An Azure NoSQL database service for app development.
Looks like you're using the graph API to access Cosmos DB. Based upon the header name I suspect this is the duration (in ms) that the request took to process. This lines up with the similar x-ms-request- fields that report the "costs" of the call. This is important for servicing limits because if your request takes too long it'll fail. Returning this info tells you how long the request took. If it is getting close to the limits then you might need to do some optimizations on the queries and/or adjust your graph nodes.