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Req-938Initial Infant Data2013 FormatData recorded in the first hour of life will guide care in the initial neonatal period.Birth Information, Specialized Scales/ScoringFunctionno
Req-517Ability to access family history, including all parents2013 FormatThe system SHALL provide the ability to access family history, including all parents (biological, foster, adoptive, guardian, surrogate, and custody siblings, and case workers; with contact information for each.Child Abuse ReportingNormative Statementsno
Req-518Ability to retrieve, capture, store, and display information regarding forensic evaluations2013 FormatThe system SHOULD provide the ability to retrieve, capture, store, and display information regarding forensic evaluations.Child Abuse ReportingNormative Statementsno
Req-519Ability to access, store, and retrieve the date, time, and place of the occurrence2013 FormatThe system SHALL provide the ability to access, store, and retrieve the date, time, and place of the occurrence of alleged abuse.Child Abuse ReportingNormative Statementsno
Req-512Support communication with national, state, and local Child Protective Services, and more2013 FormatThe system MAY communicate with national, state, and local Child Protective Services, law enforcement, care physicians, prosecutor, medical examiner, Medicaid, and Insurance companies.Child Abuse ReportingNormative Statementsno
Req-520Ability to access, store, and retrieve a detailed description of the genital examination, photographs or drawings of findings2013 FormatThe system SHALL provide the ability to access, store, and retrieve a detailed description of the genital examination, photographs or drawings of findings (both sexual and physical documentation of laboratory studies, and radiographic studies.Child Abuse ReportingNormative Statementsno
Req-522Ability to retrieve, capture, store, and display service plans, progress summaries, and assessments2013 FormatThe system SHOULD provide the ability to retrieve, capture, store, and display service plans, progress summaries, and assessments.Child Abuse ReportingNormative Statementsno
Req-1175Past history of abuse and neglect for the child2013 FormatThe system SHALL provide the ability to retrieve, capture, store, and display a past history of substantiated instances of abuse and neglect for the child.Child Abuse ReportingNormative Statementsno
Req-1176Past history of abuse and neglect by perpetrator2013 FormatThe system SHOULD provide the ability to retrieve, capture, store, and display a past history of substantiated instances of abuse and neglect by the alleged perpetrator.Child Abuse ReportingNormative Statementsno
Req-1177Maintain unsubstantiated instances of abuse or neglect2013 Format
The system SHOULD provide the ability to maintain indicated unsubstantiated instances of abuse or neglect consistent with the prevailing law (which may be state, federal, tribal or local depending on situational factors with the ability...
The system SHOULD provide the ability to maintain indicated unsubstantiated instances of abuse or neglect consistent with the prevailing law (which may be state, federal, tribal or local depending on situational factors with the ability to expunge or limit communication to certain external systems unsubstantiated instances of abuse or neglect when required by the prevailing law.
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Child Abuse ReportingNormative 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-1179History of termination of parental rights from within EHR2013 FormatThe system SHALL provide the ability to retrieve, capture, store, and display a past history of termination of parental rights documented within the native EHR system for the parents of the child involved in child welfare.Child Abuse ReportingNormative Statementsno
Req-1180History of termination of parental rights from an external information source2013 FormatThe system MAY provide the ability to retrieve, capture, store, and display a past history of termination of parental rights from an external information source (e.g. registry for the parents of the child involved in child welfare.Child Abuse ReportingNormative Statementsno
Req-1181Notification to child welfare per mandate2013 Format
The system MAY provide an option to notify child welfare when a suspected case of child abuse includes a past history of termination of parental rights, to support the mandate in several jurisdictions (such as...
The system MAY provide an option to notify child welfare when a suspected case of child abuse includes a past history of termination of parental rights, to support the mandate in several jurisdictions (such as state, tribal or other authority that child welfare be notified in instances of abuse that includes a past history of termination of parental rights.
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Child Abuse ReportingNormative Statementsno
Req-1187Suspected abuse and neglect information from standardized questions2013 FormatThe system SHOULD provide the ability to capture suspected abuse and neglect information via standardized intake questions with answers being provided on a standard scale to indicate the alleged abuse.Child Abuse ReportingNormative Statementsno
Req-1186Capture child abuse details2013 Format
The system SHOULD provide the ability to retrieve, capture, store, and display the details of the child abuse-related assault for both the child and the adult (and in cases of physical abuse, a developmental history...
