Domain
Clinical
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
Records the marital or relationship status of the patient associated with a clinical finding, used as a social determinant of health data element. Supports population health analytics, care coordination, and psychosocial assessments where relationship status influences care planning or risk stratification.
An enterprise-level master record identifier that uniquely links a clinical finding to a patient or entity across all systems within a health organization's network. Used in master patient index workflows to resolve duplicate records and ensure longitudinal tracking of findings across disparate clinical platforms.
The highest permissible or observed value associated with a clinical finding, such as the upper bound of a reference range or the peak value in a result series. Used in lab result interpretation, clinical decision support, and chronic disease monitoring to flag out-of-range findings in EHR systems.
The middle name or initial associated with a clinical finding record, typically used when the finding is linked to a named entity such as a clinician or patient. Supports accurate identification and disambiguation in EHR and clinical data systems.
The lower boundary value of an acceptable or expected range for a clinical finding, such as a lab result or vital sign measurement. Used in clinical decision support and alerting logic to flag results that fall below established reference thresholds in EHR and diagnostic systems.
The mobile phone number associated with a clinical finding record, typically linked to the patient or clinician contact details captured at the time of assessment. Used in care coordination and follow-up workflows within healthcare information and patient engagement systems.
The unique identifier of the user who last updated a clinical finding record. Supports audit trail requirements by tracking who made changes to assessment results, diagnoses, or observations within EHR, clinical data warehouse, and health information systems.
The calendar date on which a clinical finding record was most recently updated or amended. Used in audit logging, data governance, and change tracking processes to maintain record integrity and support regulatory compliance in clinical data systems.
The timestamp indicating the exact time a clinical finding record was last modified. Combined with the modified date, this supports precise audit trail tracking, concurrency management, and chronological ordering of updates in EHR and clinical data warehouse systems.
The human-readable label or title assigned to a clinical finding, such as a diagnosis, observation, or assessment result. Used to display the finding clearly in clinical documentation, patient records, and reporting interfaces across EHR and health information systems.
Free-text or structured annotation associated with a clinical finding, capturing clinician observations, contextual details, or supplementary information not represented by coded fields. Used in EHR documentation to provide narrative context alongside structured assessment data.
A system-generated or assigned reference number that uniquely identifies a clinical finding within a healthcare data system. Used to track, retrieve, and cross-reference assessment results across EHR platforms, clinical data warehouses, and interoperability exchanges.
The date on which a clinical finding, symptom, or condition first appeared or was first observed in the patient. Critical for establishing disease timelines, chronic condition tracking, and clinical decision-making within EHR, registry, and population health management systems.
The measured peripheral oxygen saturation (SpO2) value recorded as a clinical finding, expressed as a percentage of oxygenated hemoglobin. Captured as part of vital sign assessments and used in monitoring respiratory and cardiovascular status within EHR and clinical documentation systems.
The dollar amount reimbursed or paid in relation to a clinical finding or associated service. Used in revenue cycle and claims adjudication workflows to reconcile payments against documented findings, supporting financial reporting and billing accuracy in healthcare data systems.
The date on which payment was issued for a clinical finding or its associated billable service. Used in claims processing, revenue cycle management, and financial reconciliation workflows to track reimbursement timelines within healthcare billing and data systems.
The higher-level finding or hierarchical record to which a clinical finding is subordinate. Used in structured clinical terminologies and ontologies to represent relationships between findings, supporting diagnostic grouping, problem list organization, and clinical decision support logic.
A ratio or proportional value expressed as a percentage associated with a clinical finding, such as stenosis severity, body surface area involvement, or test positivity rate. Used in clinical documentation and reporting to quantify severity or extent of a condition in EHR systems.
The defined duration or time interval over which a clinical finding is observed, measured, or considered active. Used to capture episodic or recurring conditions, monitoring windows, and assessment intervals within EHR, chronic disease management, and population health data systems.
The telephone contact number associated with a clinical finding record, typically linked to the patient or responsible clinician at the time of documentation. Used in care coordination, follow-up scheduling, and patient outreach workflows within healthcare information systems.