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Children's EHR Format Requirement Comparison

(No Match) Requirement ID: Req-812: Record reporting of newborn screening results to the state health department Req-822: Newborn Screening Follow-Up
(Matches) Release Package: 2013 Format 2013 Format
(No Match) Title: Record reporting of newborn screening results to the state health department Newborn Screening Follow-Up
(No Match) Description: The system SHALL record that the diagnosis for those with an out-of-range or insufficient newborn screening result was provided to the state public health department according to their guidelines. The goal of newborn screening is to identify a wide range of conditions that can potentially benefit from early detection during the presymptomatic or early symptomatic period. Historically, newborn screening has been based on dried blood spot analysis by state public health departments. More recently, point-of-service testing in the nursery (e.g., newborn hearing screening) has been included. Another point-of-service test that will likely be added in the coming year to newborn screening is pulse oximetry to detect critical cyanotic congenital heart disease. Newborn screening is expanding at a rapid rate. Although the US Secretary of Health and Human Services makes recommendations about what should be included as part of newborn screening, individual states are responsible for developing their own panel, including the threshold for a positive test. Some states require retesting of all newborns. States have varying methods of short and long-term follow-up for those that have tested positive. Some parents may choose to have supplemental newborn screening through private laboratories. This is outside of the scope of this requirement statement.

ONC and HRSA are actively developing use cases and other health IT resources around newborn screening. A use case is available at: http://www.hhs.gov/healthit/usecases/documents/NBSDetailedUseCase.pdf. The U.S. National Library of Medicine (NLM) has published the Newborn Screening Coding and Terminology to promote and facilitate the use of electronic health data standards for the conditions recommended for screening by the HHS Secretary's Advisory Committee on Heritable Disorders in Newborns and Children (ACHDNC). This is available at: http://newbornscreeningcodes.nlm.nih.gov/.

The National Newborn Screening and Genetics Resource Center (http://genes-r-us.uthscsa.edu/) provides continuously updated information on the conditions screened for in each state. In addition, links are available to each state program. The Resource Center also provides educational material for clinicians and family members.
Well-described clinical algorithms have been developed to guide general pediatricians and subspecialists in the process of newborn screening. These are available at: http://pediatrics.aappublications.org/content/121/1/192.abstract. The requirements were designed to support these algorithms. In addition, these requirements support the transition from diagnosis through screening to chronic condition management and long-term follow-up as described in Kemper AR, Boyle CA, Aceves J, et al. Long-term follow-up after diagnosis resulting from newborn screening: statement of the US Secretary of Health and Human Services' Advisory Committee on Heritable Disorders and Genetic Diseases in Newborns and Children. Genet Med. 2008:10:259-261.

(Matches) Topic Area(s): Newborn Screening Newborn Screening
(Matches) Provenance: SME SME
(No Match) Achievability: Moderate
(No Match) Requirement Type: Normative Statements Header
(No Match) Shall/Should/May: SHALL
(Matches) Critical/Core: no no
(Matches) Status: Released Released
(No Match) Links: National Newborn Screening and Genetics Resource Center: The National Newborn Screening and Genetics Resource Center provides continuously updated information on the conditions screened for in each state. In addition, links are available to each state program. The Resource Center also provides educational material for clinicians and family members.http://genes-r-us.uthscsa.edu/Newborn Screening Coding and Terminology: The U.S. National Library of Medicine (NLM) has published the Newborn Screening Coding and Terminology to promote and facilitate the use of electronic health data standards for the conditions recommended for screening by the HHS Secretary's Advisory Committee on Heritable Disorders in Newborns and Children (ACHDNC). This is available at this linkhttp://newbornscreeningcodes.nlm.nih.gov/Clinical Algorithms: Well-described clinical algorithms have been developed to guide general pediatricians and subspecialists in the process of newborn screening. These are available at this linkhttp://pediatrics.aappublications.org/cgi/content/abstract/121/1/192 Clinical Algorithms: Well-described clinical algorithms have been developed to guide general pediatricians and subspecialists in the process of newborn screening. These are available at this linkhttp://pediatrics.aappublications.org/cgi/content/abstract/121/1/192National Newborn Screening and Genetics Resource Center: The National Newborn Screening and Genetics Resource Center provides continuously updated information on the conditions screened for in each state. In addition, links are available to each state program. The Resource Center also provides educational material for clinicians and family members.http://genes-r-us.uthscsa.edu/Newborn Screening Coding and Terminology: The U.S. National Library of Medicine (NLM) has published the Newborn Screening Coding and Terminology to promote and facilitate the use of electronic health data standards for the conditions recommended for screening by the HHS Secretary's Advisory Committee on Heritable Disorders in Newborns and Children (ACHDNC). This is available at this linkhttp://newbornscreeningcodes.nlm.nih.gov/Recommended Uniform Screening Panel: Recommended Uniform Screening Panel of the Secretary's Advisory Committee on Heritable Disorders in Newborns and Childrenhttp://www.hrsa.gov/advisorycommittees/mchbadvisory/heritabledisorders/recommendedpanel/uniformscreeningpanel.pdfNewborn Screening AHIC Use Case: Newborn Screening American Health Information Community (AHIC) Detailed Use Casehttp://www.hhs.gov/healthit/usecases/documents/NBSDetailedUseCase.pdf
(Matches) See Also:
(Matches) Comments:
(No Match) Additional Information: ONC and HRSA newborn screening use cases: ONC and HRSA developed a detailed use case related to newborn screening, at http://www.hhs.gov/healthit/usecases/documents/NBSDetailedUseCase.pdf This is a Newborn Screening Use Case document developed by the Office of the National Coordinator for Health Information Technology (ONC) to represent the AHIC priorities and provide context for the national agenda activities, beginning with the selection of harmonized standards by the Healthcare Information Technology Standards Panel (HITSP). AHIC specifically requested that the Newborn Screening Use Case focus on the ability to order and communicate the results from screenings in various clinical domains. [Last accessed 27 September 2012]
(Matches) Implementation Notes:
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