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    <h1 id="pageDetailHeader">MHS Health Care Glossary</h1>
    <p>Military Health System 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.</p>
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            _hdn_vectors.news = nv.value.split("");
            var rv = document.getElementById("hdn_refVector");
            _hdn_vectors.ref = rv.value.split("");

            //Broad drop handler:
            var bdl = document.getElementById("broadVectorSelect");
            bdl.addEventListener("change", function (evt) {
                if (evt.target.selectedIndex != 0) document.getElementById('btnAddBroadFilter').disabled = false;
                else document.getElementById('btnAddBroadFilter').disabled = true;
            });
            //Add button handlers:
            var adders = document.getElementsByClassName("filterAdder");
            for (var aitr = 0; aitr < adders.length; aitr++) {
                adders[aitr].addEventListener("click", function (evt) {
                    var adder = evt.target;
                    var isBroadFilter = adder.id.indexOf("Broad") >= 0;
                    var vector = adder.getAttribute("data-vector"),
                        selector = document.getElementById(adder.getAttribute("data-assoc"));

                    if (selector.value >= 0) {
                        if (selector.value == 0 && !isBroadFilter) {
                            AddFilterGroup(selector, vector);
                            return;
                        }
                        var selectedOption = selector.options[selector.selectedIndex];
                        AddFilter(vector, selector.value, selectedOption.text, selector.selectedIndex);
                        var useIndex = selector.options[0].value == -1
                            ? +(selector.value) + 1
                            : selector.value;

                        // remove option just processed:
                        selector.removeChild(selectedOption);
                        if (selector.options.length == 1 && +(selector.options[0].value) <= 0) {
                            selector.setAttribute("disabled", "disabled");
                            adder.setAttribute("disabled", "disabled");
                        }
                        // set drop down to first available option:
                        MoveDropListSelection(selector);
                        //...and confirm button state if Broad selector:
                        if (selector.value < 0) {
                            adder.setAttribute("disabled", "disabled");
                        }
                    }
                });
            }

            //expand item
            document.getElementById("SearchPanel_anchorAdvanced").addEventListener("click",function(){

                let advanceSearch = document.getElementById("AdvSearchPanelContent"), classes = advanceSearch.getAttribute("class");
                if(classes.includes(" expanded")){
                     advanceSearch.setAttribute("class",classes.replace(" expanded",""))
                }
                else{
                    advanceSearch.setAttribute("class",classes+" expanded")
                }
            });

            //Date field handlers:
            document.getElementById("txtStartDate").addEventListener("change", function (evt) {
                if (evt.target.value != evt.target.defaultValue) {
                    document.getElementById("isRangeRadioBtn").checked = true;
                }
            });

            document.getElementById("txtEndDate").addEventListener("change", function (evt) {
                if (evt.target.value != evt.target.defaultValue) {
                    document.getElementById("isRangeRadioBtn").checked = true;
                }
            });

            //input field handler:
            //var inpFld = document.getElementById("SearchTextBox");
            inpFld.addEventListener("keypress", function (evt) {
                if (evt.which == 13) {
                    evt.preventDefault();
                    evt.stopPropagation();
                    ProcessPanel();
                }
            });

            //position the page(?)
            var stPageInit = setTimeout(function () {
                var expando = document.getElementById("SearchPanel_anchorAdvanced");
                if (expando.getAttribute("aria-expanded") == "true") {
                    //assumption:  this will be present whenever the advanced search panel is....
                    var target = document.getElementById("pagingAnchor");
                }
                else {
                    target = document.body;
                }
                target.scrollIntoView(true);
            }, 300);
        }); //END DOMContentLoaded

        var MoveDropListSelection = function (selector) {
            selector.options[0].selected = true;
        }

