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Pediatric Data Standards SIG. Functional Requirements Review. V10 Document Statements. Each slide's title is the general area of functionality Bullets represent: the current wording of the function statement the closest matching conformance criterion from the November 2005 EHR TC document

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Pediatric data standards sig

Pediatric Data Standards SIG

Functional Requirements Review


V10 document statements

V10 Document Statements

  • Each slide's title is the general area of functionality

  • Bullets represent:

    • the current wording of the function statement

    • the closest matching conformance criterion from the November 2005 EHR TC document

    • whether the above two represent a "match," and

    • an arbitrary ID number to reference an internal database

  • Next steps:

    • Work groups/individuals review categories based on assignments and suggest edits; Review suggested edits together through a series of webcasts to be scheduled soon


Four sets of conformance criteria

Four Sets of Conformance Criteria

  • INCLUDED (74 CCs): Our CC are easily found in the DSTU: INCLUDED.ppt

  • NOT INCLUDED (47 CCs): Can’t find anything like our CC in the DSTU: NOT INCLUDED.ppt

  • ALMOST INCLUDED (32 CCs): Something close to our CC is in the DSTU: ALMOST INCLUDED.ppt

  • GRAY AREA (19 CCs): The SIG needs to decide what it means, exactly: GRAY AREA.ppt


32 categories to assign

Age Representation

Allergies (Miller, Omlor, Yu)

Archiving

Communications

Consent

Custody (Weigle)

Decision Support (Akhtar, Del Beccaro, Warren)

E-prescribing and Ordering (Yu, Del Beccaro)

Epidemiology

Family Linkage (Murray)

Gender (Murray)

Gestational Age (Murray)

Growth (Sedman, Weigle)

Guardianship

Immunizations (Yu, Akhtar)

Interface

Lab Results (Rocca)

Medical Home (Schneider, Sedman, Warren)

Miscellaneous

Norms

Parental Data Entry (Schneider)

Patient Identification (Miller, Underwood)

Pedigree (Schneider)

Preferences

Prenatal

Privacy

Registries

Reports

Research (Miller)

Telehealth (Akhtar, Rocca)

Terminology (Underwood, Rocca)

Vocabulary (Underwood, Rocca)

Suggested New Category: RHIO (Schneider)

32 Categories to Assign


V10 document statements1

V10 Document Statements

  • Each slide's title is the general area of functionality

  • Bullets represent:

    • the current wording of the function statement

    • the closest matching conformance criterion from the November 2005 EHR TC document

    • whether the above two represent a "match," and

    • an arbitrary ID number to reference an internal database

  • Possible next steps:

    • Work groups/individuals review and suggest edits; Review suggested edits together through a series of webcasts


Age representation

Age Representation

  • Allow recording of post conceptional age and distinguish it from post-natal age

  • Closest conformance criterion: N/A… DC.1.2 (Manage patient demographics) comes closest ([no CC contains this specific concept]).

  • NOT INCLUDED, noncontroversial

  • Reference number: 2


Age representation1

Age Representation

  • Allow recording of the exact time of birth down to the minute

  • Closest conformance criterion: N/A… DC.1.2 (Manage patient demographics) comes closest ([no CC contains this specific concept]).

  • NOT INCLUDED, noncontroversial

  • Reference number: 3


Age representation2

Age Representation

  • Display age with the appropriate units, based on the child's age (for example, infants who are four days old should have their age displayed in days, as opposed two weeks or months)

  • Closest conformance criterion: N/A… DC.1.2 (Manage patient demographics) comes closest (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 4


Allergies

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


Allergies1

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


Allergies2

Allergies

  • List food allergies and medication allergies separately

  • 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. Do we really want to ask for this? What do we really mean by separate?).

