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Req-103Care Management2013 Format
Care Management functions are those directly used by providers as they deliver patient care and create an electronic health record. The Record Management (Req-106 functions address the mechanics of creating a...
Care Management functions are those directly used by providers as they deliver patient care and create an electronic health record. The Record Management (Req-106 functions address the mechanics of creating a health record and concepts such as a single logical health record, managing patient demographics, and managing externally generated (including patient originated health data. Thereafter, The additional Care Management functions follow a fairly typical flow of patient care activities and corresponding data, starting with managing the patient history and progressing through consents, assessments, care plans, orders, results etc.

Integral to these care management activities is an underlying system foundation that maintains the privacy, security, and integrity of the captured health information - the information infrastructure of the EHR-S. Throughout the DC functions, conformance criteria formalize the relationships to Information Infrastructure functions. Criteria that apply to all Care Management functions are listed in this header (see Conformance Clause page six for discussion of "inherited" conformance criteria

In the Direct Care functions there are times when actions/activities related to "patients" are also applicable to the patient representative. Therefore, in this section, the term "patient" could refer to the patient and/or the patient's personal representative (e.g. guardian, surrogate
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Activity Clearance, Birth Information, Child Abuse Reporting, Child Welfare, Children with Special Healthcare Needs, EPSDT, Genetic information, Growth Data, Immunizations,...
Activity Clearance, Birth Information, Child Abuse Reporting, Child Welfare, Children with Special Healthcare Needs, EPSDT, Genetic information, Growth Data, Immunizations, Medication Management, Newborn Screening, Parents and Guardians and Family Relationship Data, Patient Identifier, Patient Portals - PHR, Prenatal Screening, Primary Care Management, Quality Measures, Registry Linkages, Security and Confidentiality, Special Terminology and Information, Specialized Scales/Scoring, Well Child/Preventive Care
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Req-106Record Management2013 Format
For those functions related to data capture, data may be captured using standardized code sets or nomenclature, depending on the nature of the data, or captured as unstructured data. Care-setting dependent data is entered by...
For those functions related to data capture, data may be captured using standardized code sets or nomenclature, depending on the nature of the data, or captured as unstructured data. Care-setting dependent data is entered by a variety of caregivers. Details of who entered data and when it was captured should be tracked. Data may also be captured from devices or other tele-health applications.
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Birth Information, Child Welfare, Genetic information, Growth Data, Immunizations, Parents and Guardians and Family Relationship Data, Patient Identifier, Patient Portals...
Birth Information, Child Welfare, Genetic information, Growth Data, Immunizations, Parents and Guardians and Family Relationship Data, Patient Identifier, Patient Portals - PHR, Prenatal Screening, Primary Care Management, Well Child/Preventive Care
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Req-107Standards Based Interoperability2013 Format
Provide automated health care delivery processes and seamless exchange of clinical, administrative, and financial information through standards-based solutions.
Interoperability standards enable an EHR-S to operate as a set of applications. This results in a unified...
Provide automated health care delivery processes and seamless exchange of clinical, administrative, and financial information through standards-based solutions.
Interoperability standards enable an EHR-S to operate as a set of applications. This results in a unified view of the system where the reality is that several disparate systems may be coming together.
Interoperability standards also enable the sharing of information between EHR systems, including the participation in regional, national, or international information exchanges.
Timely and efficient access to information and capture of information is promoted with minimal impact to the user.
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Immunizations, Prenatal Screening, Registry Linkages, School-Based LinkagesHeaderno
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-250Report Generation2013 Format
STATEMENT: Support the export of data or access to data necessary for report generation and ad hoc analysis.
DESCRIPTION: Providers and administrators need access to data in the EHR-S for the generation of both standard...
STATEMENT: Support the export of data or access to data necessary for report generation and ad hoc analysis.
