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

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Presentation on theme: "Reconciling the pediatric requirements with the EHR model May 2006 Allergies  [Allergies] could include items such as foods or environmental agents. "— Presentation transcript:

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

2 Reconciling the pediatric requirements with the EHR model May 2006 Allergies  Allow the classification of reactions into allergic reactions, side effects, and intolerances  Closest conformance criterion: DC.1.3.2 #1 (The system SHALL capture true allergy, intolerance, and adverse reaction to drug, dietary or environmental triggers as unique, discrete entries.).  INCLUDED, noncontroversial  Reference number: 6

3 Reconciling the pediatric requirements with the EHR model May 2006 Allergies  The user determines what defines an allergy or adverse reaction  Closest conformance criterion: DC.1.3.2 #4 (The system SHOULD provide the ability to capture the reaction type).  INCLUDED, noncontroversial  Reference number: 8

4 Reconciling the pediatric requirements with the EHR model May 2006 Archiving  Store data until the statutorily designated time  Closest conformance criterion: I.1.2.1 #1 (The system SHALL provide for the storage and retrieval of health record data and clinical documents for legally proscribed (sic) time. ).  INCLUDED, noncontroversial  Reference number: 9

5 Reconciling the pediatric requirements with the EHR model May 2006 Communications  The user may indicate who they are sending results to and the system will track this  Closest conformance criterion: DC.1.10.1 #8 (The system MAY route results to patients by methods such as phone, fax, electronically or in the form of a letter).  INCLUDED, noncontroversial  Reference number: 10

6 Reconciling the pediatric requirements with the EHR model May 2006 Consent  In cases where advanced directives are managed by the system, provide forms appropriate to both patients and guardians where the patient is below the legal age of consent  Closest conformance criterion: DC.1.11.2 (The system MAY be able to indicate that the patient’s personal representative (guardian/surrogate) has completed advanced directive(s) on their behalf. ).  INCLUDED, noncontroversial  Reference number: 12

7 Reconciling the pediatric requirements with the EHR model May 2006 Consent  Allow recording of both consent and assent to treatment  Closest conformance criterion: DC.1.11.3 #7 (EHR systems SHOULD allow documentation of an assent as appropriate for patients legally unable to consent. ).  INCLUDED, noncontroversial  Reference number: 11

8 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Incorporate age, weight, and disease criteria into alerts related to laboratory results  Closest conformance criterion: DC.1.10.1 #11 (The system MAY trigger decision support algorithms from [test] results. ).  INCLUDED, noncontroversial  Reference number: 31

9 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Integrate patient and family preferences into clinical decision support  Closest conformance criterion: DC.1.11.1 #3 (The system SHOULD integrate patient and family preferedecision support systems).  INCLUDED, noncontroversial  Reference number: 34

10 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Link care processes to the problem list  Closest conformance criterion: DC.1.5 #9 (The system MAY associate encounters, orders, medications, notes with one or more problems.).  INCLUDED, noncontroversial  Reference number: 35

11 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Link lab values to problem list  Closest conformance criterion: DC.1.5 #9 (The system MAY associate encounters, orders, medications, notes with one or more problems.).  INCLUDED, noncontroversial  Reference number: 37

12 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Link medical imaging to items all on the problem list  Closest conformance criterion: DC.1.5 #9 (The system MAY associate encounters, orders, medications, notes with one or more problems.).  INCLUDED, noncontroversial  Reference number: 38

13 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Link orders to problems [in problem lists]  Closest conformance criterion: DC.1.5 #9 (The system MAY associate encounters, orders, medications, notes with one or more problems.).  INCLUDED, noncontroversial  Reference number: 39

14 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Provide problem lists link to medical orders, lab, medical imaging, disease specific guidelines, or care processes including rationale for care.  Closest conformance criterion: DC.1.5 #9 (The system MAY associate encounters, orders, medications, notes with one or more problems.).  INCLUDED, noncontroversial  Reference number: 43

15 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Provide decision support for special immunizations such as palivizumab  Closest conformance criterion: DC.1.6.1 #1 (The system SHALL support presentation of guidelines and protocols to clinicians).  INCLUDED, noncontroversial  Reference number: 42

