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MHS Health Care Glossary

Military Health System (MHS) Health Care Glossary serves as the official repository and consolidated reference (as a secondary source) for terms and definitions used within the MHS. Some terms may have multiple and varying definitions based on the context and primary source of authority. Note that certain definitions may be approved only for limited use in a single primary reference document, while others may have broad applicability in multiple contexts and issuances. To determine the most appropriate definition in a particular context, consult all relevant source documents. Any disparities between this Glossary and primary sources are unintentional, and the primary source shall control.

Case Mix Index

Glossary Term
Date of Publication:
6/8/2016

A relative value assigned to a diagnosis-related group of patients in a medical care environment. The case mix index value is used in determining the allocation of resources to care for or treat the patients in the group.

Source of Definition:

DoD Instruction 6040.42: Management Standards for Medical Coding for Health Records

Casualty Rate

Glossary Term
Date of Publication:
5/14/2015

The number of casualties per 1,000 population at risk. This term and its definition are proposed for inclusion in the next edition of Joint Publication 1-02 (Reference (h)).

Source of Definition:

DoD Instruction 8260.04: Military Health System Support for DoD Strategic Analysis

Catastrophic Injury or Illness

Glossary Term
Date of Publication:
8/5/2014

A permanent, severely disabling injury, disorder, or disease incurred or aggravated in the line of duty (LOD) that compromises the ability to carry out the activities of daily living to such a degree that a Service member requires personal or ...

Source of Definition:

DoDI 1332.18: Disability Evaluation System (DES)

Catastrophic Injury or Illness [DoDI 1341.12]

Glossary Term
Date of Publication:
8/10/2015

A permanent, severely disabling injury, disorder, or illness incurred or aggravated in the line of duty that compromises the ability to perform activities of daily living (ADL) to such a degree that a Service member requires personal or ...

Source of Definition:

DoD Instruction 1341.12: Special Compensation for Assistance with Activities of Daily Living (SCAADL) Process

Related Glossary Terms:

Catastrophic Injury or Illness

Center for Biologics Evaluation and Research

Glossary Term
Date of Publication:
8/13/2012

The Food and Drug Administration (FDA) division responsible for establishing blood banking regulations and requirements and. grants licenses and approvals to products complying with those standards. The Military Services comply with those ...

Source of Definition:

DoD Instruction 6480.04: Armed Services Blood Program Operational Procedures

Centralized Credentials Quality Assurance System (CCQAS)

Glossary Term
Date of Publication:
10/29/2013

A database for managing a provider’s credentials and privileges or scope of practice. This includes information on adverse privileging or practice actions, malpractice claims, and PCEs.

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)

Glossary Term
Date of Publication:
8/17/2015

The civilian sector health care program operated pursuant to Reference Part 199 of Title 32, Code of Federal Regulations.

Source of Definition:

DoD Directive 6010.04: Healthcare for Uniformed Services Members and Beneficiaries

Class VIIIB (Class VIIIB)

Glossary Term
Date of Publication:
8/13/2012

Logistics classification for blood and blood products.

Source of Definition:

DoD Instruction 6480.04: Armed Services Blood Program Operational Procedures

Clear and Legible Reports

Glossary Term
Date of Publication:
11/16/2015

Specialty care consultation and referral reports, histories and physicals, progress notes, notes on episodes of care, and other patient information (such as laboratory reports, x-ray readings, operative reports), and discharge summaries for ...

Source of Definition:

DoD Instruction 6040.45: DoD Health Record Life Cycle Management

Clear and Unmistakable Evidence

Glossary Term
Date of Publication:
8/5/2014

Undebatable information that the condition existed prior to military service or if increased in service was not aggravated by military service. In other words, reasonable minds could only conclude that the condition existed prior to military ...

Source of Definition:

DoDI 1332.18: Disability Evaluation System (DES)

CLIA Comparable Regulation

Glossary Term
Date of Publication:
5/29/2014

Regulations and instructions for the DoD Components based on the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations issued by the Department of Health and Human Services (HHS). CLIA comparable regulations are similar to, but ...

Source of Definition:

DoD Instruction 6440.02: Clinical Laboratory Improvement Program (CLIP)

Clinical Adverse Action

Glossary Term
Date of Publication:
10/29/2013

Action invoked against a healthcare provider with the result that the authority to practice clinically is adversely affected.  A clinical adverse action is taken in response to a provider’s acts or omissions (e.g., clinical ...

Source of Definition:

DoD Manual 6025.13: Medical Quality Assurance and Clinical Quality Management in the Military Health System (MHS)

Clinical Case Management (CCM)

Glossary Term
Date of Publication:
4/9/2013

A collaborative process under the population health continuum that assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual’s healthcare needs through communication and available ...

Source of Definition:

Medical Management (MM) Programs in the Direct Care System (DCS) and Remote Areas

Related Glossary Terms:

Clinical Case Manager

Clinical Case Manager

Glossary Term
Date of Publication:
4/9/2013

A clinical case manager uses a collaborative process under the population health continuum to assess, plan, implement, coordinate, monitor, and evaluate options and services to meet an individual’s health needs through communication and ...

Source of Definition:

Medical Management (MM) Programs in the Direct Care System (DCS) and Remote Areas

Clinical Decision Support

Glossary Term
Date of Publication:
8/8/2013

Support provided through a variety of means including, but not limited to, informal provider-to-provider consultation, structured informal consultation through the behavioral health care facilitator (BHCF), and formal consultation with ...

Source of Definition:

DoD Instruction 6490.15: Integration of Behavioral Health Personnel (BHP) Services Into Patient-Centered Medical Home (PCMH) Primary Care and Other Primary Care Service Settings
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