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You are viewing the Abridged Children's EHR Format.
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Req-2022DME and nursing needs2015 Priority ListThe system shall capture Durable Medical Equipment (DME and nursing needs for the child with identification of age-appropriate resources and orderables.Children with Special Healthcare NeedsNormative Statementyes
Req-2023Support pre-visit history/screening/prevention forms2015 Priority ListThe system shall record values for pediatric specific pre-visit parent/patient reported data in a manner that enables retrieval and reporting.Well Child/Preventive CareNormative Statementyes
Req-2024Track incomplete preventive care opportunities2015 Priority ListThe system shall generate a list on demand for any children who have missed recommended health supervision visits (e.g., preventive opportunities according to the periodicity of visits recommended in Bright Futures.Well Child/Preventive CareNormative Statementyes
Req-2025Age-specific decision support2015 Priority ListThe system shall report on age-specific Bright Futures-based screening and preventive care opportunities for an individual patient in the practice.Well Child/Preventive CareNormative Statementyes
Req-2026Transferrable access authority2015 Priority ListThe system shall provide a mechanism to enable access control that allows a transferrable access authority, e.g., to address change in guardian, child reaching age of maturity, etc..Patient Portals - PHR, Security and Confidentiality, School-Based 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
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-2030Document decision-making authority of patient representative2015 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.
Security and ConfidentialityNormative Statementyes
Req-2031Adoption history2015 Priority ListThe system shall have the ability to record a child's adoption history.Child WelfareNormative Statementyes
Req-2032Authorized non-clinician viewers of EHR data2015 Priority ListThe system shall have the ability to identify members of the care team (including professional and nonprofessional members and indicate their roles/relationships to the child.Child Welfare, Patient Portals - PHRNormative Statementyes
Req-2033Placement setting in out-of-home care2015 Priority ListThe system shall have the ability to record a child’s history of and/or current placement in foster care, with relevant date(s in care.Child WelfareNormative Statementyes
Req-2034Alert for foster care without Medicaid2015 Priority ListThe system shall have the ability to provide an option to alert when a child in foster care is not enrolled in Medicaid.Child WelfareNormative 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-2038Separate consent, assent and permission2015 Priority ListThe system shall support the recording of consent, assent, and permission as separate artifacts.Security and Confidentiality, Parents and Guardians and Family Relationship DataNormative Statementyes
Req-2039Problem-specific age of consent2015 Priority ListThe system shall provide the ability to access legal guidelines on consent requirements for reference, where available, and to record the age of consent for a specific treatment when these differ based on legal guidelines.Security and ConfidentialityNormative Statementyes
Req-2040Age of emancipation2015 Priority ListThe system shall provide the ability to record the patient's emancipated minor status.Security and ConfidentialityNormative Statementyes
Req-2041Segmented access to information2015 Priority ListThe system shall provide users the ability to segment health care data in order to keep information about minor consent services private and distinct from other content of the record, such that it is not exposed to parents/guardians without the minor’s authorization.Security and ConfidentialityNormative Statementyes
Req-2042Support growth charts for children2015 Priority List
The system shall support display of growth charts that plot selected growth parameters such as height, weight, head circumference, and BMI (entered with appropriate precision or computed as described in Req-2019...
The system shall support display of growth charts that plot selected growth parameters such as height, weight, head circumference, and BMI (entered with appropriate precision or computed as described in Req-2019 along with appropriate sets of norms provided by the CDC or in a compatible tabular format (typically based on Lambda-Mu-Sigma [LMS] curve fitting computational method
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Growth DataNormative Statementyes
Req-2046Import data from pre-visit history/screening/prevention formsWell Child/Preventive Care2015 Priority ListThe system shall allow the asynchronous importation of parent-/patient-derived previsit data in a manner that enables retrieval and reporting.Well Child/Preventive CareNormative Statementyes
Req-2047Identify incomplete preventive care opportunities2015 Priority ListThe system shall track and report the completion of recommended health supervision visits delivered according to the recommended periodicity of visits included in Bright Futures for a panel of patients.Well Child/Preventive CareNormative Statementyes
Req-2006Ability to access family history, including all guardians and caregivers2015 Priority ListThe system shall provide the ability to record information about all guardians and caregivers (biological parents, foster parents, adoptive parents, guardians, surrogates, and custodians siblings, and case workers; with contact information for each.Child Abuse Reporting, Parents and Guardians and Family Relationship Data, Primary Care ManagementNormative Statementyes
Req-2021Associate mother's demographics with newborn2015 Priority ListThe system shall provide the ability to associate multiple identifying parent or guardian demographic information, such as relationship to child, street address, telephone number, and/or email address for each individual child.Patient Identifier, Parents and Guardians and Family Relationship DataNormative Statementyes
