Domain
Clinical
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
A standardized alphanumeric code identifying a specific laboratory test or service, often mapped to CPT, LOINC, or internal LIS codes. Used in EHR, claims, and analytics systems to enable interoperability, reimbursement adjudication, and clinical data aggregation across platforms.
The portion of laboratory service costs that a patient is responsible for paying after the deductible is met, calculated as a percentage of the allowed amount defined by their health plan. Used in patient billing, explanation of benefits generation, and member cost-sharing analysis for lab services.
Free-text notation attached to a laboratory order, result, or specimen record to convey additional clinical context, interpretive remarks, or processing notes. Captured in LIS and EHR systems and often transmitted in HL7 OBX or NTE segments during lab result interfaces.
The date on which a laboratory test or panel was fully processed and results were finalized. Used to calculate turnaround time from order to result, support quality metrics reporting, drive result notification workflows, and ensure timely delivery of actionable clinical information to ordering providers.
A flag designating that a laboratory result or associated clinical information is subject to enhanced privacy protections, such as those required for sensitive test categories including HIV, substance use, or genetic testing. Controls access restrictions and governs how results are shared, disclosed, or included in records.
The designated communication point, such as a phone number, fax, or email, for a laboratory facility or associated personnel. Stored in LIS, EHR, and provider directory systems to facilitate result follow-up, critical value notifications, and specimen collection coordination.
The fixed out-of-pocket dollar amount a patient is required to pay at the time of a laboratory service, as defined by their health plan benefit design. Used in patient financial responsibility calculations, eligibility verification workflows, and point-of-service collection processes for lab encounters.
The actual expense incurred by a laboratory to perform a test or service, including reagents, equipment, labor, and overhead. Distinct from the billed or allowed amount, lab cost is used in financial modeling, profitability analysis, and contract rate negotiations to evaluate the margin on laboratory services.
The total number of occurrences of a specific laboratory test, order, or result within a defined dataset or time period. Used in EHR, LIS, and analytics systems for utilization reporting, quality measure calculation, and population health monitoring across member or patient cohorts.
The country where a laboratory facility is located or where a laboratory test was performed. Used in clinical data systems to support international specimen processing, reference lab routing, and regulatory compliance when test results cross international borders.
The unique identifier of the user, system, or application that created the laboratory record in the clinical data system. Used for audit trail purposes to track data entry accountability, record provenance, and workflow responsibility within laboratory information systems.
The timestamp indicating when a laboratory order, result, or associated record was initially created in the source system. Used in LIS, EHR, and data warehouse systems for audit trails, data lineage tracking, and measuring turnaround time from order entry to result delivery.
The precise timestamp indicating when a laboratory record was first created in the clinical or laboratory information system. Used for audit logging, workflow sequencing, and determining turnaround time from order initiation to result reporting in lab data management.
The measured serum or urine creatinine value from a laboratory test, used as a key biomarker for assessing kidney function. Creatinine levels are critical in clinical decision-making for diagnosing renal impairment, monitoring chronic kidney disease, and adjusting medication dosing.
The calendar date associated with a laboratory service or test event, such as the collection, processing, or result reporting date. Used in EHR, LIS, and claims systems to establish clinical timelines, support longitudinal data analysis, and meet encounter date reporting requirements.
A combined date and time timestamp representing a specific event in the laboratory workflow, such as specimen collection, result verification, or order placement. Used in LIS and EHR systems for precise temporal sequencing, turnaround time measurement, and HL7 message timestamping.
The Drug Enforcement Administration registration number assigned to a laboratory authorized to handle controlled substances. Used to verify regulatory compliance and ensure the facility meets federal requirements for testing specimens that involve Schedule I through V substances.
The recorded date of death for a patient associated with a laboratory service or test record. Used in EHR, LIS, and claims systems to close open orders, suppress result notifications, support mortality analytics, and maintain accurate patient demographic data across healthcare data platforms.
The dollar amount applied toward a member's insurance deductible for a laboratory service. Used in claims adjudication and billing workflows to calculate patient cost-sharing obligations before insurance coverage begins paying for laboratory testing services.
The date on which a laboratory record was logically deleted or inactivated within the clinical or laboratory information system. Used to maintain data integrity and audit history while preserving the record for compliance, legal, and historical reporting purposes.