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Terms Used In Texas Insurance Code 1372.001

  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.

In this chapter:
(1) “Biomarker” means a characteristic that is objectively measured and evaluated as an indicator of normal biological processes, pathogenic processes, or pharmacologic responses to a specific therapeutic intervention. The term includes:
(A) gene mutations; and
(B) protein expression.
(2) “Biomarker testing” means the analysis of a patient’s tissue, blood, or other biospecimen for the presence of a biomarker. The term includes:
(A) single-analyte tests;
(B) multiplex panel tests; and
(C) whole genome sequencing.
(3) “Consensus statements” means statements that:
(A) address specific clinical circumstances based on the best available evidence for the purpose of optimizing clinical care outcomes; and
(B) are developed by an independent, multidisciplinary panel of experts that uses a transparent methodology and reporting structure and is subject to a conflict of interest policy.
(4) “Nationally recognized clinical practice guidelines” means evidence-based clinical practice guidelines that:
(A) establish a standard of care informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options;
(B) include recommendations intended to optimize patient care; and
(C) are developed by an independent organization or medical professional society that uses a transparent methodology and reporting structure and is subject to a conflict of interest policy.