Req-2043Scales and Scoring2015 Priority ListThe system shall allow the capture of data using an established instrument, the creation of reports and displays using the data, and data use in clinical decision support and in the EHR as necessary.Specialized Scales/ScoringNormative Statementyes
Req-2044Use biometric-specific norms for growth curves2015 Priority ListThe system shall include the ability to use pediatric age-specific norms for weight, height/length, head circumference, and BMI to calculate and display growth percentiles and plot them over time on standardized CDC/WHO growth curves as appropriate.Primary Care Management, Well Child/Preventive CareNormative Statementyes
Req-2045Provide alerts for out-of-range biometric data2015 Priority ListThe system shall include the ability to provide alerts for weight, length/height, head circumference, and BMI data points that fall outside 2 standard deviations of CDC/WHO pediatric data.Primary Care Management, Well Child/Preventive CareNormative Statementyes
Req-93Birth date format2013 FormatThe system SHALL record Birth Date (MM:DD:YYYYBirth InformationNormative Statementsno
Req-95Link maternal and birth data to child health record2013 FormatThe system SHALL provide for the linking or recording of maternal and birth data to the child health record. Examples: maternal social history, maternal prenatal results, and gravida/para (GPBirth InformationNormative Statementsno
Req-94Birth order: familial rank2013 FormatThe system SHOULD have the ability to record Birth Order (Familial RankBirth Information, Patient IdentifierNormative Statementsno
Req-89Prompts for local neonatal screening2013 FormatThe system SHALL have the ability to prompt the care provider to perform all locally required neonatal screening tests.Newborn ScreeningNormative Statementsno
Req-90Neonatal screening education2013 FormatThe system SHOULD provide prompting, documentation of teaching, and education materials about neonatal screening for parents and guardians.Newborn ScreeningNormative Statementsno
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-100Geographic locations visited2013 FormatThe system SHOULD record geographic areas visited by the patient for use in cases of vector-borne epidemiology.Well Child/Preventive CareNormative Statementsno
Req-98Prompts for safety interventions2013 FormatThe system SHOULD prompt the care provider to recommend specific safety interventions such as warm-up exercises and or equipment based on sport or activity.Activity ClearanceNormative Statementsno
Req-99Nutritional status analysis2013 FormatThe system SHOULD allow for nutritional status analysis during activity clearance examinations.Activity ClearanceNormative Statementsno
Req-96Storage of completed clearance forms2013 FormatThe system SHALL provide for the storage of completed clearance forms for individual patients from various agencies, e.g., School District or youth organizations.Activity ClearanceNormative Statementsno
Req-97Sport/Activity-specific exams2013 Format
The system SHALL allow for sport- or activity-specific examinations as outlined by groups such as the American Heart Association (AHA American Academy of Pediatrics (AAP and American Medical Association (AMA For example, supporting the inclusion...
The system SHALL allow for sport- or activity-specific examinations as outlined by groups such as the American Heart Association (AHA American Academy of Pediatrics (AAP and American Medical Association (AMA For example, supporting the inclusion of an EKG for participants in contact sports such as football. These data SHOULD be stored as distinct data elements.
AAP Preparticipation Physical Evaluation: http://www.aap.org/sections/sportsmedicine/PPEAbout.cfm Exit Disclaimer
AHA Recommendations for Physical Activity and Recreational Sports Participation for Young Patients With Genetic Cardiovascular Diseases: http://circ.ahajournals.org/content/109/22/2807.full#sec-10 Exit Disclaimer
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Activity ClearanceNormative Statementsno
Req-111Statistics for growth chart 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.
Growth DataNormative Statementsno
Req-108Support for Health Maintenance: Preventive Care and Wellness2013 FormatSystem supports Preventive Care and Wellness aspects of health maintenance.Activity Clearance, EPSDT, Newborn Screening, Patient Portals - PHR, Primary Care Management, Well Child/Preventive CareHeaderno
Req-109Support for Population Health2013 FormatSystem supports Population Health.Children with Special Healthcare Needs, Well Child/Preventive CareHeaderno
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-104Data and Documentation From External Sources2013 FormatExternal sources are those outside the EHR system, including clinical, administrative, and financial information systems, other EHR systems, PHR systems, and data received through health information exchange networks.Birth Information, Parents and Guardians and Family Relationship Data, Patient Portals - PHRHeaderno
Req-119Documentation for patient educational material2013 FormatThe system SHALL provide the ability to document that the educational material was reviewed with the patient and/or patient representative and their comprehension of the material.Growth DataNormative Statementsno
Req-118Support for growth data assessment and planning2013 FormatThe system SHOULD provide access to display and print accepted anthropometry procedure standards/training; provider/layperson growth chart interpretation guides; and related disease management guidelines.Growth DataNormative Statementsno
Req-117Calculate growth velocity2013 FormatThe system SHOULD calculate growth velocity between two points on the growth chart selected by the user.Growth DataNormative Statementsno
Req-115Childhood obesity statistics2013 FormatSystem MAY store and display waist circumference and hip circumference and calculate/display waist to hip ratio in patients identified with obesity or cardiovascular risk.Growth DataNormative Statementsno
Req-113Indicate information collected at Point of Care2013 FormatThe system SHOULD indicate point of care of collected measures and/or allow filtering of values by point(s of care.Growth DataNormative Statementsno
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