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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-124Support for Identification of Potential Problems and Trends2013 Format
Identify trends that may lead to significant problems, and provide prompts for consideration.
When personal health information is collected directly during a patient visit, input by the patient, or acquired from an external source (lab...
Identify trends that may lead to significant problems, and provide prompts for consideration.
When personal health information is collected directly during a patient visit, input by the patient, or acquired from an external source (lab results it is important to be able to identify potential problems and trends that may be patient-specific, given the individual's personal health profile, or changes warranting further assessment. For example: significant trends (lab results, weight a decrease in creatinine clearance for a patient on metformin, an abnormal increase in INR for a patient on warfarin, an increase in suicidal ideation; presence of methamphetamines; or absence of therapeutic levels of antidepressants.
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Well Child/Preventive CareFunctionno
Req-434Targeted patient education materials after screening2013 FormatThe system SHOULD provide access to targeted patient education materials when screening triggers specialist or early-intervention program referral.Well Child/Preventive CareNormative Statementsno
Req-429Screening tool status2013 FormatThe system SHALL capture the administration, completion, and evaluation of screening tools.Well Child/Preventive CareNormative Statementsno
Req-563Clinical Task Assignment and Routing2013 Format
STATEMENT: Assignment, delegation and/or transmission of tasks to the appropriate parties.
DESCRIPTION: Tasks are at all times assigned to at least one user or role for disposition. Whether the task is assignable and to whom...
STATEMENT: Assignment, delegation and/or transmission of tasks to the appropriate parties.
DESCRIPTION: Tasks are at all times assigned to at least one user or role for disposition. Whether the task is assignable and to whom the task can be assigned will be determined by the specific needs of practitioners in a care setting. Task-assignment lists help users prioritize and complete assigned tasks. For example, after receiving communication (e.g. a phone call or e-mail from a patient, the triage nurse routes or assigns a task to return the patient's call to the physician who is on call. Task creation and assignment may be automated, where appropriate. An example of a system-triggered task is when lab results are received electronically; a task to review the result is automatically generated and assigned to a clinician. Task assignment ensures that all tasks are disposed of by the appropriate person or role and allows efficient interaction of entities in the care process.
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Well Child/Preventive CareFunctionno
Req-562Support for Knowledge Access2013 FormatSystem supports Knowledge Access.Well Child/Preventive CareHeaderno
Req-561Patient Knowledge Access2013 Format
STATEMENT: Provide the ability to access reliable information about wellness, disease management, treatments, peer support groups and related information that is relevant for a specific patient.
DESCRIPTION: An individual will be able to find reliable...
STATEMENT: Provide the ability to access reliable information about wellness, disease management, treatments, peer support groups and related information that is relevant for a specific patient.
DESCRIPTION: An individual will be able to find reliable information to research a health question, follow up from a clinical visit, identify treatment options, or other health information needs. The information may be linked directly from entries in the health record, or may be accessed through other means such as key word search. The information may be provided as part of the EHR system but may also include patient information from external databases or specific websites.
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Well Child/Preventive CareFunctionno
Req-571Outcome Measures and Analysis2013 Format
STATEMENT: Support the capture and subsequent export or retrieval of data necessary for the reporting on patient outcome of care by population, facility, provider or community.
DESCRIPTION: Many regions require regular reporting on the healthcare...
STATEMENT: Support the capture and subsequent export or retrieval of data necessary for the reporting on patient outcome of care by population, facility, provider or community.
DESCRIPTION: Many regions require regular reporting on the healthcare provided to individuals and populations. The system needs to provide the report generating capability to easily create these reports or provide for the export of data to external report generating software. The system may also provide the functionality to prompt for the collection of necessary information at the appropriate time in a patient encounter if such collection need can be properly defined in a supportive workflow.
e.g. Requesting specific information for reporting of emergency services such as gun shot, suspected abuse, communicable diseases etc., or for the collection of additional research data for specific a specific diagnosis.
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Well Child/Preventive CareFunctionno
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-634Breast milk aliquot 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.
Well Child/Preventive CareNormative Statementsno
Req-633Patient-milk product matching2013 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-637Site-specific care plans and 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.
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-576Clinical Workflow Tasking2013 Format
STATEMENT: Schedule and manage tasks with appropriate timeliness.
DESCRIPTION: Since the electronic health record will replace the paper chart, tasks that were based on the paper artifact must be effectively managed in the electronic environment....
STATEMENT: Schedule and manage tasks with appropriate timeliness.
DESCRIPTION: Since the electronic health record will replace the paper chart, tasks that were based on the paper artifact must be effectively managed in the electronic environment. Functions must exist in the EHR-S that support electronically any workflow that previously depended on the existence of a physical artifact (such as the paper chart, a phone message slip in a paper based system. Tasks differ from other more generic communication among participants in the care process because they are a call to action and target completion of a specific workflow in the context of a patient's health record (including a specific component of the record Tasks also require disposition (final resolution The initiator may optionally require a response. For example, in a paper based system, physically placing charts in piles for review creates a physical queue of tasks related to those charts. This queue of tasks (for example, a set of patient phone calls to be returned must be supported electronically so that the list (of patients to be called is visible to the appropriate user or role for disposition. Tasks are time-limited (or finite The state transition (e.g. created, performed and resolved may be managed by the user explicitly or automatically based on rules. For example, if a user has a task to signoff on a test result, that task should automatically be marked complete by the EHR when the test result linked to the task is signed in the system. Patients will become more involved in the care process by receiving tasks related to their care. Examples of patient related tasks include acknowledgement of receipt of a test result forwarded from the provider, or a request to schedule an appointment for a pap smear (based on age and frequency criteria generated automatically by the EHR-S on behalf of the provider.
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Well Child/Preventive CareHeaderno
Req-593Source of allergy 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.
Well Child/Preventive CareNormative Statementsno
Req-594Allergy occurrence date2013 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-598Display inactive problems2013 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-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-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-696Manage Order Sets2013 Format
STATEMENT: Provide order sets based on provider input or system prompt.
DESCRIPTION: Order sets, which may include medication and non-medication orders, allow a care provider to choose common orders for a particular circumstance or disease...
STATEMENT: Provide order sets based on provider input or system prompt.
DESCRIPTION: Order sets, which may include medication and non-medication orders, allow a care provider to choose common orders for a particular circumstance or disease state according to standards or other criteria. Recommended order sets may be presented based on patient data or other contexts.
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Well Child/Preventive CareFunctionno
Req-693Support for Notification and Response2013 Format
STATEMENT: Upon notification by an external, authoritative source of a health risk within the cared for population, alert relevant providers regarding specific potentially at-risk patients with the appropriate level of notification.
DESCRIPTION: After receiving a...
STATEMENT: Upon notification by an external, authoritative source of a health risk within the cared for population, alert relevant providers regarding specific potentially at-risk patients with the appropriate level of notification.
DESCRIPTION: After receiving a notice of a health risk within a cared-for population from public health authorities or other external authoritative sources:
1. Identify and notify individual care providers or care managers that a risk has been identified and requires attention; and
2. Provide suggestions on the appropriate course of action.
A care provider now has the ability to decide how patients are notified, if necessary.
For example, this function may be used after detection of a local outbreak of hepatitis A, advising providers of the at-risk population and potential prophylactic treatment.
A second example might be the dissemination of new care guidelines for elderly patients with a specific chronic disease.
Notifications to clinicians or patients may occur by telephone, email, FAX or other methods
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Well Child/Preventive CareFunctionno
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-767Manage Structured Health Record Information2013 Format
STATEMENT: Create, capture, and maintain structured health record information.

