Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
The specific time of day marking the conclusion of a historical clinical event or administrative record. Used in encounter, procedure, and scheduling history data to capture when a past appointment, surgical procedure, or clinical service ended, enabling precise duration calculations and workflow audit tracking.
The identifier of the user or system that originally created or submitted a historical record in a healthcare data system. Used in EHR, claims, and enrollment audit logs to maintain data provenance, support compliance reviews, and trace the source of past clinical or administrative data entries.
The ethnicity classification associated with a patient or member as recorded at a specific historical point in time. Used in clinical, enrollment, and population health records to support retrospective demographic analysis, health equity reporting, and compliance with federal data collection requirements such as OMB standards.
The calendar date on which a historical record, authorization, credential, or benefit became invalid or expired. Used in claims, prior authorization, member enrollment, and provider credentialing history systems to identify when a past entitlement or approval period ended and to support retroactive eligibility verification.
The cross-system reference ID assigned by an external platform to a past medical event record. Enables matching and reconciliation of historical clinical data across EHR systems, HIEs, and data warehouses when the internal identifier alone is insufficient for interoperability.
The facsimile number associated with a past medical event record, typically linked to the facility, provider, or contact responsible for the historical encounter. Used to route clinical documents such as referrals, discharge summaries, or lab results tied to that historical event.
The service charge recorded for a past medical event, representing the billed or allowed amount associated with a historical encounter or procedure. Used in retrospective cost analysis, claims adjudication review, and longitudinal financial reporting across patient history records.
The given name of the individual associated with a past medical event record, such as a patient or provider linked to that historical encounter. Used to display and verify identity when reviewing historical clinical data across EHR and health information systems.
A binary indicator applied to a past medical event record to signal a specific condition, status, or alert requiring attention. Common uses include marking records as reviewed, flagging abnormal findings, or identifying events relevant to care management or quality reporting workflows.
The dosing schedule or recurrence interval recorded for a medication, treatment, or procedure within a past medical event. Captures how often an intervention was administered historically, supporting medication reconciliation, chronic disease management, and longitudinal clinical review.
The complete name of the individual associated with a past medical event record, combining given and family name components. Used to clearly identify patients, providers, or contacts when displaying or auditing historical clinical records across health information systems.
The sex or gender classification recorded at the time of a past medical event. Captures the biological sex or self-identified gender documented during a historical encounter, supporting clinical analysis, longitudinal patient profiling, and demographic reporting across health data systems.
The blood glucose measurement recorded during a past medical event, representing a historical point-in-time reading used to track glycemic trends over time. Critical for managing conditions such as diabetes, supporting longitudinal lab result analysis and chronic disease care planning.
The insurance group plan identifier associated with a past medical event, capturing the member's health plan group at the time of the historical encounter. Used in claims research, coverage verification, and retrospective eligibility analysis across member enrollment and billing records.
The hemoglobin concentration measured and recorded during a past medical event, representing a historical lab value used to assess anemia, oxygen-carrying capacity, and overall hematologic status. Supports longitudinal clinical monitoring and trend analysis in chronic disease management.
The clinical narrative documenting the patient's description of symptoms, onset, duration, and progression recorded at a past medical event. Captures the HPI as documented during a historical encounter, providing contextual detail essential for longitudinal clinical review and care continuity.
The unique primary key assigned to a past medical event record within the health information system. Used to distinctly identify, retrieve, and link historical clinical data across encounters, claims, and longitudinal patient records in EHR and clinical data warehouse environments.
The sequential position number assigned to a past medical event within an ordered set of historical records. Used to sort, paginate, or rank historical clinical entries by occurrence, priority, or encounter sequence in clinical data systems and longitudinal patient history displays.
A coded boolean or categorical value that signals a specific condition, characteristic, or status associated with a past medical event. Used to flag clinically meaningful attributes such as chronic condition presence, prior authorization history, or care gap status in historical records.
The clinical or administrative guidance text documented in connection with a past medical event, such as discharge instructions, medication directions, or follow-up care notes. Preserves historical patient education and care directives for longitudinal clinical review and care coordination.