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Req-866Display BMI data on CDC and WHO growth chart2013 FormatThe system SHALL be able to display body mass index (BMI data on both the sex-specific CDC and WHO growth charts.Growth Data, Well Child/Preventive CareNormative Statementsno
Req-599Discrete immunization data2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
ImmunizationsNormative Statementsyes
Req-1040Developmental Scores / Intelligence Tests2013 FormatDevelopmental scores and scales are critical to assessing developmental milestones.Specialized Scales/ScoringFunctionno
Req-552Determine need for minor patient consent for outside access to content2013 FormatThe system MAY determine the need for minor patient consent to permit outside access to content based on determination of age of majority within a legal jurisdiction, possibly in combination with record content to be accessed.Security and ConfidentialityNormative Statementsno
Req-1232Descriptors for patient weight2013 FormatThe system SHALL support the capture and recording of patient weight including optional descriptors such as Unknown or Estimated.Medication Management, Well Child/Preventive CareNormative Statementsno
Req-1050Denver Developmental Screening Test2013 FormatThe system SHOULD support The Denver Developmental Screening Test.Specialized Scales/ScoringNormative Statementsno
Req-1202Definition of Terms for Parents and Guardians and Family Relationship Data2013 Format
The following definitions SHOULD be used to manage Parents and Guardians and Family Relationship Data:
Patient's Personal Representative: a minor patient's parent or other person acting in loco parentis, a court-appointed guardian, or a person...
The following definitions SHOULD be used to manage Parents and Guardians and Family Relationship Data:
Patient's Personal Representative: a minor patient's parent or other person acting in loco parentis, a court-appointed guardian, or a person with durable power of attorney for health care for a patient, the executor or administrator of the patient's estate, or the person responsible for the patient's estate if it is not to be probated.
Guarantor: The guarantor is the person or entity who is financially responsible for payment on a patient's account. Usually the patient is financially responsible for medical charges. A parent or legal guardian/trustee is the guarantor for patients 18 years of age and younger.
Medical Decision Maker: the authority who has the ability to make decisions related to the medical care for a youth. Decision authority may be full or limited, with limited typically allowing consent for routine medical care and minor surgical procedures, but not for major surgery or end-of-life decisions such as DNR. For children in group or residential treatment this is the court or child welfare staff.
Full medical decision making authority: Full authority to make medical decisions (such as consent to treatment and procedures on behalf of the minor. Full medical decision making is typically afforded to parents and in the case of foster children to the state social services agency (via a case worker typically
Limited medical decision making authority: Less than full authority for medical decision making; typically limited decision making (as applies to most foster parent situations allows consent for routine medical care and minor surgical procedures, but not for major surgery or end-of-life decisions such as DNR.
Biological Parent: birthparents or natural parents, the man and woman who conceive a child; also known as genetic parents.
Foster Parent: An adult who takes over care of a minor child who has been placed in the foster care system because the child's own family cannot take care of the child or have had custody taken away by a court or agency. (*Foster parent subcategories and definitions of guardianship may vary from state to state.
Adoptive Parent: A person who completes all the requirements to legally adopt a child who is not his or her biological child.
Surrogate Parent: a woman who agrees to be impregnated by a sperm donor and to carry the child to term, at which time the offspring is surrendered to the care of another.
Custodial Parent: the parent who has physical and/or legal custody of his/her child by court order.
Noncustodial Parent: a parent who does not have physical and/or legal custody of his/her child by court order.
Parental rights: The legal rights and corresponding legal obligations that go along with being the parent of a child.
Legal Guardian: An adult to whom the court has given parental responsibility and authority for a child. Appointment as guardian requires the filing of a petition and approval by the court and can be done without terminating the parental rights of the child's parents. Guardian rights vary by state and sometimes by county. A guardian may or may be the medical consenter. Typically, a guardian may be able to give consent for routine medical care and minor surgical procedures, but not for end-of-life decisions such as DNR (Do Not Resuscitate
Guardian of the Estate: Someone who looks after a child's property.
Guardian of the Person: An adult who has legal authority to make personal decisions for the child, including responsibility for his physical, medical, and educational needs. The medical decision making authority of guardian may be limited.
Full Sibling: is a sibling with whom an individual shares the same biological parents.
Half Sibling (half brother or half sister is a sibling with one shared biological parent.
Agnate Sibling: a half-sibling that shares the same father (but different mothers
Uterine Sibling: a half-sibling that shares the same mother (but different fathers
Case worker: is a person that provides social services and assistance to improve the social and psychological functioning of children and their families and to maximize the family well-being and the academic functioning of children. May assist parents, arrange adoptions, and find foster homes for abandoned or abused children. In schools, they address such problems as teenage pregnancy, misbehavior, and truancy. A job as a Child Welfare Caseworker falls under the broader career category of Child, Family, and School Social Workers. Case workers may work for a governmental or private agency.
