Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
Records the clock time a patient physically arrived at a care facility for an episode-initiating encounter, such as an emergency department visit. Used to calculate door-to-treatment intervals, measure facility throughput efficiency, and support quality metrics like door-to-balloon time in acute care settings.
The calendar date a patient arrived at a care facility marking the beginning of an episode-initiating encounter. Used alongside arrival time in emergency and acute care settings to establish episode start, calculate wait times, measure access to care, and support quality reporting and regulatory submissions.
Contains the clinical evaluation narrative or structured findings documented by a provider at the time of an episode encounter, including differential diagnoses and condition severity. Used in clinical documentation systems to summarize the provider's interpretation of patient status and inform treatment plan decisions within the episode.
The patient's date of birth recorded in association with a clinical care episode, used to verify patient identity, calculate age at episode onset, and support demographic analysis. Critical for linking episode records to the correct member in health plan, EHR, and care management systems.
The systolic and diastolic arterial pressure measurement recorded during a clinical care episode encounter, expressed in mmHg. Used as a key vital sign for monitoring cardiovascular risk, tracking chronic condition management such as hypertension, and establishing clinical baselines within episode-based care records.
Records the date a clinical care episode was formally cancelled prior to completion, such as when a scheduled procedure or treatment course was discontinued. Used in care management and utilization review systems to track episode abandonment rates, reschedule workflows, and analyze patterns in care interruption.
Classifies a clinical episode into a defined grouping such as acute, chronic, preventive, or behavioral health. Used in EHR and care management systems to organize patient care periods by condition type, supporting population health analytics and care coordination workflows.
Records the primary symptom or reason for care as reported by the patient at the start of a clinical episode. Captured in EHR intake and triage workflows, this field drives clinical decision support, diagnosis coding, and longitudinal condition tracking across care encounters.
Identifies a subordinate episode linked to a parent episode in a hierarchical care relationship. Used in EHR and care management systems to represent nested clinical events, such as a follow-up visit or complication episode that originates from a primary condition episode.
Records the municipality name associated with the location where a clinical episode occurred or where the patient resided during the care period. Used in EHR and public health systems to support geographic analysis, care access reporting, and social determinants of health tracking.
Designates the classification tier assigned to a clinical episode, such as inpatient, outpatient, emergency, or observation. Used in EHR and revenue cycle systems to determine care setting context, reimbursement pathways, and appropriate clinical documentation and coding requirements.
Contains the standardized code value that identifies and classifies a clinical episode within EHR and care management systems. This code enables consistent episode tracking across encounters, supports clinical grouping logic, and links care periods to diagnosis or procedure classification standards.
Stores free-text narrative notes entered by clinicians or care coordinators to provide additional context about a clinical episode. Used in EHR and care management systems to capture observations, clarifications, or care instructions that supplement structured episode data fields.
Records the calendar date on which a clinical episode was formally closed or resolved. Used in EHR and care management systems to calculate episode duration, measure care cycle times, support quality reporting, and trigger downstream workflows such as discharge follow-up or billing finalization.
Flag that designates a clinical episode as sensitive or confidential, restricting access in accordance with privacy regulations such as 42 CFR Part 2 for substance use or state mental health statutes. Controls visibility of episode data within EHR and health information exchange systems.
Represents the total number of clinical episodes recorded for a patient or condition within a defined period. Used in EHR, care management, and population health systems to measure disease burden, care utilization patterns, and recurrence rates for chronic or episodic conditions.
Records the country associated with the location of a clinical episode or the patient's residence during the care period. Used in EHR and public health systems to support international patient tracking, cross-border care coordination, and geographic reporting in global health contexts.
Identifies the username or system ID of the user who initially created the clinical episode record. Used in EHR audit trails and data governance workflows to establish accountability, support record traceability, and meet regulatory requirements for documentation integrity and user activity logging.
Records the calendar date on which the clinical episode record was first entered into the EHR or care management system. Used in audit trails, data quality monitoring, and operational reporting to establish record provenance and distinguish episode creation from clinical event onset dates.
Records the exact time at which a clinical episode record was first created in the EHR or care management system. Combined with the creation date, this timestamp supports audit logging, workflow sequencing, and data governance requirements for precise record provenance tracking.