Messy local codes are why your FHIR feed fails validation
Every health system carries proprietary, mistyped and legacy codes that no static map covers. The Terminology Agent crosswalks ICD-10, SNOMED CT, LOINC, CPT/HCPCS, RxNorm and NDC — and reconciles your local codes to standards — with a confidence score on every match.
- ICD-10 · SNOMED · LOINC · CPT · RxNorm · NDC, both directions
- Local-code → standard reconciliation with confidence scoring
- Value-set & US Core / USCDI binding, claims-ready for X12 837/835
| Local | System | Code | Display |
|---|---|---|---|
DM2 | ICD-10-CM | E11.9 | Type 2 diabetes mellitus without complications |
DM2-HYPER | ICD-10-CM | E11.65 | Type 2 diabetes mellitus with hyperglycemia |
DM2 | SNOMED CT | 44054006 | Diabetes mellitus type 2 (disorder) |
A1C | LOINC | 4548-4 | Hemoglobin A1c/Hemoglobin.total in Blood |
MET500 | RxNorm | 860975 | metformin hydrochloride 500 MG Oral Tablet |
A single local diabetes label (DM2) is resolved to the right ICD-10-CM billing code (E11.9 / E11.65), its SNOMED CT clinical concept (44054006), the related HbA1c lab (LOINC 4548-4) and its medication (RxNorm 860975) — each with a confidence score for human confirmation before it binds.
In short
One local diabetes code, resolved across every system
This is the exact problem the agent solves: a single local label (DM2) has to become the right billing code, the right clinical concept, the right lab and the right drug — each valid, each auditable.
| Local | System | Code | Display |
|---|---|---|---|
DM2 | ICD-10-CM | E11.9 | Type 2 diabetes mellitus without complications |
DM2-HYPER | ICD-10-CM | E11.65 | Type 2 diabetes mellitus with hyperglycemia |
DM2 | SNOMED CT | 44054006 | Diabetes mellitus type 2 (disorder) |
A1C | LOINC | 4548-4 | Hemoglobin A1c/Hemoglobin.total in Blood |
MET500 | RxNorm | 860975 | metformin hydrochloride 500 MG Oral Tablet |
A single local diabetes label (DM2) is resolved to the right ICD-10-CM billing code (E11.9 / E11.65), its SNOMED CT clinical concept (44054006), the related HbA1c lab (LOINC 4548-4) and its medication (RxNorm 860975) — each with a confidence score for human confirmation before it binds.
From raw local code to bound, validated concept
A four-step, human-in-the-loop flow that turns the codes buried in your messages into standards-conformant, reusable mappings.
- 1
1 · Ingest local codes
Pull the raw codes and free-text labels sitting in HL7 v2 messages, C-CDA documents, flat files and EHR extracts — including proprietary, mistyped and legacy local codes.
- 2
2 · Semantic match
AI proposes the correct standard concept across ICD-10-CM/PCS, SNOMED CT, LOINC, CPT/HCPCS, RxNorm and NDC, and attaches a confidence score to every candidate.
- 3
3 · Bind & validate
Bind to the required value set and confirm US Core / USCDI conformance so the coded element is valid the moment it lands in a FHIR resource.
- 4
4 · Confirm & reuse
A human confirms low-confidence matches once; the decision is versioned and reused, so the same local code never needs re-mapping. Reconciliations feed the claims context (X12 837/835).
Everything the Terminology Agent covers
The backbone of medical-coding interoperability — clinical, pharmacy and billing code systems in one agent.
ICD-10 · SNOMED · LOINC · CPT · RxNorm · NDC
Crosswalk diagnoses, problems, labs, procedures and drugs across every major clinical and billing code system, in both directions.
Local-code reconciliation
Resolve the messy, site-specific and legacy codes that break interfaces — the single most common cause of failed FHIR conformance.
Value-set & US Core binding
Bind coded elements to the correct value set and confirm US Core / USCDI conformance so data is valid on arrival, not after rework.
Confidence scoring
Every match carries a confidence score, so reviewers spend their time only where the AI is unsure — human-in-the-loop by design.
RxNorm ↔ NDC crosswalks
Move between clinical drug concepts (RxNorm) and dispensing-level identifiers (NDC) for pharmacy, claims and medication history.
Claims-ready output
Normalized codes flow cleanly into X12 837 claims and 835 remittance, cutting the coding errors that trigger denials and rework.
Coding sits inside the whole fleet
Terminology is one of 12 specialized agents. Its crosswalks power the Transformation Agent's conversions, the Prior-Auth Agent's documentation, and the Pharmacy Agent's RxNorm↔NDC drug handling.
Security & Compliance
Enterprise-grade trust, stated honestly
Protecting PHI is non-negotiable. Here's exactly where our certifications stand — no overclaiming.
Compliant · BAAs available
Audit in progress
On roadmap
Native, by design
AWS HIPAA-eligible infrastructure · Business Associate Agreements (BAAs) · Encryption in transit & at rest · See our security details →
Frequently asked questions
Bring us your worst local code set
We'll show the Terminology Agent reconcile your proprietary codes to ICD-10, SNOMED, LOINC and RxNorm — live, with confidence scores.