Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
The patient's given name as recorded on the imaging study order or DICOM header at the time of examination. Used for patient identity verification, demographic matching, and MPI reconciliation in radiology information systems and PACS environments.
A binary or coded marker applied to an imaging study record to indicate a specific condition such as STAT priority, incomplete status, quality review hold, or critical finding. Used to trigger workflow routing, escalation alerts, and exception-based reporting in radiology operations.
The prescribed or actual interval at which a recurring diagnostic imaging examination is performed for a patient, such as annual mammography or quarterly surveillance scans. Used in care management protocols, imaging utilization management, and longitudinal monitoring programs.
The complete descriptive name of the imaging examination as defined in the radiology procedure catalog, including modality, anatomical region, and any laterality or contrast qualifiers. Used for procedure identification, scheduling display, and report header generation in RIS systems.
The patient's sex or gender identity recorded on the imaging study, used to apply protocol-specific acquisition parameters, dose reference levels, and clinical interpretation criteria. Supports demographic reporting and ensures gender-appropriate imaging protocols are applied during examinations.
The patient's blood glucose level measured or recorded prior to a diagnostic imaging examination, particularly relevant for PET-CT and other nuclear medicine studies where metabolic status affects radiotracer uptake and image quality. Captured to ensure examination validity and patient safety.
The patient's hemoglobin value recorded in association with a diagnostic imaging study, used to assess patient eligibility for contrast-enhanced examinations and evaluate clinical context for imaging findings. Relevant for MRI contrast clearance and interventional radiology pre-procedure assessments.
The clinical narrative describing the patient's current condition, symptoms, and relevant history provided at the time of imaging order, transmitted to the radiologist as clinical context. Used to guide imaging protocol selection, focus interpretation, and support evidence-based radiology reporting.
The unique alphanumeric key assigned to a diagnostic imaging examination within the RIS, PACS, or clinical data system. Serves as the primary reference for linking study records across ordering, scheduling, acquisition, interpretation, and billing workflows throughout the imaging encounter lifecycle.
A sequential or positional number assigned to an imaging study within a series, patient encounter, or ordered set of examinations. Used to maintain study ordering, support multi-series DICOM organization, and facilitate systematic retrieval and comparison of imaging records over time.
A coded value denoting a specific clinical or operational characteristic of an imaging study, such as whether the examination is a baseline, follow-up, emergency, or research study. Used to support clinical decision logic, utilization reporting, and protocol-driven workflow routing in radiology systems.
Preparation or procedure-specific directions associated with a diagnostic imaging examination, such as fasting requirements, contrast premedication protocols, or patient positioning guidance. Communicated to patients and technologists to ensure proper study preparation and examination compliance.
A system-generated or user-defined reference value used to uniquely identify and retrieve an imaging study record within a database or interoperability context. Supports relational linking between study records and associated clinical, billing, and scheduling data in radiology information systems.
The human-readable display text assigned to a diagnostic imaging examination in a radiology information system (RIS) or PACS. Used to identify and categorize the study type, such as CT Chest with Contrast or MRI Brain, for workflow routing and reporting.
The language in which a diagnostic imaging examination's report, instructions, or associated documentation is communicated. Used in radiology and imaging workflows to ensure reports and patient communications are delivered in the appropriate language for the patient or referring provider.
The patient's family surname as recorded at the time a diagnostic imaging examination was ordered or performed. Used in PACS and RIS systems to match imaging studies to the correct patient record and prevent misidentification during report delivery and archiving.
The patient's official registered name as recorded on a diagnostic imaging examination order. Used in radiology and PACS systems to ensure imaging studies are correctly attributed to the verified patient identity, supporting accurate medical record linkage and legal documentation.
The hierarchical classification position of a diagnostic imaging examination within a radiology or clinical data system. Indicates whether the study belongs to a series, visit, or encounter level, supporting data organization, workflow prioritization, and reporting within PACS and RIS environments.
The professional license identifier associated with the ordering or interpreting clinician for a diagnostic imaging examination. Recorded in RIS and imaging systems to ensure regulatory compliance, track credentialing, and verify that studies are authorized by appropriately licensed practitioners.
The patient's marital or relationship status recorded at the time a diagnostic imaging examination is ordered or performed. Captured in radiology and imaging workflows as part of demographic data, used for insurance eligibility verification, billing, and coordination of benefits processing.