  • Possibly included, controversial

  • Reference number: 7


Allergies3

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


Archiving

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


Communications

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


Consent

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


Consent1

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


Consent2

Consent

  • In cases where consent forms are managed by the system, allow adolescent patients to participate as if they were adults under appropriate conditions

  • Closest conformance criterion: DC.1.11.3: Manage consents and authorizations ((Does not explicitly mention this function)).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 13


Custody

Custody

  • Identify a child who has been removed from a home

  • Closest conformance criterion: N/A ((This would simply be an item in the child's history, e.g. Social Hx)).

  • VOCABULARY ISSUE: …

  • Reference number: 14


Custody1

Custody

  • Indicate when a child is in foster care

  • Closest conformance criterion: N/A ((This would simply be an item in the child's history, e.g. Social Hx)).

  • VOCABULARY ISSUE: …

  • Reference number: 15


Custody2

Custody

  • Indicate when a child is under ongoing investigation for abuse or neglect

  • Closest conformance criterion: N/A ((This would simply be an item in the child's history, e.g. Social Hx)).

  • VOCABULARY ISSUE: …

  • Reference number: 16


Custody3

Custody

  • Indicate when the child has been adopted

  • Closest conformance criterion: N/A ((This would simply be an item in the child's history, e.g. Social Hx)).

  • VOCABULARY ISSUE: …

  • Reference number: 17


Custody4

Custody

  • Provide patient identification mechanisms that can withstand changes in family structure, such as loss of a child from the family in a custody decision

  • Closest conformance criterion: N/A ((I am pretty sure this needs some significant clarification)).

  • NOT INCLUDED, noncontroversial

  • Reference number: 19


Custody5

Custody

  • Provide patient identification mechanisms that can withstand changes in family structure, such as removal of the child from the home

  • Closest conformance criterion: N/A ((I am pretty sure this needs some significant clarification)).

  • NOT INCLUDED, noncontroversial

  • Reference number: 20


Custody6

Custody

  • Provide authentication procedures for adults who claim to be parents or guardians of a child, in cases where the child is under investigation four abuse and neglect

  • Closest conformance criterion: Needs more detail… hard to put this one into a conformance criterion (Perhaps this one could be achieved merely by supporting some kind of alerting mechanism for kids whose custody is not straightforward).

  • NOT INCLUDED, noncontroversial

  • Reference number: 18


Decision support

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


Decision support1

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


Decision support2

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


Decision support3

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


Decision support4

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


Decision support5

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


Decision support6

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


Decision support7

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


Decision support8

Decision Support

  • Indicate in the case of decision support function whether the function applies to the pediatric population

  • Closest conformance criterion: DC.1.6.1 #1, 3, 4, 5 (assuming decision support = guidelines) ((Comes close)).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 32


Decision support9

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


Decision support10

Decision Support

  • Apply patient age to all decision support functions

  • Closest conformance criterion: DC.1.6.1 #5 (The system SHALL support context-sensitive care plans, guidelines and protocols (function DC.2.2.1.2) ).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 25


Decision support11

Decision Support

  • Facilitate selection of guidelines based on patient age

  • Closest conformance criterion: DC.1.6.1 #5 (The system SHALL support context-sensitive care plans, guidelines and protocols (function DC.2.2.1.2) (provided "context" = "age")).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 28


Decision support12

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


Decision support13

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


Decision support14

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


Decision support15

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


Decision support16

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


Decision support17

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


Decision support18

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


Decision support19

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


Decision support20

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


Decision support21

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


Decision support22

Decision Support

  • Based on the record of encounters, the patient's current age, and existing guidelines, calculate whether the patient is current on the health maintenance schedule

  • Closest conformance criterion: DC.2.6.3 (as long as failure to participate in well-care is considered a health risk, which pediatricians generally do) AND DC.2.5.1 (The system SHALL provide a means to identify those patients who have not received appropriate action in response to a health risk alert. (Care Plan Function Links) --> How to modify this to deal with health maintenance? AND The system SHOULD present alerts for all patient specific preventive services to the provider. ).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 26


Decision support23

Decision Support

  • Allow the deferral of alerts and reminders to a subsequent episode of care

  • Closest conformance criterion: N/A ((If a system decided that service X was needed today, and the user decided not to do it, then the system generally would decide that is needed tomorrow, too, right?)).

