reconciling the pediatric requirements with the ehr model may 2006 allergies [allergies] could...

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P e D S SIG Reconciling the pediatric requirements with the EHR model May 2006 Allergies [Allergies] could include items such as foods or environmental agents. Closest conformance criterion: DC.1.3.2 #1 (The system SHALL capture true allergy, intolerance, and adverse reaction to drug, dietary or environmental triggers as unique, discrete entries.). INCLUDED, noncontroversial Reference number: 5

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Page 1: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Allergies

[Allergies] could include items such as foods or environmental agents.

Closest conformance criterion: DC.1.3.2 #1 (The system SHALL capture true allergy, intolerance, and adverse reaction to drug, dietary or environmental triggers as unique, discrete entries.).

INCLUDED, noncontroversial Reference number: 5

Page 2: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Allergies

Allow the classification of reactions into allergic reactions, side effects, and intolerances

Closest conformance criterion: DC.1.3.2 #1 (The system SHALL capture true allergy, intolerance, and adverse reaction to drug, dietary or environmental triggers as unique, discrete entries.).

INCLUDED, noncontroversial Reference number: 6

Page 3: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Allergies

The user determines what defines an allergy or adverse reaction

Closest conformance criterion: DC.1.3.2 #4 (The system SHOULD provide the ability to capture the reaction type).

INCLUDED, noncontroversial Reference number: 8

Page 4: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Archiving

Store data until the statutorily designated time Closest conformance criterion: I.1.2.1 #1 (The

system SHALL provide for the storage and retrieval of health record data and clinical documents for legally proscribed (sic) time. ).

INCLUDED, noncontroversial Reference number: 9

Page 5: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Communications

The user may indicate who they are sending results to and the system will track this

Closest conformance criterion: DC.1.10.1 #8 (The system MAY route results to patients by methods such as phone, fax, electronically or in the form of a letter).

INCLUDED, noncontroversial Reference number: 10

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Consent

In cases where advanced directives are managed by the system, provide forms appropriate to both patients and guardians where the patient is below the legal age of consent

Closest conformance criterion: DC.1.11.2 (The system MAY be able to indicate that the patient’s personal representative (guardian/surrogate) has completed advanced directive(s) on their behalf. ).

INCLUDED, noncontroversial Reference number: 12

Page 7: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Consent

Allow recording of both consent and assent to treatment

Closest conformance criterion: DC.1.11.3 #7 (EHR systems SHOULD allow documentation of an assent as appropriate for patients legally unable to consent. ).

INCLUDED, noncontroversial Reference number: 11

Page 8: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Incorporate age, weight, and disease criteria into alerts related to laboratory results

Closest conformance criterion: DC.1.10.1 #11 (The system MAY trigger decision support algorithms from [test] results. ).

INCLUDED, noncontroversial Reference number: 31

Page 9: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Integrate patient and family preferences into clinical decision support

Closest conformance criterion: DC.1.11.1 #3 (The system SHOULD integrate patient and family preferedecision support systems).

INCLUDED, noncontroversial Reference number: 34

Page 10: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Link care processes to the problem list Closest conformance criterion: DC.1.5 #9 (The

system MAY associate encounters, orders, medications, notes with one or more problems.).

INCLUDED, noncontroversial Reference number: 35

Page 11: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Link lab values to problem list Closest conformance criterion: DC.1.5 #9 (The

system MAY associate encounters, orders, medications, notes with one or more problems.).

INCLUDED, noncontroversial Reference number: 37

Page 12: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Link medical imaging to items all on the problem list

Closest conformance criterion: DC.1.5 #9 (The system MAY associate encounters, orders, medications, notes with one or more problems.).

INCLUDED, noncontroversial Reference number: 38

Page 13: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Link orders to problems [in problem lists] Closest conformance criterion: DC.1.5 #9 (The

system MAY associate encounters, orders, medications, notes with one or more problems.).

INCLUDED, noncontroversial Reference number: 39

Page 14: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Provide problem lists link to medical orders, lab, medical imaging, disease specific guidelines, or care processes including rationale for care.

Closest conformance criterion: DC.1.5 #9 (The system MAY associate encounters, orders, medications, notes with one or more problems.).

INCLUDED, noncontroversial Reference number: 43

Page 15: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Provide decision support for special immunizations such as palivizumab

Closest conformance criterion: DC.1.6.1 #1 (The system SHALL support presentation of guidelines and protocols to clinicians).

