Back to Glossary

Domain

Quality

HEDIS, Stars ratings, measures, outcomes and accreditation

1,622 quality terms

value deleted indicatorval_del_ind

A flag that marks whether a specific data value has been logically removed from a reference set or code table in a healthcare system. Enables data governance teams to retain historical records while excluding soft-deleted values from active processing, reporting, and downstream integration feeds.

value descriptionval_desc

The human-readable text label associated with a coded or enumerated value in a healthcare reference table or data dictionary. Used to render meaningful descriptions in clinical documentation, claims adjudication displays, member portals, and reporting interfaces where raw codes require plain-language interpretation.

value detailval_dtl

Extended or supplementary information associated with a specific reference value or coded entry in a healthcare data system. Provides additional context beyond the primary description, supporting clinical decision support logic, claims processing rules, and data validation workflows where granular value metadata is required.

value due dateval_due_dt

The date by which a specific action, payment, or task associated with a healthcare data value must be completed. Used in claims billing cycles, authorization expiration tracking, and care management workflows to enforce compliance timelines and trigger escalation alerts when deadlines approach or are missed.

value durationval_dur

The length of time a specific data value, authorization, benefit period, or clinical measurement remains active or applicable. Used in pharmacy dispensing, prior authorization management, and care plan workflows to calculate validity windows, refill eligibility, and episode-of-care boundaries.

value emailval_eml

The electronic mail address captured as the stored value for a given data element in a healthcare contact or reference dataset. Used to support member outreach, provider communications, care coordination notifications, and digital health engagement programs where email contact information is recorded as a structured attribute.

value end dateval_end_dt

The date on which a specific data value, code, benefit, authorization, or contract term ceases to be effective in a healthcare system. Used across enrollment, claims, and reference data management to enforce temporal validity rules and ensure expired values are excluded from active processing and eligibility determinations.

value end timeval_end_tm

The specific time of day at which a data value, clinical event, or system record becomes inactive or concludes. Used in inpatient encounter tracking, operating room scheduling, pharmacy dispensing logs, and clinical monitoring systems where precise timestamp boundaries are required for accurate duration calculations.

value entered byval_ent_by

The identifier of the user, clinician, or system process responsible for recording a specific data value in a healthcare application. Supports audit trail requirements, data quality reviews, and regulatory compliance by preserving an accountable source for each data entry action within clinical and administrative workflows.

value ethnicityval_ethn

The ethnicity classification captured as the stored value for a patient or member record in a healthcare dataset. Used to support health equity reporting, HEDIS and CMS quality measures, social determinants of health analysis, and population health stratification initiatives requiring standardized race and ethnicity demographic data.

value expiration dateval_exp_dt

The date after which a specific data value, credential, authorization, or code mapping is no longer considered valid within a healthcare system. Used in provider credentialing, drug formulary management, benefit plan administration, and reference data governance to enforce data currency and trigger renewal or replacement workflows.

value external identifierval_ext_id

A unique reference key assigned by an external system, trading partner, or regulatory body that maps to a value within a healthcare data repository. Used to reconcile records across payer, provider, pharmacy, and clearinghouse systems during data integration, claims crosswalks, and interoperability exchanges such as HL7 and EDI transactions.

value faxval_fax

The facsimile telephone number stored as the contact value for a given data entity in a healthcare administrative dataset. Used in provider directory management, claims correspondence routing, prior authorization submissions, and referral workflows where fax remains a standard communication channel for transmitting clinical and administrative documents.

value feeval_fee

The monetary charge amount associated with a specific healthcare service, procedure, or administrative transaction captured as a data value. Used in fee schedule management, claims repricing, remittance processing, and cost transparency reporting to record billed, allowed, or contracted amounts tied to specific service codes or benefit categories.

value first nameval_first_nm

The given or personal name stored as the first name attribute for an individual within a healthcare data record. Used in member enrollment, provider credentialing, patient demographics, and clinical documentation systems to support identity matching, eligibility verification, and personalized member and patient communications.

value flagval_flg

A binary or categorical indicator that denotes a specific condition, exception, or processing status associated with a data value in a healthcare system. Used to signal anomalies, trigger downstream workflow actions, mark records for review, or indicate special handling requirements in claims adjudication, utilization management, and data quality processes.

value frequencyval_freq

The recurring interval or schedule at which a clinical service, medication dose, or administrative event is to be performed or evaluated. Used in pharmacy prescription management, care plan protocols, chronic disease monitoring, and prior authorization rules to define dosing cadence, visit schedules, and benefit utilization limits.

value full nameval_full_nm

The complete concatenated name, including all name components, stored as the display name for an individual or entity within a healthcare data system. Used in member ID cards, provider directories, claims correspondence, clinical documentation headers, and regulatory reporting where a single unabbreviated name field is required.

value genderval_gndr

The gender identity or administrative sex classification captured as the stored value for a patient, member, or provider record in a healthcare system. Used in clinical eligibility rules, HEDIS measure stratification, pharmacy drug utilization reviews, and health equity analytics requiring accurate demographic categorization per regulatory and accreditation standards.

value glucoseval_gluc

The numeric blood glucose measurement captured as a clinical data value for a patient in a healthcare system. Used in diabetes management programs, chronic care monitoring, laboratory results integration, and clinical decision support rules to track glycemic control, flag critical values, and inform treatment plan adjustments over time.

PreviousPage 77 of 82Next