Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
The gross charge submitted to the payer or patient for a diagnostic imaging examination, reflecting the facility's standard fee schedule rate before any contractual adjustments or payments. Used as the starting point in radiology claim reconciliation workflows.
The date of birth of the patient associated with a diagnostic imaging examination. Used in radiology information systems to verify patient identity, ensure accurate demographic matching, and support age-based protocol selection for imaging procedures.
The patient's systolic and diastolic arterial blood pressure measurement recorded at the time of a diagnostic imaging examination. Captured in radiology workflows to assess patient safety, particularly for contrast-enhanced studies requiring pre-procedure vitals screening.
The calendar date on which a scheduled diagnostic imaging examination was formally cancelled by the patient, ordering provider, or facility. Used in radiology scheduling systems to track cancellation trends, reschedule workflows, and measure impact on imaging department capacity.
The high-level classification grouping assigned to a diagnostic imaging examination, such as MRI, CT, ultrasound, or nuclear medicine. Used in radiology information systems to organize studies for workflow routing, billing code assignment, and departmental performance reporting.
The primary clinical symptom or indication reported by the patient or ordering provider that prompted the diagnostic imaging examination. Used in radiology to establish medical necessity, guide image interpretation, and support clinical decision-making for protocol selection.
A subordinate imaging study linked hierarchically to a parent study within a radiology information system. Represents a dependent series or component examination, enabling structured tracking of multi-part imaging workflows such as pre- and post-contrast acquisitions.
The name of the municipality where the imaging facility that performed the diagnostic examination is located. Used in radiology data management for geographic reporting, facility identification, multi-site network analytics, and regulatory compliance documentation.
The classification tier assigned to a diagnostic imaging examination indicating its priority, modality group, or service level, such as emergent, routine, or inpatient. Used in radiology workflow management to determine turnaround time expectations and resource allocation.
The standardized identifier, such as a CPT or LOINC code, assigned to a diagnostic imaging examination to classify the procedure type. Used across radiology billing, clinical documentation, and interoperability systems to uniquely identify and consistently report imaging services.
Free-text notation entered by radiology staff, technologists, or clinicians to capture supplemental information about a diagnostic imaging examination not addressed by structured data fields. Used to document special instructions, patient circumstances, or workflow exceptions.
The calendar date on which a diagnostic imaging examination was fully performed and the image acquisition process was finalized. Used in radiology operations to measure study turnaround times, track workflow milestones, and monitor compliance with reporting timeliness standards.
A binary flag designating that a diagnostic imaging examination contains sensitive or restricted information requiring enhanced privacy controls, such as studies related to behavioral health or substance use. Governs access permissions and disclosure rules within radiology systems per HIPAA and facility policy.
The total number of imaging examinations associated with a patient, order, or encounter. Used in radiology information systems and PACS to track imaging volume, support workflow prioritization, and enable reporting across modalities such as MRI, CT, and X-ray.
The country in which an imaging examination was performed or ordered. Used in radiology and clinical data systems to support international patient records, cross-border care coordination, and regulatory compliance when studies are conducted or read across different national jurisdictions.
The unique identifier of the user who initially created the imaging study record in the radiology information system or PACS. Used for audit trail purposes, accountability tracking, and workflow management to determine which technologist, radiologist, or system account originated the study entry.
The calendar date on which an imaging study record was first entered into the radiology information system or PACS. Distinct from the study performed date, this field supports audit logging, data governance, and reconciliation of imaging records across clinical and administrative systems.
The precise time at which an imaging study record was first created in the radiology information system or PACS. Used alongside the study created date for complete audit trail tracking, workflow analysis, and system reconciliation in high-volume imaging environments.
The serum creatinine level recorded in association with an imaging study, typically captured prior to contrast-enhanced examinations such as CT or MRI. Used to assess renal function and determine patient safety for iodinated or gadolinium-based contrast agent administration per imaging protocols.
The calendar date on which an imaging examination was performed. Used in radiology information systems and PACS to schedule, track, and report imaging activity, and to correlate imaging findings with clinical events, lab results, and patient encounters in longitudinal health records.