Domain
HEDIS, Stars ratings, measures, outcomes and accreditation
1,563 quality terms
The treatment strategy text for a care standard measure. 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 quality management and reporting.
The coverage policy identifier for a care standard measure. Used as a unique reference to identify and track the quality across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for quality management and reporting.
The chosen display name for a care standard measure. Used to display and describe the quality in a human-readable format. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for quality management and reporting.
The cost value for a care standard measure. 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 quality management and reporting.
The primary designation flag for a care standard measure. Used to track the current state or condition of the quality. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for quality management and reporting.
The importance ranking or processing priority assigned to a healthcare quality measure in a reporting workflow. Used in quality program management to determine the order in which quality measures are calculated, reviewed, and submitted to regulatory bodies including NCQA and CMS.
The heart rate value for a care standard measure. 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 quality management and reporting.
The count or volume of events associated with a healthcare quality measure in a reporting period. Used in HEDIS measure numerator and denominator calculations, CMS quality reporting submissions, and health plan performance analytics to quantify eligible member encounters and qualifying events.
The ethnic classification for a care standard measure. 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 quality management and reporting.
The acceptable value span or numeric boundaries associated with a healthcare quality measure in a reporting system. Used in quality analytics to define performance thresholds, set benchmark ranges, and identify outlier providers or health plans falling outside expected quality measure value ranges.
The rate or ratio value associated with a healthcare quality measure in a reporting system. Used in HEDIS measure calculation, CMS quality reporting, and health plan performance analytics to express quality metrics as rates per eligible member population for benchmarking and accreditation.
The assessment value for a care standard measure. 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 quality management and reporting.
The proportional value for a care standard measure. 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 quality management and reporting.
The explanatory text or reason code associated with a quality measure event or exception in a healthcare reporting system. Used in HEDIS hybrid measure documentation, medical record review, and quality improvement programs to capture why a member was excluded or included in a quality measure.
The receipt date for a care standard measure. Used to track temporal information related to quality received date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for quality management and reporting.
An external reference identifier linking a quality measure record to a related data source or external system. Used in healthcare quality reporting data integration to maintain cross-system traceability between quality measure results and source clinical data from EHR, claims, and pharmacy systems.
The condition end date for a care standard measure. Used to track temporal information related to quality resolution date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for quality management and reporting.
The breathing rate value for a care standard measure. 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 quality management and reporting.
The outcome or performance result for a specific healthcare quality measure in a reporting period. Used in HEDIS measure reporting, CMS Star Ratings, and health plan accreditation to document whether a member met the criteria for a quality measure numerator event.
The body systems assessment for a care standard measure. 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 quality management and reporting.