DESCRIPTION: Providers and administrators need access to data in the EHR-S for the generation of both standard and ad hoc reports. These reports may be needed for clinical, administrative, and financial decision-making, as well as for patient use. Reports may be based on structured data and/or unstructured text from the patient's health record.
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Activity Clearance, Birth Information, EPSDT, Immunizations, Patient Identifier, Registry Linkages, Security and Confidentiality, Well Child/Preventive CareHeaderno
Req-253Manage Allergy, Intolerance and Adverse Reaction List2013 Format
STATEMENT: Create and maintain patient-specific allergy, intolerance and adverse reaction lists.
DESCRIPTION: Allergens, including immunizations, and substances are identified and coded (whenever possible and the list is captured and maintained over time. All pertinent dates,...
STATEMENT: Create and maintain patient-specific allergy, intolerance and adverse reaction lists.
DESCRIPTION: Allergens, including immunizations, and substances are identified and coded (whenever possible and the list is captured and maintained over time. All pertinent dates, including patient-reported events, are stored and the description of the patient allergy and adverse reaction is modifiable over time. The entire allergy history, including reaction, for any allergen is viewable. The list(s includes all reactions including those that are classifiable as a true allergy, intolerance, side effect or other adverse reaction to drug, dietary or environmental triggers. Notations indicating whether item is patient reported and/or provider verified are maintained.
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Child Welfare, Immunizations, Medication Management, Parents and Guardians and Family Relationship Data, Registry Linkages, Well Child/Preventive CareFunctionno
Req-257Manage Immunization Administration2013 Format
STATEMENT: Capture and maintain discrete data concerning immunizations given to a patient including date administered, type, manufacturer, lot number, and any allergic or adverse reactions. Facilitate the interaction with an immunization registry to allow maintenance...
STATEMENT: Capture and maintain discrete data concerning immunizations given to a patient including date administered, type, manufacturer, lot number, and any allergic or adverse reactions. Facilitate the interaction with an immunization registry to allow maintenance of a patient's immunization history.
DESCRIPTION: During an encounter, recommendations based on accepted immunization schedules are presented to the provider. Allergen and adverse reaction histories are checked prior to giving the immunization. If an immunization is administered, discrete data elements associated with the immunization including date, type, manufacturer and lot number are recorded. Any new adverse or allergic reactions are noted. If required, a report is made to the public health immunization registry.
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Activity Clearance, EPSDT, Immunizations, Registry LinkagesFunctionno
Req-258Manage Immunization List2013 Format
STATEMENT: Create and maintain patient-specific immunization lists.
DESCRIPTION: Immunization lists are managed over time, whether over the course of a visit or stay, or the lifetime of a patient. Details of immunizations administered are captured...
STATEMENT: Create and maintain patient-specific immunization lists.
DESCRIPTION: Immunization lists are managed over time, whether over the course of a visit or stay, or the lifetime of a patient. Details of immunizations administered are captured as discrete data elements including date, type, manufacturer and lot number. The entire immunization history is viewable.
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Activity Clearance, Immunizations, Medication ManagementFunctionno
Req-266Present Ad Hoc Views of the Health Record2013 Format
STATEMENT: Subject to jurisdictional laws and organizational policies related to privacy and confidentiality, present customized views and summarized information from a patient's comprehensive EHR. The view may be arranged chronologically, by problem, or other parameters,...
STATEMENT: Subject to jurisdictional laws and organizational policies related to privacy and confidentiality, present customized views and summarized information from a patient's comprehensive EHR. The view may be arranged chronologically, by problem, or other parameters, and may be filtered or sorted.
DESCRIPTION: A key feature of an electronic health record is its ability to support the delivery of care by enabling prior information to be found and meaningfully displayed. EHR systems should facilitate search, filtering, summarization, and presentation of available data needed for patient care. Systems should enable views to be customized, for example, specific data may be organized chronologically, by clinical category, or by consultant, depending on need. Jurisdictional laws and organizational policies that prohibit certain users from accessing certain patient information must be supported.
