Transcript Pediatric Reqs Included in EHR

Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
E-Prescribing & Ordering
 Handle immunization separately from other
medications
 Closest conformance criterion: DC.1.3.3 ([Manage
immunizations]).
 INCLUDED, noncontroversial
 Reference number: 56
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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, drugdrug interactions, and other potential adverse
reactions, when new medications are ordered. ).
 INCLUDED, noncontroversial
 Reference number: 60
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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 nonprescription medications including over the counter
and complementary medications such as vitamins,
herbs and supplements. ).
 INCLUDED, noncontroversial
 Reference number: 52
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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 readingability appropriate educational materials for the
patient and/or patient representative ).
 INCLUDED, noncontroversial
 Reference number: 69
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
allowrequirements
users with
to thesave
report parameters for generating May 2006
Reconciling
the pediatric
EHR model
subsequent reports. The system (or an external application,
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006
Pe DS SIG
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
Reconciling the pediatric requirements with the EHR model
May 2006