        var AddFilterGroup = function (selector, vector) {
            var vectorStore = GetVectorStore(vector);
            vectorStore[0] = "1";
            for (var itr = 1; itr < vectorStore.length; itr++) {
                if (vectorStore[itr] == "0") {
                    var matchingOption = FindMatchingOption(selector.options, itr);
                    AddFilter(vector, itr, matchingOption.text, selector);
                    selector.removeChild(matchingOption);
                }
            }
            selector.setAttribute("disabled", "disabled");
            document.getElementById(selector.getAttribute("data-button")).setAttribute("disabled", "disabled");
        }
        var FindMatchingOption = function (optionList, val) {
            for (var itr = 0; itr < optionList.length; itr++) {
                if (optionList[itr].value == val) {
                    return optionList[itr];
                }
            }
            return null; //should probably never reach this
        }
        var AddFilter = function (vector, value, text, selector) {
            var ident = vector + "-" + value;
            var markup = "<li id='li_" + ident + "'>"
                + "<button type='button' name='" + text + "' id='a_" + ident
                + "' onclick='javascript:RemoveFilter(this);'>" + text + "</button>"
                + "<input type='hidden' name='" + text + "' id='" + ident + "' value='" + value + "' data-vector='"
                + vector + "' />"
                + "</li>";

            var valueStore = GetVectorStore(vector);
            valueStore[value] = "1";

            var filterList = document.getElementById("currentFilters");
            filterList.insertAdjacentHTML("beforeend", markup);
            //SortSelectedFilters(filterList);
        }
        // This may not end up being required - I'll leave it here for now, just in case:
        var SortSelectedFilters = function (theList) {
            if (!theList) {
                theList = document.getElementById("currentFilters");
            }

            // convert HTMLCollection of children to an array so we can sort it more easily:
            var kids = Array.prototype.slice.call(theList.children);
            kids.sort(function (aa, bb) {
                return aa.querySelector("a").text.toLowerCase().localeCompare(
                    bb.querySelector("a").text.toLowerCase()
                );
            });

            for (var itr = 0, len = kids.length; itr < len; itr++) {
                theList.appendChild(kids[itr]); //append will remove child before re-attaching it
            }
        }
        var GetVectorStore = function (vector) {
            switch (vector.slice(0, 3)) {
                case "bro":	//broad
                    var valueStore = _hdn_vectors.broad;
                    break;
                case "new":	//news
                    valueStore = _hdn_vectors.news;
                    break;
                default:	//ref
                    valueStore = _hdn_vectors.ref;
                    break;
            }
            return valueStore;
        }
        var RemoveFilter = function (anchor) {
            var elm = anchor.parentElement;
            var filterList = document.getElementById("currentFilters");
            var hiddenInp = elm.querySelector("input");
            var indexValue = hiddenInp.value;
            var vector = hiddenInp.getAttribute("data-vector");

            if (indexValue >= 0) {
                //add locker-copy of filter element back into drop down list:
                var targetDdl = document.getElementById(vector + "Select");
                var workIdx = 0;
                for (workIdx = 0;
                    workIdx < targetDdl.options.length && +targetDdl.options[workIdx].value < +indexValue;
                    workIdx++) { }
                var restoreOption = GetReplacementOption(vector, indexValue);
                if (!!restoreOption) {
                    if (targetDdl.options.length == 0) {
                        targetDdl.add(restoreOption);
                    }
                    else {
                        targetDdl.options[workIdx - 1].insertAdjacentElement("afterend", restoreOption);
                    }
                    targetDdl.removeAttribute("disabled");
                }
            }
            filterList.removeChild(elm);

            var valueStore = GetVectorStore(vector);
            valueStore[indexValue] = "0";
            valueStore[0] = "0";

            MoveDropListSelection(targetDdl);
            if (targetDdl.value >= 0) {
                document.getElementById(targetDdl.getAttribute("data-button")).removeAttribute("disabled");
            }
            else {
                document.getElementById(targetDdl.getAttribute("data-button")).setAttribute("disabled", "disabled");
            }
        };

        var GetReplacementOption = function (vector, targetValue) {
            switch (vector) {
                case "broadVector":
                    var locker = document.getElementById("broadLockerSel");
                    break;
                case "newsVector":
                    locker = document.getElementById("newsLockerSel");
                    break;
                default: //refVector
                    locker = document.getElementById("refLockerSel");
                    break;
            }
            for (var itr = 0; itr < locker.options.length; itr++) {
                if (locker.options[itr].value == targetValue) {
                    return locker.options[itr].cloneNode(true);
                }
            }
        };