16 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Link disease specific guidelines to the problem list  Closest conformance criterion: DC.1.6.1 #4 (The system SHALL present guidelines and protocols appropriate for the patient’s problem list. ).  INCLUDED, noncontroversial  Reference number: 36

17 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Indicate the source of any applicable guidelines or decision support rules  Closest conformance criterion: DC.1.6.2 #4 (The system SHOULD allow tracking of updates to care plans by: authors, creation date, version history, references, local sources, non-local sources).  INCLUDED, noncontroversial  Reference number: 33

18 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Allow for disease specific health maintenance schedules with accompanying decision support  Closest conformance criterion: DC.2.1.1 #2 (The system SHALL enable access to standards and practices related to age, gender, normal growth and development and medical conditions [this assumes that "assessments" refers to forms for data collection]).  INCLUDED, noncontroversial  Reference number: 23

19 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  In cases where forms vary with age, select forms to be presented based on age.  Closest conformance criterion: DC.2.1.1 #2 (The system SHALL enable access to standards and practices related to age, gender, normal growth and development and medical conditions [this assumes that "assessments" refers to forms for data collection]).  INCLUDED, noncontroversial  Reference number: 29

20 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Modify displays based on age  Closest conformance criterion: DC.2.1.1 #2 (The system SHALL enable access to standards and practices related to age, gender, normal growth and development and medical conditions [this assumes that "assessments" refers to forms for data collection]).  INCLUDED, noncontroversial  Reference number: 40

21 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Modify displays based on gestational age at birth  Closest conformance criterion: DC.2.1.1 #2 (The system SHALL enable access to standards and practices related to age, gender, normal growth and development and medical conditions [this assumes that "assessments" refers to forms for data collection] [assumes gestational age could be treated as a "medical condition," which is reasonable]).  INCLUDED, noncontroversial  Reference number: 41

22 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Remind users of anticipatory guidance topics based on age  Closest conformance criterion: DC.2.2.1.2 #1 (assuming that "anticipatory guidance topics" can be considered a "care plan") (The system SHALL support access to resources for care plans that are context sensitive to patient specific data and assessment, and are appropriate to the age, gender, developmental stage and medical condition of the patient (DC 1.3.1, DC 1.4, DC 1.5, DC 1.6)).  INCLUDED, noncontroversial  Reference number: 44

23 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Remind users of anticipatory guidance topics based on risk factors  Closest conformance criterion: DC.2.2.1.2 #1 (assuming that "anticipatory guidance topics" can be considered a "care plan") (The system SHALL support access to resources for care plans that are context sensitive to patient specific data and assessment, and are appropriate to the age, gender, developmental stage and medical condition of the patient (DC 1.3.1, DC 1.4, DC 1.5, DC 1.6)).  INCLUDED, noncontroversial  Reference number: 45

24 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Remind users of anticipatory guidance topics based on topics previously discussed  Closest conformance criterion: DC.2.5.1 (sort of) (The system SHOULD present alerts for all patient specific preventive services to the provider (is anticipatory guidance a preventive service?)).  INCLUDED, noncontroversial  Reference number: 46

25 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Alert clinicians to the need for developmental screening based on guidelines  Closest conformance criterion: DC.2.5.1 #1 (The system SHOULD identify services for preventive care and wellness from patient demographics (eg. age, sex, region) ).  INCLUDED, noncontroversial  Reference number: 21

26 Reconciling the pediatric requirements with the EHR model May 2006 Decision Support  Alert clinicians to the need for hearing and vision screening per guidelines  Closest conformance criterion: DC.2.5.1 #1 (The system SHOULD identify services for preventive care and wellness from patient demographics (eg. age, sex, region) ).  INCLUDED, noncontroversial  Reference number: 22

27 Reconciling the pediatric requirements with the EHR model May 2006 E-Prescribing & Ordering  Allow export of data to national drug databases designed to detect adverse drug events  Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).  INCLUDED, noncontroversial  Reference number: 49

28 Reconciling the pediatric requirements with the EHR model May 2006 E-Prescribing & Ordering  Handle immunization separately from other medications  Closest conformance criterion: DC.1.3.3 ([Manage immunizations]).  INCLUDED, noncontroversial  Reference number: 56

