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Req-93Birth date format2013 FormatThe system SHALL record Birth Date (MM:DD:YYYYBirth InformationNormative Statementsno
Req-95Link maternal and birth data to child health record2013 FormatThe system SHALL provide for the linking or recording of maternal and birth data to the child health record. Examples: maternal social history, maternal prenatal results, and gravida/para (GPBirth InformationNormative Statementsno
Req-94Birth order: familial rank2013 FormatThe system SHOULD have the ability to record Birth Order (Familial RankBirth Information, Patient IdentifierNormative Statementsno
Req-89Prompts for local neonatal screening2013 FormatThe system SHALL have the ability to prompt the care provider to perform all locally required neonatal screening tests.Newborn ScreeningNormative Statementsno
Req-90Neonatal screening education2013 FormatThe system SHOULD provide prompting, documentation of teaching, and education materials about neonatal screening for parents and guardians.Newborn ScreeningNormative 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-98Prompts for safety interventions2013 FormatThe system SHOULD prompt the care provider to recommend specific safety interventions such as warm-up exercises and or equipment based on sport or activity.Activity ClearanceNormative Statementsno
Req-99Nutritional status analysis2013 FormatThe system SHOULD allow for nutritional status analysis during activity clearance examinations.Activity ClearanceNormative Statementsno
Req-96Storage of completed clearance forms2013 FormatThe system SHALL provide for the storage of completed clearance forms for individual patients from various agencies, e.g., School District or youth organizations.Activity ClearanceNormative Statementsno
Req-97Sport/Activity-specific exams2013 Format
The system SHALL allow for sport- or activity-specific examinations as outlined by groups such as the American Heart Association (AHA American Academy of Pediatrics (AAP and American Medical Association (AMA For example, supporting the inclusion...
The system SHALL allow for sport- or activity-specific examinations as outlined by groups such as the American Heart Association (AHA American Academy of Pediatrics (AAP and American Medical Association (AMA For example, supporting the inclusion of an EKG for participants in contact sports such as football. These data SHOULD be stored as distinct data elements.
AAP Preparticipation Physical Evaluation: http://www.aap.org/sections/sportsmedicine/PPEAbout.cfm Exit Disclaimer
AHA Recommendations for Physical Activity and Recreational Sports Participation for Young Patients With Genetic Cardiovascular Diseases: http://circ.ahajournals.org/content/109/22/2807.full#sec-10 Exit Disclaimer
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Activity ClearanceNormative Statementsno
Req-110Capture patient vital signs2013 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 Statementsyes
Req-111Statistics for growth 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-119Documentation for patient educational material2013 FormatThe system SHALL provide the ability to document that the educational material was reviewed with the patient and/or patient representative and their comprehension of the material.Growth DataNormative Statementsno
Req-118Support for growth data assessment and planning2013 FormatThe system SHOULD provide access to display and print accepted anthropometry procedure standards/training; provider/layperson growth chart interpretation guides; and related disease management guidelines.Growth DataNormative Statementsno
Req-117Calculate growth velocity2013 FormatThe system SHOULD calculate growth velocity between two points on the growth chart selected by the user.Growth DataNormative Statementsno
Req-116Select growth data reference standards2013 FormatThe system SHALL allow user selection of appropriate reference standards (e.g. CDC, WHO, Down's, or Turner's Syndrome display corresponding growth reference percentile curves/calculations, and denote the growth reference used in calculation and display.Growth DataNormative Statementsyes
Req-115Childhood obesity statistics2013 FormatSystem MAY store and display waist circumference and hip circumference and calculate/display waist to hip ratio in patients identified with obesity or cardiovascular risk.Growth DataNormative Statementsno
Req-113Indicate information collected at Point of Care2013 FormatThe system SHOULD indicate point of care of collected measures and/or allow filtering of values by point(s of care.Growth DataNormative Statementsno
Req-112Normative values for growth chart data2013 FormatThe system SHOULD calculate and display average weight for age, average height for age, and ideal/target weight for height (e.g. Waterlow methodGrowth DataNormative Statementsno
Req-121View new data on growth chart before confirming2013 FormatUser MAY be able to view values being entered plotted on growth chart prior committing to system.Growth DataNormative Statementsno
Req-120Immediate alerts for abnormal growth values2013 FormatThe system SHALL support alerting at the time of value entry for values outside of the probable range and heights less than previous measures.Growth DataNormative Statementsno
Req-443Integrated immunizations reporting2013 FormatThe EHR SHOULD allow an integrated view of what immunizations are due or past due.ImmunizationsNormative Statementsno
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-426Provide unit conversions calculation and display during data entry and display2013 FormatThe system SHALL provide unit conversions calculation and display during data entry and display (e.g. lbs/kgGrowth DataNormative Statementsno