The system SHOULD provide the ability to retrieve, capture, store, and display the details of the child abuse-related assault for both the child and the adult (and in cases of physical abuse, a developmental history specific sexual acts; and mechanism of injury in separate sections (e.g. one section for alleged perpetrator and one section for child
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Child Abuse ReportingNormative Statementsno
Req-1184Data related to outcome measures for welfare agencies2013 FormatThe system SHOULD provide the ability to include data elements that are related to federally required outcome measures as may be requested by child welfare agencies.Child Abuse ReportingNormative Statementsno
Req-1190Disposition of abuse allegations from external source2013 Format
The system MAY provide the ability to retrieve, capture, store, and display disposition of all allegations of abuse and/or neglect from an external information source (e.g. registry and SHOULD use the standard federal categorization for...
The system MAY provide the ability to retrieve, capture, store, and display disposition of all allegations of abuse and/or neglect from an external information source (e.g. registry and SHOULD use the standard federal categorization for these dispositions (Substantiated, Indicated, or Unfounded along with the ability to utilize custom subcategories which can vary from jurisdiction to jurisdiction.
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Child Abuse ReportingNormative Statementsno
Req-1189Disposition of abuse allegations within the EHR2013 Format
The system SHALL provide the ability to retrieve, capture, store, and display disposition of all allegations of abuse and/or neglect within the native EHR system, and SHALL use the standard federal categorization for these dispositions...
The system SHALL provide the ability to retrieve, capture, store, and display disposition of all allegations of abuse and/or neglect within the native EHR system, and SHALL use the standard federal categorization for these dispositions (Substantiated, Indicated, or Unfounded along with the ability to utilize custom subcategories which can vary from jurisdiction to jurisdiction.
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Child Abuse ReportingNormative Statementsno
Req-1188Standardized CDC categorization for child abuse2013 FormatThe system SHOULD use the standardized CDC categorization for child abuse and neglect with the ability for states to utilize specific categorization both in the past history and current assessment. The Center for Disease Control and Prevention details further guidance on data definitions for child abuse and neglect.Child Abuse ReportingNormative Statementsno
Req-1195Externally documented abuse by caregivers2013 Format
The system MAY provide the ability to retrieve, capture, store, and display a history of abuse or neglect (from an external information source, e.g. registry by family members, and other providers, such as babysitters, licensed...
The system MAY provide the ability to retrieve, capture, store, and display a history of abuse or neglect (from an external information source, e.g. registry by family members, and other providers, such as babysitters, licensed day care providers, teachers, and others that are in contact with child at time of alleged abuse.
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Child Abuse ReportingNormative Statementsno
Req-1194EHR-documented abuse by caregivers2013 Format
The system SHOULD provide the ability to retrieve, capture, store, and display a history of abuse or neglect (documented within the native EHR system by family members, and other providers, such as babysitters, licensed day...
The system SHOULD provide the ability to retrieve, capture, store, and display a history of abuse or neglect (documented within the native EHR system by family members, and other providers, such as babysitters, licensed day care providers, teachers, and others that are in contact with child at time of alleged abuse.
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Child Abuse ReportingNormative Statementsno
Req-254Manage Assessments2013 Format
STATEMENT: Create and maintain assessments.
DESCRIPTION: During an encounter with a patient, the provider will conduct an assessment that is germane to the age, gender, developmental or functional state, medical and behavioral condition of the...
STATEMENT: Create and maintain assessments.
DESCRIPTION: During an encounter with a patient, the provider will conduct an assessment that is germane to the age, gender, developmental or functional state, medical and behavioral condition of the patient, such as growth charts, developmental profiles, and disease specific assessments. Wherever possible, this assessment should follow industry standard protocols although, for example, an assessment for an infant will have different content than one for an elderly patient. When a specific standard assessment does not exist, a unique assessment can be created, using the format and data elements of similar standard assessments whenever possible.
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Child Abuse Reporting, Child Welfare, Children with Special Healthcare Needs, EPSDT, Parents and Guardians and Family Relationship Data, Primary Care...
Child Abuse Reporting, Child Welfare, Children with Special Healthcare Needs, EPSDT, Parents and Guardians and Family Relationship Data, Primary Care Management, Registry Linkages, Special Terminology and Information, Well Child/Preventive Care
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Functionno
Req-1214Child Abuse Reporting and Welfare2013 FormatChild Abuse Reporting, Child Welfare, Primary Care Management, Registry Linkages, Well Child/Preventive CareFunctionno
Req-1193Link to Child Welfare registries2013 FormatThe system SHOULD provide an interface or link to child welfare registries to be searchable by name (either child or parent placement, service categories provided, and/or jurisdiction.Child Abuse Reporting, Child Welfare, Registry LinkagesNormative Statementsno
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