INCLUDED, noncontroversial Reference number: 42

Page 16: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Link disease specific guidelines to the problem list

Closest conformance criterion: DC.1.6.1 #4 (The system SHALL present guidelines and protocols appropriate for the patient’s problem list. ).

INCLUDED, noncontroversial Reference number: 36

Page 17: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Indicate the source of any applicable guidelines or decision support rules

Closest conformance criterion: DC.1.6.2 #4 (The system SHOULD allow tracking of updates to care plans by: authors, creation date, version history, references, local sources, non-local sources).

INCLUDED, noncontroversial Reference number: 33

Page 18: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Allow for disease specific health maintenance schedules with accompanying decision support

Closest conformance criterion: DC.2.1.1 #2 (The system SHALL enable access to standards and practices related to age, gender, normal growth and development and medical conditions [this assumes that "assessments" refers to forms for data collection]).

INCLUDED, noncontroversial Reference number: 23

Page 19: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

In cases where forms vary with age, select forms to be presented based on age.

Closest conformance criterion: DC.2.1.1 #2 (The system SHALL enable access to standards and practices related to age, gender, normal growth and development and medical conditions [this assumes that "assessments" refers to forms for data collection]).

INCLUDED, noncontroversial Reference number: 29

Page 20: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Modify displays based on age Closest conformance criterion: DC.2.1.1 #2

(The system SHALL enable access to standards and practices related to age, gender, normal growth and development and medical conditions [this assumes that "assessments" refers to forms for data collection]).

INCLUDED, noncontroversial Reference number: 40

Page 21: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Modify displays based on gestational age at birth

Closest conformance criterion: DC.2.1.1 #2 (The system SHALL enable access to standards and practices related to age, gender, normal growth and development and medical conditions [this assumes that "assessments" refers to forms for data collection] [assumes gestational age could be treated as a "medical condition," which is reasonable]).

INCLUDED, noncontroversial Reference number: 41

Page 22: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Remind users of anticipatory guidance topics based on age

Closest conformance criterion: DC.2.2.1.2 #1 (assuming that "anticipatory guidance topics" can be considered a "care plan") (The system SHALL support access to resources for care plans that are context sensitive to patient specific data and assessment, and are appropriate to the age, gender, developmental stage and medical condition of the patient (DC 1.3.1, DC 1.4, DC 1.5, DC 1.6)).

INCLUDED, noncontroversial

Reference number: 44

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Remind users of anticipatory guidance topics based on risk factors

Closest conformance criterion: DC.2.2.1.2 #1 (assuming that "anticipatory guidance topics" can be considered a "care plan") (The system SHALL support access to resources for care plans that are context sensitive to patient specific data and assessment, and are appropriate to the age, gender, developmental stage and medical condition of the patient (DC 1.3.1, DC 1.4, DC 1.5, DC 1.6)).

INCLUDED, noncontroversial

Reference number: 45

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Remind users of anticipatory guidance topics based on topics previously discussed

Closest conformance criterion: DC.2.5.1 (sort of) (The system SHOULD present alerts for all patient specific preventive services to the provider (is anticipatory guidance a preventive service?)).

INCLUDED, noncontroversial Reference number: 46

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Alert clinicians to the need for developmental screening based on guidelines

Closest conformance criterion: DC.2.5.1 #1 (The system SHOULD identify services for preventive care and wellness from patient demographics (eg. age, sex, region) ).

INCLUDED, noncontroversial Reference number: 21

Page 26: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Decision Support

Alert clinicians to the need for hearing and vision screening per guidelines

Closest conformance criterion: DC.2.5.1 #1 (The system SHOULD identify services for preventive care and wellness from patient demographics (eg. age, sex, region) ).

INCLUDED, noncontroversial Reference number: 22

Page 27: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

E-Prescribing & Ordering

Allow export of data to national drug databases designed to detect adverse drug events

Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).

INCLUDED, noncontroversial

Reference number: 49

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

E-Prescribing & Ordering

Handle immunization separately from other medications

Closest conformance criterion: DC.1.3.3 ([Manage immunizations]).

INCLUDED, noncontroversial Reference number: 56

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

E-Prescribing & Ordering

Link adverse drug reactions, including allergies, to the activity of ordering or modifying a prescription

Closest conformance criterion: DC.1.8.1 #15 (The system SHOULD check and report allergies, drug-drug interactions, and other potential adverse reactions, when new medications are ordered. ).

