Domain
HEDIS, Stars ratings, measures, outcomes and accreditation
1,563 quality terms
The originating system, department, or regulatory body that initiated a clinical or administrative record review process. Tracked in EHR audit trail tables and compliance platforms to attribute findings to internal quality teams, CMS, or third-party payers for accountability and traceability.
The beginning date value marking when a clinical, coding, or claims record review process was officially initiated. Stored in audit management and compliance tracking systems to define review periods, support SLA monitoring, and enable longitudinal audit cycle analysis across healthcare organizations.
The beginning time value for a record review process. Used to track temporal information related to audit start time. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The state or province 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.
The current workflow state of a clinical or administrative record review process, such as pending, in-progress, completed, or appealed. Referenced in EHR audit management and claims compliance systems to track review lifecycle progression and prioritize outstanding audit workqueues.
The street location 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.
The drug concentration 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.
The partial sum 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.
The system-generated unique id 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.
The specific record, provider, claim, or organizational entity designated as the subject of a clinical or administrative review process. Stored in audit management and compliance platforms to link findings to the reviewed EHR encounter, pharmacy claim, or member enrollment record under examination.
The provider specialty classification 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.
The body temperature 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.
The ending date value for a record review process. Used to track temporal information related to audit termination date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The time-of-day value recorded when a specific action or event occurred during a clinical or administrative record review process. Captured in EHR audit log tables and compliance systems to enable precise chronological sequencing of audit events for investigation and regulatory reporting purposes.
The combined date and time value recorded when a clinical, administrative, or system-level audit event occurred during a record review process. Stored in EHR audit trail tables, claims platforms, and PBM systems to provide precise event sequencing for compliance investigations and HIPAA accountability reporting.
The formal designation 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.
The aggregated sum value calculated across all findings, units, or dollar amounts identified during a clinical or administrative record review process. Referenced in claims audit and EHR compliance reporting systems to quantify overpayments, documentation gaps, or coding discrepancies discovered across reviewed records.
The sum of occurrences 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.
The category classification identifying the nature of a record review process, such as clinical quality, coding accuracy, claims overpayment, or HIPAA compliance. Used in EHR audit management and payer systems to route findings to appropriate review workflows and apply type-specific regulatory reporting requirements.
The standardized measurement unit applied to quantify findings within a clinical or administrative record review process, such as claims count, procedure units, or dollar amounts. Referenced in EHR audit platforms and claims compliance systems to normalize findings for benchmarking and regulatory reporting across audit cycles.