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|Requirement ID:||Req-1070: Age/gender-specific pre-visit history/screening/prevention forms||Req-2046: Import data from pre-visit history/screening/prevention formsWell Child/Preventive Care|
|Release Package:||2013 Format||2015 Priority List|
|Title:||Age/gender-specific pre-visit history/screening/prevention forms||Import data from pre-visit history/screening/prevention formsWell Child/Preventive Care|
|Description:||The system SHALL support patient/parent completion of pre-visit history forms selected by specific age and gender relevant screening/preventive care questions (e.g. ASQ or PEDS).||The system shall allow the asynchronous importation of parent-/patient-derived previsit data in a manner that enables retrieval and reporting.|
|Topic Area(s):||Well Child/Preventive Care||Well Child/Preventive Care|
|Provenance:||IH Gap Analysis - SME||Not Applicable|
|Requirement Type:||Normative Statements||Normative Statement|
|Links:||ASQ: Ages & Stages Questionnaireshttp://agesandstages.com/PEDS: Parents' Evaluation of Developmental Status (PEDS)http://www.pedstest.com/Home.aspx|
|Comments:||DC.1.5.3 covers the case of the provider but needs to be generalized to cover age, gender, and condition specific patient/care-giver completed assessments.|
|Implementation Notes:||Subsequent to Req-2023, this requirement allows for the patient/caregiver to complete forms offline and route it to the EHR, where it is imported for clinician review and use.|