  • NOT INCLUDED, noncontroversial

  • Reference number: 24


Decision support24

Decision Support

  • Display deferred actions

  • Closest conformance criterion: N/A ((If a system decided that service X was needed today, and the user decided not to do it, then the system generally would decide that is needed tomorrow, too, right?)).

  • NOT INCLUDED, noncontroversial

  • Reference number: 27


Decision support25

Decision Support

  • In cases where gender is unknown, and in the case where certain decision support is gender specific, provide both male and female versions in cases where the gender is unknown

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 30


E prescribing ordering

E-Prescribing & Ordering

  • Include body weight (or any other data used to decide dose, like gestational age or diagnosis) in the data sent with a prescription

  • Closest conformance criterion: (These data elements would be dictated by e-prescribing standards).

  • NOT INCLUDED, noncontroversial

  • Reference number: 58


E prescribing ordering1

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


E prescribing ordering2

E-Prescribing & Ordering

  • Handle immunization separately from other medications

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

  • INCLUDED, noncontroversial

  • Reference number: 56


E prescribing ordering3

E-Prescribing & Ordering

  • Allow drug dose and based on compounded oral solutions, in the case where no oral solution is available in standard formularies

  • Closest conformance criterion: DC.1.8.1 ([Order Medication]).

  • NOT INCLUDED, noncontroversial

  • Reference number: 47


E prescribing ordering4

E-Prescribing & Ordering

  • Allow drug dosing based on ideal body weight for a given medication

  • Closest conformance criterion: DC.1.8.1 ([Order Medication]).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 48


E prescribing ordering5

E-Prescribing & Ordering

  • In weight-based dosage functions, reflect maximum dose per day in the resulting prescription

  • Closest conformance criterion: DC.1.8.1 ([Order Medication]).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 57


E prescribing ordering6

E-Prescribing & Ordering

  • Link to FDA drug alerts

  • Closest conformance criterion: DC.1.8.1 ([Order Medication]).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 61


E prescribing ordering7

E-Prescribing & Ordering

  • Offer drug dosing decision support for those drugs with a recommended starting dose range (e.g., methylphenidate) and graduated dosage increments

  • Closest conformance criterion: DC.1.8.1 ([Order Medication]).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 63


E prescribing ordering8

E-Prescribing & Ordering

  • Support calculations for the preparation of intravenous infusions

  • Closest conformance criterion: DC.1.8.1 (Now that standard concetrations are the law of the land, we may need to give up on this one.).

  • DELETE?

  • Reference number: 64


E prescribing ordering9

E-Prescribing & Ordering

  • Support standard concentrations for infusions

  • Closest conformance criterion: DC.1.8.1 (Hard to imagine an IV prescribing system that did not include data on the concentration of infusions… is this a peditric issue?).

  • DELETE?

  • Reference number: 65


E prescribing ordering10

E-Prescribing & Ordering

  • Allow recording of dose per meter squared of body surface area, so that the prescription can be replicated later at the same dose per meter-square

  • Closest conformance criterion: DC.1.8.1 #14 (The system MAY support medication re-prescribing by allowing a prior prescription to be reordered without re-entering previous data (e.g. administration schedule, quantity). --> Probably should be promoted to SHOULD and the dosage per kg should be available so one can replicate the prescription at the same dosage (i.e., at the new body surface area)).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 50


E prescribing ordering11

E-Prescribing & Ordering

  • Allow recording of the dose per kilogram in the record of a prescribed medication, so that the prescription can be replicated later at the same dose per kilogram

  • Closest conformance criterion: DC.1.8.1 #14 (The system MAY support medication re-prescribing by allowing a prior prescription to be reordered without re-entering previous data (e.g. administration schedule, quantity). --> Probably should be promoted to SHOULD and the dosage per kg should be available so one can replicate the prescription at the same dosage (i.e., at the new body weight)).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 53


