Clinical

Timestamp recording the exact time a clinical evaluation record was created in the system. Used in audit trails and workflow tracking to establish the chronological sequence of diagnostic assessments, supporting care coordination and documentation compliance reviews.

Serum or urine creatinine value captured during a clinical evaluation, used to assess kidney filtration function. This lab result informs clinical decision-making for medication dosing, chronic kidney disease staging, and monitoring patients with renal impairment across care episodes.

Calendar date on which a clinical evaluation or diagnostic assessment was performed. Used in clinical data systems to sequence patient encounters, track assessment frequency, measure care gaps, and support longitudinal population health reporting and quality measure attribution.

Combined date and time stamp representing when a clinical evaluation was conducted or recorded. Supports precise sequencing of diagnostic assessments within an encounter, enabling accurate clinical documentation, audit trail generation, and time-sensitive clinical decision support workflows.

Drug Enforcement Administration registration number associated with the clinician conducting or authorizing a clinical evaluation. Used in controlled substance prescribing workflows to validate prescriber authority, ensure regulatory compliance, and link evaluations to licensed practitioners in clinical records.

Date of patient death recorded in context of a clinical evaluation record. Used to close active care plans, terminate ongoing assessments, update member enrollment status, and trigger downstream reporting processes in clinical data warehouses and population health management systems.

Date on which a clinical evaluation record was marked as deleted or voided in the system. Supports data governance and audit trail requirements by preserving a historical marker of when a diagnostic assessment was removed, enabling downstream reconciliation and compliance review.

Boolean or coded flag indicating whether a clinical evaluation record has been logically deleted or voided in the system. Used in data quality workflows to filter out invalid assessments from reporting while preserving the original record for audit and regulatory compliance purposes.

Free-text or standardized narrative describing the nature, purpose, or findings of a clinical evaluation. Provides human-readable context for diagnostic assessments, supporting clinical documentation review, care coordination communication, and accurate coding of evaluation and management services.

Granular clinical information captured within a specific diagnostic assessment, including findings, observations, responses to screening tools, or structured data elements. Supports clinical decision support, quality reporting, and downstream analytics by preserving the full content of an evaluation record.

Date on which a patient was discharged from an inpatient or facility-based care setting in relation to a clinical evaluation. Used to calculate length of stay, trigger post-discharge follow-up assessments, and support transitions-of-care reporting and readmission risk analysis.

Scheduled date by which a clinical evaluation or reassessment must be completed per care plan protocols or regulatory requirements. Used in care management workflows to trigger outreach, track compliance with assessment schedules, and support quality measure reporting for managed care organizations.

Measured time span of a clinical evaluation from initiation to completion. Used in clinical operations to assess clinician productivity, support evaluation and management service coding accuracy, and analyze assessment workflows for efficiency improvements across care settings and patient populations.

Electronic mail address associated with a clinician, patient, or care team member linked to a clinical evaluation record. Used to route evaluation results, assessment notifications, or follow-up communications and to support patient engagement and provider coordination workflows in health systems.

Flag identifying a clinical evaluation as having been conducted under emergency conditions. Used to classify diagnostic assessments by urgency level, support emergency department utilization reporting, and ensure appropriate billing under emergency evaluation and management service codes in claims processing.

Date marking the conclusion of a clinical evaluation period or assessment episode. Used to define the active window of a diagnostic assessment, calculate evaluation duration, close open care management tasks, and support longitudinal reporting of patient assessment histories across care settings.

Exact time at which a clinical evaluation was completed or concluded. Used alongside start time to calculate evaluation duration, support accurate evaluation and management service level documentation, and maintain precise clinical workflow records required for billing compliance and operational analysis.

Identifier of the user or clinician who entered the clinical evaluation data into the system. Used in audit trails to establish documentation accountability, support data quality reviews, and ensure that diagnostic assessments are attributed to the appropriate credentialed clinical staff member.

Patient ethnicity recorded at the time of a clinical evaluation, captured per standard classifications such as OMB categories. Used in population health analytics, health equity reporting, and quality measure stratification to identify and address disparities in care across demographic groups.

Date after which a clinical evaluation or associated authorization is no longer considered valid for clinical or administrative use. Used in care management and utilization review workflows to enforce reassessment schedules, expire outdated diagnostic findings, and trigger renewal of time-limited clinical authorizations.