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Immunizations, Patient Portals - PHR, Primary Care Management, Well Child/Preventive CareFunctionno
Req-272Support for Patient Specific Dosing and Warnings2013 Format
STATEMENT: Identify and present appropriate dose recommendations based on known patient- conditions and characteristics at the time of medication ordering.
DESCRIPTION: The clinician is alerted to drug-condition interactions and patient specific contraindications and warnings e.g....
STATEMENT: Identify and present appropriate dose recommendations based on known patient- conditions and characteristics at the time of medication ordering.
DESCRIPTION: The clinician is alerted to drug-condition interactions and patient specific contraindications and warnings e.g. pregnancy, breast-feeding or occupational risks, hepatic or renal insufficiency. The preferences of the patient may also be presented e.g. reluctance to use an antibiotic. Additional patient parameters, such as age, gestation, height, weight, and body surface area (BSA shall also be incorporated.
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Immunizations, Medication ManagementFunctionno
Req-273Support for Medication and Immunization Administration2013 Format
STATEMENT: Alert providers to potential administration errors (such as wrong patient, wrong drug, wrong dose, wrong route and wrong time in support of safe and accurate medication administration and support medication administration workflow.
DESCRIPTION: To...
STATEMENT: Alert providers to potential administration errors (such as wrong patient, wrong drug, wrong dose, wrong route and wrong time in support of safe and accurate medication administration and support medication administration workflow.
DESCRIPTION: To reduce medication errors at the time of administration of a medication, the patient is positively identified; checks on the drug, the dose, the route and the time are facilitated. Documentation is a by-product of this checking; administration details and additional patient information, such as injection site, vital signs, and pain assessments, are captured.
Access to drug monograph information may be provided to allow providers to check details about a drug and enhance patient education. Workflow for medication administration is supported through prompts and reminders regarding the "window" for timely administration of medications.
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Immunizations, Medication Management, Registry LinkagesFunctionno
Req-277Registry Notification2013 Format
STATEMENT: Enable the automated transfer of formatted demographic and clinical information to and from local disease specific registries (and other notifiable registries for patient monitoring and subsequent epidemiological analysis.
DESCRIPTION: The user can export personal...
STATEMENT: Enable the automated transfer of formatted demographic and clinical information to and from local disease specific registries (and other notifiable registries for patient monitoring and subsequent epidemiological analysis.
DESCRIPTION: The user can export personal health information to disease specific registries, other notifiable registries such as immunization registries, through standard data transfer protocols or messages. The user can update and configure communication for new registries.
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Birth Information, Children with Special Healthcare Needs, Genetic information, Immunizations, Registry LinkagesFunctionno
Req-280Clinical Decision Support2013 FormatSystem supports Clinical Decision Support.
Activity Clearance, Children with Special Healthcare Needs, EPSDT, Growth Data, Immunizations, Medication Management, Newborn Screening, Patient Portals - PHR, Primary...
Activity Clearance, Children with Special Healthcare Needs, EPSDT, Growth Data, Immunizations, Medication Management, Newborn Screening, Patient Portals - PHR, Primary Care Management, Registry Linkages, Well Child/Preventive Care
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Req-281Documentation of Care, Measurements and Results2013 FormatSystem will document Care, Measurements and Results
Activity Clearance, Children with Special Healthcare Needs, EPSDT, Growth Data, Immunizations, Medication Management, Newborn Screening, Primary Care Management, Registry Linkages,...
Activity Clearance, Children with Special Healthcare Needs, EPSDT, Growth Data, Immunizations, Medication Management, Newborn Screening, Primary Care Management, Registry Linkages, Specialized Scales/Scoring, Well Child/Preventive Care
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Req-284Measurement, Analysis, Research and Reports2013 FormatSystem supports measurement, analysis, research and reports.