INCLUDED, noncontroversial Reference number: 60

Page 30: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

E-Prescribing & Ordering

Allow recording of over-the-counter medications, herbal remedies, and vitamin preparations in the medication list

Closest conformance criterion: DC.1.8.3 (The system SHALL provide a user interface to enter non-prescription medications including over the counter and complementary medications such as vitamins, herbs and supplements. ).

INCLUDED, noncontroversial Reference number: 52

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

E-Prescribing & Ordering

When a medication is discontinued, the user would have the ability to indicate if a medication was ineffective.

Closest conformance criterion: DC.2.3.1.1 #8 (The system SHOULD allow checking of medications against a list of drugs noted to be ineffective for the patient in the past. ).

INCLUDED, noncontroversial Reference number: 67

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

E-Prescribing & Ordering

Indicate when dosing decision support is based on evidence

Closest conformance criterion: DC.2.7.1 #1 (Upon request, the system SHALL provide appropriate evidence-based documentation for clinical care recommendations. ).

INCLUDED, noncontroversial Reference number: 59

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Education

Provide patient education materials that are appropriate for patients in varying age ranges

Closest conformance criterion: DC.3.2.4 #9 (The system MAY enable age-appropriate and/or reading-ability appropriate educational materials for the patient and/or patient representative ).

INCLUDED, noncontroversial Reference number: 69

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Epidemiology

Facilitate epidemiologic studies by recording living situation

Closest conformance criterion: S.1.4.3 #1 & #2 (The system SHOULD provide a mechanism to identify the patient’s primary residence. The system MAY provide a mechanism to identify the patient’s secondary or alternate residence. ).

INCLUDED, noncontroversial Reference number: 71

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Family Linkage

Allow linkages between siblings charts Closest conformance criterion: S.3.5.1 #1 (The

system MAY support the identification of persons related by genealogy.).

INCLUDED, noncontroversial Reference number: 74

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Family Linkage

Allow linkages between the charts of parents and children

Closest conformance criterion: S.3.5.1 #1 (The system MAY support the identification of persons related by genealogy.).

INCLUDED, noncontroversial Reference number: 75

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Family Linkage

Allow the creation of family groups of records within the system, for the purpose of moving between records within a family, subject to patient preferences, family preferences, and privacy regulations

Closest conformance criterion: S.3.5.1 #1 (The system MAY support the identification of persons related by genealogy.).

INCLUDED, noncontroversial Reference number: 76

Page 38: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Family Linkage

Link records in cases where there is a medical reason to do so, such as in cases of familial disease

Closest conformance criterion: S.3.5.1 #1 (The system MAY support the identification of persons related by genealogy.).

INCLUDED, noncontroversial Reference number: 79

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Guardianship

Allow recording of a guarantor, who may be different from the parent or guardian

Closest conformance criterion: S.3.5.2 #1 (The system MAY support the identification of persons related by insurance plan. ).

INCLUDED, noncontroversial Reference number: 89

Page 40: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Immunizations

Allow recording of immunizations including lot numbers and vaccine information statements

Closest conformance criterion: DC.1.3.3 #1 & #2 (The system SHALL record as discrete data elements data associated with any immunization given including date, type, lot number and manufacturer. The system SHOULD allow the association of standard codes with discrete data elements associated with an immunization.).

INCLUDED, noncontroversial Reference number: 93

Page 41: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Immunizations

Based on known immunization data, calculate immunization status (current versus delayed) and display in summary lists

Closest conformance criterion: DC.1.3.3 #3 (The system SHALL determine any required immunizations during an encounter based on a current accepted schedule such as that from the Centers for Disease Control and Prevention. ).

INCLUDED, noncontroversial Reference number: 97

Page 42: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Immunizations

Provide alerting and reminders for missedimmunizations

Closest conformance criterion: DC.1.3.3 #3 (The system SHALL determine any required immunizations during an encounter based on a current accepted schedule such as that from the Centers for Disease Control and Prevention.).

INCLUDED, noncontroversial Reference number: 101

Page 43: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Immunizations

Include mechanisms for immunization decision support that includes easy updating as recommendation change is included.

Closest conformance criterion: DC.1.3.3 #5 (The system SHALL allow for the updating of the immunization schedule).

INCLUDED, noncontroversial Reference number: 100

Page 44: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Immunizations

Allow flexible reporting of immunizations in a given practice to support required vaccine program reporting

Closest conformance criterion: DC.1.3.3 #8 (The system SHOULD prepare a report of a patient's immunization history upon request for appropriate authorities such as schools or day-care centers. ).

