Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
Reflects the legal or clinical enforceability strength of a patient's advance directive, indicating whether it is a fully executed legal document, an informal expression of wishes, or a partial directive, helping clinicians assess reliance on its instructions.
A partial aggregation of components or directives within a patient's multi-section advance directive document, used in clinical data systems to summarize subsets of end-of-life care instructions for reporting, audit, or care coordination workflows.
The date of a surgical procedure referenced within or prompting the creation of a patient's advance directive. Captures the clinical context in which specific operative intervention preferences or refusals were documented as part of end-of-life care planning.
Identifies the specific clinical condition, intervention, or care scenario that a patient's advance directive instruction is intended to address, such as terminal illness, persistent vegetative state, or cardiac arrest, enabling precise application of end-of-life wishes.
Standardized classification code identifying the category or type of advance directive document, such as a living will, healthcare proxy, or POLST. Used in clinical systems to organize, retrieve, and exchange end-of-life care preference records across care settings.
Body temperature measurement recorded at the time an advance directive was executed or reviewed, used to document the patient's clinical condition. Supports contextual assessment of the patient's physical state during advance care planning encounters in clinical records.
The date on which an advance directive document becomes void, is revoked by the patient, or is superseded by a newer directive. Used in clinical systems to enforce document lifecycle rules and prevent application of expired patient care preferences during treatment decisions.
The specific time of day at which an advance directive was created, signed, witnessed, or last reviewed. Used alongside the associated date to establish a precise chronological record of advance care planning activities in patient clinical documentation systems.
The combined date and time value marking when an advance directive record was created, modified, or processed in the clinical system. Provides an auditable chronological trail for compliance, legal validity, and care coordination purposes across healthcare information systems.
The formal document name or heading assigned to a patient's advance directive, such as 'Durable Power of Attorney for Healthcare' or 'Do Not Resuscitate Order.' Used in clinical records to distinguish between multiple directive types on file for a single patient.
The aggregate numeric value associated with advance directive records for a patient or population, such as the total number of active directives on file. Used in clinical data analytics to support advance care planning program reporting and patient outreach initiatives.
The cumulative number of advance directive documents on file for a patient or across a defined population cohort. Used in clinical analytics and care management programs to measure advance care planning completion rates and identify patients lacking documented end-of-life preferences.
A classification value identifying the specific category of advance directive on record, such as living will, healthcare power of attorney, POLST, or DNR order. Used to filter and route appropriate care instructions to clinical teams based on patient-documented end-of-life preferences.
The most recent date on which a patient's advance directive record was modified, amended, or reviewed and reaffirmed. Used in clinical systems to ensure care teams are referencing current patient preferences and to trigger periodic review workflows for outdated directives.
A classification indicating the time-sensitivity or priority level associated with reviewing or applying a patient's advance directive, such as immediate, routine, or scheduled. Used in clinical workflows to flag patients requiring urgent advance care planning discussions prior to procedures or admission.
A sequential number or identifier tracking successive revisions of a patient's advance directive document. Used to maintain a complete revision history, ensure the most current version governs clinical decisions, and satisfy legal and regulatory documentation requirements in healthcare records systems.
The postal ZIP code associated with the location where an advance directive was executed, or the patient's address at the time the directive was filed. Used to support geographic reporting on advance care planning participation and to route directives within regional health information exchanges.
A unique numeric identifier linking an allergy record to a specific patient account within a healthcare system. Used to associate documented adverse reactions with the correct patient encounter or registration record, ensuring allergy data integrity across clinical and billing systems.
A binary flag denoting whether a documented allergy is currently active and clinically relevant for the patient. Used in clinical decision support systems to suppress alerts for resolved or inactive reactions while ensuring active allergies trigger appropriate warnings during medication ordering and treatment planning.
A coded value representing the current clinical state of a documented allergy, such as active, inactive, resolved, or entered-in-error. Used in clinical records to manage allergy list accuracy, drive decision support logic, and communicate relevant reaction history across care team members.