E prescribing ordering12

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


E prescribing ordering13

E-Prescribing & Ordering

  • Allow recording of exceptions to medication administration, such as refusal of medication, vomiting of the dose, or intravenous access not available

  • Closest conformance criterion: DC.1.8.2 ([Manage medication administration]).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 51


E prescribing ordering14

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


E prescribing ordering15

E-Prescribing & Ordering

  • When allow ordering of blood products in units appropriate to pediatric care

  • Closest conformance criterion: DC.1.9.4 ([Order blood products and other biologics]).

  • NOT INCLUDED, noncontroversial

  • Reference number: 68


E prescribing ordering16

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


E prescribing ordering17

E-Prescribing & Ordering

  • Allow the use of other data in dosing decision support, such as a lab value (e.g., urine specific gravity) of clinical characteristic (e.g., gestational age)

  • Closest conformance criterion: DC.2.3.1.2 #2 (The system SHALL identify specific and appropriate drug dosages for each patient condition at the time of medication ordering. ).

  • Possibly included, controversial

  • Reference number: 54


E prescribing ordering18

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


E prescribing ordering19

E-Prescribing & Ordering

  • Communicate with pediatric providers on medication use: Weight/height/BSDA, conditions and any disease management information from pharmacy.

  • Closest conformance criterion: Makes no sense (These data elements would be dictated by e-prescribing standards).

  • NOT INCLUDED, noncontroversial

  • Reference number: 55


E prescribing ordering20

E-Prescribing & Ordering

  • Make the patients age, weight, body surface area, and gestational age visible when viewing orders at every stage of the ordering process

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 62


E prescribing ordering21

E-Prescribing & Ordering

  • Transmit relevant body measurements (usually weight) with prescriptions

  • Closest conformance criterion: N/A ([EHRs are going to do what the eRx messaging standards say to do… if weight is a field, then they'll send it. If not, they won't.]).

  • NOT INCLUDED, noncontroversial

  • Reference number: 66


Education

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


Epidemiology

Epidemiology

  • identify patients by parent's employer in cases of epidemiologic surveillance involving an occupational exposure

  • Closest conformance criterion: D.3.5.4 #1 (The system MAY support the identification of patients related by employer and work location for purposes of epidemiological exposure and public health analysis and reporting --> Needs to include PARENT'S employer as well).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 73


Epidemiology1

Epidemiology

  • Allow recording of the location of day care center, institutional food source, camps, schools, and so forth for the purposes of environmental monitoring

  • Closest conformance criterion: DC.2.6.2 #1 (The system SHALL provide identification of the individual care providers or care managers within a cared for population --> Only if schools, camps, and day care centers are classified as "providers or care managers").

  • INCLUDED if we make minor mods in a CC

  • Reference number: 70


Epidemiology2

Epidemiology

  • Facilitate notification of schools, camps, day care settings, and so forth of health risks that apply to populations of children within those institutions

  • Closest conformance criterion: DC.2.6.2 #4 (The system MAY have the ability to disseminate a notification of a health risk to the identified individual care providers or care-managers through one or more alternative means --> Only if schools, camps, and day care centers are classified as "providers or care managers").

  • INCLUDED if we make minor mods in a CC

  • Reference number: 72


Epidemiology3

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


Family linkage

Family Linkage

  • Allow the recording of a relationship by living situation

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 77


Family linkage1

Family Linkage

  • Facilitate the scheduling of siblings to be seen as a group or in contiguous time slots

  • Closest conformance criterion: N/A (S.1.6: Scheduling) (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 78


Family linkage2

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


Family linkage3

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


Family linkage4

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


Family linkage5

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


Gender

Gender

  • Allow the assignment of an unknown gender

  • Closest conformance criterion: N/A (This may simply be a matter of allowing the value of "unknown" in the a gender field).

