Domain
Quality
HEDIS, Stars ratings, measures, outcomes and accreditation
1,621 quality terms
The date on which a scheduled patient care experience, such as an appointment, procedure, or service event, was officially cancelled. Used in clinical scheduling and encounter management systems to track cancellation patterns, measure care gaps, and support operational reporting.
A classification label assigned to a patient care experience that groups the encounter by type, such as preventive, acute, or chronic care. Used in clinical data warehouses to segment encounters for population health analysis, utilization reporting, and care coordination workflows.
The primary symptom, concern, or reason for visit documented by the patient or clinician at the start of a care experience. Used in clinical data systems to drive triage decisions, support diagnosis coding, and enable retrospective analysis of presenting conditions across patient populations.
An identifier or reference linking a subordinate care experience record to a parent encounter within a hierarchical encounter structure. Used in clinical data systems to represent related service events, such as a follow-up visit or ancillary procedure nested under an originating encounter.
The name of the city or municipality associated with a patient care experience, typically reflecting the location where services were rendered or the patient's address on record. Used in clinical and claims data systems to support geographic analysis, population health reporting, and service area planning.
A classification tier assigned to a patient care experience that designates the setting or level of service, such as inpatient, outpatient, or emergency. Used in clinical data warehouses to differentiate encounter types for utilization management, billing categorization, and quality measurement reporting.
A standardized alphanumeric code assigned to uniquely identify a type of patient care experience within clinical and administrative data systems. Used to classify, retrieve, and cross-reference encounter records across EHR platforms, claims systems, and clinical data warehouses for reporting and analysis.
A free-text field containing narrative notes or annotations associated with a specific patient care experience. Used in clinical data systems to capture supplemental context, clinician observations, or administrative remarks that do not fit structured data fields, supporting care coordination and documentation review.
The date on which a patient care experience, such as a treatment episode, service event, or clinical workflow task, was fully completed. Used in clinical data warehouses and care management systems to measure service duration, track care plan adherence, and support performance and outcome reporting.
A flag that designates a patient care experience record as confidential, restricting access based on privacy rules such as those governing behavioral health, substance use, or reproductive services. Used in clinical data systems to enforce role-based access controls and comply with HIPAA and 42 CFR Part 2 regulations.
A numeric value representing the total number of occurrences of a specific type of patient care experience within a defined period or context. Used in clinical data warehouses and population health systems to measure utilization frequency, identify high-need patients, and support care management prioritization.
The name or code of the country associated with a patient care experience, typically indicating where services were rendered or the patient's country of residence on record. Used in clinical and administrative data systems to support international patient tracking, geographic reporting, and cross-border care coordination.
The unique identifier of the user, clinician, or system that originally created the patient care experience record in the clinical data system. Used for audit trail purposes, data governance, and accountability tracking to establish record ownership and support compliance with documentation standards.
The calendar date on which a patient care experience record was first created in the clinical data system. Used in data governance and audit logging to establish record provenance, support retrospective data quality reviews, and track when encounter documentation was initiated relative to the actual service event.
The timestamp indicating the exact time at which a patient care experience record was first created in the clinical data system. Used in audit trails, data governance workflows, and clinical documentation reviews to establish precise record provenance and support time-sensitive regulatory compliance reporting.
The serum or urine creatinine laboratory value recorded during a patient care experience, used as a key biomarker for assessing kidney function. Captured in clinical data systems to monitor renal health, detect acute kidney injury, guide medication dosing decisions, and support chronic kidney disease management programs.
The calendar date on which a patient care experience, such as a clinical encounter, procedure, or service event, occurred. Used across clinical and administrative data systems as a primary temporal reference for encounter sequencing, episode of care construction, claims adjudication, and longitudinal patient history analysis.
The combined date and time value representing when a patient care experience occurred or was recorded. Used in clinical data warehouses and EHR systems to enable precise encounter sequencing, support time-sensitive clinical decision-making, and ensure accurate temporal alignment across care events in longitudinal patient records.
The Drug Enforcement Administration registration number associated with a prescriber or dispensing entity within a patient service experience record. Used to validate and track controlled substance prescribing authority during pharmacy claims processing and clinical audits.
The recorded date of a member or patient's death as captured within an experience record. Used in member enrollment, claims adjudication, and population health systems to terminate coverage, close care gaps, and accurately report mortality within clinical and actuarial analyses.