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|Requirement ID:||Req-272: Support for Patient Specific Dosing and Warnings||Req-1148: Immunization prompts for patients weighing less than 2 kg|
|Release Package:||2013 Format||2013 Format|
|Title:||Support for Patient Specific Dosing and Warnings||Immunization prompts for patients weighing less than 2 kg|
|Description:||STATEMENT: Identify and present appropriate dose recommendations based on known patient- conditions and characteristics at the time of medication ordering.
DESCRIPTION: The clinician is alerted to drug-condition interactions and patient specific contraindications and warnings e.g. pregnancy, breast-feeding or occupational risks, hepatic or renal insufficiency. The preferences of the patient may also be presented e.g. reluctance to use an antibiotic. Additional patient parameters, such as age, gestation, height, weight, and body surface area (BSA), shall also be incorporated.
|IF the patient's weight is below 2 kg, THEN the system SHALL provide the ability to generate a prompt for the immunization prescriber.
|Topic Area(s):||Immunizations, Medication Management||Immunizations|
|Provenance:||HL7 EHR FM R1||SME|
|Requirement Type:||Function||Normative Statements|
|Links:||AAP Redbook: Immunization of Preterm and Low Birth Weight Infants: American Academy of Pediatrics. Immunization in Special Clinical Circumstances: Preterm and Low Birth Weight Infants Red Book 2012: 69-71. The Red Book provides a good source of infectious disease guidelines for children. Full Access requires a subscription or AAP membership. [Last Accessed October 2, 2012]http://aapredbook.aappublications.org/content/1/SEC8/SEC56/SEC57.extract|
|See Also:||DC.188.8.131.52, IN.6|
|Additional Information:||Hepatitis B Vaccine in preterm infants: As an example of immunization management in preterm infants, a provider prescribing Hepatitis B Vaccine to a stable preterm infant under 2000g may choose to defer immunization for up to 30 days but should document reasons.|