Domain
Quality
HEDIS, Stars ratings, measures, outcomes and accreditation
1,711 quality terms
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.
The total number of times a specific clinical measurement has been recorded for a patient within a defined period or encounter. Used in clinical analytics and quality reporting to assess adherence to monitoring protocols and identify trends in patient observation frequency.
The name or code of the country where a clinical measurement was obtained or where the performing facility is located. Used in clinical and administrative records to support international patient data exchange, cross-border care coordination, and geographic reporting requirements.
The unique identifier of the user, clinician, or system that originally entered or generated a clinical measurement record in the EHR or clinical data system. Used for audit trail purposes, data provenance tracking, and accountability in clinical documentation workflows.
The calendar date on which a clinical measurement record was first entered into the EHR or clinical data system. Used to establish data provenance, support audit trails, and differentiate the administrative record creation date from the actual date the measurement was performed.
The specific timestamp at which a clinical measurement record was first entered into the EHR or clinical data system. Used alongside the created date to establish precise data provenance, support system audit logs, and track documentation timeliness in clinical workflows.
The recorded serum or urine creatinine value for a patient, used as a key biomarker to assess kidney filtration function. Documented in laboratory and EHR systems to monitor renal health, stage chronic kidney disease, calculate eGFR, and guide medication dosing decisions.
The calendar date on which a quantified clinical observation, such as blood pressure, weight, or lab result, was recorded. Used in EHR and clinical data warehouses to establish the temporal context of the measurement for trending, compliance, and care management analysis.
The combined date and time stamp at which a quantified clinical observation was recorded or performed. Captures precise temporal context for time-sensitive measurements such as glucose readings, vital signs, or intraoperative values used in clinical decision support and longitudinal patient analysis.
The Drug Enforcement Administration registration number associated with the clinician or facility that ordered or performed a controlled-substance-related clinical measurement. Used to ensure regulatory compliance and maintain an auditable chain of custody for controlled substance administration records.
The recorded date of patient death associated with a clinical measurement record. Used in outcomes analysis, mortality reporting, and cohort studies to correlate clinical observations such as final lab values or vital signs with patient mortality events in longitudinal datasets.