Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
The recorded marital or domestic partnership status of a patient at the time of a trauma encounter. Used in demographic data collection for trauma registry submissions, social determinants of health assessments, and next-of-kin identification for emergency consent purposes.
The enterprise-wide unique identifier assigned to a trauma case, enabling consistent tracking across hospital systems, registries, and clinical data warehouses. Used to link trauma records across admissions, surgical events, imaging, and outcomes reporting.
The upper boundary value for a trauma-related clinical measurement or scoring metric, such as injury severity score ranges or vital sign thresholds. Used in trauma registry analytics and clinical decision support to define acceptable or critical value ceilings.
The middle name or initial of the patient associated with a trauma case, used for accurate patient identity matching in trauma registries and hospital systems. Supports deduplication and master patient index alignment during multi-facility trauma care coordination.
The lower boundary value for a trauma-related clinical measurement or scoring metric, such as minimum acceptable vital signs or injury severity thresholds. Used in trauma registry analytics and clinical decision support to define floor values for critical assessments.
The mobile phone number associated with a trauma patient or their emergency contact, used to facilitate rapid communication during acute trauma care coordination and follow-up. Captured in trauma registration workflows and stored for care team outreach.
The system user identifier of the individual who last updated a trauma case record, supporting audit trail requirements in trauma registries and clinical data warehouses. Used for data governance, accountability tracking, and compliance with trauma center accreditation standards.
The calendar date on which a trauma case record was most recently updated in the clinical system or trauma registry. Used for audit trail maintenance, data quality monitoring, and tracking revisions to clinical documentation or registry abstraction entries.
The timestamp indicating when a trauma case record was most recently updated in the clinical system or trauma registry. Used alongside the modified date to provide precise audit trail documentation for regulatory compliance and trauma registry data integrity reviews.
The descriptive label or standardized name assigned to a trauma case type or injury classification within the trauma registry or clinical system. Used for display, reporting, and categorization of trauma events across hospital trauma programs and data submissions.
Free-text or structured annotation captured by clinicians or registry abstractors related to a specific trauma case, injury mechanism, or clinical event. Provides supplemental context not captured in coded fields and supports care coordination, legal documentation, and trauma registry review.
The sequential or system-assigned reference number uniquely identifying a trauma case within a facility or trauma registry. Distinct from the master identifier, this number is used for operational tracking, chart retrieval, and inter-departmental communication during trauma care workflows.
The date on which a traumatic injury first occurred or symptoms first presented, as documented in the trauma registry or clinical record. Critical for calculating time-to-treatment intervals, injury severity assessments, and trauma outcome benchmarking in registry reporting.
The measured peripheral oxygen saturation (SpO2) percentage recorded for a trauma patient, typically captured at scene arrival, emergency department triage, or during resuscitation. A key vital sign indicator used in trauma severity scoring, airway management decisions, and outcomes analysis.
The total dollar amount reimbursed or paid by a payer for trauma-related services rendered, as reflected in claims or billing records. Used in trauma program financial reporting, cost-of-care analysis, and reconciliation between trauma registry clinical data and revenue cycle transactions.
The date on which payment was received or posted for trauma-related services, as recorded in billing or claims processing systems. Used for revenue cycle reconciliation, financial reporting timelines, and tracking payer reimbursement cycles associated with trauma care episodes.
The reference to a higher-level trauma record or case hierarchy to which a subordinate trauma entry is linked, supporting relational data structures in trauma registries. Used to associate secondary injuries, complications, or follow-up events back to an originating trauma case.
A proportional ratio value associated with a trauma case attribute, such as body surface area affected, probability of survival score, or cost allocation percentage. Used in trauma severity calculations, outcomes benchmarking, and financial distribution reporting within trauma programs.
The defined time interval associated with a trauma care episode, treatment phase, or reporting cycle, such as acute care duration or registry data submission window. Used for outcomes analysis, length-of-stay calculations, and trauma program performance benchmarking.
The primary telephone number associated with a trauma patient or their designated contact, captured during trauma registration for emergency notification and follow-up coordination. Stored in the trauma record to support care transitions, outreach calls, and post-discharge follow-up programs.