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Parents and Guardians and Family Relationship DataNormative Statementsno
Req-635Define formal health records2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Well Child/Preventive CareNormative Statementsno
Req-671Define formal health record2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Security and ConfidentialityNormative Statementsno
Req-549Define context for principal authorization2013 FormatThe system MAY provide the ability to define context for the purpose of principal authorization based on identity, role, work assignment, present condition, location, patient consent, or patient's present conditionSecurity and ConfidentialityNormative Statementsno
Req-1128Decision support for options on specific vaccine products2013 FormatIF the system recommends a list of antigens for which a patient is eligible THEN the system SHALL provide the ability to give real-time decision support as to options on specific vaccine products (including combination vaccines according to what vaccine products are available.ImmunizationsNormative Statementsno
Req-1224Dates of out-of-home care2013 FormatFor children who have ever been in out-of-home care, the system SHOULD have the ability to store and display information about the dates of the out-of-home care.Child WelfareNormative Statementsno
Req-685Date of allergy documentation2013 FormatThe system SHALL provide the ability to capture and display the date on which allergy information was entered.Medication Management, Well Child/Preventive CareNormative Statementsno
Req-1184Data related to outcome measures for welfare agencies2013 FormatThe system SHOULD provide the ability to include data elements that are related to federally required outcome measures as may be requested by child welfare agencies.Child Abuse ReportingNormative Statementsno
Req-609Data pertinent to immunization administration2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
ImmunizationsNormative Statementsno
Req-658Data elements for pediatric ordering2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Primary Care Management, Well Child/Preventive CareNormative Statementsno
Req-104Data and Documentation From External Sources2013 FormatExternal sources are those outside the EHR system, including clinical, administrative, and financial information systems, other EHR systems, PHR systems, and data received through health information exchange networks.Birth Information, Parents and Guardians and Family Relationship Data, Patient Portals - PHRHeaderno
Req-1062DME and nursing needs2013 FormatThe system SHALL capture Durable Medical Equipment (DME and nursing needs for the child with identification of age-appropriate resources and orderables.Children with Special Healthcare NeedsNormative Statementsno
Req-1123Customized immunization reports2013 FormatThe system SHOULD provide the ability for users (based on role and authorization to specify reports based on EHR patient data on immunization status.Immunizations, Well Child/Preventive CareNormative Statementsno
Req-675Customize reports to mandated formats2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Well Child/Preventive CareNormative Statementsno
Req-670Custom patient record reports2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Well Child/Preventive CareNormative Statementsno
Req-638Create site-specific care plans and guidelines from standard ones2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Well Child/Preventive CareNormative Statementsno
Req-480Create detailed referral orders2013 FormatThe system SHALL provide the ability to create referral orders with detail adequate for correct routing, including referrals to outside agencies or providers.Primary Care ManagementNormative Statementsno
Req-586Create custom clinical summaries2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Primary Care Management, Well Child/Preventive CareNormative Statementsno
Req-879Correct growth data directly from growth chart2013 FormatThe system SHOULD allow the user to correct growth data directly from the growth chart, by interacting directly with the graphical data point, rather than having to first go to a tabular (flowsheet representation.Growth DataNormative Statementsno
Req-878Correct growth data2013 FormatThe system SHALL have a process to correct growth data. This process shall include a method to track changes.Growth DataNormative Statementsno
Req-1007Copy and paste selected information from another medical record/chart2013 Format
The System SHALL support copying of selected information from another chart to the child's chart. Examples include copying from either biologic parent for genetic information, or the maternal chart for prenatal information. This copying SHALL...