INCLUDED, noncontroversial Reference number: 92

Page 45: Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents

PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Lab Results

In the case of laboratories, allow recording of verification and communication to family members

Closest conformance criterion: DC.3.2.3 #1, 3, 4 (The system SHALL facilitate documentation of communications between providers and patients or their representatives. The system SHALL capture details of provider communications with patients or family (e.g. date, provider id, details of communication, result of communication requests). The system SHALL document communication originating with the patient or patient representative (e.g. date, entity, details of communication)).

INCLUDED, noncontroversial Reference number: 103

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Miscellaneous

Links to a source where living wills are stored Closest conformance criterion: DC.1.11.2 #2

(The system SHOULD be able to indicate the type of advanced directives such as living will, durable power of attorney, or a "Do Not Resuscitate order".).

INCLUDED, noncontroversial Reference number: 110

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Miscellaneous

Coordinate bed identification between facilities, for transport from general hospital to children's hospital or to NICU.

Closest conformance criterion: S.1.4.2 #1 (The system SHOULD identify and display/view the patient’s assigned location, unambiguously. ).

INCLUDED, noncontroversial Reference number: 109

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Parental Data Entry

Incorporate documentation from external sources Closest conformance criterion: DC.1.1.3 #1, and

DC.3.2.3 #4 (The system SHALL allow external documents to be stored in the system, and The system SHALL document communication originating with the patient or patient representative (e.g. date, entity, details of communication) ).

INCLUDED, noncontroversial Reference number: 119

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Parental Data Entry

Distinguish data provided by the clinician from data provided by the parent, guardian, teacher, translator, or family

Closest conformance criterion: DC.1.1.4 #3 & #4 (The system SHALL capture, explicitly label the source of clinical data provided on behalf of the patient. The system SHALL present patient-originated data for use by care providers.).

INCLUDED, noncontroversial Reference number: 118

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Patient Identification

Allow the assignment of temporary identifiers in cases where a government issued identifier is not available.

Closest conformance criterion: DC.1.1.1 #2 (The system SHALL provide the ability to uniquely identify a patient and tie the record to a single patient. ).

INCLUDED, noncontroversial Reference number: 129

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Patient Identification

Support administrative transactions before an official, government issued identifier is available

Closest conformance criterion: DC.1.1.1 #2 (The system SHALL provide the ability to uniquely identify a patient and tie the record to a single patient. ).

INCLUDED, noncontroversial Reference number: 132

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Preferences

Alert users to preferences based on religion, such as transfusions in Jehovah's Witness patients

Closest conformance criterion: DC.1.11.1 #1 (The system SHALL capture, present, and store patient preferences such as language, religion and culture.).

INCLUDED, noncontroversial Reference number: 135

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Preferences

Allow parents to append information to the chart, per HIPAA guidelines

Closest conformance criterion: Redundant, since all products must comply with HIPAA (N/A).

INCLUDED, noncontroversial Reference number: 136

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Privacy

Allow labeling of data for special privacy considerations

Closest conformance criterion: I.1.9 #8 (System MAY allow varying levels of confidentiality based on patient class and/or diagnosis. ).

INCLUDED, noncontroversial Reference number: 139

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Registries

Allow linkage to registries maintained in the public sector

Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).

INCLUDED, noncontroversial

Reference number: 146

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Registries

Exchange data with newborn metabolic screening registries

Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).

INCLUDED, noncontroversial

Reference number: 147

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Registries

Exchange data with other public health registries of relevance to children

Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).

INCLUDED, noncontroversial

Reference number: 148

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Registries

Exchange immunization data with immunization registries

Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).

INCLUDED, noncontroversial

Reference number: 149

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Registries

Link to registries such as the newborn screening systems at the hospital, state, and national level to ensure optimal communication including timely notification and follow-up.

Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).

INCLUDED, noncontroversial Reference number: 151

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Registries

Provide a linkage of adverse drug reactions in children to feed national databases involving the Safe Pharmaceutical Act for Children

Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).

INCLUDED, noncontroversial Reference number: 152

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Registries

provide data fields that allow information (potentially coded) that is then passed to another data based to link epidemiologic database

Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).

INCLUDED, noncontroversial Reference number: 153

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Registries

Report adverse drug reactions

Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).

INCLUDED, noncontroversial

Reference number: 154

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Reports

Produce treatment plan reports for schools, day care, camp, and so forth

Closest conformance criterion: DC.1.1.7 #1 (The system SHOULD allow authorized users to create customized views of summarized information based on sort and filter controls for date or date range, problem, or other clinical parameters. ).