        var ProcessPanel = function () {
            var isGoodToGo = true;
            var baseUrl = location.origin + location.pathname;
            var query = document.getElementById('SearchTextBox');
            if (query.value && query.value.length > 0) {
                //	query.setAttribute("aria-invalid", "true");//MHS-583 allowing a search with filters but no term
                //	query.setAttribute("aria-describedby", "errNoTerm");
                //	document.getElementById("errNoTerm").style.display = "inline";

                //	isGoodToGo = false; //can't run query without search text
                //}
                //else {
                baseUrl += "?query=" + encodeURIComponent(query.value);
            }

            var isDateRange = document.querySelector("input[name='dateRangeRadioList']:checked").value;
            baseUrl += (!query.value && query.value.length == 0) ? "?isDateRange=" + isDateRange : "&isDateRange=" + isDateRange;
            var startDateElmt = document.getElementById("txtStartDate");
            var startDate = startDateElmt.value;
            var endDateElmt = document.getElementById("txtEndDate");
            var endDate = endDateElmt.value;
            var isRegularStartDate = IsValidDate(startDate);
            var isRegularEndDate = IsValidDate(endDate);
            if (isDateRange == "1" /*&& IsValidDate(endDate)*/) {
                if (isRegularEndDate && endDate < startDate) {
                    startDateElmt.setAttribute("aria-invalid", "true");
                    startDateElmt.setAttribute("aria-describedby", "errBackwardsDates");
                    endDateElmt.setAttribute("aria-invalid", "true");
                    endDateElmt.setAttribute("aria-describedby", "errBackwardsDates");
                    document.getElementById("errBackwardsDates").style.display = "inline";
                    isGoodToGo = false;
                }
                //check for open-ended end date:
                var endDateString = isRegularEndDate ? "&endDate=" + encodeURI(endDate) : "";
                var startDateString = isRegularStartDate ? "&startDate=" + encodeURI(startDate) : "";
                baseUrl += startDateString + endDateString;
            }

            baseUrl += "&broadVector=" + ProcessVector("broadVector");
            baseUrl += "&newsVector=" + ProcessVector("newsVector");
            baseUrl += "&refVector=" + ProcessVector("refVector");

            if (!isGoodToGo) {
                document.getElementById("pageDetailHeader").scrollIntoView(true); //because all errors are near the top of the panel
                return;
            }
            else {
                //add bona-fides:
                baseUrl += "&refSrc=1"
                //redirect:
                location = baseUrl;
            }
        }
        var ProcessVector = function (vectorName) {
            var vectorStore = GetVectorStore(vectorName);
            return vectorStore.reduce(function (total, current) { return total + current; });
        }
        var IsValidDate = function (aDateString) {
            //IMPLICIT:  formatting is controlled by the Date input type in modern browsers.
            //We'll just worry about whether there's a date at all.
            //(ASSUMPTION: non-dates are blocked by the browser; empty values parse as empty strings.)

            // For IE, however...
            if (aDateString.indexOf("/") > 0) {
                return isValidIeDate(aDateString);
            }
            else {
                return (!!aDateString && aDateString.length > 0);
            }
        }
        var isValidIeDate = function (aDateString) {
            var parts = aDateString.split("/");
            if (parts.length < 2 || parts.length > 2 || isNaN(+parts[0]) || isNaN(+parts[1])
                || parts[0].length < 1 || parts[0].length > 2 || parts[1].length != 4
            ) { return false; }
            else { return true; }
        }

        var ResetPanel = function () {
            document.getElementById('SearchTextBox').value = "";
            document.getElementById('notRangeRadioBtn').checked = true;
            document.getElementById("txtStartDate").value = "";
            document.getElementById("txtEndDate").value = "";

