Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
Records the calendar date on which a patient arrived for clinical evaluation of a suspected or known adverse food or drug intolerance reaction. Used to establish the encounter date, support longitudinal tracking, and correlate intolerance episodes with treatment timelines in the patient record.
Contains the clinician's documented clinical evaluation and interpretive findings related to a patient's adverse food or drug intolerance. This narrative or structured text captures diagnostic reasoning, severity assessment, and clinical conclusions recorded during the intolerance evaluation encounter.
The remaining outstanding financial amount owed following payments or adjustments applied to charges associated with clinical care for an adverse food or drug intolerance. Reflects the net patient or payer liability after insurance payments, write-offs, or credits have been applied to the intolerance-related encounter.
The total charges invoiced to a patient or payer for clinical services rendered in connection with the evaluation or management of an adverse food or drug intolerance reaction. Represents the gross billed value prior to insurance adjustments, contractual discounts, or patient payments being applied.
Records the patient's date of birth as captured within the adverse food or drug intolerance record. Used to confirm patient identity, support age-appropriate clinical decision making, and ensure accurate matching of intolerance documentation to the correct patient demographic record.
Records the patient's arterial blood pressure measurement documented during clinical evaluation of an adverse food or drug intolerance reaction. Captures systolic and diastolic values used to assess hemodynamic status, monitor severity of the intolerance response, and guide treatment decisions.
Records the calendar date on which a previously scheduled or active adverse food or drug intolerance-related encounter, order, or referral was formally cancelled. Used to track workflow changes, support audit trails, and maintain accurate scheduling records within the clinical documentation system.
Classifies an adverse food or drug intolerance into a defined grouping such as food, medication, environmental, or contrast agent. Supports clinical decision support, allergy reconciliation workflows, and population reporting by organizing intolerance records into standardized categories for analysis and safety alerts.
Documents the primary symptom or reason for presentation as reported by the patient experiencing an adverse food or drug intolerance reaction. This free-text or coded value anchors the clinical encounter narrative and guides the clinician's initial assessment and differential diagnosis during the intolerance evaluation.
Identifies a subordinate or dependent intolerance record linked to a parent intolerance entry within a hierarchical data structure. Used to represent component-level reactions, related sub-classifications, or nested intolerance relationships that provide granular detail beneath a primary intolerance record in the clinical system.
Records the municipality name associated with the patient or clinical site linked to an adverse food or drug intolerance record. Used for demographic data completeness, geographic reporting, care coordination, and ensuring accurate patient address information within the intolerance documentation record.
Identifies the pharmacological or substance classification tier assigned to an adverse food or drug intolerance, such as antibiotic class, NSAID, or shellfish group. Enables cross-reactivity alerts, clinical decision support rules, and reporting by grouping individual intolerances under broader therapeutic or substance class categories.
A standardized coded value, such as SNOMED CT, ICD, or RxNorm, used to identify and classify a specific adverse food or drug intolerance within clinical and administrative systems. Enables interoperability, clinical decision support, cross-system reconciliation, and structured reporting of intolerance records across care settings.
Free-text field capturing supplementary narrative notes entered by a clinician or staff member regarding a patient's adverse food or drug intolerance record. Used to document nuanced clinical observations, reaction details, historical context, or follow-up instructions that fall outside structured data fields in the intolerance record.
Records the calendar date on which clinical evaluation, treatment, or documentation workflow associated with a patient's adverse food or drug intolerance episode was formally completed. Used to close encounter records, support quality reporting, and track the full lifecycle of intolerance-related clinical activities.
A flag designating that a patient's adverse food or drug intolerance record contains sensitive information subject to restricted access controls. When set, this indicator limits visibility to authorized users only, supporting patient privacy protections, regulatory compliance, and role-based access governance within the clinical documentation system.
Represents the total number of documented adverse food or drug intolerance records, episodes, or reactions associated with a patient or encounter. Used in clinical reporting, population health analytics, and patient safety workflows to quantify intolerance burden and identify patients with multiple or recurring adverse reactions.
Identifies the country where a patient's food or drug intolerance was documented or diagnosed. Used in EHR systems to support international patient records, cross-border care coordination, and ensures intolerance data is contextualized within the correct regional clinical and regulatory framework.
Captures the unique identifier of the clinical user, such as a physician or nurse, who initially entered a patient's food or drug intolerance record into the EHR. Supports audit trails, accountability tracking, and data provenance across clinical documentation workflows.
Records the calendar date on which a patient's food or drug intolerance entry was first created in the clinical system. Essential for audit trails, chronological tracking of patient safety records, and determining when an intolerance became known within the care team's documentation workflow.