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Domain

Quality

HEDIS, Stars ratings, measures, outcomes and accreditation

1,622 quality terms

regulation end datereg_end_dt

The date on which a specific regulatory requirement ceases to be in effect or enforceable for a healthcare entity. Used in compliance management and plan administration systems to deactivate applicable rules, close compliance obligations, and transition to updated or superseding regulatory requirements.

regulation end timereg_end_tm

The specific time of day at which a regulatory requirement ceases to be in effect, used in conjunction with the regulation end date for precise temporal tracking. Applied in healthcare compliance systems where time-sensitive regulations require exact deactivation timestamps for operational or legal accuracy.

regulation entered byreg_ent_by

The identifier of the user or system responsible for creating or entering a regulatory record into a healthcare compliance or administrative data system. Used for audit trail purposes to maintain accountability and support data governance reviews of regulatory record management activities.

regulation ethnicityreg_ethn

The ethnicity classification associated with a regulatory requirement that mandates collection, reporting, or analysis of member or patient demographic data. Used in healthcare compliance systems to support state or federal mandates governing health equity reporting, disparities analysis, and population health data collection.

regulation expiration datereg_exp_dt

The date on which a regulatory authorization, license, certification, or compliance requirement expires and must be renewed to maintain legal standing. Used in healthcare credentialing, licensing, and compliance tracking systems to generate renewal alerts and prevent lapses in regulatory coverage.

regulation external identifierreg_ext_id

A reference identifier assigned by an external regulatory authority, government agency, or third-party system to uniquely identify a specific regulation or compliance requirement. Used to cross-reference regulatory records across healthcare administrative systems and align with official legislative or agency-issued tracking numbers.

regulation faxreg_fax

The facsimile telephone number associated with a regulatory agency or regulated healthcare entity used for transmitting official compliance documents, filings, or regulatory correspondence. Maintained in healthcare compliance management systems to support legacy communication requirements mandated by certain regulatory agencies.

regulation feereg_fee

The monetary amount required to be paid to a regulatory authority for licensing, certification, filing, or compliance activities governed by a specific healthcare regulation. Used in healthcare administrative systems to track and process mandatory fees associated with regulatory submissions, renewals, or penalty assessments.

regulation first namereg_first_nm

The primary given name or short-form title assigned to a healthcare regulation, such as HIPAA or HITECH. Used in compliance tracking systems to identify and reference specific regulatory requirements in reporting workflows and audit documentation.

regulation flagreg_flg

A binary indicator that marks whether a specific healthcare regulation applies to a given record, transaction, or entity. Used in compliance management systems to trigger regulatory workflows, reporting obligations, or data handling restrictions associated with laws such as HIPAA or ACA.

regulation frequencyreg_freq

The defined interval or periodicity at which a healthcare regulation requires compliance reviews, reporting submissions, or audit activities. Used in regulatory compliance systems to schedule recurring obligations such as annual HIPAA risk assessments or quarterly CMS quality reporting cycles.

regulation full namereg_full_nm

The complete official title of a healthcare regulation, including any act name, public law number, or statutory reference. Used in compliance documentation and audit systems to unambiguously identify regulatory requirements such as the Health Insurance Portability and Accountability Act of 1996.

regulation genderreg_gndr

A classification attribute that indicates whether a healthcare regulation applies specifically to gender-based criteria, such as mandates covering maternal health, gender-affirming care, or sex-specific preventive screenings. Used in compliance and benefits administration systems to filter applicable regulatory requirements.

regulation glucosereg_gluc

A regulatory attribute specifying blood glucose thresholds or standards mandated by clinical guidelines or government health regulations. Used in quality measure compliance systems to track adherence to diabetes management standards such as those defined by HEDIS or CMS chronic condition programs.

regulation group numberreg_grp_nbr

A numeric identifier assigned to a group or category of related healthcare regulations within a compliance management system. Used to organize and track clusters of regulatory requirements that share common applicability, reporting timelines, or jurisdictional authority across payer or provider compliance programs.

regulation hemoglobinreg_hgb

A regulatory attribute specifying hemoglobin level thresholds or clinical standards required by government health mandates or quality programs. Used in compliance tracking systems to monitor adherence to anemia management regulations, such as those governing dialysis care under CMS ESRD quality reporting requirements.

regulation history present illnessreg_hpi

A regulatory attribute defining documentation requirements for the history of present illness section in clinical encounters. Used in compliance systems to enforce standards mandated by CMS Evaluation and Management coding guidelines, ensuring clinical notes meet regulatory criteria for medical necessity and billing accuracy.

regulation identifierreg_id

A unique system-generated or standardized code assigned to a specific healthcare regulation within a compliance management system. Used to unambiguously reference regulatory requirements across claims processing, audit workflows, and quality reporting systems, linking records to applicable laws, rules, or mandates.

regulation indexreg_idx

A numeric or alphanumeric position value used to order or rank healthcare regulations within a compliance management system. Used in regulatory catalogues and policy management platforms to sequence rules by priority, effective date, or hierarchical relationship within a structured regulatory framework.

regulation indicatorreg_ind

A boolean or coded value that signals whether a specific healthcare regulation is active, applicable, or triggered for a given record or transaction. Used in compliance and claims processing systems to flag data elements requiring special handling under regulations such as HIPAA privacy rules or state-specific mandates.

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