1. A system for editing medical related quality metric information, the system comprising: a user input device; at least one memory operable to store at least one medical patient record; and a processor configured to: extract at least a first quality metric from the at least one medical patient record, the first quality metric being a value indicating a quality of care related to a guideline or requirement and the first quality metric calculated from patient treatment information in the at least one medical patient record, the patient treatment information comprising a fact, inferred conclusion, or report value for a patient based on the at least one medical patient record; receive a change request relative to the first quality metric from the user input device, the change request being for editing the patient treatment information in the at least one medical patient record used to determine the first quality metric; change the fact, inferred conclusion, or report value to a different fact, different conclusion, or different report value in the at least one medical patient record for the editing; and output the first quality metric modified as a function of the different fact, different conclusion, or different report value.