  • VOCABULARY ISSUE: …

  • Reference number: 80


Gestational age

Gestational Age

  • Allow recording of gestational age at the time of delivery as a permanent feature of the patient that can be accessed at all times during the care of the patient, in much the same way as a "problem"

  • Closest conformance criterion: N/A (This may simply be a matter of allowing gestational age to be an item on the problem list).

  • VOCABULARY ISSUE: …

  • Reference number: 81


Growth

Growth

  • Allow the recording of head circumference

  • Closest conformance criterion: DC.1.10.2 #2 comes close (The system MAY capture other clinical measures as discrete elements such as peak expiratory flow rate, size of lesions, oxygen saturation, body mass index and severity of pain.).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 83


Growth1

Growth

  • Allow graphic display of growth data against a user-selectable set of normative curves

  • Closest conformance criterion: DC.1.4? (Growth charting is briefly mentioned in the text of DC.1.4 "Manage Assessments," but there are no specifics).

  • NOT INCLUDED, noncontroversial

  • Reference number: 82


Growth2

Growth

  • Plot body mass index against normative curves

  • Closest conformance criterion: DC.1.4? (Growth charting is briefly mentioned in the text of DC.1.4 "Manage Assessments," but there are no specifics).

  • NOT INCLUDED, noncontroversial

  • Reference number: 85


Growth3

Growth

  • Provide graphical growth chart and norms for children with varying conditions (e.g., Down syndrome and Turner syndrome)

  • Closest conformance criterion: DC.1.4? (Growth charting is briefly mentioned in the text of DC.1.4 "Manage Assessments," but there are no specifics).

  • NOT INCLUDED, noncontroversial

  • Reference number: 87


Growth4

Growth

  • include the appropriate templates for growth data fields, which would be presented to the caregiver using CDC standards based on demographic data (i.e., length, weight, head circumference for < 36 months; height; weight, BMI for over 36 months).

  • Closest conformance criterion: Makes no sense (Either the EHR allows the entering of head circumference or it does not. Either it calculates BMI or it does not. Whether these "fields" come up depend on the age-dependent templates the system implements (see Decision Support).).

  • DELETE?

  • Reference number: 84


Growth5

Growth

  • Provide alerts about variances in the growth chart

  • Closest conformance criterion: Needs more detail… hard to put this one into a conformance criterion (Growth charting is briefly mentioned in the text of DC.1.4 "Manage Assessments," but there are no specifics).

  • NOT INCLUDED, noncontroversial

  • Reference number: 86


Growth6

Growth

  • Provide mechanism for monitoring of growth over time

  • Closest conformance criterion: Needs more detail… hard to put this one into a conformance criterion (Growth charting is briefly mentioned in the text of DC.1.4 "Manage Assessments," but there are no specifics).

  • NOT INCLUDED, noncontroversial

  • Reference number: 88


Guardianship

Guardianship

  • Support the recording of multiple guardians and residences for given child whose parents are divorced or who have joint custody

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 90


Guardianship1

Guardianship

  • Allow reference to subsets of the demographic data of the patient’s guardian to serve for parts of the patient’s demographic data, to avoid re-entry of data and avoid data anomalies

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 91


Guardianship2

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


Immunizations

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


Immunizations1

Immunizations

  • Allow reporting of immunization status of populations of children within the practice

  • Closest conformance criterion: DC.1.3.3 #3 ([This is not directly mentioned in the conformance criteria, but it would be a derivative of the process used to compute immunizations for individuals]).