Activity Clearance, Birth Information, Children with Special Healthcare Needs, EPSDT, Growth Data, Immunizations, Patient Identifier, Primary Care Management, Quality Measures,...
Activity Clearance, Birth Information, Children with Special Healthcare Needs, EPSDT, Growth Data, Immunizations, Patient Identifier, Primary Care Management, Quality Measures, Registry Linkages, Security and Confidentiality, Well Child/Preventive Care
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Req-286Summary Lists2013 FormatSystems ability to capture summary lists.
Activity Clearance, Child Abuse Reporting, Child Welfare, Children with Special Healthcare Needs, Immunizations, Medication Management, Parents and Guardians and Family...
Activity Clearance, Child Abuse Reporting, Child Welfare, Children with Special Healthcare Needs, Immunizations, Medication Management, Parents and Guardians and Family Relationship Data, Registry Linkages, Well Child/Preventive Care
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Req-292Support for Medication and Immunization Ordering2013 FormatSystem supports Medication and Immunization Ordering.Immunizations, Medication ManagementHeaderno
Req-293Medication and Immunization Management2013 FormatSystem manages Medications and ImmunizationsImmunizations, Medication Management, Registry LinkagesHeaderno
Req-297Clinical Support2013 FormatSystem provides Clinical Support.
Birth Information, Children with Special Healthcare Needs, Genetic information, Immunizations, Parents and Guardians and Family Relationship Data, Registry Linkages, Well...
Birth Information, Children with Special Healthcare Needs, Genetic information, Immunizations, Parents and Guardians and Family Relationship Data, Registry Linkages, Well Child/Preventive Care
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Req-443Integrated immunizations reporting2013 FormatThe EHR SHOULD allow an integrated view of what immunizations are due or past due.ImmunizationsNormative Statementsno
Req-595Report adverse events2013 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.
Immunizations, Registry LinkagesNormative 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-600Report immunization history2013 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, ImmunizationsNormative Statementsno
Req-601Immunization consent status2013 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-608Immunizations based on risk factors2013 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-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-610Reporting immunization history2013 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, ImmunizationsNormative Statementsyes
Req-611Synchronize immunization histories with registry2013 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.
Immunizations, Registry LinkagesNormative Statementsyes
Req-612Update immunization schedule on demand2013 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-657Record vaccine refusal reasons2013 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-673Report summaries: hard copy and electronic2013 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.
Immunizations, Registry LinkagesNormative Statementsno
Req-690Recommend required immunizations per schedules2013 FormatThe system SHALL provide the ability to recommend required immunizations, and when they are due, during an encounter based on widely accepted immunization schedules.EPSDT, ImmunizationsNormative Statementsno
Req-694Registry and Directory Services2013 Format
STATEMENT: Enable the use of registry services and directories to uniquely identify, locate and supply links for retrieval of information related to:
- patients and providers for healthcare purposes;
- payers, health plans, sponsors, and...
STATEMENT: Enable the use of registry services and directories to uniquely identify, locate and supply links for retrieval of information related to:
- patients and providers for healthcare purposes;
- payers, health plans, sponsors, and employers for administrative and financial purposes;
- public health agencies for healthcare purposes, and
- healthcare resources and devices for resource management purposes.
DESCRIPTION: Registry and directory service functions are critical to successfully managing the security, interoperability, and the consistency of the health record data across an EHR-S. These services enable the linking of relevant information across multiple information sources within, or external to, an EHR-S for use within an application.
Directories and registries support communication between EHR Systems and may be organized hierarchically or in a federated fashion. For example, a patient being treated by a primary care physician for a chronic condition may become ill while out of town. The new provider's EHR-S interrogates a local, regional, or national registry to find the patient's previous records. From the primary care record, a remote EHR-S retrieves relevant information in conformance with applicable patient privacy and confidentiality rules.
An example of local registry usage is an EHR-S application sending a query message to the Hospital Information System to retrieve a patient's demographic data.
