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|Requirement ID:||Req-103: Care Management||Req-281: Documentation of Care, Measurements and Results|
|Release Package:||2013 Format||2013 Format|
|Title:||Care Management||Documentation of Care, Measurements and Results|
|Description:||Care Management functions are those directly used by providers as they deliver patient care and create an electronic health record. The Record Management (Req-106) functions address the mechanics of creating a health record and concepts such as a single logical health record, managing patient demographics, and managing externally generated (including patient originated) health data. Thereafter, The additional Care Management functions follow a fairly typical flow of patient care activities and corresponding data, starting with managing the patient history and progressing through consents, assessments, care plans, orders, results etc.
Integral to these care management activities is an underlying system foundation that maintains the privacy, security, and integrity of the captured health information - the information infrastructure of the EHR-S. Throughout the DC functions, conformance criteria formalize the relationships to Information Infrastructure functions. Criteria that apply to all Care Management functions are listed in this header (see Conformance Clause page six for discussion of "inherited" conformance criteria).
In the Direct Care functions there are times when actions/activities related to "patients" are also applicable to the patient representative. Therefore, in this section, the term "patient" could refer to the patient and/or the patient's personal representative (e.g. guardian, surrogate).
|System will document Care, Measurements and Results|
|Topic Area(s):||Activity Clearance, Adolescent obstetrics, Birth Information, Child Abuse Reporting, Child Welfare, Children with Special Healthcare Needs, Community Health, EPSDT, Genetic information, Growth Data, Immunizations, Medication Management, Newborn Screening, Parents and Guardians and Family Relationship Data, Patient Identifier, Patient Portals - PHR, Prenatal Screening, Primary Care Management, Quality Measures, Records Management, Registry Linkages, Security and Confidentiality, Special Terminology and Information, Specialized Scales/Scoring, Well Child/Preventive Care||Activity Clearance, Children with Special Healthcare Needs, EPSDT, Growth Data, Immunizations, Medication Management, Newborn Screening, Primary Care Management, Records Management, Registry Linkages, Specialized Scales/Scoring, Well Child/Preventive Care|
|Provenance:||HL7 EHR FM R1||HL7 EHR FM R1|