Behavioral

The combined date and time value recording when a clinical disorder event was documented, modified, or observed in the health system. Used in EHR audit trails and clinical data warehouses to establish precise event chronology, support data integrity validation, and enable time-based clinical analytics.

The formal clinical name or descriptive label assigned to a documented disorder within a patient health record. Used in EHR problem lists, clinical summaries, and data warehouses to provide a standardized human-readable designation that supports clinical communication, coding workflows, and patient record clarity.

The complete aggregated sum of disorder-related data values, such as total episode count, cumulative costs, or combined clinical measurements associated with a condition. Used in clinical data warehouses and population health reporting to summarize disorder burden metrics across individual patients or patient cohorts.

The cumulative number of occurrences or instances of a specific clinical disorder recorded for a patient or population within a defined timeframe. Used in clinical analytics and population health systems to measure disorder frequency, recurrence rates, and prevalence trends supporting care management decisions.

A categorical classification that identifies the nature or class of a clinical disorder, such as acute, chronic, congenital, infectious, or behavioral. Used in EHR systems and clinical data warehouses to organize conditions by clinical category, supporting treatment protocols, risk stratification, and population health segmentation.

The most recent date on which a clinical disorder record was modified, amended, or updated within the health information system. Used in EHR audit trails and clinical data management to track record currency, support data governance processes, and ensure accurate longitudinal patient condition documentation.

Indicates the clinical urgency or time-sensitivity level assigned to a disorder, reflecting how quickly intervention or treatment is required. Used in EHR triage workflows, care management systems, and clinical decision support tools to prioritize patient care, allocate resources, and guide clinical response timelines.

A quantitative or qualitative measured data point associated with a specific clinical disorder, such as a lab result, severity score, or clinical assessment reading. Used in EHR and clinical data warehouses to capture disorder-specific measurements that inform diagnosis, treatment planning, and longitudinal patient health monitoring.

Tracks the sequential revision number of a disorder record, enabling version control in clinical data systems. Increments when clinical details, diagnostic codes, or status information are updated, supporting audit trails and historical comparisons of abnormal health state documentation.

The postal code associated with a disorder record, typically representing the patient's residence or the treating facility location at time of diagnosis. Used in population health analytics and epidemiological reporting to identify geographic distribution and prevalence patterns of specific conditions.

The specific ICD-10-CM diagnosis code identifying a member's eating disorder classification, such as anorexia nervosa, bulimia nervosa, or binge eating disorder, used to drive specialized treatment pathway assignment and eligibility for eating-disorder-specific levels of care.

An indicator corresponding to the engagement component of the NCQA Initiation and Engagement of Substance Use Disorder Treatment measure, showing whether a member who initiated treatment received two or more additional services within 34 days of the initiation visit, demonstrating sustained engagement in care.

A flag identifying that a behavioral health session involved family members or caregivers as active participants in the treatment process, distinct from individual sessions where only the identified patient is present. This field is used in family-involvement outcomes research, particularly in pediatric and adolescent behavioral health.

An indicator corresponding to the NCQA Follow-Up After Emergency Department Visit for Mental Illness or Substance Use measure, showing whether a member received a follow-up behavioral health visit within a defined window after an emergency department encounter related to a mental illness or substance use diagnosis.

An indicator corresponding to the NCQA Follow-Up After Hospitalization for Mental Illness HEDIS measure, showing whether a member received an outpatient behavioral health visit within 7 or 30 days following discharge from an inpatient mental illness admission. This is one of the most widely tracked behavioral health quality measures across Medicare, Medicaid, and commercial payer quality programs.

A standardized score quantifying the degree to which a member's mental health or substance use condition impairs daily functioning across domains such as work, relationships, and self-care. Common instruments include the Global Assessment of Functioning and similar validated tools.

An indicator showing that an older adult patient received a behavioral health assessment specifically addressing late-life depression, cognitive decline, or dementia-related behavioral symptoms, a distinct clinical pathway from general adult behavioral health screening.

The number of members or patients participating in a specific group therapy session, used in staffing ratio analysis, billing validation for group CPT codes, and clinical effectiveness research comparing outcomes across different group sizes and formats.

An indicator corresponding to the NCQA Initiation and Engagement of Substance Use Disorder Treatment measure, showing whether a member newly diagnosed with a substance use disorder received treatment initiation within 14 days of the diagnosis. This is the initiation component of the broader IET measure pair.

An indicator showing that a behavioral health service was delivered within an integrated primary care setting, such as a co-located or collaborative care model, rather than a stand-alone behavioral health specialty clinic. This field supports analysis of integrated care program effectiveness and reimbursement under collaborative care billing codes.