  • NOT INCLUDED, noncontroversial

  • Reference number: 95


Immunizations2

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


Immunizations3

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


Immunizations4

Immunizations

  • Allow user level updating of immunization guidelines

  • Closest conformance criterion: DC.1.3.3 #5 (The system SHALL allow for the updating of the immunization schedule --> Does not include "user level… is this important?).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 96


Immunizations5

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


Immunizations6

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


Immunizations7

Immunizations

  • Allow recording of parental consent to immunizations, according to applicable state law, as part of the point of care interface

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 94


Immunizations8

Immunizations

  • Compute immunization recommendations for a time other than the time of the current encounter (for example if a parent wants to know what immunizations are due at the next visit, the system would facilitate this analysis)

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 98


Immunizations9

Immunizations

  • Display immunizations by antigen

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 99


Interface

Interface

  • Include age and DOB on every display, both printed and on the screen

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 102


Lab results

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


Medical home

Medical Home

  • Allow the designation of Advocate for the patient, who can append information to the chart

  • Closest conformance criterion: DC.1.1.4 ((Mentions surrogate for patient in the description, but lists no conformance criteria)).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 104


Medical home1

Medical Home

  • Allow the recording of a primary care physician for each patient

  • Closest conformance criterion: N/A (N/A - this has GOT to be an oversight).

  • NOT INCLUDED, noncontroversial

  • Reference number: 105


Medical home2

Medical Home

  • have the capability to identify multiple primary providers as well as multiple sub-specialists

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 106


Medical home3

Medical Home

  • Indicate multiple primary care providers, in the case were a pediatrician and a family practitioner are assuming that role

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 108


Medical home4

Medical Home

  • If the system provides a directory of providers, indicate which of those providers see pediatric patients, or who are pediatric specialists

  • Closest conformance criterion: S.1.3.1 #5 (The system MAY provide a directory of clinical personnel external to the organization that are not users of the system to facilitate documentation communication and information exchange --> Needs addition of data on peds specificity).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 107


Miscellaneous

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


Miscellaneous1

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


Norms

Norms

  • Provide age based norms for data when such norms exist

  • Closest conformance criterion: DC.1.10.1 ().

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 114


Norms1

Norms

  • The system should accept normal ranges supplied by the external reference laboratory. Ideally, lab values are linked to ""disease-specific state"" values.

  • Closest conformance criterion: DC.1.10.1 (Receiving normal ranges and critical ranges from external sources is the default behavior for systems that accept lab values from external sources; this is not explicitly mentioned in the functional model).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 116


Norms2

Norms

  • Indicate normal ranges for values for which there are mutliple normal ranges within each age range (example: blood pressure, for whuch there are different normal values for each height range within each age range)

  • Closest conformance criterion: DC.1.10.2 ().

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 113


Norms3

Norms

  • Provide an indicator of abnormal vital signs in cases where the vital signs fall outside the range of normal for age

  • Closest conformance criterion: DC.1.10.2 ().

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 115


Norms4

Norms

  • Calculate and immeditely display, along with the original data, percentile values for any piece of data entered into the system for which a percentile distribution is known (height, weight, head circumference, body mass index, blood pressure)

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 111


Norms5

Norms

  • Indicate normal range for items (lab values and physical exam data) based on stage of sexual maturity

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 112


Parental data entry

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


Parental data entry1

Parental Data Entry

  • provide a Web-based interface for entering data by parents, patients, school nurses, pharmacy labs/medical devices technicians.

  • Closest conformance criterion: DC.1.1.4 #3 (specifying "web-based" is beyond the scope of this document; this CC should handle the EHR end of this requirement) (The system SHALL capture, explicitly label the source of clinical data provided on behalf of the patient.).

  • NOT INCLUDED, noncontroversial

  • Reference number: 121


Parental data entry2

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


Parental data entry3

Parental Data Entry

  • Provide patients with a web-based tool to access their medical record information.

  • Closest conformance criterion: DC.3.2.3 #5 (The system SHALL enable a secure web connection to support communications between providers and patients or their representatives ).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 122


Parental data entry4

Parental Data Entry

  • Support entry of information by parents, patients, school nurses via the Web

  • Closest conformance criterion: DC.3.2.3 #5 (The system SHALL enable a secure web connection to support communications between providers and patients or their representatives ).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 123


Parental data entry5

Parental Data Entry

  • Allow designation of a given patient as competent to enter his or her own information at a point selected by the clinician

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 117


Parental data entry6

Parental Data Entry

  • Permit oversight by parents of the patient entered information

  • Closest conformance criterion: N/A (May be to ill-defined in this form).