            //restore dropdown lists from their locker-copies:
            var lockerSels = document.querySelectorAll("select.lockerSel");
            for (var lkrItr = 0; lkrItr < lockerSels.length; lkrItr++) {
                var aLocker = lockerSels[lkrItr];
                var primeSel = document.getElementById(aLocker.getAttribute("data-assoc"));
                //clear main list...
                for (var primeItr = primeSel.options.length - 1; primeItr >= 0; primeItr--) {
                    primeSel.removeChild(primeSel.options[primeItr]);
                }
                //...restore main from locker:
                for (var secItr = 0; secItr < aLocker.options.length; secItr++) {
                    primeSel.appendChild(aLocker.options[secItr].cloneNode(true));
                }
                primeSel.removeAttribute("disabled");
                if (primeSel.value >= 0) {
                    document.getElementById(primeSel.getAttribute("data-button")).removeAttribute("disabled");
                }
            }

            //clear current filters list:
            var currentFiltersList = document.getElementById("currentFilters");
            var currentFilters = currentFiltersList.children;
            for (var cfIdx = currentFilters.length - 1; cfIdx >= 0; cfIdx--) {
                currentFiltersList.removeChild(currentFilters[cfIdx]);
            }

            for (var bitr = 0; bitr < _hdn_vectors.broad.length; bitr++) {
                _hdn_vectors.broad[bitr] = "0";
            }
            for (var nitr = 0; nitr < _hdn_vectors.news.length; nitr++) {
                _hdn_vectors.news[nitr] = "0";
            }
            for (var ritr = 0; ritr < _hdn_vectors.ref.length; ritr++) {
                _hdn_vectors.ref[ritr] = "0";
            }
        }
    </script>
</div>



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    <div class="feedItemTag"><span>Glossary Term</span></div>
    <span class="dateStamp">Sep 6, 2023</span>
    <h3 class="feedItemTitle">Exigent Circumstances</h3>

    <div class="flexContainer">
        <div class="feedText">
            <p><p>As defined in Section 704 of Public Law 117-263, a circumstance in which, under the criteria set forth in Paragraph 3.1.b. of DoDI 6490.08, the need to prevent serious harm to an individual or essential military function clearly outweighs the need for confidentiality of information obtained by a health care provider incident to mental health care services...</p></p>
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    <div class="feedItemTag"><span>Glossary Term</span></div>
    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Near Miss Event</h3>

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            <p><p>A patient safety event that did not reach the patient (also known as “close call” or “good catch”) unsafe or hazardous condition. A condition or a circumstance (other than a patient’s own disease process or condition) that increases the probability of an adverse event.</p></p>
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    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Legal Sufficiency Review</h3>

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            <p><p>A determination by the Office of General Counsel, Staff Judge Advocate, or other servicing legal office providing legal services to a deciding official that a proposed action meets applicable legal requirements.</p></p>
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    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Health Care Risk Management</h3>

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            <p><p>Includes clinical and administrative activities, processes, and policies to identify, monitor, assess, mitigate, and prevent risks to the health care organization, patients, and staff. By employing risk management, the health care organization proactively and systemically safeguards patient safety and the organization’s resources, accreditations, le...</p></p>
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<article class="feedItem">
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    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Patient Safety Event (PS Event)</h3>

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        <div class="feedText">
            <p><p>A PS event is an incident or condition that could have resulted, or did result, in harm to a patient. A PS event can be, but is not necessarily the result of, a defective system or process design, a system or process breakdown, equipment failure or malfunction, or human error. PS events include adverse events, no-harm events, near-miss eve...</p><ul>
    
    
    
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    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Clinical Measurement (CM)</h3>

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        <div class="feedText">
            <p><p>Clinical Measurement uses tools to help evaluate and track the quality of health care services provided to beneficiaries in the MHS. Analyzing CM data and acting on identified trends for improvement helps ensure the MHS delivers safe, timely, effective, efficient, equitable, and patient-centered care.</p></p>
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    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Compliance</h3>