29 Reconciling the pediatric requirements with the EHR model May 2006 E-Prescribing & Ordering  Link adverse drug reactions, including allergies, to the activity of ordering or modifying a prescription  Closest conformance criterion: DC.1.8.1 #15 (The system SHOULD check and report allergies, drug- drug interactions, and other potential adverse reactions, when new medications are ordered. ).  INCLUDED, noncontroversial  Reference number: 60

30 Reconciling the pediatric requirements with the EHR model May 2006 E-Prescribing & Ordering  Allow recording of over-the-counter medications, herbal remedies, and vitamin preparations in the medication list  Closest conformance criterion: DC.1.8.3 (The system SHALL provide a user interface to enter non- prescription medications including over the counter and complementary medications such as vitamins, herbs and supplements. ).  INCLUDED, noncontroversial  Reference number: 52

31 Reconciling the pediatric requirements with the EHR model May 2006 E-Prescribing & Ordering  When a medication is discontinued, the user would have the ability to indicate if a medication was ineffective.  Closest conformance criterion: DC.2.3.1.1 #8 (The system SHOULD allow checking of medications against a list of drugs noted to be ineffective for the patient in the past. ).  INCLUDED, noncontroversial  Reference number: 67

32 Reconciling the pediatric requirements with the EHR model May 2006 E-Prescribing & Ordering  Indicate when dosing decision support is based on evidence  Closest conformance criterion: DC.2.7.1 #1 (Upon request, the system SHALL provide appropriate evidence-based documentation for clinical care recommendations. ).  INCLUDED, noncontroversial  Reference number: 59

33 Reconciling the pediatric requirements with the EHR model May 2006 Education  Provide patient education materials that are appropriate for patients in varying age ranges  Closest conformance criterion: DC.3.2.4 #9 (The system MAY enable age-appropriate and/or reading- ability appropriate educational materials for the patient and/or patient representative ).  INCLUDED, noncontroversial  Reference number: 69

34 Reconciling the pediatric requirements with the EHR model May 2006 Epidemiology  Facilitate epidemiologic studies by recording living situation  Closest conformance criterion: S.1.4.3 #1 & #2 (The system SHOULD provide a mechanism to identify the patient’s primary residence. The system MAY provide a mechanism to identify the patient’s secondary or alternate residence. ).  INCLUDED, noncontroversial  Reference number: 71

35 Reconciling the pediatric requirements with the EHR model May 2006 Family Linkage  Allow linkages between siblings charts  Closest conformance criterion: S.3.5.1 #1 (The system MAY support the identification of persons related by genealogy.).  INCLUDED, noncontroversial  Reference number: 74

36 Reconciling the pediatric requirements with the EHR model May 2006 Family Linkage  Allow linkages between the charts of parents and children  Closest conformance criterion: S.3.5.1 #1 (The system MAY support the identification of persons related by genealogy.).  INCLUDED, noncontroversial  Reference number: 75

37 Reconciling the pediatric requirements with the EHR model May 2006 Family Linkage  Allow the creation of family groups of records within the system, for the purpose of moving between records within a family, subject to patient preferences, family preferences, and privacy regulations  Closest conformance criterion: S.3.5.1 #1 (The system MAY support the identification of persons related by genealogy.).  INCLUDED, noncontroversial  Reference number: 76

38 Reconciling the pediatric requirements with the EHR model May 2006 Family Linkage  Link records in cases where there is a medical reason to do so, such as in cases of familial disease  Closest conformance criterion: S.3.5.1 #1 (The system MAY support the identification of persons related by genealogy.).  INCLUDED, noncontroversial  Reference number: 79

39 Reconciling the pediatric requirements with the EHR model May 2006 Guardianship  Allow recording of a guarantor, who may be different from the parent or guardian  Closest conformance criterion: S.3.5.2 #1 (The system MAY support the identification of persons related by insurance plan. ).  INCLUDED, noncontroversial  Reference number: 89

