Domain
Clinical
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
A quantitative or qualitative clinical measurement associated with a disease condition, such as a lab result, severity score, or risk index. Used in clinical data systems to capture objective disease indicators that support diagnosis, treatment planning, and longitudinal monitoring of patient health outcomes.
A numeric or alphanumeric identifier that tracks the revision history of a disease record, reflecting updates to diagnosis, classification, or clinical documentation. Used in clinical data systems to maintain record integrity, support audit compliance, and distinguish current from historical disease information.
The postal ZIP code associated with a disease record, typically representing the patient's residence at the time of diagnosis. Used in public health surveillance and epidemiological analysis to identify geographic disease clusters, assess community health risks, and support population-level disease reporting.
The calendar date on which a patient was admitted to an inpatient facility for treatment of a diagnosed disorder. Used in claims and clinical data systems to establish the episode of care start point, calculate length of stay, and support utilization management and quality reporting workflows.
The recorded systolic and diastolic arterial pressure measurement associated with a patient's disorder, typically expressed in mmHg. Used in clinical data systems to monitor hemodynamic status, assess cardiovascular risk, and track treatment response for disorders where blood pressure is a key clinical indicator.
The serum or plasma creatinine concentration measured in a patient with a diagnosed disorder, used as a key biomarker of renal filtration function. Used in clinical data systems to assess kidney health, detect acute kidney injury, stage chronic kidney disease, and guide medication dosing decisions.
The calendar date on which a patient was formally released from an inpatient facility following treatment for a diagnosed disorder. Used in claims and clinical data systems to define episode of care end points, calculate length of stay, and support post-discharge care coordination and readmission tracking.
The measured blood glucose concentration recorded for a patient with a diagnosed disorder, typically expressed in mg/dL or mmol/L. Used in clinical data systems to monitor glycemic control, detect hyperglycemic or hypoglycemic episodes, and assess metabolic status in conditions such as diabetes or endocrine disorders.
The measured hemoglobin concentration in a patient's blood associated with a diagnosed disorder, typically expressed in g/dL. Used in clinical data systems to assess oxygen-carrying capacity, detect anemia or polycythemia, and monitor hematologic status in conditions affecting blood composition or bone marrow function.
The human-readable display text or short descriptive name assigned to a disorder record within a clinical data system. Used in user interfaces, clinical documentation, and reporting outputs to present disorder information in a clear, standardized format that supports clinical decision-making and care team communication.
The measured peripheral oxygen saturation percentage recorded for a patient with a diagnosed disorder, typically obtained via pulse oximetry. Used in clinical data systems to monitor respiratory function, detect hypoxemia, and assess the severity of disorders affecting pulmonary or cardiovascular oxygen delivery.
The calendar date on which a clinical procedure was performed in relation to a patient's diagnosed disorder. Used in claims and clinical data systems to sequence treatment events, support medical necessity documentation, calculate time-to-treatment metrics, and enable longitudinal analysis of procedural interventions within disorder episodes.
Heart rate measurement recorded during an abnormal health state or disorder episode. Captured in beats per minute within clinical documentation to support diagnosis, monitoring, and treatment decisions for patients presenting with pathological conditions affecting cardiovascular function.
Respiratory rate measurement recorded during an abnormal health state or disorder episode. Captured in breaths per minute within clinical documentation to support diagnosis and monitoring of patients presenting with pathological conditions affecting pulmonary or systemic function.
Calendar date on which a surgical procedure was performed in relation to a documented disorder or abnormal health condition. Used in clinical records to establish operative timelines, track surgical interventions, and correlate procedural events with disorder onset and progression.
Date on which a patient was admitted to an inpatient facility in association with a pharmacy dispense event. Links medication dispensing records to the corresponding inpatient encounter, supporting medication reconciliation, formulary compliance, and pharmacy claims adjudication workflows.
Date on which a patient was discharged from an inpatient facility in association with a pharmacy dispense event. Links medication dispensing records to encounter end dates, supporting medication reconciliation, transition-of-care planning, and pharmacy claims adjudication workflows.
Display text printed or generated on a dispensed medication container, including drug name, dosage instructions, prescriber information, and patient details. Used in pharmacy dispensing systems to ensure accurate medication identification and regulatory compliance at point of dispensing.
Calendar date on which a clinical procedure was performed in association with a pharmacy dispense event. Used to correlate medication dispensing activity with related treatment procedures, supporting clinical documentation accuracy, billing reconciliation, and pharmacy claims processing.
Calendar date on which a surgical procedure was performed in association with a pharmacy dispense event. Used to link perioperative medication dispensing records to the corresponding operative event, supporting surgical pharmacy management and claims adjudication workflows.