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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-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
Req-271Support for Research Protocols Relative to Individual Patient Care2013 FormatSTATEMENT: Provide support for the management of patients enrolled in research protocols.
DESCRIPTION: The clinician is presented with appropriate protocols for patients participating in research studies, and is supported in the management and tracking of study participants.
Primary Care ManagementFunctionno
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-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-614Acknowledge receipt of new results2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Primary Care ManagementNormative Statementsno
Req-613New results notification2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Primary Care ManagementNormative Statementsno
Req-644Clinical data for research study participants2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Primary Care ManagementNormative Statementsno
Req-798Referral completion capture2013 FormatThe system SHOULD provide the ability to capture completion of a referral appointment.Primary Care ManagementNormative Statementsno
Req-1165Transition of self care from pediatric to adult care2013 FormatThe system SHOULD support transition of care from pediatric to adult care in regards to self-care management and care planning.Primary Care ManagementNormative Statementsno
Req-1167National guidelines for disease-specific management2013 FormatThe system SHOULD incorporate national guidelines for disease-specific management and allow update, e.g. for shared-decision-making (SDM national guidelines for patients with attention deficit hyperactive disorder (ADHD and asthma diagnosis and management for pediatric patients.Primary Care ManagementNormative Statementsno
Req-1166Clinical decision support tools2013 FormatThe system SHOULD incorporate clinical decision support tools and utilities that support severity assessment and mortality prediction, a minimum data set, standardized terminology, and validated indicators for such common chronic diseases as asthma.Primary Care ManagementNormative Statementsno
Req-1168Age-specific protocols2013 FormatThe system SHOULD provide for the management and inclusion of protocols that can be differentiated and implemented based on patient age. For example, fever work-up for patients less than 28 days old, vs. fever work-up for patients greater than 28 days old but less than 90 days old.Primary Care ManagementNormative Statementsno
Req-1169Transition of care coordination from pediatric to adult care2013 FormatThe system SHOULD support transition of care from pediatric to adult care in regards to coordination of care.Primary Care ManagementNormative Statementsno
Req-1170Chronic disease and age-specific educational materials2013 FormatThe system SHOULD incorporate chronic disease and age-specific educational materials, for example diabetes and asthma.Primary Care ManagementNormative Statementsno
Req-1171Document acute primary care education2013 FormatThe system SHOULD provide the ability to document that acute primary care education was provided to parents, guardian, patient, or other caregivers.Primary Care ManagementNormative Statementsno
Req-1172Age-based educational cues2013 FormatThe system SHOULD provide age-based educational cues for healthcare providers and patients. For example, the system MAY implement age-based educational materials provided by the American Academy of Pediatrics' Bright Futures toolkit.Primary Care ManagementNormative Statementsno
Req-1173Patient education at transition to adult care2013 FormatThe system SHOULD support patient education that occurs at the transition of care from pediatric to adult care.Primary Care ManagementNormative Statementsno
Req-1174Communication during care and follow-up care2013 FormatThe system SHALL incorporate support communication during care and follow-up care and communication of data between different disciplines.

Example: A system can support communication with school nurses, day care providers and other professional caregivers.
Primary Care ManagementNormative Statementsyes
Req-2029Age-based educational cues2015 Priority ListThe system shall provide pediatric age-specific clinical decision support covering Bright Futures-based health supervision and anticipatory guidance.Primary Care ManagementNormative Statementyes
Req-255Manage Clinical Documents and Notes2013 Format
STATEMENT: Create, addend, correct, authenticate and close, as needed, transcribed or directly-entered clinical documentation and notes.
DESCRIPTION: Clinical documents and notes may be unstructured and created in a narrative form, which may be based on...
STATEMENT: Create, addend, correct, authenticate and close, as needed, transcribed or directly-entered clinical documentation and notes.
DESCRIPTION: Clinical documents and notes may be unstructured and created in a narrative form, which may be based on a template, graphical, audio, etc.. The documents may also be structured documents that result in the capture of coded data. Each of these forms of clinical documentation is important and appropriate for different users and situations.
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Primary Care Management, Well Child/Preventive CareFunctionno
Req-267Produce a Summary Record of Care2013 Format
STATEMENT: Present a summarized review of a patient's comprehensive EHR, subject to jurisdictional laws and organizational policies related to privacy and confidentiality.
DESCRIPTION: Create summary views and reports at the conclusion of an episode of...
STATEMENT: Present a summarized review of a patient's comprehensive EHR, subject to jurisdictional laws and organizational policies related to privacy and confidentiality.
DESCRIPTION: Create summary views and reports at the conclusion of an episode of care. Create service reports at the completion of an episode of care such as, but not limited to, discharge summaries and public health reports, without additional input from clinicians.
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Primary Care Management, Well Child/Preventive CareFunctionno
Req-569Support for Non-Medication Ordering2013 Format
STATEMENT: Display and request provider validation of information necessary for non-medication orders that make the order pertinent, relevant and resource-conservative at the time of provider order entry.

DESCRIPTION: Possible order entry support includes, but...
STATEMENT: Display and request provider validation of information necessary for non-medication orders that make the order pertinent, relevant and resource-conservative at the time of provider order entry.

DESCRIPTION: Possible order entry support includes, but is not limited to: notification of missing results required for the order, suggested corollary orders, notification of duplicate orders, institution-specific order guidelines, guideline-based orders/order sets, order sets, order reference text, patient diagnosis specific recommendations pertaining to the order. Also, warnings for orders that may be inappropriate or contraindicated for specific patients (e.g. X-rays for pregnant women are presented.

Non-medication orders include orders such as:
• supplies such as 4x4's and ACE bandages
• non-medical devices such as TTY phones for the hearing impaired
• groups of supplies or kits common to an organization
• simple durable medical equipment (DME such as crutches or walkers
• complex DME such as wheelchairs and hospital beds
• therapies and other services that may require a referral and/or an authorization for insurance coverage
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Primary Care Management, Well Child/Preventive CareFunctionno
Req-568Manage Referrals2013 Format
STATEMENT: Enable the origination, documentation and tracking of referrals between care providers or healthcare organizations, including clinical and administrative details of the referral, and consents and authorizations for disclosures as required.
DESCRIPTION: Documentation and tracking...
STATEMENT: Enable the origination, documentation and tracking of referrals between care providers or healthcare organizations, including clinical and administrative details of the referral, and consents and authorizations for disclosures as required.
DESCRIPTION: Documentation and tracking of a referral from one care provider to another is supported, whether the referred to or referring providers are internal or external to the healthcare organization. Guidelines for whether a particular referral for a particular patient is appropriate in a clinical context and with regard to administrative factors such as insurance may be provided to the care provider at the time the referral is created.
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Primary Care Management, Well Child/Preventive CareFunctionno
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