Domain
Clinical
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
The total dollar amount submitted by a provider on a claim line associated with a specific clinical problem before payer adjudication. Used in claims processing and revenue cycle analytics to compare charges against allowed amounts, assess billing patterns, and monitor contractual discount variances across problem categories.
The date of birth recorded in context of an active clinical problem, used in EHR and population health systems to calculate patient age at problem onset, validate age-appropriate diagnoses, and support pediatric versus adult condition stratification in care management and quality reporting programs.
The systolic and diastolic arterial pressure measurement recorded in association with a specific clinical problem during a patient encounter. Used in clinical data systems to track hemodynamic status related to conditions such as hypertension or cardiovascular disease, informing treatment decisions and longitudinal disease management monitoring.
The date a diagnosed health condition or clinical problem was formally cancelled from a patient's active problem list in the EHR. Indicates the problem was entered in error or determined to be clinically invalid, distinguishing cancellation from resolution or inactivation of a confirmed condition.
A high-level classification grouping assigned to an active clinical problem or diagnosis within an EHR or care management system, such as chronic, acute, or behavioral health. Enables population segmentation, care plan assignment, and disease registry stratification across clinical and administrative healthcare data platforms.
The primary symptom or concern reported by the patient that prompted documentation of a specific clinical problem in the EHR problem list. Captures the patient's own description of their presenting issue, linking the formal diagnosis or condition to the original clinical encounter context.
A subordinate or dependent clinical problem linked hierarchically to a parent diagnosis within an EHR problem list or care management system. Represents a secondary condition, complication, or sub-diagnosis associated with a primary problem, enabling structured hierarchical disease tracking and accurate comorbidity reporting in clinical data models.
The city associated with the location where a clinical problem or health condition was documented or treated. Typically used to capture geographic context for referral tracking, care coordination, or epidemiological reporting within clinical data systems managing patient problem histories.
A tiered classification attribute assigned to an active clinical problem in EHR and care management systems, categorizing conditions by clinical severity, acuity level, or administrative grouping such as medical versus surgical. Supports triage workflows, care plan prioritization, and condition-based cohort analysis in population health platforms.
A standardized coded value, typically ICD-10-CM or SNOMED CT, assigned to an active clinical problem or diagnosis within EHR, claims, and care management systems. Serves as the primary identifier for condition tracking, enabling interoperability, quality measure calculation, risk adjustment, and claims adjudication across healthcare data pipelines.
Free-text narrative notation attached to an active clinical problem in an EHR or care management system, capturing clinical context, provider observations, or care plan notes not expressible through structured codes. Requires NLP processing for analytics use and may contain PHI requiring appropriate access controls in data engineering pipelines.
The date a clinical problem or health condition was marked as fully resolved or completed in the patient's problem list. Distinguishes conditions that have reached their clinical endpoint from those that are active, inactive, or cancelled, supporting longitudinal care management and outcomes tracking.
A flag designating that a specific clinical problem or health condition on the patient's problem list requires restricted access due to sensitivity. Commonly applied to behavioral health diagnoses, substance use disorders, or reproductive health conditions to enforce privacy protections and comply with applicable regulations.
The designated communication point, such as a provider, care coordinator, or facility, associated with managing an active clinical problem in EHR and care management systems. Used to route care management outreach, assign clinical ownership, and maintain accountability for specific diagnoses within multidisciplinary care team workflows.
The total number of active, inactive, or resolved clinical problems recorded on a patient's problem list within EHR and population health systems. Used in risk stratification models, care complexity scoring, and quality reporting to quantify patient comorbidity burden and support case management prioritization algorithms.
The country associated with the location where a clinical problem or health condition was diagnosed or documented. Used in clinical data systems to capture geographic origin of conditions, support international patient care coordination, and facilitate epidemiological analysis of disease prevalence across regions.
The identifier of the clinician or system user who originally added a health condition or diagnosis to the patient's problem list in the EHR. Supports audit trail requirements, clinical accountability tracking, and workflow analysis for problem list management across care settings.
The timestamp recording when an active clinical problem or diagnosis was first added to a patient's problem list in an EHR or care management system. Critical for longitudinal condition tracking, onset-to-documentation latency analysis, audit trails, and calculating condition duration metrics in clinical quality and outcomes reporting.
The precise timestamp recording when a health condition or diagnosis was first entered onto the patient's problem list in the EHR. Supports audit compliance, longitudinal clinical data analysis, and sequencing of problem documentation relative to encounters, orders, and other clinical events.
The serum creatinine laboratory value associated with a clinical problem, used to assess kidney function in the context of a patient's documented health condition. Critical for chronic kidney disease staging, medication dosing decisions, and monitoring disease progression within the problem list workflow.