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Req-1147IIS query responses in real-time2013 FormatThe system SHOULD provide the ability to receive real-time electronic query responses from IISs.Immunizations, Registry LinkagesNormative Statementsno
Req-1061Hospice and palliative care needs2013 FormatThe system SHALL capture hospice and palliative care needs for the child with identification of age-appropriate resources.Children with Special Healthcare NeedsNormative Statementsno
Req-1179History of termination of parental rights from within EHR2013 FormatThe system SHALL provide the ability to retrieve, capture, store, and display a past history of termination of parental rights documented within the native EHR system for the parents of the child involved in child welfare.Child Abuse ReportingNormative Statementsno
Req-1180History of termination of parental rights from an external information source2013 FormatThe system MAY provide the ability to retrieve, capture, store, and display a past history of termination of parental rights from an external information source (e.g. registry for the parents of the child involved in child welfare.Child Abuse ReportingNormative Statementsno
Req-1278History of Abuse and Neglect2013 FormatHistory of Abuse and NeglectChild Abuse Reporting, Child Welfare, Well Child/Preventive CareFunctionno
Req-580Historical demographic 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.
Child WelfareNormative Statementsno
Req-888High risk drug combinations in children2013 FormatThe system SHALL provide the ability to detect high risk drug combination alerts specific to children and inform the user during ordering.Medication ManagementNormative Statementsyes
Req-628Height input2013 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.
Growth DataNormative Statementsno
Req-869Height Velocity2013 FormatAssessment of a child's growth rate by height.Growth DataFunctionno
Req-683Healthcare Resource Availability2013 Format
STATEMENT: Support the collection and distribution of local healthcare resource information, through interactions with other systems, applications, and modules, to enable planning and response to extraordinary events such as local or national emergencies.
DESCRIPTION: In...
STATEMENT: Support the collection and distribution of local healthcare resource information, through interactions with other systems, applications, and modules, to enable planning and response to extraordinary events such as local or national emergencies.
DESCRIPTION: In times of identified local or national emergencies and upon request from authorized bodies, provide current status of healthcare resources including, but not limited to, available beds, providers, support personnel, ancillary care areas and devices, operating theaters, medical supplies, vaccines, and pharmaceuticals. The intent is to enable the authorized body to distribute or re-distribute either resources or patient load to maximize efficient healthcare delivery. In addition, these functions may also be used for internal assessment and planning purposes by facility administrators
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Parents and Guardians and Family Relationship DataFunctionno
Req-251Health Service Reports at the Conclusion of an Episode of Care2013 Format
STATEMENT: Support the creation of health service reports at the conclusion of an episode of care. Support the creation of health service reports to authorized health entities, for example public health, such as notifiable condition...
STATEMENT: Support the creation of health service reports at the conclusion of an episode of care. Support the creation of health service reports to authorized health entities, for example public health, such as notifiable condition reports, immunization, cancer registry and discharge data that a provider may be required to generate at the conclusion of an episode of care.
DESCRIPTION: Effective use of this function means that providers do not perform additional data entry to support health management programs and reporting.
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Registry LinkagesFunctionno
Req-249Health Record Output2013 Format
STATEMENT: Support the definition of the formal health record, a partial record for referral purposes, or sets of records for other necessary disclosure purposes.
DESCRIPTION: Provide hardcopy and electronic output that fully chronicles the healthcare...
STATEMENT: Support the definition of the formal health record, a partial record for referral purposes, or sets of records for other necessary disclosure purposes.
DESCRIPTION: Provide hardcopy and electronic output that fully chronicles the healthcare process, supports selection of specific sections of the health record, and allows healthcare organizations to define the report and/or documents that will comprise the formal health record for disclosure purposes. A mechanism should be provided for both chronological and specified record element output. This may include defined reporting groups (i.e. print sets For example: Print Set A = Patient Demographics, History & Physical, Consultation Reports, and Discharge Summaries. Print Set B = all information created by one caregiver. Print Set C = all information from a specified encounter. An auditable record of these requests and associated exports may be maintained by the system. This record could be implemented in any way that would allow the who, what, why and when of a request and export to be recoverable for review. The system has the capability of providing a report or accounting of disclosures by patient that meets in accordance with scope of practice, organizational policy and jurisdictional law.
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Immunizations, Patient Identifier, Registry Linkages, Security and Confidentiality, Well Child/Preventive CareFunctionno
Req-295Health Record Information and Management2013 Format
STATEMENT: Manage EHR information across EHR-S applications by ensuring that clinical information entered by providers is a valid representation of clinical notes; and is accurate and complete according to clinical rules and tracking amendments to...