40 Reconciling the pediatric requirements with the EHR model May 2006 Immunizations  Allow recording of immunizations including lot numbers and vaccine information statements  Closest conformance criterion: DC.1.3.3 #1 & #2 (The system SHALL record as discrete data elements data associated with any immunization given including date, type, lot number and manufacturer. The system SHOULD allow the association of standard codes with discrete data elements associated with an immunization.).  INCLUDED, noncontroversial  Reference number: 93

41 Reconciling the pediatric requirements with the EHR model May 2006 Immunizations  Based on known immunization data, calculate immunization status (current versus delayed) and display in summary lists  Closest conformance criterion: DC.1.3.3 #3 (The system SHALL determine any required immunizations during an encounter based on a current accepted schedule such as that from the Centers for Disease Control and Prevention. ).  INCLUDED, noncontroversial  Reference number: 97

42 Reconciling the pediatric requirements with the EHR model May 2006 Immunizations  Provide alerting and reminders for missedimmunizations  Closest conformance criterion: DC.1.3.3 #3 (The system SHALL determine any required immunizations during an encounter based on a current accepted schedule such as that from the Centers for Disease Control and Prevention.).  INCLUDED, noncontroversial  Reference number: 101

43 Reconciling the pediatric requirements with the EHR model May 2006 Immunizations  Include mechanisms for immunization decision support that includes easy updating as recommendation change is included.  Closest conformance criterion: DC.1.3.3 #5 (The system SHALL allow for the updating of the immunization schedule).  INCLUDED, noncontroversial  Reference number: 100

44 Reconciling the pediatric requirements with the EHR model May 2006 Immunizations  Allow flexible reporting of immunizations in a given practice to support required vaccine program reporting  Closest conformance criterion: DC.1.3.3 #8 (The system SHOULD prepare a report of a patient's immunization history upon request for appropriate authorities such as schools or day-care centers. ).  INCLUDED, noncontroversial  Reference number: 92

45 Reconciling the pediatric requirements with the EHR model May 2006 Lab Results  In the case of laboratories, allow recording of verification and communication to family members  Closest conformance criterion: DC.3.2.3 #1, 3, 4 (The system SHALL facilitate documentation of communications between providers and patients or their representatives. The system SHALL capture details of provider communications with patients or family (e.g. date, provider id, details of communication, result of communication requests). The system SHALL document communication originating with the patient or patient representative (e.g. date, entity, details of communication)).  INCLUDED, noncontroversial  Reference number: 103

46 Reconciling the pediatric requirements with the EHR model May 2006 Miscellaneous  Links to a source where living wills are stored  Closest conformance criterion: DC.1.11.2 #2 (The system SHOULD be able to indicate the type of advanced directives such as living will, durable power of attorney, or a "Do Not Resuscitate order".).  INCLUDED, noncontroversial  Reference number: 110

47 Reconciling the pediatric requirements with the EHR model May 2006 Miscellaneous  Coordinate bed identification between facilities, for transport from general hospital to children's hospital or to NICU.  Closest conformance criterion: S.1.4.2 #1 (The system SHOULD identify and display/view the patient’s assigned location, unambiguously. ).  INCLUDED, noncontroversial  Reference number: 109

48 Reconciling the pediatric requirements with the EHR model May 2006 Parental Data Entry  Incorporate documentation from external sources  Closest conformance criterion: DC.1.1.3 #1, and DC.3.2.3 #4 (The system SHALL allow external documents to be stored in the system, and The system SHALL document communication originating with the patient or patient representative (e.g. date, entity, details of communication) ).  INCLUDED, noncontroversial  Reference number: 119

49 Reconciling the pediatric requirements with the EHR model May 2006 Parental Data Entry  Distinguish data provided by the clinician from data provided by the parent, guardian, teacher, translator, or family  Closest conformance criterion: DC.1.1.4 #3 & #4 (The system SHALL capture, explicitly label the source of clinical data provided on behalf of the patient. The system SHALL present patient-originated data for use by care providers.).  INCLUDED, noncontroversial  Reference number: 118

50 Reconciling the pediatric requirements with the EHR model May 2006 Patient Identification  Allow the assignment of temporary identifiers in cases where a government issued identifier is not available.  Closest conformance criterion: DC.1.1.1 #2 (The system SHALL provide the ability to uniquely identify a patient and tie the record to a single patient. ).  INCLUDED, noncontroversial  Reference number: 129