  • NOT INCLUDED, noncontroversial

  • Reference number: 120


Patient identification

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


Patient identification1

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


Patient identification2

Patient Identification

  • Allow cross-referencing of multiple identifiers that may identify the same patient

  • Closest conformance criterion: DC.1.1.1 #6 (The system SHALL provide the ability to query and retrieve appropriate parts of a patient record using a primary identifier, secondary identifiers, or other information which are not identifiers, but could be used to help identify the patient. ).

  • Possibly included, controversial

  • Reference number: 125


Patient identification3

Patient Identification

  • Allow changes in identifying data at the time of family changes due to adoption

  • Closest conformance criterion: DC.1.1.1 #6 almost works (The system SHALL provide the ability to query and retrieve appropriate parts of a patient record using a primary identifier, secondary identifiers, or other information which are not identifiers, but could be used to help identify the patient. ).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 124


Patient identification4

Patient Identification

  • Allow entry of mother’s identifying data as part of the patient’s identifying data

  • Closest conformance criterion: DC.1.1.1 #6 almost works (Closest CC doesn't quite do it: The system SHALL provide the ability to query and retrieve appropriate parts of a patient record using a primary identifier, secondary identifiers, or other information which are not identifiers, but could be used to help identify the patient. ).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 126


Patient identification5

Patient Identification

  • Allow name changes, and retain old names for the purpose of searching for patient records

  • Closest conformance criterion: DC.1.1.1 #6 almost works (The system SHALL provide the ability to query and retrieve appropriate parts of a patient record using a primary identifier, secondary identifiers, or other information which are not identifiers, but could be used to help identify the patient. ).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 128


Patient identification6

Patient Identification

  • Allow entry of temporary ID numbers, which can be replaced with more formal identification number systems

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 127


Patient identification7

Patient Identification

  • To the extent afforded by existing national patient identifier systems, allow replacement of an identifier assigned in the pediatric period to a new, “adult” identifier at the age of majority

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 133


Patient identification8

Patient Identification

  • Allow the retention (and use as search criteria) the multiple names applied to a patient

  • Closest conformance criterion: S.1.4.1 ((Mentions changing names in the description, but there are no conf criteria mentioning how name changes would affect subsequent system operation)).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 130


Patient identification9

Patient Identification

  • Allow users to be able to find a patient in the system based on multiple search criteria

  • Closest conformance criterion: S.1.4.1 ((Mentions changing names in the description, but there are no conformance criteria mentioning how name changes would affect subsequent system operation)).

  • NEEDS NEW CC IN THIS FUNCTION

  • Reference number: 131


Pedigree

Pedigree

  • Allow construction of graphical patient pedigrees

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 134


Preferences

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


Preferences1

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


Prenatal

Prenatal

  • Allow creation of a record of a patient before the patient’s birth

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 137


Prenatal1

Prenatal

  • Allow the retention of data related to prenatal procedures within the record of the patient postnatally

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 138


Privacy

Privacy

  • Label clinical information as requiring special privacy consideration, based on patient's age and applicable laws (this applies to so-called adolescent privacy)

  • Closest conformance criterion: DC.1.1.6 #2 (The system SHALL restrict access to summarized information based on applicable rules for confidentiality of patient health information --> assuming the rules can respond to age and sensitive diagnoses).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 144


Privacy1

Privacy

  • In cases of care given to patients during adolescence, provide the ability to flag certain encounters, problems, diagnoses, and results as requiring special privacy handling

  • Closest conformance criterion: DC.1.1.6 #2 and I.1.9 #8 (The system SHALL restrict access to summarized information based on applicable rules for confidentiality of patient health information AND System MAY allow varying levels of confidentiality based on patient class and/or diagnosis).