The System SHALL support copying of selected information from another chart to the child's chart. Examples include copying from either biologic parent for genetic information, or the maternal chart for prenatal information. This copying SHALL support suppression of the maternal identity in cases that require parental confidentiality (e.g. voluntary surrender for adoption, or removal from the mother's care for other reasons
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Birth Information, Genetic information, Patient Identifier, Prenatal Screening, Security and ConfidentialityNormative Statementsno
Req-1102Controlled access to registries data2013 FormatThe system MAY enable controlled access to and display of data contained in registries such as immunizations.Immunizations, Patient Portals - PHRNormative Statementsno
Req-942Continuing Apgar scores2013 FormatThe system MAY record Apgar score at every 5 minutes after 10 minutes if the total score is less than; 5 (HR 0,1,2 | RR 0,1,2 | Tone 0,1,2 | Reflex 0,1,2 | Color 0,1,2 | and Total 0-10Birth Information, Specialized Scales/ScoringNormative Statementsno
Req-1136Context for recommended immunizations not given2013 FormatThe system SHALL provide the ability to capture and output (documentation and display vaccine doses that have been recommended by the system but not ordered or administered (including the date of recommendation and reason for not ordering or administering.ImmunizationsNormative Statementsyes
Req-1044Conners Comprehensive Behavior Rating Scales2013 FormatThe system SHALL support the Conners Comprehensive Behavior Rating Scales (Conners CBRS™Specialized Scales/ScoringNormative Statementsno
Req-646Compute weight-based drug dosage2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Medication ManagementNormative Statementsno
Req-583Compute post conceptional age2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Birth Information, Growth Data, Prenatal ScreeningNormative Statementsno
Req-1242Compounded drug dosage computations2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Medication ManagementNormative Statementsno
Req-1276Compendia of state and local laws2013 FormatThe system SHOULD have a compendium of state and local laws and regulations related to non-medical psychosocial problems that are available to the staff for reference.

Well Child/Preventive CareNormative Statementsno
Req-1263Compare questionnaire results to national normative values2013 FormatThe system SHALL have the ability to compare imported questionnaire results data to national normative values.Well Child/Preventive CareNormative Statementsno
Req-636Compare patient assessments to best practices2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Well Child/Preventive CareNormative Statementsno
Req-1052Compare Growth Charts2013 FormatThe system MAY allow for the display of multiple growth charts (such as for weight, length or height and head circumference in a single screen or view.Growth DataNormative Statementsno
Req-1277Communication with non-medical professionals2013 FormatThe system SHOULD have the ability to communicate with non-medical professionals electronically requesting information or referral services.
Well Child/Preventive CareNormative Statementsno
Req-1174Communication during care and follow-up care2013 FormatThe system SHALL incorporate support communication during care and follow-up care and communication of data between different disciplines.

Example: A system can support communication with school nurses, day care providers and other professional caregivers.
Primary Care ManagementNormative Statementsyes
Req-472Communicate with local service registries2013 FormatThe system SHOULD provide the ability to search, view, and contribute to local service registries that include providers, medical home practices or services, durable medical equipment (DME skilled nursing facilities (SNF social service programs, etc. and detail services, insurance affiliation, and preferred contact method for notes, referrals, and orders.Children with Special Healthcare NeedsNormative Statementsno
Req-1264Combine imported and directly entered childhood development data2013 FormatThe system SHALL combine information gathered from outside sources with information directly entered into the EHR in order to derive contextually complete reports of childhood development.
Well Child/Preventive CareNormative Statementsno
Req-649Combination drug dosage functions2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Medication ManagementNormative Statementsno
Req-458Coded disease measure goals and thresholds2013 FormatThe system SHOULD capture/calculate coded individualized disease measure goals and thresholds for modifying care (e.g. peak flow, FEV1, HgA1c, or behavioral goals used in self-care and inpatient treatment plansChildren with Special Healthcare Needs, Primary Care Management, Quality MeasuresNormative Statementsno
Req-1059Code status for children with special healthcare needs2013 FormatThe system MAY selectively include code status on the Health & Physical Evaluation template for a child designated as medically complex and/or with special health care needs.Children with Special Healthcare Needs, Special Terminology and InformationNormative Statementsno
Req-921Cocaine use during pregnancy2013 FormatThe system SHALL record cocaine use during pregnancy as Positive, Negative, or Unknown, as well as the average amount of cocaine used per day.Birth InformationNormative Statementsno
Req-451Closest available standardized dose2013 FormatThe system MAY inform the ordering provider about the closest available standardized dose after calculating the dose based on patient age and weight.Medication ManagementNormative Statementsno
Req-945Clinical staff at delivery2013 FormatThe system SHALL record the pediatrician(s nurse(s and respiratory therapist(s present at delivery.Birth InformationNormative Statementsno
Req-1220Clinical issues displayed to non-clinicians2013 FormatThe system SHOULD have the ability to display known interaction effects, known concerns and side-effects, or contraindications to authorized viewers of data external to clinicians, such as child welfare case workers.Child WelfareNormative Statementsno
Req-1166Clinical decision support tools2013 FormatThe system SHOULD incorporate clinical decision support tools and utilities that support severity assessment and mortality prediction, a minimum data set, standardized terminology, and validated indicators for such common chronic diseases as asthma.Primary Care ManagementNormative Statementsno
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