Reference Library
100,000+ healthcare data terms standardized for dbt, Snowflake, Databricks, and BigQuery
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
Scheduling, facilities, departments, workflows, and staff
ICD-10, CPT, EDI 837/835, adjudication and remittance
Enrollment, eligibility, demographics and plan attribution
NDC codes, dispensing, PBM, RxNorm and formulary management
HEDIS, Stars ratings, measures, outcomes and accreditation
Revenue, costs, budgets, invoices and capitation
NPI, credentialing, taxonomy and provider networks
Lab results, specimens, LOINC codes and pathology
Inventory, equipment, devices and procurement
Systems, databases, interfaces and data standards
Mental health, substance use, psychology and counseling
Public health, prevention, epidemiology and wellness
Country associated with a patient, provider, or facility linked to a quality measure record. Used in quality data stratification for populations spanning international coverage, supporting global health program reporting and cross-border care coordination quality tracking.
Indicates the seriousness or acuity level associated with a provider's recorded clinical condition, case, or patient population in EHR and risk stratification systems. Used in care management prioritization models, clinical decision support workflows, and risk adjustment analytics pipelines.
A flag that designates whether a work item queue is the primary queue for a given workflow, task type, or entity in a healthcare management system. Used to determine routing precedence and default assignments for functions such as claims processing, authorization review, or care management workload distribution.
Free-text or structured annotation entered by a clinician in association with a clinical evaluation or diagnostic assessment. Captures qualitative observations, clinical reasoning, patient responses, or contextual details that supplement scored or coded evaluation data in the medical record.
A binary flag designating whether a patient satisfaction or outcomes survey response is classified as confidential, restricting access to authorized personnel only. Used to enforce privacy controls on sensitive patient feedback, ensuring compliance with data governance policies in quality management systems.
The outcome or determination produced by evaluating a clinical service, authorization request, or claim against an active coverage effective period. Used in utilization management and claims adjudication systems to record whether a service was deemed covered, denied, or modified based on eligibility validation.
A standardized identifier assigned to a grouped set of laboratory or diagnostic tests in EHR, LIS, and claims systems, typically mapped to CPT panel codes such as 80048 or 80053. Used in order entry, charge capture, claims adjudication, and fee schedule configuration to ensure accurate billing and reimbursement across payer systems.
The professional license identifier associated with a clinician or facility linked to a work queue item, such as a pending credentialing review or prior authorization request. Used in credentialing, provider enrollment, and utilization management queues to verify licensure status and support compliance routing decisions.
A free-text annotation field used to capture supplementary notes, exceptions, or contextual information related to a clinical protocol or administrative standard. Recorded in healthcare governance and documentation systems to provide additional detail that structured data fields cannot fully capture, supporting audit trails and workflow clarification.
Free-text or structured annotation attached to a drug preparation type record in pharmacy, PBM, or EHR drug master systems. Used to capture compounding instructions, formulary exceptions, clinical alerts, or administrative comments that supplement coded formulation attributes in drug reference data tables.
Use the search above to find any provider, member, claims, or pharmacy term instantly.
Search All TermsCite this dictionary: Mudbhary, S. (2026). Healthcare Data Dictionary — ISO-11179 Standard Terms. Zenodo. https://doi.org/10.5281/zenodo.20497719