Domain
Clinical
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
The calendar date on which a clinical finding was observed, identified, or documented by a clinician. Serves as the primary temporal reference for the finding in longitudinal patient records, enabling chronological care history tracking, trend analysis, and outcomes reporting.
The combined date and time value representing when a clinical finding was observed or documented. Provides precise temporal context for time-sensitive clinical events, supports sequencing in longitudinal records, and enables accurate time-based analytics in clinical data warehouses.
The Drug Enforcement Administration registration number associated with a clinical finding record, typically linking a controlled substance order or prescription to the prescribing clinician. Used to validate prescribing authority and support compliance reporting for controlled substance regulations.
The date of death recorded in association with a clinical finding in the EHR or clinical data warehouse. Used to establish temporal context for findings documented at or near end of life, supporting mortality analysis, care timeline reconciliation, and clinical outcome reporting.
The date on which a clinical finding record was marked as deleted or retracted within the EHR or clinical data system. Supports audit trail maintenance, data quality review, and historical reconciliation of finding records that were removed from active clinical documentation.
A flag indicating whether a clinical finding record has been logically deleted or retracted in the source EHR or clinical data system. Enables downstream data consumers to filter inactive or voided findings from active clinical datasets while preserving the audit history of the record.
The human-readable narrative text describing a clinical finding, such as an observation, symptom, or assessment result documented in the EHR. Provides clinical context that supplements coded values and supports care documentation, clinical decision support, and quality reporting workflows.
Granular supplementary information associated with a specific clinical finding, such as severity, laterality, anatomical site, or qualitative characterization. Used in clinical data systems to enrich finding records beyond standard coded values and support precise clinical documentation and analysis.
The inpatient discharge date linked to a clinical finding, associating the finding with the conclusion of a specific hospital encounter. Used in clinical and claims data analysis to contextualize findings within inpatient stays and support episode-of-care reporting and outcomes measurement.
The target or expected completion date for a follow-up action, care plan task, or clinical finding that requires resolution by a specific date. Used in care management and clinical workflow systems to track pending findings, preventive screenings, or outstanding clinical tasks assigned to patients.
The length of time a clinical finding has been present or was observed, as documented in the EHR or clinical assessment record. Used to characterize the chronicity of conditions, symptoms, or observations, supporting clinical decision-making, disease staging, and longitudinal health outcome analysis.
The email address associated with the individual or care team member linked to a clinical finding record, used for communication or notification workflows in clinical data and care management systems. Supports outreach related to finding follow-up, patient engagement, or clinician correspondence.
A flag identifying whether a clinical finding was identified in or associated with an emergency care setting or requires urgent clinical attention. Used in EHR and clinical data workflows to prioritize critical findings, trigger alerts, and distinguish emergent from routine clinical observations.
The date on which a clinical finding was resolved, discontinued, or determined to be no longer active. Used in longitudinal clinical records to define the full temporal span of a finding, supporting chronic condition tracking, problem list management, and care gap closure in clinical data systems.
The specific time at which a clinical finding was resolved or its observation period concluded, recorded alongside the end date for precise temporal documentation. Used in clinical data systems where time-level granularity is required, such as acute care monitoring or procedure-related observations.
The identifier of the clinician, care team member, or system user who originally entered a clinical finding into the EHR or clinical data system. Supports data provenance, audit trail documentation, and accountability tracking for clinical observations, assessments, and care plan entries.
The self-reported or documented ethnicity of the patient associated with a clinical finding, captured in the EHR or clinical data record. Used in population health analytics, health equity reporting, and epidemiological studies to identify disparities in clinical findings across demographic groups.
The date after which a clinical finding is considered no longer valid, current, or actionable within the EHR or clinical data system. Used to manage the lifecycle of time-sensitive findings such as screening results, diagnostic observations, or standing orders that require periodic renewal or reassessment.
A reference identifier assigned to a clinical finding by an external system, such as a referring EHR, lab system, or interoperability platform. Enables cross-system linking and deduplication of finding records during data exchange, integration workflows, and longitudinal patient record reconciliation across disparate health systems.
The facsimile number associated with the individual, facility, or care team linked to a clinical finding record. Used in clinical communication workflows where fax remains a standard transmission method for sharing finding documentation, referral results, or clinical assessments between healthcare settings.