INCLUDED, noncontroversial Reference number: 157

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Reports

Provide communications to pediatric providers, including physicians, nurse practitioners, school nurses, developmental and behavioral health providers.

Closest conformance criterion: DC.1.1.7 #1 (The system SHOULD allow authorized users to create customized views of summarized information based on sort and filter controls for date or date range, problem, or other clinical parameters. ).

INCLUDED, noncontroversial Reference number: 158

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Reports

Provide discharge summary documents for parents and guardians

Closest conformance criterion: DC.1.1.7 #1 (The system SHOULD allow authorized users to create customized views of summarized information based on sort and filter controls for date or date range, problem, or other clinical parameters. ).

INCLUDED, noncontroversial Reference number: 159

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Reports

Provide treatment plans to parents and guardians

Closest conformance criterion: DC.1.1.7 #1 (The system SHOULD allow authorized users to create customized views of summarized information based on sort and filter controls for date or date range, problem, or other clinical parameters. ).

INCLUDED, noncontroversial Reference number: 162

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Reports

Support generation and maintenance of summary reports for parents

Closest conformance criterion: DC.1.1.7 #1 (The system SHOULD allow authorized users to create customized views of summarized information based on sort and filter controls for date or date range, problem, or other clinical parameters. ).

INCLUDED, noncontroversial Reference number: 163

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Reports

include nationally approved/endorsed pediatric measures, such as JCAHO, AHRQ, Health Plan Employer Data and Information Set (HEDIS); Title V Maternal and Child Health program indicators; National Quality Forum (NQF) initial hospital indicator set (pediatric-specific measures); Child and Adolescent Health Measurement Initiative (CAHMI).

Closest conformance criterion: S.2.1.1 (Outcome measures and analysis) (This sort of thing is less a function of the end-user system as it is a function of the data repository report-writing application.).

INCLUDED, noncontroversial Reference number: 155

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Reports

Provide flexibility to change the reports per changing requirements

Closest conformance criterion: S.2.1.1 (Outcome measures and analysis) (This sort of thing is less a function of the end-user system as it is a function of the data repository report-writing application.).

INCLUDED, noncontroversial Reference number: 160

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Reports

Provide reports based on pediatric quality measures to quality monitoring organizations

Closest conformance criterion: S.2.1.1 (Outcome measures and analysis) (This sort of thing is less a function of the end-user system as it is a function of the data repository report-writing application.).

INCLUDED, noncontroversial Reference number: 161

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Reports

Prepare age appropriate forms for external distribution, including camp physicals, athletic forms, and so forth

Closest conformance criterion: S.2.2.2 #all (The system SHOULD be capable of generating reports of structured clinical and administrative data through either internal or external reporting tools. The system MAY be capable of including information extracted from unstructured clinical and administrative data in the report generation process, using internal or external tools. The system SHALL be capable of generating reports, using either internal or external reporting tools. Reports generated SHALL be capable of being exported. The system SHOULD allow the user to specify report parameters, based on patient demographic and/or clinical data, which would allow sorting and/or filtering of the data. The system (or an external application, using data from the system) MAY allow users to save report parameters for generating subsequent reports. The system (or an external application, using data from the system) MAY allow users to modify one or more parameters of a saved report specification when generating a report using that specification.).

INCLUDED, noncontroversial Reference number: 156

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Research

provide support for the management of patients enrolled in research protocols and management of patients enrolled in research protocols.

Closest conformance criterion: DC.2.2.3 #4 (The system SHOULD support the management and tracking of patients participating in research studies. ).

INCLUDED, noncontroversial Reference number: 164

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Reconciling the pediatric requirements with the EHR model May 2006

Telehealth

Capture, track referrals between healthcare providers or health care organizations. (DC.1.4.4)

Closest conformance criterion: DC.1.9.5: Manage Referrals, e.g., #1 (The system SHALL support the capture of referral(s) to other care provider (s), whether internal or external to the organization).

INCLUDED, noncontroversial Reference number: 165

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PeDS SIG

Reconciling the pediatric requirements with the EHR model May 2006

Telehealth

Capture, track teleconsultations between healthcare providers or health care organizations. (DC.1.4.4)

Closest conformance criterion: DC.1.9.5: Manage Referrals, e.g., #1 (The system SHALL support the capture of referral(s) to other care provider (s), whether internal or external to the organization).

INCLUDED, noncontroversial Reference number: 166