  • Possibly included, controversial

  • Reference number: 142


Privacy2

Privacy

  • Allow user to mark sections or patients as confidential. This allows the practice to not print demographics, certain confidential sections, or other items

  • Closest conformance criterion: I.1.1.9 #8 (if "age" is added to it) (System MAY allow varying levels of confidentiality based on patient class and/or diagnosis. --> System SHOULD allow varying levels of confidentiality based on patient class, age, and/or diagnosis.).

  • INCLUDED if we make minor mods in a CC

  • Reference number: 140


Privacy3

Privacy

  • Protect the genetic identity of the child, when desired, when assisted reproductive technology is used

  • Closest conformance criterion: I.1.9 #1 (The system SHOULD enforce the applicable jurisdictional and organizational patient privacy rules).

  • Possibly included, controversial

  • Reference number: 145


Privacy4

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


Privacy5

Privacy

  • In cases of care given to patients during adolescence, offer reminders based on diagnoses of the need for special privacy handling

  • Closest conformance criterion: N/A (N/A).

  • NOT INCLUDED, noncontroversial

  • Reference number: 141


Privacy6

Privacy

  • Include donor management support: Functions in an EMR related to organ and tissue donation may need to accommodate information about the gamete or zygote donated that resulted in pregnancy that gave rise to the patient, within applicable privacy laws.

  • Closest conformance criterion: S.1.2: Donor Management Support… but does not include ART ().

  • NOT INCLUDED, noncontroversial

  • Reference number: 143


Registries

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


Registries1

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


Registries2

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


Registries3

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


Registries4

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


Registries5

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


Registries6

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


Registries7

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


Registries8

Registries

  • Include gestational age on data reported to registries

  • Closest conformance criterion: N/A (Wouldn’t this be up to the registry? Would not the registry be the one to specify whether it wanted gestational age?).

  • DELETE?

  • Reference number: 150


Reports

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


Reports1

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


Reports2

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


Reports3

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


Reports4

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


Reports5

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


Reports6

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


Reports7

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


Reports8

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


Research

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


Telehealth

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


Telehealth1

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


Telehealth2

Telehealth

  • Provide access to the electronic medical record to sites where telehealth is being implemented

  • Closest conformance criterion: N/A (Whether an application is available through a network is an implementation issue).

  • NOT INCLUDED, noncontroversial

  • Reference number: 167


Terminology

Terminology

  • include special terminology used in pediatric care: Example: EMR systems include common pediatric terms (pediatric lexicon) used to describe pediatric preventive health care (e.g., developmental milestones, educational progress, and anticipatory guidance) and physical findings (e.g., weak cry, bulging anterior fontanels, and umbilical granuloma).

  • Closest conformance criterion: Nonsensical; making terminology systems adequate for pediatric care is beyond the present scope (We need an entirely separate document detailing what we mean by pediatric terminology.).

  • NOT INCLUDED, noncontroversial

  • Reference number: 168


Terminology1

Terminology

  • Support terminology systems specifically designed for use in pediatrics

  • Closest conformance criterion: Nonsensical; no such terminoligy systems exist ().

  • NOT INCLUDED, noncontroversial

  • Reference number: 169


Vocabulary

Vocabulary

  • Allow recording of immunization status (current versus delayed) in summary lists

  • Closest conformance criterion: N/A (N/A).

  • VOCABULARY ISSUE: …

  • Reference number: 170


Vocabulary1

Vocabulary

  • Allow recording of educational status in summary lists

  • Closest conformance criterion: N/A (N/A).

  • VOCABULARY ISSUE: …

  • Reference number: 171


Vocabulary2

Vocabulary

  • Allow the recording of developmental assessments in summary lists

  • Closest conformance criterion: N/A (N/A).

  • VOCABULARY ISSUE: …

  • Reference number: 172


Vocabulary3

Vocabulary

  • Allow the recording of health maintenance status as part of summary lists

  • Closest conformance criterion: N/A (N/A).

  • VOCABULARY ISSUE: …

  • Reference number: 173


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