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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.

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Req-1233Multiple units of measurement2013 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.
Medication Management, Well Child/Preventive CareNormative Statementsno
Req-542Multiple terminology versioning2013 FormatThe system SHALL provide the ability to use different versions of terminology standards, (e.g. a child-specific version, when it existsSpecial Terminology and InformationNormative Statementsno
Req-1245Multiple and flexible models of consent2013 FormatMultiple and flexible models of consentSecurity and ConfidentialityFunctionno
Req-662Multilingual educational material2013 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-973Monitor compliance with recommended periodicity of visits2013 FormatThe system SHALL monitor and report on compliance with the recommended locally adopted periodicity of visits and be able to identify individuals who have not attended recommended health supervision visits.Well Child/Preventive CareNormative Statementsyes
Req-1026Modified Glasgow Coma Scale2013 Format
The system SHALL support the Modified Glasgow Coma Scale for infants.
REF: Davis RJ et al: Head and spinal cord injury. In Textbook of Pediatric Intensive Care, edited by MC Rogers. Baltimore, Williams & Wilkins,...
The system SHALL support the Modified Glasgow Coma Scale for infants.
REF: Davis RJ et al: Head and spinal cord injury. In Textbook of Pediatric Intensive Care, edited by MC Rogers. Baltimore, Williams & Wilkins, 1987; James H, Anas N, Perkin RM: Brain Insults in Infants and Children. New York, Grune & Stratton, 1985; and Morray JP et al: Coma scale for use in brain-injured children. Critical Care Medicine 12:1018, 1984.
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Specialized Scales/ScoringNormative Statementsno
Req-1024Modified Bell Staging Criteria2013 FormatThe system SHALL support the Modified Bell Staging Criteria for necrotizing enterocolitis.Specialized Scales/ScoringNormative Statementsno
Req-1068Minimum required data in summary2013 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-1266Milestone Questionnaires2013 FormatDecision support for age-appropriate administration of milestone questionnaires.Well Child/Preventive CareFunctionno
Req-624Mid-parental height2013 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-1191Mental health, learning, and developmental history2013 FormatThe system SHALL provide the ability to retrieve, capture, store, and display information regarding the child's developmental stage, learning barriers, mental health history, and current therapy related to development, learning, or mental health/substance abuse (e.g., speech therapy, cognitive therapy, and antidepressantsChild Abuse Reporting, EPSDT, Well Child/Preventive CareNormative Statementsno
Req-926Medication use during pregnancy2013 FormatPrescribed medications taken during pregnancy or near the time of birth are important for the care of a newborn infant.Birth InformationFunctionno
Req-293Medication and Immunization Management2013 FormatSystem manages Medications and ImmunizationsImmunizations, Medication Management, Registry LinkagesHeaderno
Req-686Medication administration details2013 FormatThe system SHALL provide the ability to capture all pertinent details of the medication administration including medication name, strength, dose, route, time of administration, exceptions to administration, and administrator of the medication.Medication ManagementNormative Statementsno
Req-1230Medicaid case number2013 FormatThe system SHALL have the ability to store, retrieve, and display information about the child's Medicaid case number.Child WelfareNormative Statementsno
Req-523Measures to verify identity of parent/guardian2013 FormatThe system SHOULD incorporate measures that confirm/verify the identity of the parent/s or guardian/s and their relationship to a child.Patient Portals - PHRNormative Statementsno
Req-577Measurement, Monitoring, and Analysis2013 FormatSTATEMENT: Support measurement and monitoring of care for relevant purposesChildren with Special Healthcare Needs, Growth Data, Primary Care Management, Quality Measures, Well Child/Preventive CareHeaderno
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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Headerno
Req-852Measure length/height precisely2013 FormatThe system SHALL record length/height at least to the half centimeter, or quarter inch, based on user preference, whether the measure was length or height, and record the date of measure.Growth Data, Well Child/Preventive CareNormative Statementsno
Req-1243Maximum pediatric daily dose2013 FormatIF the maximum daily dose or maximum pediatric daily dose is known, then the system SHALL apply the lesser of the two in dosing decision support.Medication ManagementNormative Statementsno
Req-1049Maxfield-Buchholz Social Maturity Scale2013 FormatThe system SHALL support the Maxfield-Buchholz Social Maturity Scale for Blind Pre-school children.Specialized Scales/ScoringNormative Statementsno
Req-917Maternal substance abuse and social history2013 FormatMaternal social history and history of substance abuse can have a dramatic impact on the care of a newborn infant.Birth InformationFunctionno
Req-909Maternal sickle cell status2013 FormatThe system SHALL record maternal sickle cell status as HbSS, HbSC, HbS-Thal, Negative or Unknown.Birth InformationNormative Statementsno
Req-908Maternal rubella status2013 FormatThe system SHALL record maternal rubella status as Immune, Non-Immune or Unknown.Birth InformationNormative Statementsno
