Domain
EHR, ICD-10, LOINC, SNOMED CT, patient care and clinical documentation
16,101 clinical terms
The established charge or cost assigned to a sonographic imaging procedure within a facility's chargemaster or fee schedule. Used in healthcare billing and revenue cycle systems to generate patient estimates, calculate expected reimbursement, and support financial analysis of ultrasound service line pricing across payer contracts and care settings.
A Boolean flag identifying whether a sonographic imaging study, finding, or associated record is designated as the primary instance among multiple related entries. Used in radiology and clinical data systems to distinguish the principal ultrasound result or diagnosis from secondary or incidental findings for billing, reporting, and care planning purposes.
The urgency or importance ranking assigned to a sonographic imaging order or study, such as routine, urgent, or STAT. Used in radiology workflow management systems to sequence study acquisition and interpretation, ensuring that time-sensitive ultrasound requests such as those for suspected ectopic pregnancy or vascular emergencies are expedited appropriately.
The calendar date on which a diagnostic or therapeutic ultrasound examination was performed. Used in clinical imaging workflows to establish procedure timelines, coordinate follow-up care, and support claims adjudication by confirming service dates for sonographic studies.
The patient's heart rate in beats per minute recorded during a sonographic examination. Captured as a vital sign measurement at the time of the ultrasound study, this value provides clinical context for interpreting cardiac or vascular imaging findings and assessing patient stability.
The number of discrete ultrasound imaging sessions, views, or studies performed during a single encounter or across a defined period. Used in radiology billing and clinical documentation to record procedure volume for accurate claims submission and utilization tracking.
The self-reported racial identity of the patient undergoing a sonographic examination. Collected in accordance with federal demographic reporting standards to support population health analysis, health equity monitoring, and outcome disparities research within ultrasound imaging programs.
The defined minimum and maximum boundary values for a specific measurement obtained during a sonographic examination, such as fetal biometry or Doppler velocity readings. Used to flag results outside normal reference intervals and guide clinical interpretation of imaging findings.
The contracted or billed reimbursement amount per ultrasound procedure, typically expressed as a unit price tied to a CPT code. Used in claims processing and fee schedule management to calculate expected payments for sonographic imaging services rendered to patients.
A standardized quality or severity assessment score assigned to findings from a sonographic examination, such as a BIRADS or TIRADS classification. Used by radiologists and ordering clinicians to communicate imaging impression and guide subsequent diagnostic or therapeutic decision-making.
A proportional measurement derived from sonographic imaging data, such as the cerebroplacental ratio in obstetric ultrasound or resistive index in Doppler studies. Used to quantify relationships between anatomical structures or flow parameters to support clinical diagnosis and monitoring.
The clinical indication or documented justification for ordering a sonographic examination, such as abdominal pain, suspected deep vein thrombosis, or fetal growth monitoring. Supports medical necessity documentation for prior authorization, claims submission, and utilization management review.
The date on which a completed ultrasound study, result report, or imaging order was received by the requesting facility, department, or clinician. Used to measure turnaround time, track report delivery workflows, and ensure timely clinical follow-up on sonographic findings.
An identifier or citation linking an ultrasound record to an external source such as a prior study, referral order, accession number, or clinical guideline. Used in radiology information systems to maintain continuity across imaging episodes and support longitudinal patient care.
The date on which a condition, abnormality, or clinical finding identified during a sonographic examination was determined to have resolved based on follow-up imaging or clinical assessment. Used to track the duration and outcome of diagnoses established through ultrasound studies.
The patient's respiratory rate in breaths per minute recorded at the time of a sonographic examination. Captured as a clinical vital sign to provide physiological context for imaging interpretation, particularly in studies evaluating pulmonary, diaphragmatic, or thoracic structures.
The clinical findings, measurements, or diagnostic conclusions documented from a sonographic examination. Includes quantitative values such as organ dimensions or Doppler indices and qualitative impressions reported by the interpreting radiologist or sonographer to guide patient management.
A version or iteration number indicating that an ultrasound report, imaging protocol, or associated clinical record has been amended or updated after initial creation. Used in radiology information systems to maintain audit trails and ensure clinicians reference the most current interpretation.
A clinical risk classification associated with findings from a sonographic examination, indicating the likelihood of malignancy, complication, or adverse outcome. Used to stratify patients for follow-up imaging intervals, biopsy referrals, or escalated clinical management based on imaging characteristics.
The anatomical approach or transducer placement method used to perform a sonographic examination, such as transabdominal, transvaginal, transrectal, or endoscopic. Documents the imaging pathway selected to optimize visualization of the target anatomy during the ultrasound procedure.