Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
Respiratory rate measurement, in breaths per minute, recorded during an infectious disease clinical encounter. Used as a vital sign to monitor for respiratory compromise, assess sepsis severity using clinical scoring tools such as qSOFA, and evaluate patient response to treatment for respiratory infections.
Outcome or finding produced from an infectious disease diagnostic test, culture, sensitivity assay, or clinical assessment. Captured in laboratory and EHR systems to document pathogen identification, susceptibility profiles, titer levels, or treatment response measurements guiding antimicrobial therapy decisions.
Structured clinical documentation of symptoms reported across multiple body systems during an infectious disease patient encounter. Collected as part of the medical history to identify systemic involvement of infection, guide differential diagnosis, and support clinical decision-making for complex infectious disease presentations.
Tracks the version iteration of an infectious disease clinical record, protocol, or treatment plan. Increments when updates occur to diagnoses, antimicrobial regimens, or epidemiological findings, enabling audit trails and change history across infectious disease management workflows.
Quantifies the assessed danger level of exposure, transmission, or clinical deterioration for an infectious disease case. Used in epidemiological surveillance, infection control protocols, and clinical decision support to stratify patients by communicable disease threat level and guide preventive interventions.
Identifies the administration pathway for antimicrobial or antiviral therapies in infectious disease treatment, such as intravenous, oral, or intramuscular. Also captures transmission routes like airborne or contact, supporting infection control documentation and pharmacological treatment planning.
Records the planned calendar date for an infectious disease-related appointment, procedure, or follow-up consultation. Used in clinical scheduling systems to coordinate infectious disease specialist visits, lab collections, or isolation reviews and track adherence to treatment timelines.
Captures the specific clock time assigned for an infectious disease-related appointment or procedure. Combined with the scheduled date, this field supports clinical workflow coordination, specialist availability management, and patient notification for infectious disease consultations or infectious screenings.
Stores a calculated clinical rating derived from standardized infectious disease assessment tools such as SOFA, CURB-65, or pathogen severity indices. Used to quantify disease burden, guide antimicrobial stewardship decisions, and benchmark outcomes across infectious disease patient populations.
Assigns an ordinal position number to infectious disease events, diagnoses, or treatment episodes within a patient encounter or longitudinal record. Enables ordered tracking of multiple concurrent infections, sequential antimicrobial therapies, or successive diagnostic results in clinical data systems.
Records the actual date on which infectious disease clinical services were delivered, including specialist consultations, diagnostic procedures, or antimicrobial administrations. Used for clinical documentation, claims processing, and longitudinal tracking of infectious disease treatment episodes.
Classifies the clinical seriousness of an infectious disease condition using standardized severity scales, ranging from mild to critical. Informs triage decisions, antimicrobial stewardship protocols, hospital admission criteria, and public health reporting thresholds for notifiable communicable diseases.
Records the biological sex of a patient within an infectious disease clinical record. Used in epidemiological analysis, disease surveillance reporting, and clinical research to examine sex-based differences in infection susceptibility, immune response, and treatment outcomes for infectious conditions.
Identifies the origin of an infectious disease case record, diagnostic finding, or data element, such as laboratory system, surveillance registry, or clinical encounter. Also captures the suspected exposure source of infection to support contact tracing and epidemiological outbreak investigations.
Captures the date marking the onset of an infectious disease condition, initiation of antimicrobial therapy, or beginning of a treatment episode. Critical for calculating disease duration, antibiotic days of therapy, and evaluating time-to-treatment metrics in infectious disease clinical workflows.
Records the precise clock time at which an infectious disease event, treatment, or clinical episode began. Used alongside start date to calculate exact treatment durations, time-to-antibiotic metrics, and sequential ordering of clinical interventions in infectious disease management systems.
Stores the U.S. state or territory associated with an infectious disease case, patient address, or reporting jurisdiction. Used in public health surveillance, notifiable disease reporting to state health departments, and geographic analysis of infectious disease prevalence and outbreak patterns.
Reflects the current clinical or administrative state of an infectious disease case, such as active, resolved, suspected, confirmed, or under investigation. Drives workflow routing in infection control systems, public health reporting pipelines, and longitudinal disease management tracking across care settings.
Captures the street-level address associated with an infectious disease case, patient residence, or exposure location. Used in contact tracing, outbreak geographic mapping, public health field investigations, and notifiable disease reports submitted to local and state health authorities.
Records the drug concentration or dosage strength of antimicrobial, antiviral, antifungal, or antiparasitic agents prescribed within an infectious disease treatment regimen. Supports medication reconciliation, pharmacokinetic dosing decisions, and antimicrobial stewardship program documentation and reporting.