Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
The cumulative count of discrete items associated with a radiology or diagnostic imaging examination, such as total image instances, series, or procedure occurrences. Used in PACS and RIS reporting to measure imaging volume, monitor storage utilization, and validate study completeness.
The classification category of a radiology or diagnostic imaging examination indicating the modality or clinical purpose, such as CT, MRI, ultrasound, or X-ray. Used in RIS and PACS to route studies to appropriate reading queues, apply protocol rules, and support imaging utilization analytics.
The date on which a radiology or diagnostic imaging examination record was most recently modified in the imaging system. Used in RIS and PACS for change tracking, synchronization between downstream clinical systems, and audit compliance to identify when study metadata or results were last revised.
The clinical priority or time-sensitivity level assigned to a radiology or diagnostic imaging examination, such as STAT, urgent, or routine. Used in RIS worklist management to determine reading order prioritization, turnaround time expectations, and escalation protocols for critical findings.
The sequential version number tracking revisions to a radiology or diagnostic imaging examination record, including updates to study metadata, amended radiology reports, or corrected procedure codes. Used in RIS and PACS to maintain a complete audit history of changes throughout the study lifecycle.
The postal ZIP code associated with the facility or location where a radiology or diagnostic imaging examination was performed. Used in imaging data systems for geographic analysis of imaging utilization, site-level reporting, and population health studies linking imaging services to patient residence areas.
The systolic and diastolic arterial blood pressure measurement recorded for the primary insurance policy holder. Captured in member health records or wellness programs to support care management interventions, chronic condition monitoring, and population health stratification within health plan data systems.
The serum creatinine laboratory value recorded for the primary insurance policy holder, used as a biomarker of kidney filtration function. Referenced in health plan care management and utilization data to identify members at risk for chronic kidney disease and guide targeted outreach or case management programs.
The blood glucose measurement recorded for the primary insurance policy holder, indicating current blood sugar levels. Used in health plan care management systems to identify and monitor members with diabetes or prediabetes, support disease management program enrollment, and track clinical outcome improvements over time.
The blood hemoglobin concentration recorded for the primary insurance policy holder, reflecting oxygen-carrying capacity and screening for anemia. Used in health plan care management and member wellness programs to identify clinical risk, support chronic disease monitoring, and inform population health stratification decisions.
The peripheral blood oxygen saturation percentage recorded for the primary insurance policy holder, typically measured via pulse oximetry. Used in health plan care management systems to monitor members with respiratory or cardiac conditions, flag clinical deterioration risk, and support remote patient monitoring program data integration.
The resting heart rate measurement in beats per minute recorded for the primary insurance policy holder. Used in health plan member health records and care management programs to monitor cardiovascular health, identify members with arrhythmia risk or heart failure, and support clinical intervention targeting within population health analytics.
The respiratory rate measurement in breaths per minute recorded for the primary insurance policy holder. Used in health plan care management and member clinical data systems to monitor pulmonary conditions such as COPD or asthma, assess acute illness severity, and support care coordination programs targeting high-risk members.
The inpatient admission date associated with a drug substitution event, typically recorded when a therapeutic substitution occurs during a hospital stay. Used in pharmacy and claims data to correlate alternative medication dispensing with inpatient encounter timelines.
The inpatient discharge date associated with a drug substitution event, capturing when a patient was released following an encounter where a therapeutic alternative was dispensed. Used in pharmacy and claims data to define the duration of the substitution episode.
A flag indicating whether a drug substitution was performed under emergency circumstances, such as a formulary shortage or urgent clinical need. Used in pharmacy dispensing records to distinguish routine therapeutic substitutions from those driven by emergent clinical or supply conditions.
A narrative description of the clinical condition or presenting illness that prompted a therapeutic drug substitution. Captured in pharmacy or clinical documentation to provide context for why an alternative medication was selected over the originally prescribed treatment.
The display name or descriptive label assigned to a therapeutic drug substitution record, identifying the alternative medication dispensed in place of the originally prescribed drug. Used in pharmacy systems to clearly communicate substitution details to clinical staff and patients.
The date on which a clinical procedure was performed in conjunction with or as a result of a therapeutic drug substitution. Used in pharmacy and clinical records to link the alternative medication dispensing event to a specific procedural intervention or treatment date.
The acceptable value span or dosage limits defined for a therapeutic drug substitution, specifying the minimum and maximum parameters within which an alternative medication may be dispensed. Used in pharmacy systems to ensure substitutions remain within clinically approved boundaries.