The Children's Electronic Health Record (EHR) Format Enhancement project reviewed the broad list of over 500 functional requirements in the Children’s EHR Format (the Format) (http://www.ahrq.gov/research/data/ushik), selected high priority items from the list, and developed recommended uses for those items. The project also included a review of the experiences of providers and software developers who had implemented the Format under two CHIPRA-funded State grants. A panel of experts representing providers, software developers, informatics experts, policymakers, and other stakeholders to form a multistakeholder work group (MSWG) that developed the 2015 Priority List and recommended uses, with review by a Federal work group and other stakeholders. This project was funded by the Centers for Medicare & Medicaid Services (CMS) and contracted to RTI International by the Agency for Healthcare Research and Quality (AHRQ).
The MSWG identified and updated 47 requirements they felt should receive immediate attention from care providers, software developers, and other stakeholders to improve EHRs used in the care of children. By creating a short, high priority list derived from the Format, they hoped to provide an initial and consistent starting point for discussions about essential pediatric-specific functionalities. Once consistently implemented in EHRs, the 2015 Priority List requirements will also impact the care of children by permitting better use of standards, data harmonization activities, interoperability, and EHRs for pediatric-specific quality reporting, population management, and communication with parents/children. Included with each requirement is a section called "implementation notes" intended to provide additional details or guidance to assist in understanding and using the requirement. Table 1 provides a list of the topics and requirement identifiers (IDs) for each item included in the 2015 Priority List. The full list is detailed in The Children’s EHR Format 2015 Priority List report.