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Child Welfare, Children with Special Healthcare Needs, Growth Data, Immunizations, Registry Linkages, Well Child/Preventive CareFunctionno
Req-719Interchange Agreements2013 Format
STATEMENT: Support interactions with entity directories to determine the address, profile and data exchange requirements of known and/or potential partners.
Use the rules of interaction specified in the partner's interchange agreement when exchanging information.
DESCRIPTION:...
STATEMENT: Support interactions with entity directories to determine the address, profile and data exchange requirements of known and/or potential partners.
Use the rules of interaction specified in the partner's interchange agreement when exchanging information.
DESCRIPTION: Systems that wish to communicate with each other, must agree on the parameters associated with that information exchange. Interchange Agreements allow an EHR-S to describe those parameters/criteria.
An EHR-S can use the entity registries to determine the security, addressing, and reliability requirements between partners.
An EHR-S can use this information to define how data will be exchanged between the sender and the receiver.
Discovery of interchange services and capabilities can be automatic.
For example:
- A new application can automatically determine a patient demographics source using a Universal Description and Discovery Integration (UDDI for source discovery, and retrieve the Web Services Description Language (WSDL specification for binding details.
- Good Health Hospital is a member of AnyCounty LabNet, for sharing laboratory results with other partners. Good Health Hospital periodically queries LabNet's directory (UDDI to determine if additional information providers have joined LabNet. When new information providers are discovered, the Good Health IT establishes the appropriate service connections based upon the Service Description (WSDL
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ImmunizationsFunctionno
Req-772Interchange Standards Versioning and Maintenance2013 Format
STATEMENT: Enable version control according to local policies to ensure maintenance of utilized interchange standards.
Version control of an interchange standard implementation includes the ability to accommodate changes as the source interchange standard undergoes its...
STATEMENT: Enable version control according to local policies to ensure maintenance of utilized interchange standards.
Version control of an interchange standard implementation includes the ability to accommodate changes as the source interchange standard undergoes its natural update process.

DESCRIPTION:
The life cycle of any given standard results in changes to its requirements. It is critical that an organization know the version of any given standard it uses and what its requirements and capabilities are.

For example, if the organization migrates to an HL7 v2.5 messaging standard, it may choose to take advantage of new capabilities such as specimen or blood bank information. The organization may find that certain fields have been retained for backwards compatibility only or withdrawn altogether. The EHR-S needs to be able to handle all of these possibilities.

Standards typically evolve in such a way as to protect backwards compatibility. On the other hand, sometimes there is little, or no, backwards compatibility when an organization may need to replace an entire standard with a new methodology. An example of this is migrating from HL7 v2 to HL7 v3.

Interchange standards that are backward compatible support exchange among senders and receivers who are using different versions. Version control ensures that those sending information in a later version of a standard consider the difference in information content that can be interchanged effectively with receivers, who are capable of processing only earlier versions. That is, senders need to be aware of the information that receivers are unable to capture and adjust their business processes accordingly.
Version control enables multiple versions of the same interchange standard to exist and be distinctly recognized over time.
Since interchange standards are usually periodically updated, concurrent use of different versions may be required.
Large (and/or federated organizations typically need to use different versions of an interchange standard to meet internal organizational interoperability requirements.
For example, the enterprise-wide standard might use HL7 v2.5 for Lab messages, but some regions of the enterprise might be at a lower level.
It should be possible to retire deprecated interchange standards versions when applicable business cycles are completed while maintaining obsolete versions. An example use of this is for possible claims adjustment throughout the claim's life cycle.
When interchange standards change over time, it is important that retrospective analysis and research correlate and note gaps between the different versions' information structures to support the permanence of concepts over time. An example use of this is the calculation of outcome or performance measures from persisted data stores where one version of a relevant interchange standard, e.g., CDA Release 1 captures the relevant data, e.g., discharge data, differently than CDA Release 2.
