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Domain

Quality

HEDIS, Stars ratings, measures, outcomes and accreditation

1,711 quality terms

experience cityexp_city

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.

experience classexp_cls

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.

experience codeexp_cd

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.

experience commentexp_cmt

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.

experience completed dateexp_cmpl_dt

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.

experience confidential indicatorexp_conf_ind

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.

experience countexp_cnt

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.

experience countryexp_ctry

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.

experience created byexp_crtd_by

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.

experience created dateexp_crtd_dt

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.

experience created timeexp_crtd_tm

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.

experience creatinineexp_cr

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.

experience dateexp_dt

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.

experience datetimeexp_dttm

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.

experience dea numberexp_dea_nbr

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.

experience death dateexp_death_dt

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.

experience deleted dateexp_del_dt

The date on which an experience record was logically removed or voided within the healthcare data system. Used in audit trails and data governance workflows to track when records were inactivated, supporting compliance reviews, claims corrections, and data lineage reporting.

experience deleted indicatorexp_del_ind

A flag indicating whether an experience record has been logically deleted or voided within the healthcare data system. Used during claims processing and data reconciliation to exclude inactivated records from active reporting while preserving historical data for audit and compliance purposes.

experience descriptionexp_desc

A free-text or coded narrative that describes the nature, type, or context of a patient service experience record. Used in clinical documentation, care management platforms, and claims systems to convey the purpose or classification of the experience in human-readable form.

experience detailexp_dtl

Granular data elements capturing the specific clinical, administrative, or transactional attributes of a patient service experience record. Used in care management, utilization review, and claims adjudication workflows to provide supplementary context beyond summary-level experience data.

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