prior authorization request, detailing symptom onset, progression, and clinical context. Used by utilization management reviewers to evaluate medical necessity and determine whether the requested service meets established clinical criteria for approval.

approval labelappr_lbl

The descriptive display text assigned to a prior authorization or service approval record within utilization management systems. Used to categorize and identify approval requests by service type, clinical program, or review pathway, supporting workflow routing, reporting, and audit trail documentation for health plan operations.

approval procedure dateappr_proc_dt

The calendar date on which a clinical procedure covered under a prior authorization approval is scheduled or performed. Used in utilization management and claims systems to validate that services were rendered within the authorized period and to reconcile approved requests against submitted claims for accurate reimbursement.

approval rangeappr_rng

The minimum and maximum value boundaries defined within a prior authorization or permission grant, such as allowable service units or dosage thresholds. Used in pharmacy PBM, utilization management, and claims systems to validate that submitted services fall within authorized parameters.

approval resultappr_rslt

The outcome recorded for a prior authorization or permission grant decision in payer and utilization management systems, such as approved, denied, or pending. Used by data engineers to track authorization disposition rates, trigger downstream claims adjudication logic, and support appeals analytics.

approval surgery dateappr_surg_dt

The specific calendar date on which a surgical procedure authorized through a prior authorization approval is planned or performed. Used in utilization management systems to confirm services occur within the approved authorization window and to coordinate benefit coverage validation against claims submitted for surgical reimbursement.

assessment active indicatorasmt_actv_ind

A binary flag indicating whether a clinical assessment record is currently active and applicable to a patient's care. Used in EHR and care management systems to filter relevant assessments from historical or inactive records, ensuring clinicians and care coordinators act on current evaluation data in patient workflows.

assessment active statusasmt_actv_sts

The current operational state of a clinical assessment record, indicating whether it is active, pending, completed, or discontinued within a patient's care episode. Used in care management and EHR systems to manage assessment lifecycle, prioritize clinical review queues, and maintain accurate longitudinal patient evaluation histories.

PreviousPage 57 of 806Next