Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
The clinical justification or indication for collecting a biological specimen, such as routine screening, diagnostic workup, therapeutic monitoring, or suspected infection. Used in laboratory information systems to link specimen collection orders to patient diagnoses and support medical necessity documentation.
The calendar date on which a biological specimen was received and logged by the laboratory or processing facility. Used in laboratory information systems to calculate turnaround time, track chain of custody, assess specimen viability, and ensure timely test result reporting.
A unique identifier or external accession number linking a biological specimen to its originating order, patient record, or external laboratory system. Used in laboratory information systems to maintain traceability across collection, transport, processing, and result reporting workflows.
The date on which a laboratory specimen issue, discrepancy, or associated clinical condition was formally resolved or closed. Used in laboratory information systems and quality management workflows to track specimen rejection resolutions, corrected reports, and case closure timelines.
The respiratory rate or breathing-related measurement recorded in association with a biological specimen collection event. Used in clinical data systems to capture patient physiological status at the time of specimen collection, supporting clinical context for lab result interpretation.
The quantitative or qualitative outcome of laboratory analysis performed on a biological specimen, such as a numeric value, positive or negative finding, or pathology interpretation. Used in laboratory information systems and clinical data repositories to document, report, and trend diagnostic test outcomes.
A version or iteration number indicating that a laboratory specimen record, test result, or associated report has been updated or corrected after initial entry. Used in laboratory information systems to maintain audit trails and ensure clinicians are viewing the most current and accurate specimen data.
A classification indicating the potential biohazard level, contamination risk, or patient safety concern associated with handling a biological specimen. Used in laboratory information systems to enforce appropriate containment protocols, personal protective equipment requirements, and safe specimen transport procedures.
The anatomical pathway, body site, or method by which a biological specimen was collected, such as venipuncture, swab, catheter, or biopsy. Used in laboratory and clinical data systems to document collection technique, support result interpretation, and ensure appropriate specimen handling.
A numerical value derived from laboratory specimen analysis or quality assessment, such as a composite diagnostic score, specimen adequacy rating, or quantitative test result index. Used in clinical data systems to support risk stratification, clinical decision-making, and population health analytics.
An ordered numeric or alphanumeric position assigned to a biological specimen within a series of collections, such as serial draws, timed specimens, or batch processing runs. Used in laboratory information systems to maintain correct ordering for time-sensitive protocols and multi-specimen test panels.
A graded classification indicating the clinical seriousness of findings associated with a biological specimen, such as critical, abnormal, or within normal limits. Used in laboratory information systems to prioritize result notification, trigger clinical alerts, and route critical values to ordering providers.
The biological sex designation associated with a specimen donor, used to apply sex-specific reference ranges and interpret laboratory test results accurately. Used in laboratory information systems to ensure correct normal range application for analytes such as hormone levels, hemoglobin, and creatinine.
The anatomical site, body fluid type, or collection location from which a biological specimen was obtained, such as blood, urine, cerebrospinal fluid, or tissue biopsy. Used in laboratory information systems to determine appropriate testing methodology, reference ranges, and result interpretation criteria.
The calendar date on which a biological specimen collection process or associated testing protocol was initiated. Used in laboratory information systems to establish collection timelines, calculate specimen age and viability windows, and support longitudinal tracking of serial or time-sensitive specimen collection orders.
The exact time at which a biological specimen collection was initiated, recorded to the hour and minute. Used in laboratory information systems for timed specimen protocols such as glucose tolerance testing, therapeutic drug monitoring, and timed urine collections where precision timing directly affects result validity.
The processing or lifecycle state of a collected biological specimen within laboratory workflows, such as received, in-process, analyzed, or rejected. Used in laboratory information systems to track specimen progression through testing and quality control stages.
The current operational condition of a collected biological specimen, indicating whether it is pending collection, in transit, accessioned, under analysis, or resulted. Critical in laboratory information systems for managing specimen integrity and workflow prioritization across testing pipelines.
The concentration or potency measurement of a drug compound present within a collected biological specimen, expressed in standardized units such as mg/mL or mcg/dL. Used in pharmacokinetic studies, therapeutic drug monitoring, and toxicology workflows to quantify substance levels.
A partial aggregated value representing an intermediate sum of measurements or counts for a subset of collected biological specimens within a laboratory batch or study group. Used in clinical data warehouses to support tiered reporting and quality assurance calculations.