STATEMENT: Manage EHR information across EHR-S applications by ensuring that clinical information entered by providers is a valid representation of clinical notes; and is accurate and complete according to clinical rules and tracking amendments to clinical documents. Ensure that information entered by or on behalf of the patient is accurately represented.
DESCRIPTION: Since EHR information will typically be available on a variety of EHR-S applications, an EHR-S must provide the ability to access, manage and verify accuracy and completeness of EHR information, maintain the integrity and reliability of the data, and provide the ability to audit the use of and access to EHR information.
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Growth Data, Prenatal Screening, Well Child/Preventive CareHeaderno
Req-847Head Circumference2013 FormatHead circumference is typically measured in newborns and then at every well-child visit through 36 months of life. Head circumference may also be measured at other times based on clinician concern, or in cases of chronic neurologic disease or developmental delayChildren with Special Healthcare Needs, Growth Data, Primary Care Management, Well Child/Preventive CareFunctionno
Req-1130Guideline based decision support for immunization ordering2013 FormatThe system SHALL provide real-time decision support for ordering immunizations for treatment and prophylaxis (such as tetanus, rabies and hepatitis A/B, etc. based on guidelines.ImmunizationsNormative Statementsno
Req-844Growth chart magnification2013 FormatFor all growth charts the system SHOULD allow the magnification ("zooming" of the display in order to facilitate understanding of curves where there are many densely-spaced data points.Growth Data, Well Child/Preventive CareNormative Statementsno
Req-622Growth chart 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.
Growth DataNormative Statementsno
Req-126Growth and body composition data2013 FormatSystem supports recording of growth and body composition measures, calculations, conversions, normal ranges, and trending.Growth DataHeaderno
Req-896Growth and Developmental Parameters2013 FormatIntrauterine growth, symmetry, and maturation are critical aspects of the birth history.Birth Information, Patient IdentifierFunctionno
Req-840Growth Charts2013 Format
Anthropometric measures and trends in growth are central to the prevision of pediatric care. Abnormal growth is often the first sign of underlying chronic illness. In addition, body size is necessary for the dosing of...
Anthropometric measures and trends in growth are central to the prevision of pediatric care. Abnormal growth is often the first sign of underlying chronic illness. In addition, body size is necessary for the dosing of most drugs in pediatrics. In general, there are three main direct measures - head circumference, length/height, and weight. Body mass index is calculated based on weight and height.
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Growth Data, Primary Care Management, Well Child/Preventive CareFunctionno
Req-898Gestational age in weeks and days2013 FormatThe system SHALL record gestational age in weeks and days based on last menstrual period (LMP ultrasound, or maternal report.Birth InformationNormative Statementsyes
Req-1019Gestational age estimation2013 FormatThe system SHALL support gestational age estimation based on Ballard Exam or Dubowitz score.Specialized Scales/ScoringNormative Statementsno
Req-899Gestational age based on Dubowitz or Ballard2013 FormatThe system SHALL record gestational age in weeks based on Dubowitz scoring or Ballard Exam.Birth InformationNormative Statementsno
Req-1047Gesell Developmental schedules2013 FormatThe system SHALL support the Gesell Developmental schedules.Specialized Scales/ScoringNormative Statementsno
Req-100Geographic locations visited2013 FormatThe system SHOULD record geographic areas visited by the patient for use in cases of vector-borne epidemiology.Well Child/Preventive CareNormative Statementsno
Req-676Generate structured clinical and administrative 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.
Activity Clearance, Well Child/Preventive CareNormative Statementsno
Req-1036Gell-Coombs Classification of Hypersensitivity Disorders2013 FormatThe system SHALL support the Gell-Coombs Classification of Hypersensitivity Disorders.Specialized Scales/ScoringNormative Statementsno
Req-883Future dose calculation factors2013 Format
Lorem, ipsum, dolor, sit, amet, consectetur, adipiscing, elit, Ut, egestas, dolor, nec, ipsum, luctus, non, varius, felis, blandit, Quisque, facilisis, pellentesque, nisi, Sed, rutrum, sodales, nisl, Duis, mattis, ipsum, a, laoreet, pharetra, quam, eros, porta, nisl, eget, pellentesque, augue, purus, eu, nunc
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-1288Fluoride varnish and dental sealants2013 FormatThe system SHOULD alert when application of fluoride varnish or dental sealant is due. and support management and tracking of this service whether provided by the primary care provider or through a referral.EPSDT, Well Child/Preventive CareNormative Statementsno
Req-672Flexible record element order in 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-730Flag special healthcare needs2013 FormatThe system SHALL support the flagging of individuals with special healthcare needs or complex conditions, to facilitate care management, decision support, and reporting.Children with Special Healthcare NeedsNormative Statementsno
Req-1020Finnegan Neonatal Abstinence Scoring (NAS)2013 FormatThe system SHALL support modified Finnegan Neonatal Abstinence Scoring (NASSpecialized Scales/ScoringNormative Statementsno
Req-950FiO2 administration in neonatal resuscitation2013 FormatThe system SHALL record the FiO2 delivered to the infant during resuscitation.Birth InformationNormative Statementsno
Req-1215Family, psychosocial, and child welfare resources2013 FormatThe system SHOULD have the ability to store, retrieve, and display a list of family, psychosocial, and child welfare resources.Child WelfareNormative Statementsno
Req-1209Family member affiliations2013 FormatThe system MAY have access to parents, guardians, siblings and patients' affiliation with religious organizations, community organizations, gangs, etc.Parents and Guardians and Family Relationship DataNormative Statementsno
Req-1192Family history relationships2013 Format
The system SHALL provide the ability to retrieve, capture, store and display family history including the patient's personal representatives (for example: parent, guardian, surrogate, financial guarantor and personal relationships including all current and past parents...