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            <p><p>The ongoing process of meeting the legal, ethical, regulatory, and professional standards applicable to a particular health care organization or provider.</p></p>
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    <div class="feedItemTag"><span>Glossary Term</span></div>
    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Privileging Authority</h3>

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        <div class="feedText">
            <p><p>The privileging authority is a designated official who grants permission to individuals to provide specific care, treatment, or services within well-defined limits. The privileging authority also initiates and makes determinations on clinical adverse actions.</p></p>
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    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Significantly Involved Provider (SIP)</h3>

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            <p><p>A SIP is one who actively delivered care (based on clinical record entries) in either primary or consultative roles during the episodes of care that gave rise to the allegation, regardless of standard of care determination. Additional defining characteristics include providers that have the: </p><ul>
    <li>Authority to start, stop or alter a course of tr...</li>
    
    
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    <h3 class="feedItemTitle">Report Authority</h3>

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            <p><p>The official with the responsibility to report to the National Practitioner Data Bank, State(s) of licensure, and other applicable certifying or regulatory agencies following appropriate due process proceedings. </p><p>The report authority is the DHA Director with respect to matters arising from acts or omissions of health care providers practicing under or priv...</p></p>
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<article class="feedItem">
    <div class="feedItemTag"><span>Glossary Term</span></div>
    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Clinical Quality Management (CQM)</h3>

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        <div class="feedText">
            <p><p>The integrated processes, both clinical and administrative, that provide the framework to objectively define, measure, assure, and improve the quality and safety of care received by beneficiaries. The CQM functional capability includes the following programs: </p><ul style="color: #001c2f; margin: 5px 0px 10px 20px; padding: 0px; border: 0px; line-height: 1.6;">
    <li style="margin: 0px; padding: 0px; border: 0px;">Patient Safety</li>
    <li style="margin: 0px; padding: 0px; border: 0px;">Healthcare Risk Management</li>
    <li style="margin: 0px; padding: 0px; border: 0px;">Credentialing and Privileg...</li>
    
    
    
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<article class="feedItem">
    <div class="feedItemTag"><span>Glossary Term</span></div>
    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Aggregate Statistical Information</h3>

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            <p><p>Statistical information relating to medical quality assurance records under <a rel="noopener noreferrer" href="https://www.govinfo.gov/content/pkg/USCODE-2021-title10/pdf/USCODE-2021-title10-subtitleA-partII-chap55-sec1102.pdf" target="_blank" title="goes to Govinfo.gov">Section 1102 of Title 10, U.S.C.</a>, that are at a sufficient level of aggregation, under criteria established by the Director, DHA, as to avoid disclosure of particular patients, events, or circumstances relating to such records. </p></p>
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<article class="feedItem">
    <div class="feedItemTag"><span>Glossary Term</span></div>
    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Clinical Adverse Action</h3>

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        <div class="feedText">
            <p><p>Action invoked against a health care provider, privileged or not, with the result that the authority to practice clinically is adversely affected. Adversely affected privilege(s) or practice are the result of a due process professional review action based on evidence of misconduct, or incompetence, or any conduct that adversely affects, or could adversely...</p></p>
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    <div class="feedItemTag"><span>Glossary Term</span></div>
    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Credentials</h3>

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            <p><p>The documents that constitute evidence of appropriate education, training, licensure, experience, and expertise of a health care provider.</p></p>
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<article class="feedItem">
    <div class="feedItemTag"><span>Glossary Term</span></div>
    <span class="dateStamp">Jul 26, 2023</span>
    <h3 class="feedItemTitle">Military Health System (MHS)</h3>

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        <div class="feedText">
            <p><p>DOD medical and dental programs, personnel, facilities, and other assets operating pursuant to <a rel="noopener noreferrer" href="https://www.govinfo.gov/content/pkg/USCODE-2011-title10/html/USCODE-2011-title10-subtitleA-partII-chap55.htm" target="_blank" title="goes to govinfo.gov">Chapter 55 of Title 10</a>, by which the DOD provides: Health care services and support to the military services during the range of military operations. Health care services and support to members of the military services, their family members, and others entitled ...</p></p>
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