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Immunizations, Registry LinkagesFunctionno
Req-781Information View2013 Format
STATEMENT: Support user-defined information views.

DESCRIPTION: Views of the information can be tailored for or by the user (or department or "job classification" for their presentation preferences, within local or facility established rules. For...
STATEMENT: Support user-defined information views.

DESCRIPTION: Views of the information can be tailored for or by the user (or department or "job classification" for their presentation preferences, within local or facility established rules. For example, a nursing supervisor may elect or prefer to see summary data on all patients as the default view.
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Immunizations, Well Child/Preventive CareFunctionno
Req-1063Support the population of patient registries based on specific data2013 FormatThe system SHALL support the population of patient registries based on specific demographic information (including age clinical findings, diagnoses, medications, and financial/payor criteria.Children with Special Healthcare Needs, Genetic information, ImmunizationsNormative Statementsno
Req-1097Patient and Caregiver Views2013 FormatThe child's clinical information should be accessible by the child, parents, guardians, caregivers and other consumers to enable assessment of compliance with school or leisure activity requirements. In addition, it should be usable by caregivers to assure care appropriateness and quality.Immunizations, Patient Portals - PHRFunctionno
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-1104Immunization procurement and inventory management2013 FormatImmunization procurement and inventory managementImmunizationsHeaderno
Req-1105Link vaccine doses to specific patients2013 FormatLink vaccine doses to specific patientsImmunizationsFunctionno
Req-1106Link vaccine dose to patient record2013 FormatThe system SHOULD provide the ability to link each individual vaccine dose/identifier to a specific patient record by patient ID, prescribing provider, planned date of administration, patient insurance , and vaccine identifiers, including type (antigen combination brand, lot number, and dose number.ImmunizationsNormative Statementsno
Req-1107Alert for identical vaccine dose order2013 FormatIF a vaccine dose/identifier is linked to a specific patient record AND a provider orders/prescribes that dose for a different patient, THEN the system SHALL notify the prescriber for order cancellation or override/documentation.ImmunizationsNormative Statementsno
Req-1108Capture and document overrides of immunization notifications2013 Format
IF a provider overrides an immunization notification THEN the system MAY prompt the prescriber for documentation and attestation supporting the override, comprised of: a vaccine dose identifiers, b the patient for whom the dose was...
IF a provider overrides an immunization notification THEN the system MAY prompt the prescriber for documentation and attestation supporting the override, comprised of: a vaccine dose identifiers, b the patient for whom the dose was originally intended, c the patient who received the dose, d the current prescriber (if different from the original provider ordering the dose e the reason for the override and f signature.
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ImmunizationsNormative Statementsno
Req-1109Manage immunization inventory2013 FormatManage immunization inventoryImmunizationsFunctionno
Req-1110Predict practice-level immunization needs2013 FormatThe system MAY provide the ability to estimate/determine the number of types and doses of immunizations that will be required by a practice over a given period of time going forward (1 month, 3 months, etc. based on patient lists and demographics.ImmunizationsNormative Statementsno
Req-1111Link patient record to immunization inventory2013 FormatThe system SHOULD provide the ability to link to a vaccine inventory (formulary for information about (immediately available vaccine doses (including brands, products, number of doses, dates of acquisition, and dates of expirationImmunizationsNormative Statementsno
Req-1112Update immunization inventory on vaccine dose administration2013 FormatIF the system links to a vaccine inventory (formulary THEN the system SHOULD update the inventory/formulary when a vaccine dose is administered and documented.ImmunizationsNormative Statementsno
Req-1113Capture vaccine administration data from multiple input tools2013 FormatThe system SHOULD provide the ability to capture vaccine administration data from multiple input tools such as keyboard, bar-coding and radio-frequency identification devices.ImmunizationsNormative Statementsno
Req-1114Integrate vaccine administration with other systems2013 FormatThe system MAY integrate vaccine dose administration with vaccine/medication management systems and practice management/billing systems.Immunizations, Medication ManagementNormative Statementsno