The system SHALL provide the ability to retrieve, capture, store and display family history including the patient's personal representatives (for example: parent, guardian, surrogate, financial guarantor and personal relationships including all current and past parents (biological, foster, adoptive, guardian, surrogate, and custody siblings, and case workers, with name and contact information for each to include one or more telephone numbers, email addresses, and physical addresses.The system SHALL provide the ability to retrieve, capture, store and display family history including the patient's personal representatives (for example: parent, guardian, surrogate, financial guarantor and personal relationships including all current and past parents (biological, foster, adoptive, guardian, surrogate, and custody siblings, and case workers, with name and contact information for each to include one or more telephone numbers, email addresses, and physical addresses.
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Child Abuse Reporting, Parents and Guardians and Family Relationship DataNormative Statementsno
Req-1075Family history linkages2013 FormatThe system SHOULD link family health history data elements to guide clinical care of patient.
Example: Basic genogram functionality is a familiar and efficient method of capturing and displaying these linkages.
Well Child/Preventive CareNormative Statementsno
Req-1201Family and patient history of suicidal ideation or depression2013 FormatThe system SHOULD have access to history of suicidal ideation or depression of patient, parents, guardians and siblings in separate sections.Parents and Guardians and Family Relationship DataNormative Statementsno
Req-1199Family and patient history of substance abuse2013 FormatThe system SHOULD have access to history of drug or alcohol abuse of patient, parents, guardians and siblings in separate sections.Parents and Guardians and Family Relationship DataNormative Statementsno
Req-1200Family and patient history of intimate partner violence2013 FormatThe system SHOULD have access to history of intimate partner violence of patient, parents, guardians and siblings in separate sections.Parents and Guardians and Family Relationship DataNormative Statementsno
Req-1054FERPA compliance2013 FormatThe system SHALL comply with Family Educational Rights and Privacy Act (FERPA rules.School-Based LinkagesNormative Statementsno
Req-1195Externally documented abuse by caregivers2013 Format
The system MAY provide the ability to retrieve, capture, store, and display a history of abuse or neglect (from an external information source, e.g. registry by family members, and other providers, such as babysitters, licensed...
The system MAY provide the ability to retrieve, capture, store, and display a history of abuse or neglect (from an external information source, e.g. registry by family members, and other providers, such as babysitters, licensed day care providers, teachers, and others that are in contact with child at time of alleged abuse.
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Child Abuse ReportingNormative Statementsno
Req-1255External Sources of Developmental and Behavioral Information2013 Format
Developmental and Behavioral Information requires information from medical as well as non-medical people who interact with a child including but not limited to parents, teachers, and counselors. Developmental Milestones can be divided many ways all...
Developmental and Behavioral Information requires information from medical as well as non-medical people who interact with a child including but not limited to parents, teachers, and counselors. Developmental Milestones can be divided many ways all include some aspect of Physical Development, Social /Personal Skills, Cognitive Development, and Communication Skills. In order for a pediatrician to completely assess a child's developmental progress many external pieces of information must be available to the clinician.
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Well Child/Preventive CareFunctionno
Req-1143Exchange immunization information with external sources2013 FormatThe system SHOULD exchange immunization data with external sources (e.g. hospitals, newborn nurseries, emergency departments, and retail-based clinics about vaccines administered to patients. The exchange SHOULD use an established immunization messaging standard.ImmunizationsNormative Statementsno
Req-1144Exchange immunization data with PHRs2013 FormatThe system MAY exchange immunization data with personal health records (PHRsImmunizationsNormative Statementsno
Req-952Epinephrine in neonatal resuscitation2013 FormatThe system SHALL record the dose, route, and frequency of epinephrine used during resuscitation.Birth InformationNormative Statementsno
Req-573Entity Authorization.2013 Format
STATEMENT: Manage the sets of access-control permissions granted to entities that use an EHR-S (EHR-S Users
Enable EHR-S security administrators to grant authorizations to users, for roles, and within contexts. A combination of these authorization...
