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Req-9391 minute Apgar2013 FormatThe system SHALL record Apgar score at 1 minute (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-9405 minute Apgar2013 FormatThe system SHALL record Apgar score at 5 minutes (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-94110 minute Apgar2013 FormatThe system SHALL record Apgar score at 10 minutes (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-517Ability to access family history, including all parents2013 FormatThe system SHALL provide the ability to access family history, including all parents (biological, foster, adoptive, guardian, surrogate, and custody siblings, and case workers; with contact information for each.Child Abuse ReportingNormative Statementsno
Req-520Ability to access, store, and retrieve a detailed description of the genital examination, photographs or drawings of findings2013 FormatThe system SHALL provide the ability to access, store, and retrieve a detailed description of the genital examination, photographs or drawings of findings (both sexual and physical documentation of laboratory studies, and radiographic studies.Child Abuse ReportingNormative Statementsno
Req-519Ability to access, store, and retrieve the date, time, and place of the occurrence2013 FormatThe system SHALL provide the ability to access, store, and retrieve the date, time, and place of the occurrence of alleged abuse.Child Abuse ReportingNormative Statementsno
Req-525Ability to allow parents/legal guardians and children add any relevant additional health information2013 FormatThe system SHOULD allow parents/legal guardians and children of appropriate age to add any relevant additional health information and fill in gaps in their EHR.Patient Portals - PHRNormative Statementsno
Req-545Ability to comply with industry standards for interfaces and services2013 FormatThe system SHALL comply with industry standards for interfaces and services within the limitations of currently accepted standardsRegistry LinkagesNormative Statementsno
Req-544Ability to comply with registry sharing/linking regulations and standards2013 FormatThe system SHALL comply with registry sharing/linking regulations and standards (HIPAA, HITECH, CHIPRA, etc.Registry LinkagesNormative Statementsno
Req-831Ability to customize age unit thresholds2013 FormatThe system SHOULD enable implementation-specific customization of the age unit thresholds.Well Child/Preventive CareNormative Statementsno
Req-558Ability to document limitations on the patient's parents' level of authority2013 FormatThe system SHALL provide the ability to document limitations on the patient's parents' level of authority to make decisions on behalf of the patient or access health information about the patient.Security and ConfidentialityNormative Statementsno
Req-559Ability to document parental (guardian) notification or permission2013 FormatThe system SHALL provide the ability to document parental (guardian notification or permission for consenting minors to receive some treatments as required by institutional policy or jurisdictional law.Security and ConfidentialityNormative Statementsno
Req-845Ability to exclude data points from growth charts2013 FormatFor all growth charts the system SHOULD allow for the exclusion of selected data points, as in when a patient presents with an acute abnormality that affects the measurement (e.g., acute dehydrationGrowth Data, Primary Care ManagementNormative Statementsno
Req-723Ability to incorporate risk factors and/or anticipatory guidance2013 FormatThe system MAY incorporate risk factors and/or anticipatory guidance relevant to body composition, age, and gender into display/printout of growth charts.Growth DataNormative Statementsno
Req-486Ability to prompt for frequent monitoring of specific scales and scores2013 FormatThe system SHALL prompt for frequent monitoring of specific scales and scores that have a dynamic nature, including step-wise scales that assess the response to increasingly noxious stimuli to define levels of consciousness.Specialized Scales/ScoringNormative Statementsno
Req-862Ability to record tare weight for DME2013 FormatThe system SHALL allow recording of tare weight for durable medical equipment such as wheelchairs and walkers to facilitate easy weighing of children with special needs.Children with Special Healthcare Needs, Growth DataNormative Statementsno
Req-518Ability to retrieve, capture, store, and display information regarding forensic evaluations2013 FormatThe system SHOULD provide the ability to retrieve, capture, store, and display information regarding forensic evaluations.Child Abuse ReportingNormative Statementsno
Req-515Ability to retrieve, capture, store, and display information regarding the child's response, demeanor, and appearance2013 FormatThe system SHALL provide the ability to retrieve, capture, store, and display information regarding the child's response, demeanor, and appearance.Child Abuse Reporting, Primary Care Management, Well Child/Preventive CareNormative Statementsno
Req-522Ability to retrieve, capture, store, and display service plans, progress summaries, and assessments2013 FormatThe system SHOULD provide the ability to retrieve, capture, store, and display service plans, progress summaries, and assessments.Child Abuse ReportingNormative Statementsno
Req-1065Ability to route and track patient disease management plans, etc. to recipients in local registry2013 FormatThe system MAY provide the ability to version, route and track patient disease management plans, school medication administration forms, early intervention and WIC referrals, etc. to recipients in local service provider registry by preferred routing method (e.g. fax or electronicChildren with Special Healthcare NeedsNormative Statementsno
Req-732Ability to search service registries2013 FormatService registry entries SHOULD be searchable by name, location, service categories provided, and/or parent organization.Children with Special Healthcare NeedsNormative Statementsno
Req-1064Ability to send non-medication orders, referrals, and updates to receiving systems2013 Format
The system SHOULD provide the ability to send non-medication orders, referrals, and updates to receiving systems, such as laboratory information systems (LIS radiology information systems (RIS dietary, ancillary service providers, durable medical equipment (DME company,...