DESCRIPTION: Structured health record information is divided into discrete fields, and may be enumerated, numeric or codified.

Examples of structured health information include:
-...
STATEMENT: Create, capture, and maintain structured health record information.

DESCRIPTION: Structured health record information is divided into discrete fields, and may be enumerated, numeric or codified.

Examples of structured health information include:
- patient address (non-codified, but discrete field
- diastolic blood pressure (numeric
- coded result observation
- coded diagnosis
- patient risk assessment questionnaire with multiple-choice answers

Context may determine whether or not data are unstructured, e.g., a progress note might be standardized and structured in some EHRS (e.g., Subjective/Objective/Assessment/Plan but unstructured in others.
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Well Child/Preventive CareFunctionno
Req-765Store and Manage Health Record Information2013 Format
STATEMENT: Store and manage health record information as structured and unstructured data.

DESCRIPTION: Unstructured health record information is information that is not divided into discrete fields AND not represented as numeric, enumerated or codified...
STATEMENT: Store and manage health record information as structured and unstructured data.

DESCRIPTION: Unstructured health record information is information that is not divided into discrete fields AND not represented as numeric, enumerated or codified data.

General examples of unstructured health record information include:
- text
- word processing document
- image
- multimedia

Specific examples include:
- text message to physician
- patient photo
- letter from family
- scanned image of insurance card
- dictated report (voice recording

Structured health record information is divided into discrete fields, and may be enumerated, numeric or codified.

Examples of structured health information include:
- patient address (non-codified, but discrete field
- diastolic blood pressure (numeric
- coded result observation
- coded diagnosis
- patient risk assessment questionnaire with multiple-choice answers

Context may determine whether or not data are unstructured, e.g., a progress note might be standardized and structured in some EHR-S (e.g., Subjective/Objective/Assessment/Plan but unstructured in others.

Managing healthcare data includes capture, retrieval, deletion, correction, amendment, and augmentation. Augmentation refers to providing additional information regarding the healthcare data, which is not part of the data itself, e.g. linking patient consents or authorizations to the healthcare data of the patient.
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Well Child/Preventive CareHeaderno
Req-721Patient Reminder Information Updates2013 Format
STATEMENT: Receive and validate formatted inbound communications to facilitate updating of patient reminder information from external sources such as Cancer or Immunization Registries.