STATEMENT: Manage the sets of access-control permissions granted to entities that use an EHR-S (EHR-S Users
Enable EHR-S security administrators to grant authorizations to users, for roles, and within contexts. A combination of these authorization categories may be applied to control access to EHR-S functions or data within an EHR-S, including at the application or the operating system level.

DESCRIPTION: EHR S Users are authorized to use the components of an EHR-S according to their identity, role, work-assignment, location and/or the patient's present condition and the EHR S User's scope of practice within a legal jurisdiction.
- User based authorization refers to the permissions granted or denied based on the identity of an individual. An example of User based authorization is a patient defined denial of access to all or part of a record to a particular party for privacy related reasons. Another user based authorization is for a tele-monitor device or robotic access to an EHR-S for prescribed directions and other input.
- Role based authorization refers to the responsibility or function performed in a particular operation or process. Example roles include: an application or device (tele-monitor or robotic or a nurse, dietician, administrator, legal guardian, and auditor.
- Context-based Authorization is defined by ISO 10181-3 Technical Framework for Access Control Standard as security-relevant properties of the context in which an access request occurs, explicitly time, location, route of access, and quality of authentication. For example, an EHR-S might only allow supervising providers' context authorization to attest to entries proposed by residents under their supervision.
In addition to the ISO standard, context authorization for an EHR-S is extended to satisfy special circumstances such as, work assignment, patient consents and authorizations, or other healthcare-related factors. A context-based example is a patient-granted authorization to a specific third party for a limited period to view specific EHR records.
Another example is a right granted for a limited period to view those, and only those, EHR records connected to a specific topic of investigation.
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Security and ConfidentialityFunctionno
Req-718Entity Access Control2013 Format
STATEMENT: Verify and enforce access control to all EHR-S components, EHR information and functions for end-users, applications, sites, etc., to prevent unauthorized use of a resource.
DESCRIPTION: Entity Access Control is a fundamental function of...
STATEMENT: Verify and enforce access control to all EHR-S components, EHR information and functions for end-users, applications, sites, etc., to prevent unauthorized use of a resource.
DESCRIPTION: Entity Access Control is a fundamental function of an EHR-S. To ensure that access is controlled, an EHR-S must perform authentication and authorization of users or applications for any operation that requires it and enforce the system and information access rules that have been defined.
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Child Welfare, Parents and Guardians and Family Relationship Data, Patient Portals - PHR, Security and ConfidentialityFunctionno
Req-688Encounter/Episode of Care Management2013 Format
STATEMENT: Support the definition of Manage and document the health care needed and delivered during an encounter/episode of care.
DESCRIPTION: Using data standards and technologies that support interoperability, encounter management promotes patient-centered/oriented care and enables...
STATEMENT: Support the definition of Manage and document the health care needed and delivered during an encounter/episode of care.
DESCRIPTION: Using data standards and technologies that support interoperability, encounter management promotes patient-centered/oriented care and enables real time, immediate point of service, point of care by facilitating efficient work flow and operations performance to ensure the integrity of: (1 the health record, (2 public health, financial and administrative reporting, and (3 the healthcare delivery process
This support is necessary for direct care functionality that relies on providing user interaction and workflows, which are configured according to clinical protocols and business rules based on encounter specific values such as care setting, encounter type (inpatient, outpatient, home health, etc. provider type, patient's EHR, health status, demographics, and the initial purpose of the encounter.
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Specialized Scales/ScoringHeaderno
Req-701Encounter Specific Functionality2013 Format
STATEMENT: Provide assistance in assembling appropriate data, supporting data collection and processing output from a specific encounter.
DESCRIPTION: Workflows, based on the encounter management settings, will assist (with triggers alerts and other means in determining...
STATEMENT: Provide assistance in assembling appropriate data, supporting data collection and processing output from a specific encounter.
DESCRIPTION: Workflows, based on the encounter management settings, will assist (with triggers alerts and other means in determining and supporting the appropriate data collection, import, export, extraction, linkages and transformation. As an example, a pediatrician is presented with diagnostic and procedure codes specific to pediatrics. Business rules enable automatic collection of necessary data from the patient's health record and patient registry. As the provider enters data, workflow processes are triggered to populate appropriate transactions and documents. For example, data entry might populate an eligibility verification transaction or query the immunization registry.
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Specialized Scales/ScoringFunctionno
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