The system SHOULD provide the ability to send non-medication orders, referrals, and updates to receiving systems, such as laboratory information systems (LIS radiology information systems (RIS dietary, ancillary service providers, durable medical equipment (DME company, home care provider, case management, and mental, dental, and visual health services, when standard interfaces are available.
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Children with Special Healthcare NeedsNormative Statementsno
Req-1286Abnormal screen follow-up2013 FormatThe system SHOULD provide prompts to follow-up after an abnormal screening result.EPSDT, Primary Care Management, Well Child/Preventive CareNormative Statementsno
Req-1053Access & Interoperability2013 FormatAccess and interoperability refers to the ability of school-based systems to provide access to and/or bi-directional sharing of data with external systems in standard formats.School-Based LinkagesFunctionno
Req-587Access 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-1183Access restraining and visitation order information from external source2013 FormatThe system MAY provide the ability to access, store, and retrieve from an external information source (e.g. registry any restraining or visitation orders, and the person or organization with decision making authority.Child Abuse Reporting, Parents and Guardians and Family Relationship DataNormative Statementsno
Req-639Access to age-specific guidelines2013 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.
EPSDT, Well Child/Preventive CareNormative Statementsyes
Req-1055Access to child's medical records2013 FormatThe system SHALL enable appropriate access to the child's medical record to school-based clinicians.School-Based LinkagesNormative Statementsno
Req-471Access to patient data-specific materials2013 FormatThe system SHOULD provide access to display and print relevant provider/layperson treatment procedure standards/training; medical/psychological/behavioral condition education materials; and related management guidelines based on coded patient data in the system (e.g. InfobuttonChildren with Special Healthcare Needs, Patient Portals - PHRNormative Statementsno
Req-1141Access to registries2013 FormatThe system SHOULD provide the ability to add, change, or remove access to registriesImmunizations, Registry LinkagesNormative Statementsno
Req-1056Access to school-based health record2013 FormatThe system SHOULD enable appropriate access to the school-based health record for requesting providers and SHALL capture, where necessary, parent/guardian authorization to share data in the record, with adequate specificity as to what information is allowed to be shared, with which caregivers (both clinical and non-clinical and for what purpose.School-Based LinkagesNormative Statementsno
Req-614Acknowledge receipt of new results2013 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 ManagementNormative Statementsno
Req-931Additional medications during pregnancy2013 FormatThe system SHALL record any additional prescription and non-prescription medications and supplements (with name, dose, frequency, and route that the mother took during pregnancy.Birth InformationNormative Statementsno
Req-965Additional quality measures2013 Format
The system SHOULD be able to capture, retrieve, export, and display codified data for user-defined or other endorsed quality measures, such as National Quality Forum (NQF Physician Quality Reporting System (PQRS, formerly known as the...
The system SHOULD be able to capture, retrieve, export, and display codified data for user-defined or other endorsed quality measures, such as National Quality Forum (NQF Physician Quality Reporting System (PQRS, formerly known as the Physician Quality Reporting Initiative National Association of Children's Hospitals and Related Institutions (NACHRI National Initiative for Children's Healthcare Quality (NICHQ or state-endorsed. This includes "numerator" elements (e.g., the number of times that a particular service was delivered and "denominator" elements (e.g., the size of the population that should receive the service of interest within a user-specified time frame.
