Domain
Quality
HEDIS, Stars ratings, measures, outcomes and accreditation
1,621 quality terms
The calendar date on which a patient arrived for the encounter or visit during which a clinical measurement was collected. Used to establish the temporal context of quantified clinical values such as vital signs, lab specimens, or diagnostic screenings within care records.
The clinician's narrative evaluation or interpretive finding associated with a recorded clinical measurement, such as a vital sign reading or lab result. Documents the clinical significance or follow-up determination made in response to a measured quantified value during a patient encounter.
The remaining unpaid dollar amount owed on a financial account associated with a clinical measurement-related service or procedure. Used in healthcare revenue cycle management to track outstanding patient or payer obligations for diagnostic tests and measurement-related claims.
The total dollar amount invoiced by a provider for a clinical measurement-related service, such as a laboratory test or diagnostic procedure. Represents the charged amount submitted on a claim prior to any contractual adjustments, denials, or payer reimbursements.
The date of birth of the patient associated with a clinical measurement record. Used to calculate patient age at time of measurement, support identity verification, and enable age-stratified clinical reporting for vital signs, lab results, and diagnostic findings.
The recorded systolic and diastolic arterial blood pressure values captured as part of a clinical measurement event, typically expressed in mmHg. Used in vital signs documentation, chronic disease management, cardiovascular risk assessment, and quality measure reporting.
The date a scheduled or ordered clinical measurement was cancelled before completion. Captured in EHR and clinical data systems to maintain audit trails, track care gaps, and support quality reporting where incomplete measurements affect patient outcome metrics.
A high-level grouping that classifies clinical measurements into domains such as vital signs, laboratory results, or diagnostic imaging findings. Used in clinical data warehouses to organize, filter, and report on patient observation data across care settings and encounters.
The billed dollar amount associated with performing a specific clinical measurement or diagnostic test. Used in revenue cycle and claims processing workflows to record the gross charge before payer adjustments, contractual allowances, or patient cost-sharing are applied.
The primary symptom or clinical concern documented by the patient or clinician that prompted a specific measurement to be taken. Stored in EHR encounter records to link diagnostic observations with the presenting complaint and support clinical decision-making.
A subordinate clinical measurement that is hierarchically linked to a parent measurement record. Used in EHR data models to represent component results within a measurement panel, such as individual analytes within a metabolic or lipid test battery.
The name of the municipality where a clinical measurement was recorded or where the performing facility is located. Used in clinical and administrative data systems to support geographic analysis, care coordination, and population health reporting across service areas.
A structured classification tier that categorizes a clinical measurement by its clinical type or methodology, such as physiologic, biochemical, or behavioral. Used in clinical data warehouses to enable consistent grouping and cross-system comparison of patient observation data.
A standardized identifier, typically drawn from coding systems such as LOINC or SNOMED CT, that uniquely identifies the type of clinical measurement recorded. Enables interoperability across EHR platforms, laboratory systems, and health information exchanges.
The portion of a clinical measurement's cost that a patient is responsible for paying after the deductible has been met, calculated as a percentage of the allowed amount. Used in claims adjudication and patient billing workflows to determine member cost-sharing obligations.
Free-text narrative entered by a clinician or technician to provide additional context, interpretation, or qualifications for a recorded clinical measurement. Stored in EHR and laboratory systems to supplement structured result data with clinically relevant explanatory notes.
The calendar date on which a clinical measurement was successfully performed and finalized. Used in EHR and laboratory information systems to establish result timelines, monitor turnaround times, and support compliance with clinical quality measure reporting requirements.
A flag that designates a clinical measurement record as sensitive or restricted, limiting access based on privacy rules such as those governing behavioral health, substance use, or reproductive health data under federal and state confidentiality regulations.
The fixed out-of-pocket dollar amount a member is required to pay at the time a clinical measurement or related service is rendered. Used in claims processing and member billing systems to calculate patient financial responsibility under the terms of their health plan benefit design.
The total expense incurred by a health plan, provider, or patient in obtaining a specific clinical measurement, including direct service costs and associated overhead. Used in healthcare financial analytics to evaluate cost-effectiveness and support value-based care contract reporting.