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Req-286: Summary Lists | Req-767: Manage Structured Health Record Information |
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2013 Format | 2013 Format |
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Summary Lists | Manage Structured Health Record Information |
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Systems ability to capture summary lists. | STATEMENT: Create, capture, and maintain structured health record information. DESCRIPTION: Structured health record information is divided into discrete fields, and may be enumerated, numeric or codified. Examples of structured health information include: - patient address (non-codified, but discrete field) - diastolic blood pressure (numeric) - coded result observation - coded diagnosis - patient risk assessment questionnaire with multiple-choice answers Context may determine whether or not data are unstructured, e.g., a progress note might be standardized and structured in some EHRS (e.g., Subjective/Objective/Assessment/Plan) but unstructured in others. |
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Activity Clearance, Child Abuse Reporting, Child Welfare, Children with Special Healthcare Needs, Immunizations, Medication Management, Parents and Guardians and Family Relationship Data, Records Management, Registry Linkages, Well Child/Preventive Care | Well Child/Preventive Care |
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HL7 EHR FM R1 | HL7 EHR FM R1 |
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Header | Function |
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no | no |
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Released | Released |
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S.2.2.2, IN.2.4, IN.2.5.1, IN.2.5.2 | |
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