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Quality MeasuresNormative Statementsno
Req-959Adjust head circumference display for prematurity2013 FormatThe system SHALL be able to display head circumference adjusted for the degree of prematurity by subtracting the number of weeks premature the individual was born from each plot point during the first two years of life. The growth chart should reflect that this plot was corrected for prematurity.Growth Data, Primary Care ManagementNormative Statementsyes
Req-960Adjust length display for prematurity2013 FormatThe system SHOULD be able to display length adjusted for the degree of prematurity by subtracting the number of weeks premature the individual was born from each plot point during the first two years of life. The growth chart should reflect that this plot was corrected for prematurity.Growth Data, Primary Care ManagementNormative Statementsno
Req-961Adjust weight display for prematurity2013 FormatThe system SHOULD be able to display weight adjusted for the degree of prematurity by subtracting the number of weeks premature the individual was born from each plot point during the first two years of life. The growth chart should reflect that this plot was corrected for prematurity.Growth Data, Primary Care ManagementNormative Statementsno
Req-252Administrative Transaction Processing2013 Format
STATEMENT: Support the creation (including using external data sources, if necessary electronic interchange, and processing of transactions listed below that may be necessary for encounter management during an episode of care.
DESCRIPTION: Support the creation...
STATEMENT: Support the creation (including using external data sources, if necessary electronic interchange, and processing of transactions listed below that may be necessary for encounter management during an episode of care.
DESCRIPTION: Support the creation (including using external data sources, if necessary electronic interchange, and processing of transactions listed below that may be necessary for encounter management during an episode of care.
· The EHR system shall capture the patient health-related information needed for administrative and financial purposes including reimbursement.
· Captures the episode and encounter information to pass to administrative or financial processes (e.g. triggers transmissions of charge transactions as by-product of on-line interaction including order entry, order statusing, result entry, documentation entry, medication administration charting
· Automatically retrieves information needed to verify coverage and medical necessity.
· As a byproduct of care delivery and documentation: captures and presents all patient information needed to support coding. Ideally performs coding based on documentation.
· Clinically automated revenue cycle - examples of reduced denials and error rates in claims.
· Clinical information needed for billing is available on the date of service.
· Physician and clinical teams do not perform additional data entry / tasks exclusively to support administrative or financial processes.
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Registry LinkagesFunctionno
Req-285Administrative and Financial2013 FormatSystem supports Administrative and Financial functions.Children with Special Healthcare Needs, Genetic information, Registry Linkages, Specialized Scales/Scoring, Well Child/Preventive CareHeaderno
Req-1253Adolescent permission for parental information access2013 FormatThe system SHOULD support the documentation of adolescent patient permission to release information to parents and/or guardians.Security and ConfidentialityNormative Statementsno
Req-1217Adoption history2013 Format
The system SHALL have the ability to store, retrieve, and display the child's adoption history (whether adopted, expressed as yes or no, is sufficient

Example: If the child is adopted then family history information...
The system SHALL have the ability to store, retrieve, and display the child's adoption history (whether adopted, expressed as yes or no, is sufficient

Example: If the child is adopted then family history information captured might not be clinically relevant. Further, the decision support relying on family history may be irrelevant and therefore the EHR system should exclude family history of adoptee in decision support logic.
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Child WelfareNormative Statementsno
Req-824Age Precision2013 FormatBecause children change substantially during the first several years of life, their age must be calculated more precisely (during that period than that of adults, often with units considerably smaller than years.Well Child/Preventive CareFunctionno
Req-827Age Presentation2013 FormatAge PresentationWell Child/Preventive CareHeaderno
Req-828Age Unit Selection2013 FormatAge units must be appropriate to the actual age, required precision, social conventions, and the environment of care.Well Child/Preventive CareFunctionno
Req-1250Age of emancipation2013 FormatThe system SHOULD record the patient's age of emancipation.Security and ConfidentialityNormative Statementsno
Req-1079Age specific preventive care referrals2013 FormatThe system SHALL provide access to age specific preventive care referrals relevant to proposed preventive care.Well Child/Preventive CareNormative Statementsno
Req-830Age unit threshold implementation rules2013 FormatThe system SHOULD develop age unit threshold implementation rules that account for the variable lengths of months.Well Child/Preventive CareNormative Statementsno
Req-1090Age- and gender-specific decision support2013 FormatData for decision support SHALL be interpreted in an age- and gender-specific fashion, using age- and gender-specific norms, and using age-appropriate data.Well Child/Preventive CareNormative Statementsno
Req-1241Age- and weight-specific single dose range checking2013 FormatThe system SHALL provide the ability to detect a drug dose that falls outside the min-max range based on the patient's age, weight, and maximum recommended adult dose, for a single dose for the medication.Medication ManagementNormative Statementsyes
Req-1078Age- specific educational materials2013 FormatThe system SHALL provide access to age specific patient and parent/caregiver educational materials relevant to proposed preventive care.Well Child/Preventive CareNormative Statementsno
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