DESCRIPTION: Information from outside groups, such as immunization groups, public health...
STATEMENT: Receive and validate formatted inbound communications to facilitate updating of patient reminder information from external sources such as Cancer or Immunization Registries.

DESCRIPTION: Information from outside groups, such as immunization groups, public health organizations, etc. may periodically send updates to patient care providers. The system should be capable of generating patient reminders based on the recommendations of these organizations. Patient reminders could be provided to patients by a number of means including phone calls, or mail. A record of such reminders may become part of a patient's record. Examples of reminders could include a recommended immunization, prophylactic guidelines for MVP, patient self-testing for disease, etc.
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Well Child/Preventive CareFunctionno
Req-722Supportive Function Maintenance2013 FormatSTATEMENT: Update EHR supportive content using a manual or automated process.Well Child/Preventive CareHeaderno
Req-829Present patient age using appropriate units2013 FormatThe system SHALL present patient age using units appropriate to the actual age of the patient, using appropriate thresholds for unit selectionWell Child/Preventive CareNormative Statementsno
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-831Ability to customize age unit thresholds2013 FormatThe system SHOULD enable implementation-specific customization of the age unit thresholds.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-825Calculate patient age precisely enough to support environment-specific activities2013 FormatThe system SHALL calculate patient age precisely enough to support environment-specific activities that vary significantly in the first hours, days, and months of life.Well Child/Preventive CareNormative 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-826Calculate patient age to the minute2013 FormatThe system SHOULD calculate patient age no less precisely than the nearest minute for at least the first week of lifeWell Child/Preventive CareNormative Statementsno
Req-834Unit-specific calculation2013 FormatUnit-specific calculationWell Child/Preventive CareFunctionno
Req-835Implement age rounding rules2013 Format
The system SHOULD implement age rounding rules that conform to social conventions of age representation
- Age in years, months, weeks, and days should be incremented at the 'day' level of precision, and rounded down...
The system SHOULD implement age rounding rules that conform to social conventions of age representation
- Age in years, months, weeks, and days should be incremented at the 'day' level of precision, and rounded down to an integer
- Age in months should be calculated as though dates that do not exist in a particular month are equivalent to the 1st day of the following month.
- Age in hours and minutes should be incremented at the 'minute' level of precision, and rounded down to an integer
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Well Child/Preventive CareNormative Statementsno
Req-832Patient age in units appropriate to environment of care2013 FormatThe system SHALL present patient age using units appropriate to the environment of care as well as the patient age.Well Child/Preventive CareNormative Statementsyes
Req-833Support adapting of age units per care environment and age threshold needs2013 FormatThe system SHALL enable age units to be adapted to care environment-specific age thresholds.Well Child/Preventive CareNormative Statementsno
Req-1008Manage Data Associated with Breast Milk Storage and Administration2013 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.
Well Child/Preventive CareFunctionno
Req-1009Manage data associated with breast milk products2013 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.
Well Child/Preventive CareNormative Statementsno
Req-986Record Anticipatory Guidance through locally structured values2013 FormatThe system SHOULD record values for anticipatory guidance through locally structured sets of values, enabling additional or modified guidance.Well Child/Preventive CareNormative Statementsno
Req-987Summary forms for non-clinicians2013 FormatThe system SHOULD provide a summary of immunizations, screenings, measurements, physical exam findings, problems, medications, allergies via paper (e.g. "School/Camp Form" or other mechanism (e.g. electronically to non-clinical resources in need of clinical information regarding the child.Well Child/Preventive CareNormative Statementsno
Req-984Record age-appropriate Anticipatory Guidance2013 FormatThe system SHALL enable users to record age-appropriate anticipatory guidance as specified in an accepted source.Well Child/Preventive CareNormative Statementsno
Req-985Record Anticipatory Guidance independently2013 FormatThe system SHOULD record values for anticipatory guidance in a way that enables the history of provision of guidance to be retrieved (individually and collectively independent of other history, subject to practice preferences.Well Child/Preventive CareNormative Statementsno
Req-988Age-specific ROS2013 FormatIf Review of Systems (ROS is composed of structured data then it SHALL allow age-specific content.Well Child/Preventive CareNormative Statementsno
Req-979Record age-appropriate preventive procedures2013 FormatThe system SHALL enable users to record age-appropriate preventive procedures as specified in an accepted source.Well Child/Preventive CareNormative Statementsno
Req-976Record well-child data elements2013 FormatThe system MAY record values for an accepted list of well-child data elements through locally structured sets of values.Well Child/Preventive CareNormative Statementsno
Req-977Blood pressure norms2013 FormatThe system SHALL provide age-, gender-, and height-specific norms and percentiles for blood pressure measurements.Well Child/Preventive CareNormative Statementsyes
Req-980Record preventive procedures independently2013 FormatThe system SHALL record values for age-appropriate preventive procedures in a way that enables them to be retrieved independent of other history.Well Child/Preventive CareNormative Statementsno
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