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Back to Glossary

Domain

Quality

HEDIS, Stars ratings, measures, outcomes and accreditation

1,563 quality terms

audit copay amountaud_cpay_amt

The patient responsibility value for a record review process. Used to capture financial data associated with audit transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit costaud_cst

The expense value for a record review process. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit countaud_cnt

A numeric value in EHR, claims, or PBM audit tables representing the total number of review occurrences for a given record or entity, used by data engineers to track audit frequency, detect anomalies, and monitor compliance review volumes across processing cycles.

audit countryaud_ctry

The nation name for a record review process. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit created byaud_crtd_by

The creating user identifier for a record review process. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit created dateaud_crtd_dt

The timestamp recording when an audit record was initially generated within EHR, claims adjudication, or member enrollment systems, used by data engineers to establish record lineage, support compliance timelines, and enable chronological sorting of audit trail data.

audit created timeaud_crtd_tm

The record creation time for a record review process. Used to track temporal information related to audit created time. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit creatinineaud_cr

The kidney function marker for a record review process. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit dateaud_dt

The calendar date associated with a specific review event in healthcare claims, EHR, or PBM systems, used to timestamp when a compliance check, coding review, or clinical documentation audit was performed, supporting regulatory reporting and audit trail integrity.

audit datetimeaud_dttm

A combined date and time value recorded in EHR, claims, or pharmacy systems that precisely timestamps a review event, enabling data engineers to sequence audit trail records, detect concurrent processing conflicts, and support time-sensitive compliance reporting requirements.

audit dea numberaud_dea_nbr

The drug enforcement administration number for a record review process. Used as a unique reference to identify and track the audit across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit death dateaud_death_dt

The recorded date of a member or patient death captured within an audit record in EHR, claims, or member enrollment systems, used to validate downstream claim submissions, terminate benefit eligibility, and ensure data integrity across mortality-related compliance reviews.

audit deductible amountaud_ded_amt

The insurance threshold value for a record review process. Used to capture financial data associated with audit transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit deleted dateaud_del_dt

The record deletion date for a record review process. Used to track temporal information related to audit deleted date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit deleted indicatoraud_del_ind

The removal status flag for a record review process. Used to track the current state or condition of the audit. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit descriptionaud_desc

A textual explanation field within EHR, claims, or PBM audit records that documents the nature, scope, or findings of a review process, providing data engineers and compliance analysts with context for audit events, coding discrepancies, or billing irregularities identified during review.

audit detailaud_dtl

Granular information captured within EHR, claims adjudication, or pharmacy audit records that documents specific findings, data elements reviewed, or discrepancies identified during a compliance check, supporting root cause analysis and corrective action workflows in healthcare data pipelines.

audit due dateaud_due_dt

The payment deadline date for a record review process. Used to track temporal information related to audit due date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit durationaud_dur

The time span length for a record review process. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.

audit effective dateaud_eff_dt

The date on which an audit record or associated review action becomes active within EHR, claims, or member enrollment systems, used by data engineers to manage temporal validity of compliance decisions, benefit changes, and provider contract reviews within audit tracking workflows.

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