Req-1115EHR communication with medication management system2013 FormatIF vaccines doses are managed by a vaccine/medication management system, THEN the EHR system SHOULD exchange standard messages with the medication management system.Immunizations, Medication ManagementNormative Statementsno
Req-1116Vaccine administration messages to billing system2013 FormatThe system SHOULD send standard messages to the practice management/billing system that include vaccine-specific administration codes.Immunizations, Medication ManagementNormative Statementsno
Req-1117Support for immunization information output management2013 FormatSupport for immunization information output managementImmunizations, Well Child/Preventive CareFunctionno
Req-1118Manage immunization data for quality measures2013 FormatThe system SHALL provide the ability to manage (search, retrieve, display, sort/filter, calculate immunization data to determine immunization rates (and other quality measures for practices and subsets (by provider, by care group, by patient population, age groups, etc.ImmunizationsNormative Statementsno
Req-1119Multiple views of the immunization record2013 FormatThe system SHOULD provide the ability to display different views of a patient's immunization records, allowing users to specify data fields in the view.ImmunizationsNormative Statementsno
Req-1120Specify standard views of immunization information2013 FormatThe system SHOULD provide the ability to specify standard views of patient immunization information for each vaccine dose administration. These SHOULD be able to include patient-specific data, such as patient age on dates of administration, and SHOULD support templates, such as brief (card view and detailed (all information views.ImmunizationsNormative Statementsno
Req-1121Annotate immunization record2013 FormatThe system SHOULD provide the ability to annotate a patient immunization record.ImmunizationsNormative Statementsno
Req-1122Produce completed forms from EHR data2013 FormatThe system SHOULD produce paper and electronic forms (e.g. for camp, school, or child care and complete them with information from the patient record (both examination and immunization recordImmunizations, Well Child/Preventive CareNormative 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-1124Support for ordering immunizations2013 FormatSupport for ordering immunizationsImmunizationsFunctionno
Req-1125Disseminate immunization news to prescribers2013 FormatThe system SHOULD provide the ability to capture and disseminate just-in-time news about vaccine shortages and recalls to prescribers at the point of ordering/prescribing. The news can come from regulatory agencies, supply chain stakeholders and institutional/practice administrators.ImmunizationsNormative Statementsno
Req-1126Timely decision support when ordering vaccines2013 Format
The system SHALL enable timely decision support (recommendations for specific antigens when ordering vaccine dose(s for an individual patient, based on a current child health immunization schedules, which may include the patient's immunization history (age,...
The system SHALL enable timely decision support (recommendations for specific antigens when ordering vaccine dose(s for an individual patient, based on a current child health immunization schedules, which may include the patient's immunization history (age, vaccines received, including date of last previous vaccination b the patient's demographics (date of birth and clinical history (current weight, allergies, medications, problem lists, and laboratory test results including contraindications to vaccine components, and c an entered date (default date is the time the vaccine is ordered, i.e. Now
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ImmunizationsNormative Statementsyes
Req-1127Show available dose options for recommended antigens2013 FormatThe system SHOULD provide the ability to display vaccine dose (brand/product/price options for recommended antigens, including combination vaccines given a patient's immunization history and demographic and clinical data.ImmunizationsNormative 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-1129Immunity data as vaccine contraindication2013 FormatThe system SHALL provide the ability to link to historical and/or laboratory data that documents a patient's immunity as a contraindication to ordering/administering a vaccine dose.ImmunizationsNormative Statementsno
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-1131Vaccine reminders2013 FormatThe system MAY provide the ability to link to (and display vaccine dose reminders from recognized health maintenance standards.ImmunizationsNormative Statementsno
