Healthcare Business Scopes available for separate import

The Knowledge Accelerator for Healthcare has the following Business Scopes available for separate download and import.

Each Business Scope consists of:
  • A set of business terms with:
    • Concept terms that describe the main concepts for each business scope
    • Property terms that describe the attributes or characteristics of the Concept terms
    • Relationship terms that describe how one concept is connected to another Concept
  • An associated set of secondary subcategories that classify these terms
  • A set of Reference Data sets and their values
  • Sample policies and governance rules in the area of data privacy
Data Privacy
A business scope that groups terms for data privacy that includes a taxonomy of terms addressing the personal information of individuals and mappings of core business terms to the GDPR and CCPA regulations.
The data privacy scope is comprised of two subcategories:
Personal Data
A set of business terms with classifications to guide the identification of Personal Information (PI) and Sensitive Personal Information (SPI). This set of terms is not intended to be a definitive standard for data privacy and protection requirements, as the classifications of PI and SPI may vary in different legal jurisdictions. The scope is designed to be a template to accelerate governance of data privacy information. The main concepts covered in this business scope include:
Personal Data Concepts
  • Basic Personal Information
    • Address
    • Person Contact
    • Person
  • Criminal & Offense Activity
    • Criminal Justice History
    • Substance Abuse History
  • Education & Skills
    • Academic History
    • Professional Certification
  • Finance
    • Bank Account
    • Claim
    • Employment Event
  • Health & Biometric
    • Care Plan
    • Clinical Finding
    • Diagnosis
    • Disease Risk Management
    • DNA Sample
    • Family History
    • Gene Identification
    • Mental Health History
    • Patient Allergy
    • Patient Immunization History
    • Patient Medical History
  • Online Activities
    • Social Media Persona
    • Social Media Post
  • Opinion
    • Survey Response
  • Personal Communication
    • Agreement
    • Communication
    • Consent
    • Survey Response
  • Personal Human Resources
    • Absence
    • Employment Event
    • HR Performance Review
    • Immigration
    • Job Assignment
    • Person Employment History
  • Personal Location
    • Address
    • Geographic Area
    • Tracking Tag Identifier
  • Schedules
    • Personnel Schedule
  • Telephony & Video
    • Communication
Regulatory Alignment
The Knowledge Accelerator for Healthcare contains key terms from two leading data privacy regulations, the General Data Protection Regulation (GDPR) and the California Consumer Privacy Act (CCPA). These regulatory terms are related to the business terms within the Business Core Vocabulary, which helps data users identify enterprise information that is relevant to these regulations.
Clinical Order – Imaging
A Business Scope that groups terms that are related to the placing of a clinical order by a healthcare practitioner for a diagnostic image or set of images for a patient and the clinical findings that result from this order. The main concepts covered in this business scope include:
Clinical Order – Imaging Concepts
  • Body Site
  • Clinical Finding
  • Diagnosis
  • Document
  • Imaging Order
    • Imaging Instance
    • Imaging Procedure Item
    • Imaging Result
    • Imaging Series
    • Imaging Study
  • Order
  • Patient
  • Practitioner
  • Procedure
  • Specimen
Health Plan Product – Features and Benefits
A Business Scope that groups terms that are related to the components of a health plan product and its features and benefits as well as the certification of that product in given locations by a regulatory authority. The main concepts covered in this business scope include:
Health Plan Product – Features and Benefits Concepts
  • Brand
  • Consumer Health Plan Product
  • Coverage Agreement
  • Coverage Eligibility
  • Geographic Area
  • Healthcare Insurer
  • Health Plan Product
    • Health Plan Benefit
    • Health Plan Feature
    • Health Plan Product Certification
    • Health Plan Product Specification
  • Health Plan Group
  • Organization
  • Regulatory Authority
Patient Administration – ADT
A Business Scope that groups terms that are related to the management of an in-patient scenario where a patient is admitted to a hospital setting for care and subsequently discharged or transferred. The main concepts covered in this business scope include:
Patient Administration – ADT Concepts
  • Address
  • Email
  • Address
  • Phone
  • Admission
  • Discharge
  • Encounter
  • Healthcare
  • Event
  • Patient
  • Patient Administration Event
  • Person
  • Point Of Care
  • Location
  • Practitioner
  • Transfer
Patient Practitioner
A Business Scope that groups terms that are related to information required to fully describe a patient as a person, a healthcare practitioner and the relationships between patients and practitioners. The main concepts covered in this business scope include:
Patient Practitioner Concepts
  • Address
  • Email Address
  • Phone
  • Degree
  • Household
  • Party Specialty
  • Patient
  • Patient Annotation
  • Person
    • Person Country Citizenship
    • Person Employment History
    • Person Ethnicity
    • Person Identification
    • Person language
    • Person Race
    • Person Tribal Citizenship
    • Military Service History
  • Practitioner
    • Practitioner Credential
    • Practitioner Language
Personal Health Record - Continuity Of Care
A Business Scope that groups terms that are related to an individual’s medical history that would be recorded in various care settings or when enrolling in a health plan and might be exchanged between authorized providers and payers. The main concepts covered in this business scope include:
Personal Health Record - Continuity Of Care Concepts
  • Address
  • Email Address
  • Phone
  • Patient Person
  • Personal Health Observation
    • Criminal Justice History
    • Family History
    • Functional Status
    • Medical Equipment
    • Mental Health History
    • OBGYN History
    • Patient Health Management History
    • Patient Immunization History
    • Patient Medical History
    • Patient Medication History
    • Social History
    • Socioeconomic History
    • Substance Abuse History
    • Vital Sign
  • Encounter
  • Plan Member
Submitted Healthcare Claim
A Business Scope that groups terms that are related to a claim as it would be submitted by a healthcare provider or received by a payer organization. The main concepts covered in this business scope include:
Submitted Healthcare Claim Concepts
  • Claim
    • Claim Amounts
    • Claim Attachment
    • Claim Code
    • Claim Diagnosis Codes
    • Claim Note
    • Claim Occurrence Codes
    • Claim Procedure Codes
    • Claim Reference
    • Claim Value Code
  • Claim Line
    • Claim Line Amounts
    • Claim Line Attachment
    • Claim Line Code
    • Claim Line Diagnosis Codes
    • Claim Line Note
    • Claim Line Occurrence Codes
    • Claim Line Payment information
    • Claim Line Quantities
    • Claim Line Reference Codes
    • Dental Claim Line
    • Tooth Information
    • Medical Claim Line
    • Pharmacy Claim Line Item
  • Healthcare Insurer
  • Patient
  • Plan Member
  • Practitioner
  • Provider
  • Supplied Demographic Information