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Domain

Clinical

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

16,101 clinical terms

readmission targetreadm_tgt

Specifies the benchmark or goal metric associated with readmission reduction programs, such as a target rate threshold under CMS Hospital Readmissions Reduction Program. Used in quality reporting and performance dashboards to measure actual readmission rates against defined improvement objectives.

readmission taxonomy codereadm_tax_cd

Records the NUCC taxonomy code identifying the specialty classification of the treating clinician or facility involved in an unplanned hospital return. Used to analyze readmission patterns by specialty type and support provider-level quality performance reporting under value-based care programs.

readmission temperaturereadm_temp

Captures the patient's body temperature recorded at the time of an unplanned hospital return admission. Used as a clinical vital sign indicator to identify infection, sepsis, or inflammatory conditions that may have precipitated the readmission following the initial inpatient discharge.

readmission termination datereadm_term_dt

Records the date on which an unplanned hospital return encounter or associated care episode formally ended. Used in inpatient length-of-stay calculations, claims adjudication, and readmission risk reporting to define the closed boundary of the return hospitalization period.

readmission timereadm_tm

Captures the specific time of day at which a patient was admitted during an unplanned hospital return. Used in clinical operations and throughput analysis to evaluate after-hours readmission patterns, emergency department utilization, and the timeliness of post-discharge care failures.

readmission timestampreadm_ts

Records the combined date and time at which an unplanned hospital return event was logged in the clinical or administrative system. Supports precise sequencing of readmission events, audit trail integrity, and time-based quality measures such as 30-day and 90-day readmission window calculations.

readmission titlereadm_ttl

Stores the formal name or label assigned to an unplanned hospital return event, episode category, or associated clinical document. Used in readmission management workflows to standardize record identification and support consistent reporting across inpatient quality and utilization programs.

readmission totalreadm_tot

Represents the aggregate sum of charges, units, or occurrences associated with an unplanned hospital return encounter. Used in inpatient financial reporting and readmission cost-of-care analyses to quantify the total resource burden of return hospitalizations within a defined measurement period.

readmission total countreadm_tot_cnt

Represents the cumulative number of unplanned hospital return events recorded for a patient, facility, or population within a specified reporting period. Used in quality scorecards and CMS readmission penalty calculations to measure institutional readmission rates against national benchmarks.

readmission typereadm_typ

Classifies the category of an unplanned hospital return, such as planned versus unplanned, related versus unrelated to the prior admission, or by clinical reason such as surgical complication or chronic disease exacerbation. Drives inclusion and exclusion logic in CMS readmission quality measures.

readmission unitreadm_unt

Identifies the hospital unit, ward, or care area to which a patient was assigned during an unplanned hospital return. Used in clinical operations reporting to assess readmission volume by unit, evaluate discharge planning effectiveness, and support staffing and capacity management decisions.

readmission updated datereadm_upd_dt

Records the most recent date on which an unplanned hospital return record was modified in the clinical or administrative system. Used in data governance and audit workflows to track record amendments, ensure reporting accuracy, and maintain integrity of readmission quality submissions.

readmission urgencyreadm_urg

Indicates the clinical urgency level assigned to an unplanned hospital return, such as emergent, urgent, or elective. Used to stratify readmission events by acuity, assess whether timely outpatient follow-up could have prevented the return, and support post-discharge care transition quality reviews.

readmission valuereadm_val

Stores a specific measured data point, such as a clinical observation, financial amount, or quality score, associated with an unplanned hospital return event. Used in readmission analytics to support risk stratification, cost-of-care evaluation, and outcome measurement across inpatient quality programs.

readmission versionreadm_ver

Tracks the version number of a readmission record, incrementing each time the record is updated or corrected. Used in hospital data systems to maintain an audit trail of changes to inpatient return encounters within 30 or 90-day readmission tracking workflows.

readmission zipreadm_zip

The postal ZIP code associated with a patient's readmission encounter, typically reflecting the facility or patient residence location at time of return hospitalization. Used in population health analytics to identify geographic patterns in hospital readmission rates and target interventions.

record admission daterec_admn_dt

The date on which a patient was admitted to a healthcare facility, as documented within a specific health record or document instance. Stored as rec_admn_dt in EHR and HIM systems, this field supports document-level date validation, readmission analytics, and reconciliation against encounter-level admission dates in data quality workflows.

record discharge daterec_dsch_dt

The date on which a patient was released from a healthcare facility, as captured within a specific health information document. Stored as rec_dsch_dt in EHR and HIM systems, this field is used by data engineers to validate length-of-stay calculations, claims submission timelines, and document-to-encounter date reconciliation processes.

record emergency indicatorrec_emerg_ind

A binary flag denoting whether a clinical record was created or modified under emergency conditions. Signals expedited documentation requirements, affects triage prioritization workflows, and may trigger special handling rules for incomplete records generated during urgent or emergent patient encounters.

record history present illnessrec_hpi

A free-text or structured narrative field capturing the chronological description of the patient's current condition as documented within a specific clinical record. Describes symptom onset, duration, and progression, forming a core component of the clinical record's subjective documentation.

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