Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
Calculated or standardized numerical rating derived from an imaging examination, such as a Likert scale finding, BIRADS category, or severity index. Used in radiology information systems to quantify diagnostic conclusions and support structured reporting and population-level analytics.
Ordinal number defining the position of an imaging examination within a series of related studies or protocol steps. Used in PACS and radiology information systems to organize multi-phase acquisitions, longitudinal imaging series, or protocol-ordered scans into the correct clinical sequence.
Classification of the seriousness or clinical urgency of findings identified during an imaging examination, such as critical, significant, or incidental. Used in radiology workflows and clinical data systems to prioritize result communication and escalate urgent findings to ordering clinicians.
Biological sex of the patient recorded at the time of an imaging examination. Used in radiology and clinical data systems to apply sex-specific imaging protocols, reference ranges, and radiation dose calculations, ensuring appropriate diagnostic parameters are applied during acquisition and interpretation.
Origin system, facility, or referring entity from which an imaging examination request or data was received. Captured in radiology information systems and clinical data warehouses to support data provenance tracking, interoperability workflows, and referral pattern reporting.
Calendar date on which an imaging examination was initiated or image acquisition began. Recorded in radiology information systems and clinical data warehouses to establish the examination timeline, support scheduling analytics, and anchor longitudinal patient imaging histories.
Timestamp indicating the precise time at which an imaging examination began. Recorded in radiology and PACS systems to support DICOM metadata accuracy, measure modality utilization, calculate turnaround times, and sequence multi-phase or time-sensitive imaging protocols.
Geographic state or province associated with the facility or location where an imaging examination was performed. Used in radiology administrative and claims data to support regulatory compliance, regional reporting, licensure verification, and cross-jurisdictional care coordination.
Current workflow state of an imaging examination, such as ordered, scheduled, in-progress, completed, or cancelled. Tracked in radiology information systems to manage imaging queues, monitor order fulfillment, and trigger downstream actions such as result routing and billing.
Concentration or dosage of a contrast agent, radiotracer, or pharmaceutical administered during an imaging examination. Documented in radiology records to ensure protocol adherence, support adverse event reporting, and provide accurate clinical context for image interpretation and patient safety review.
Partial aggregated value representing a subset of charges, units, or measurements associated with an imaging examination before final totals are calculated. Used in radiology billing and clinical data systems to support itemized cost breakdowns, revenue cycle reconciliation, and departmental financial reporting.
Date of a surgical procedure associated with or prompting an imaging examination, such as pre-operative planning scans or post-operative follow-up imaging. Recorded in clinical data systems to correlate radiological findings with operative timelines and support surgical outcome tracking.
Specific anatomical structure, lesion, organ, or clinical objective that an imaging examination is designed to evaluate. Documented in radiology information systems to align acquisition protocols with clinical intent, guide radiologist interpretation, and ensure relevant findings are systematically captured and reported.
Standardized classification code identifying the type and category of a radiology or diagnostic imaging examination. Used in RIS and PACS systems to categorize studies by modality, body region, and procedure type, enabling consistent cross-system tracking and reporting.
Patient body temperature measurement recorded at the time of a radiology or diagnostic imaging examination. Captured as a vital sign in the imaging workflow to provide clinical context for the study, particularly relevant for contrast-enhanced or sedation-required procedures.
The date on which a radiology or diagnostic imaging examination was formally concluded, cancelled, or closed in the imaging system. Used in RIS and PACS to track study lifecycle, audit incomplete orders, and measure turnaround times from order initiation to study completion.
The specific time of day at which a radiology or diagnostic imaging examination was performed or initiated. Recorded in RIS and PACS systems to support scheduling workflows, modality utilization tracking, and accurate timestamping of imaging events within a patient encounter.
The combined date and time value marking when a radiology or diagnostic imaging examination was created, performed, or last modified in the imaging system. Used in RIS and PACS for precise chronological ordering of studies, audit trails, and DICOM conformance requirements.
The formal descriptive name assigned to a radiology or diagnostic imaging examination, typically derived from the procedure codeset or order entry system. Used in RIS, PACS, and clinical data warehouses to identify the study for radiologist worklist display, reporting, and patient record association.
The aggregate numeric value associated with a radiology or diagnostic imaging examination, such as total number of images acquired, total series count, or total radiation dose. Used in PACS and dose management systems for quality assurance, billing reconciliation, and imaging protocol compliance tracking.