Req-1155Maternal infections that impact the newborn2013 FormatThe system SHALL capture other maternal infections that can affect the newborn in a manner consistent with standard coding (e.g., SNOMED-CT into the child's chart.Prenatal ScreeningNormative Statementsno
Req-910Maternal hepatitis B status2013 FormatThe system SHALL record maternal hepatitis B status as Positive, Negative, Unknown or Pending.Birth InformationNormative Statementsno
Req-914Maternal gonorrhea status2013 FormatThe system SHALL record maternal gonorrhea status as Positive, Negative, Unknown, or Pending.Birth InformationNormative Statementsno
Req-925Maternal drug screening results2013 FormatThe system SHALL record drug screening results including drug tested and results (Positive, Negative, or UnknownBirth InformationNormative Statementsno
Req-915Maternal chlamydia status2013 FormatThe system SHALL record maternal chlamydia Status as Positive, Negative, Unknown or Pending.Birth InformationNormative Statementsno
Req-906Maternal blood type2013 FormatThe system SHALL record maternal blood type.Birth InformationNormative Statementsno
Req-1156Maternal blood type2013 FormatThe system SHALL capture maternal blood type including Rh factor in a manner consistent with standard coding (e.g., SNOMED-CT into the child's chart.Prenatal ScreeningNormative Statementsno
Req-907Maternal antibody status2013 FormatThe system SHALL record maternal antibody status.Birth InformationNormative Statementsno
Req-911Maternal VDRL status2013 FormatThe system SHALL record maternal syphilis status as Positive, Negative, Unknown or Pending.Birth InformationNormative Statementsno
Req-912Maternal HIV status2013 FormatThe system SHALL record maternal HIV status as Positive, Negative, Unknown or Pending.Birth InformationNormative Statementsno
Req-1154Maternal Group B strep status2013 FormatThe system SHALL capture maternal Group B strep status and prophylaxis according to current guidelines from the CDC into the child's chart.Prenatal ScreeningNormative Statementsno
Req-905Maternal GPAL2013 FormatThe system SHALL record maternal Gravida / Para / Abortus status / Living Children (GPALBirth InformationNormative Statementsno
Req-913Maternal GBS status2013 FormatThe system SHALL record maternal Group B streptococcus (GBS status as Positive, Negative, Unknown, or Pending.Birth InformationNormative Statementsno
Req-904Maternal Data and Labs2013 FormatMaternal laboratory data and serologies are critical to the care of a newborn infant.Birth InformationFunctionno
Req-665Mask selected EHR 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.
Security and ConfidentialityNormative Statementsyes
Req-1151Manually import maternal data into patient history2013 FormatWhen electronic access to the mother's data is not possible, the system SHOULD enable incorporation of selected maternal prenatal and perinatal data by manual entry into the child's record; such data SHALL be treated as patient history information and designated as maternal.Prenatal ScreeningNormative Statementsno
Req-1178Manage roles and permissions for child abuse data2013 FormatThe system SHOULD provide the ability to define and manage roles and permissions to access specific sections of the system with role-based access including, but not limited to, access to child abuse data by child welfare agents and physicians.Child Abuse ReportingNormative Statementsno
Req-1257Manage results of questionnaires2013 FormatThe system SHALL have the ability to send, score, and support the results of questionnaires in a variety of formats, including web-based, paper, and telephone-based.Well Child/Preventive CareNormative Statementsno
Req-1207Manage progress summaries, assessments, and service plans2013 FormatThe system SHOULD retrieve, capture, store, and display a child's progress summaries, assessments, and service plans.Child Welfare, Parents and Guardians and Family Relationship Data, Well Child/Preventive CareNormative Statementsno
Req-1058Manage language preferences2013 FormatThe system SHALL capture the child's preferred language, including sign language (separately from that of the parent/caregiver and whether an interpreter is necessary.Children with Special Healthcare NeedsNormative Statementsno
Req-1109Manage immunization inventory2013 FormatManage immunization inventoryImmunizationsFunctionno
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-1009Manage data associated with breast milk products2013 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-1211Manage child’s health history2013 FormatThe system SHALL provide the ability to access, capture, store, display, and manage a child's health history including medication lists, medication allergies, adverse reactions, and immunizations.Child Welfare, Parents and Guardians and Family Relationship Data, 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-264Manage Results2013 Format
STATEMENT: Present, annotate, and route current and historical test results to appropriate providers or patients for review. Provide the ability to filter and compare results.
DESCRIPTION: Results of tests are presented in an easily accessible...
STATEMENT: Present, annotate, and route current and historical test results to appropriate providers or patients for review. Provide the ability to filter and compare results.
DESCRIPTION: Results of tests are presented in an easily accessible manner to the appropriate providers. Flow sheets, graphs, or other tools allow care providers to view or uncover trends in test data over time. In addition to making results viewable, it is often necessary to send results to appropriate providers using electronic messaging systems, pagers, or other mechanisms. Documentation of notification is accommodated. Results may also be routed to patients electronically or by letter.
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Primary Care ManagementFunctionno
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