Domain
Enrollment, eligibility, demographics and plan attribution
2,833 member terms
Captures the enrollment status associated with a member's historical record within a health plan or care program. Used in data warehouses to track prior enrollment periods, enabling longitudinal analysis of coverage continuity, gaps in insurance, and member population trends.
Indicates a member's current enrollment status in an immunization management program or vaccine benefit, such as a public health immunization registry or plan-sponsored vaccination initiative. Tracks active or inactive participation to support preventive care reporting and compliance.
A binary flag indicating whether a surgically placed medical device, such as a pacemaker, joint replacement, or cochlear implant, is currently active within a patient's clinical record. Used to distinguish functioning implants from those that have been removed, replaced, or deactivated.
Describes the current operational state of a surgically placed medical device within a patient's clinical record. Indicates whether the implant is functioning, inactive, explanted, or pending activation, supporting device tracking, clinical decision-making, and regulatory compliance reporting.
Represents the elapsed time since a medical device was surgically implanted in a patient, typically measured in years or months. Used in clinical and claims systems to assess device longevity, anticipate replacement schedules, and evaluate outcomes for implantable devices such as joint prostheses or cardiac devices.
The maximum reimbursable dollar amount a health plan will pay for a surgically placed medical device as defined by the plan's fee schedule or contract terms. Used during claims adjudication to determine the payer's payment obligation for implant-related procedures before cost-sharing is applied.
The total monetary value associated with a surgically placed medical device, representing the billed or actual cost of the implant on a healthcare claim. Used in claims processing and cost analysis to capture device-specific expenses separate from the surgical procedure charges.
Indicates the current authorization state of a surgically placed medical device, such as pending, approved, or denied. Tracks regulatory or clinical sign-off required before implant procurement or surgical placement, supporting compliance and surgical workflow documentation.
Records the name or system identifier of the clinician, administrator, or automated process that authorized a surgically placed medical device. Used in surgical workflow audits to maintain accountability and traceability of implant approval decisions prior to or following a procedure.
Captures the specific time a surgically placed medical device physically arrived at the facility or surgical suite. Critical for tracking implant supply chain logistics, ensuring device availability before scheduled procedures, and documenting chain of custody for regulatory compliance.
Records the calendar date a surgically placed medical device was received at the healthcare facility. Used in surgical inventory management to confirm timely delivery, reconcile purchase orders, and ensure the implant is available and sterile before a scheduled procedure.
Contains the clinician's documented evaluation of a surgically placed medical device, including device condition, patient response post-implantation, or pre-surgical suitability notes. Supports clinical decision-making, surgical planning, and post-operative follow-up documentation within the patient record.
Represents the outstanding financial amount owed on a surgically placed medical device after payments and adjustments have been applied. Used in hospital billing systems to track remaining patient or payer liability associated with implant procurement and surgical placement costs.
The total dollar amount invoiced to a payer or patient for a surgically placed medical device, including device acquisition and associated surgical costs. Used in revenue cycle management to track implant-related charges submitted on institutional or professional claims.
Records the date of birth of the patient who received a surgically placed medical device. Used to associate implant records with the correct patient demographic profile, supporting device registry reporting, recall notifications, and long-term implant outcome tracking.
Documents the patient's arterial blood pressure measurement recorded in the context of a surgically placed medical device encounter, such as pre-operative screening or post-implant monitoring. Supports clinical documentation requirements for cardiac implants and hemodynamic device assessments.
Records the date on which a planned surgically placed medical device procedure or order was officially cancelled. Used in surgical scheduling and inventory management to trigger device returns, release reserved stock, and update case status within the operating room management system.
Classifies a surgically placed medical device into a high-level grouping such as orthopedic, cardiac, neurological, or ophthalmologic. Enables standardized reporting, inventory segmentation, and regulatory compliance tracking across implant types within clinical and supply chain systems.
The gross charge value assigned to a surgically placed medical device before payer adjustments, contractual discounts, or patient payments are applied. Used in hospital billing and cost accounting to establish the starting financial obligation for implant-related surgical services.
Captures the patient's primary reported symptom or clinical concern that prompted evaluation or intervention involving a surgically placed medical device. Used in clinical documentation to establish medical necessity for implant procedures and support prior authorization requests.