Req-1132Identify patients underinsured for immunizations2013 FormatThe system SHOULD provide the ability to identify patients who are uninsured or underinsured for immunizations, such as those that are eligible for Vaccines for Children (VFC and S-CHIP/Medicaid.ImmunizationsNormative Statementsno
Req-1133Document reason for non-vaccination2013 FormatThe system SHALL provide the ability to document reasons for non-vaccination that MAY include: the prescriber, the patient, and the reason the vaccine dose was not given.ImmunizationsNormative Statementsno
Req-1134Transmit data on vaccine refusals to IIS2013 FormatThe system SHALL provide the ability to transmit data on vaccine refusals to Immunization Information Systems (IISs using an established and agreed upon messaging standard.Immunizations, Registry LinkagesNormative Statementsno
Req-1135Alert for ordered immunizations not forecasted2013 FormatIF a vaccine dose order is not indicated in the immunization forecast for a patient, THEN the system SHALL provide an alert to the provider ordering the dose and to the nurse administering the dose.ImmunizationsNormative 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-1137Printed Vaccine Information Statement Sheet2013 FormatThe system SHALL provide the ability to produce official paper Vaccine Information Statement Sheets as required by Federal Law to be given to caregivers or patients at the point and time of vaccine administration.ImmunizationsNormative Statementsno
Req-1139Use established immunization messaging standards2013 FormatThe system SHALL provide the ability to use established and agreed upon messaging standards to transmit and receive data from Immunization Information Systems (IISs and other Health Information Exchanges (HIEsImmunizations, Registry LinkagesNormative Statementsno
Req-1140Send real-time queries on patients to IIS2013 FormatThe system SHALL provide the ability to send standard queries in real-time for immunization data regarding individual patients to Immunization Information Systems (IISsImmunizations, Registry LinkagesNormative Statementsno
Req-1141Access to registries2013 FormatThe system SHOULD provide the ability to add, change, or remove access to registriesImmunizations, Registry LinkagesNormative Statementsno
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-1145Report adverse immunization events per legal requirements2013 FormatIF the system has the capacity to prepare reports of patient adverse events due to immunizations, THEN the system SHALL prepare the report according to the requirements of local, state and federal agencies as specified by law.Immunizations, Registry LinkagesNormative Statementsno
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-1148Immunization prompts for patients weighing less than 2 kg2013 FormatIF the patient's weight is below 2 kg, THEN the system SHALL provide the ability to generate a prompt for the immunization prescriber.
ImmunizationsNormative Statementsno
Req-1196Registry support for alerts2013 FormatThe system MAY access registry information (e.g. date of immunization, demographics of subject, name of vaccine to issue alerts within the EHR for specific patient cases.Immunizations, Registry LinkagesNormative Statementsno
Req-2011Synchronize immunization histories with registry2015 Priority List
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Immunizations, Registry LinkagesNormative Statementyes
Req-2027Produce completed forms from EHR data2015 Priority List
The system shall produce reports (e.g., for camp, school, or child care of a child's immunization history, including the following elements: child's name, date of birth and sex, date the report was produced, antigen administered,...
The system shall produce reports (e.g., for camp, school, or child care of a child's immunization history, including the following elements: child's name, date of birth and sex, date the report was produced, antigen administered, date administered, route of administration (when available and an indication of whether a vaccine was refused or contraindicated.
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Immunizations, Well Child/Preventive CareNormative Statementyes
Req-2028Use established immunization messaging standards2015 Priority List
A The system shall use the messaging standards established through Meaningful Use requirements to send data to Immunization Information Systems (IISs or other Health Information Exchanges (HIEs
B The system shall use the messaging standards...
A The system shall use the messaging standards established through Meaningful Use requirements to send data to Immunization Information Systems (IISs or other Health Information Exchanges (HIEs
B The system shall use the messaging standards established through Meaningful Use requirements to receive data from Immunization Information Systems (IISs or other Health Information Exchanges (HIEs
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Immunizations, Registry LinkagesNormative Statementyes
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