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Domain

Clinical

EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation

16,101 clinical terms

advance directive active statusadvdir_actv_sts

Describes the current activity state of a patient's advance directive document, indicating whether it is active, inactive, revoked, or pending review. Used in clinical documentation systems to communicate the validity of end-of-life care preferences across inpatient and outpatient care settings.

advance directive admission dateadvdir_admn_dt

Records the hospital inpatient admission date associated with an encounter during which an advance directive was documented, reviewed, or updated. Used to establish the temporal context of directive review within the care episode and support regulatory compliance with patient rights documentation.

advance directive ageadvdir_age

Captures the patient's age at the time an advance directive was created, reviewed, or updated. Used in clinical and legal documentation to confirm the patient met minimum age requirements for executing a directive and to contextualize end-of-life planning within the patient's demographic profile.

advance directive allowed amountadvdir_alwd_amt

Represents the maximum reimbursable dollar amount associated with clinical services rendered in connection with advance directive counseling or documentation. Used in claims processing and financial reporting to capture allowable payments for advance care planning services under applicable benefit coverage.

advance directive amountadvdir_amt

The monetary value associated with processing or documenting a patient's advance directive, such as notarization or legal filing fees. Captured in clinical or administrative systems to track financial transactions tied to end-of-life care planning documentation.

advance directive approved byadvdir_appr_by

Identifies the clinician, administrator, or authorized user who reviewed and approved the patient's advance directive in the EHR. Supports audit trails and accountability for end-of-life care wish documentation within clinical workflow management systems.

advance directive arrival timeadvdir_arrv_tm

The time at which a patient's advance directive document was received or entered into the clinical system. Used to establish a precise timestamp for when end-of-life care instructions became available to the care team during treatment or admission.

advance directive arrived dateadvdir_arrv_dt

The calendar date on which a patient's advance directive was received by the healthcare facility or entered into the health record. Used to establish the timeline of when end-of-life care preferences were made available and acknowledged by clinical staff.

advance directive assessmentadvdir_asmt

Free-text or structured clinical evaluation documenting a clinician's review of the patient's advance directive, including notes on the document's validity, completeness, and alignment with current care goals and the patient's expressed end-of-life preferences.

advance directive balanceadvdir_bal

The remaining outstanding financial amount owed in relation to advance directive processing, such as unpaid legal or administrative fees. Tracked within billing and administrative systems to ensure complete reconciliation of costs associated with end-of-life care planning.

advance directive billed amountadvdir_bill_amt

The total invoice amount charged for services related to the documentation, processing, or filing of a patient's advance directive. Recorded in billing systems to support financial tracking and reconciliation of administrative costs tied to end-of-life care planning.

advance directive birth dateadvdir_birth_dt

The date of birth of the patient associated with an advance directive record. Used to verify patient identity, confirm legal age for executing end-of-life care documents, and ensure accurate matching of advance directive records within the health information system.

advance directive blood pressureadvdir_bp

The patient's arterial blood pressure reading recorded at the time of advance directive documentation or review. Provides clinical context for the patient's health status when end-of-life care preferences were captured or assessed by the care team.

advance directive cancelled dateadvdir_cncl_dt

The date on which a patient's previously recorded advance directive was formally revoked or cancelled. Used in EHR systems to maintain an accurate legal and clinical record of when end-of-life care instructions were withdrawn or superseded by updated documentation.

advance directive categoryadvdir_cat

A classification grouping that identifies the type of advance directive on file, such as a living will, healthcare proxy, or do-not-resuscitate order. Used to organize and filter end-of-life care planning documents within clinical and administrative reporting systems.

advance directive chief complaintadvdir_cc

The primary clinical symptom or concern documented at the time the patient's advance directive was initiated or reviewed. Provides contextual information about the patient's health condition that may have prompted the completion of end-of-life care planning documentation.

advance directive childadvdir_chld

Identifies a subordinate or dependent advance directive record linked to a parent directive in a hierarchical data structure. Used in clinical systems to represent related end-of-life care documents, such as addendums or condition-specific instructions tied to a primary directive.

advance directive cityadvdir_city

The name of the municipality associated with the patient or legal representative listed on an advance directive. Used to capture geographic address details that support identity verification and jurisdictional compliance for end-of-life care planning documentation.

advance directive classadvdir_cls

A classification tier that distinguishes the legal or clinical standing of an advance directive, such as statutory, instructional, or proxy-based. Used in health information systems to categorize end-of-life care documents for routing, compliance, and reporting purposes.

advance directive codeadvdir_cd

A standardized identifier or classification code assigned to a patient's advance directive record within the EHR or clinical data system. Used to uniquely reference, index, and retrieve end-of-life care instructions across clinical encounters, departments, and reporting workflows.

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