I've seen it ever since I started watching the early UN Purple book editions which was in the late 1990s I think. I'd never seen it before then.
But you have the right definition. In the US, we seem to only be concerned about Cancer, repro and developmental, and neurotoxicity in our regulatory definitions of chronic toxicity (see Prop 65 for a state rule, and 16 CFR 1500.135 for the CPSC Federal Hazardous Substances Act definition). But some chemicals can cause long term damage to other organs like the kidneys, liver, etc. What STOT means is chronic testing should be done to see what damage occurs over time to all organ systems.
The content of this page reflects the personal opinion(s) of the author(s) only, not the American Chemical Society, ILPI, Safety Emporium, or any other party. Use of any information on this page is at the reader's own risk. Unauthorized reproduction of these materials is prohibited. Send questions/comments about the archive to secretary**At_Symbol_Here**dchas.org. The maintenance and hosting of the DCHAS-L archive is provided through the generous support of Safety Emporium.