The orthometric height (symbol H) is the vertical distance along the plumb line from a point of interest to a reference surface known as the geoid, the vertical datum that approximates mean sea level. Orthometric height is one of the scientific formalizations of a layman's "height above sea level", along with other types of heights in Geodesy.
In the US, the current NAVD88 datum is tied to a defined elevation at one point rather than to any location's exact mean sea level. Orthometric heights are usually used in the US for engineering work, although dynamic height may be chosen for large-scale hydrological purposes. Heights for measured points are shown on National Geodetic Survey data sheets, data that was gathered over many decades by precise spirit leveling over thousands of miles.