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Req-884Alert for invalid dose computation 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.
Medication ManagementNormative Statementsno
Req-887Drug contraindications in specific child populations2013 FormatThe system SHOULD provide the ability to detect contraindications in specific child populations (e.g. age groups or those with liver issues for individual medications and any combined pharmacotherapy and inform the user during ordering.Medication ManagementNormative Statementsno
Req-886Liquid drug prescriptions2013 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 ManagementNormative Statementsno
Req-888High risk drug combinations in children2013 FormatThe system SHALL provide the ability to detect high risk drug combination alerts specific to children and inform the user during ordering.Medication ManagementNormative Statementsyes
Req-891Alternative administration techniques2013 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 ManagementNormative Statementsno
Req-890Indicate common side effects2013 FormatThe system MAY provide the ability to indicate common side effects, including those unique to or more common in children, and inform the user during ordering.Medication ManagementNormative Statementsno
Req-893Documentation of compliance and refusal of care2013 FormatThe system MAY provide the ability to require documentation of information regarding patient compliance with prescribed treatment, including parent/guardian refusal of treatment.Medication ManagementNormative Statementsno
Req-892Child-appropriate doses in provider-specific medication lists2013 FormatThe system SHALL support child-appropriate dosing in provider specific medication lists ("favorites" including default route, dose, frequency, and quantity (e.g. accommodate weight-based doses such as <mg or mcg or gm>/kg/dose or <mg or mcg or gm>/kg/dayMedication ManagementNormative Statementsno
Req-894Require documentation of therapeutic labs2013 FormatThe system SHOULD provide the ability to require documentation of therapeutic labs or appropriate lab levels recommended for child dosing.Medication ManagementNormative Statementsno
Req-1006Support prescription details2013 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 ManagementNormative Statementsno
Req-1236Rounding for administrable doses2013 FormatThe system SHALL enable calculated doses (e.g. weight-based to be rounded to optimize administration convenience.Medication ManagementNormative Statementsyes
Req-1237Child-specific therapeutic substances2013 FormatThe system SHOULD enable the ordering of child-specific therapeutic substances, and support units appropriate to children.Medication ManagementNormative Statementsno
Req-1238Re-prescribe medications2013 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 ManagementNormative Statementsyes
Req-1239Age-specific daily dose range checking2013 FormatThe system SHALL provide the ability to detect a daily dose that exceeds the recommended range for patient age or maximum recommended adult dose whichever is smaller.Medication ManagementNormative Statementsno
Req-1235Capture medication dosing details2013 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 ManagementNormative Statementsno
Req-1240Weight-specific daily dose range checking2013 FormatThe system SHALL inform the user when a daily dose has exceeded (or is planned to exceed the recommended range for patient size or maximum recommended adult dose, whichever is smaller.Medication ManagementNormative Statementsno
Req-1241Age- and weight-specific single dose range checking2013 FormatThe system SHALL provide the ability to detect a drug dose that falls outside the min-max range based on the patient's age, weight, and maximum recommended adult dose, for a single dose for the medication.Medication ManagementNormative Statementsyes
Req-1242Compounded drug dosage computations2013 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 ManagementNormative 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-2005Closest available standardized dose2015 Priority ListThe system shall inform the ordering provider about the closest available standardized dose after calculating the dose based on patient age and weight and other factors.Medication ManagementNormative Statementyes
Req-2010Order blood products in pediatric units2015 Priority List
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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 ManagementNormative Statementyes
Req-2012Compute weight-based drug dosage2015 Priority List
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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 ManagementNormative Statementyes
Req-2035Rounding for administrable doses2015 Priority ListThe system shall enable calculated doses (e.g. weight-based to be rounded to optimize administration convenience.Medication ManagementNormative Statementyes
Req-2036Re-prescribe medications2015 Priority List
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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 ManagementNormative Statementyes
Req-2037Age- and weight-specific single dose range checking2015 Priority ListThe system shall provide medication dosing decision support that detects a drug dose that falls outside the minimum-maximum range based on the patient's age, weight, and maximum recommended adult dose (if known or maximum recommended pediatric dose (if known for a single dose of the medication.Medication ManagementNormative Statementyes
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-1117Support for immunization information output management2013 FormatSupport for immunization information output managementImmunizations, Well Child/Preventive CareFunctionno
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-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-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-595Report adverse events2013 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-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-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-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-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-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-1141Access to registries2013 FormatThe system SHOULD provide the ability to add, change, or remove access to registriesImmunizations, 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-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-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
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 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
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-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-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-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-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-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-293Medication and Immunization Management2013 FormatSystem manages Medications and ImmunizationsImmunizations, Medication Management, Registry LinkagesHeaderno
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