Req-429Screening tool status2013 FormatThe system SHALL capture the administration, completion, and evaluation of screening tools.Well Child/Preventive CareNormative Statementsno
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-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-461Support the addition or exclusion of patients from registries by authorized users2013 FormatThe system SHOULD support the addition or exclusion of patients from registries by authorized users and capture addition or exclusion criteria.Children with Special Healthcare NeedsNormative 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-457Support the capture of coded pediatric functional health status measures2013 FormatThe system SHALL support the capture of coded pediatric functional health status measures (e.g. ADHDChildren with Special Healthcare NeedsNormative Statementsno
Req-456Support the capture of coded age based, disease specific measures2013 FormatThe system SHALL support the capture of coded age based, disease specific measures used in the characterization and/or categorization of disease severity (e.g. Asthma: National Heart Lung and Blood Institute Asthma Severity Tool; depression; ADHDChildren with Special Healthcare NeedsNormative 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-506Capture both presence and absence of conditions in history2013 FormatThe system SHALL provide the ability to capture patient history as both a presence and absence of conditions, i.e., the specification of the absence of a personal or family history of a specific diagnosis, procedure or health risk behavior.Parents and Guardians and Family Relationship Data, Primary Care ManagementNormative Statementsno
Req-507Import / export data with Surgeon General’s Family Health History Tool2013 Format
The system MAY import and export a family health history from and to the Surgeon General's Family Health History Tool using the HITSP IS08 / C90 Clinical Genomics Decision Support Tool based on the HL7...
The system MAY import and export a family health history from and to the Surgeon General's Family Health History Tool using the HITSP IS08 / C90 Clinical Genomics Decision Support Tool based on the HL7 v3 clinical genomics model with data mapping to the family history section of the HITSP C83 CCD content module for family history.
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Genetic information, Parents and Guardians and Family Relationship Data, Primary Care Management, Well Child/Preventive CareNormative Statementsno
Req-489Support interoperability between various systems2013 FormatThe system MAY be interoperable between the juvenile justice system, medical facilities, probation department, schools, and each state's human services agency.Parents and Guardians and Family Relationship DataNormative Statementsno
Req-488Incorporate scale and score tools2013 FormatThe system SHOULD incorporate scale and score tools that can often be quickly performed and easily recalled, especially in critical care areas.Specialized Scales/ScoringNormative Statementsno
Req-485Incorporate scanned documents2013 FormatThe system SHALL provide the ability to incorporate and index scanned documents from internal and external providers or agencies into the patient record.Primary Care ManagementNormative Statementsno
Req-484Document communication with providers or agencies2013 FormatThe system SHALL provide the ability to document in the patient record verbal/telephone communication with providers or agencies whether internal or external to the organization.Child Welfare, Primary Care ManagementNormative 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-481Capture and communicate referrals2013 FormatThe system SHALL provide the ability to capture and communicate referral(s to other care provider (s or agencies, whether internal or external to the organization.Primary Care ManagementNormative 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-483Transmit data with referral2013 FormatThe system SHOULD allow clinical and administrative data, and test and procedure results to be transmitted with or following a referral.Primary Care ManagementNormative Statementsno
Req-550Support patient consent requirements based on law2013 FormatThe system SHOULD determine the need for minor patient consent based on determination of age of majority based on jurisdictional law.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-546Support ability to export data for non-interfaced registries2013 FormatThe system SHALL provide user controlled export features such as protected text or data files for registries that can't or won't accept interfaced or service fed data.Registry LinkagesNormative Statementsno
Req-547Support the tracking of the release of information to outside registries through linkage mechanisms2013 Format
The system SHALL provide data elements that support the tracking of the release of information to outside registries through linkage mechanisms. Release tracking must cascade to the patient level (X patient's data linked to Y...
The system SHALL provide data elements that support the tracking of the release of information to outside registries through linkage mechanisms. Release tracking must cascade to the patient level (X patient's data linked to Y registry. Data elements: Releasing System, Receiving System, Date and Time of Release, Releasing Agent, Reason for Release, Trust Relationship, Release Mechanism.
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Registry 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-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-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
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