51 Reconciling the pediatric requirements with the EHR model May 2006 Patient Identification  Support administrative transactions before an official, government issued identifier is available  Closest conformance criterion: DC.1.1.1 #2 (The system SHALL provide the ability to uniquely identify a patient and tie the record to a single patient. ).  INCLUDED, noncontroversial  Reference number: 132

52 Reconciling the pediatric requirements with the EHR model May 2006 Preferences  Alert users to preferences based on religion, such as transfusions in Jehovah's Witness patients  Closest conformance criterion: DC.1.11.1 #1 (The system SHALL capture, present, and store patient preferences such as language, religion and culture.).  INCLUDED, noncontroversial  Reference number: 135

53 Reconciling the pediatric requirements with the EHR model May 2006 Preferences  Allow parents to append information to the chart, per HIPAA guidelines  Closest conformance criterion: Redundant, since all products must comply with HIPAA (N/A).  INCLUDED, noncontroversial  Reference number: 136

54 Reconciling the pediatric requirements with the EHR model May 2006 Privacy  Allow labeling of data for special privacy considerations  Closest conformance criterion: I.1.9 #8 (System MAY allow varying levels of confidentiality based on patient class and/or diagnosis. ).  INCLUDED, noncontroversial  Reference number: 139

55 Reconciling the pediatric requirements with the EHR model May 2006 Registries  Allow linkage to registries maintained in the public sector  Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).  INCLUDED, noncontroversial  Reference number: 146

56 Reconciling the pediatric requirements with the EHR model May 2006 Registries  Exchange data with newborn metabolic screening registries  Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).  INCLUDED, noncontroversial  Reference number: 147

57 Reconciling the pediatric requirements with the EHR model May 2006 Registries  Exchange data with other public health registries of relevance to children  Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).  INCLUDED, noncontroversial  Reference number: 148

58 Reconciling the pediatric requirements with the EHR model May 2006 Registries  Exchange immunization data with immunization registries  Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).  INCLUDED, noncontroversial  Reference number: 149

59 Reconciling the pediatric requirements with the EHR model May 2006 Registries  Link to registries such as the newborn screening systems at the hospital, state, and national level to ensure optimal communication including timely notification and follow-up.  Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).  INCLUDED, noncontroversial  Reference number: 151

60 Reconciling the pediatric requirements with the EHR model May 2006 Registries  Provide a linkage of adverse drug reactions in children to feed national databases involving the Safe Pharmaceutical Act for Children  Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).  INCLUDED, noncontroversial  Reference number: 152

61 Reconciling the pediatric requirements with the EHR model May 2006 Registries  provide data fields that allow information (potentially coded) that is then passed to another data based to link epidemiologic database  Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).  INCLUDED, noncontroversial  Reference number: 153

62 Reconciling the pediatric requirements with the EHR model May 2006 Registries  Report adverse drug reactions  Closest conformance criterion: COVERED IN "REGISTRIES PACKAGE" ((DC.1.3.3 Manage immunizations; S.1.1 Registry notification; S.3.1.2 Encounter-specific functionality; S.3.3.6 Health service reports at the conclusion of an episode of care; I.1.3.1 Unique identity, registry, and directory services; I.3.2 Distributed registry access; I.5.4 Interchange agreements; I.6 Business rules management)).  INCLUDED, noncontroversial  Reference number: 154

63 Reconciling the pediatric requirements with the EHR model May 2006 Reports  Produce treatment plan reports for schools, day care, camp, and so forth  Closest conformance criterion: DC.1.1.7 #1 (The system SHOULD allow authorized users to create customized views of summarized information based on sort and filter controls for date or date range, problem, or other clinical parameters. ).  INCLUDED, noncontroversial  Reference number: 157

64 Reconciling the pediatric requirements with the EHR model May 2006 Reports  Provide communications to pediatric providers, including physicians, nurse practitioners, school nurses, developmental and behavioral health providers.  Closest conformance criterion: DC.1.1.7 #1 (The system SHOULD allow authorized users to create customized views of summarized information based on sort and filter controls for date or date range, problem, or other clinical parameters. ).  INCLUDED, noncontroversial  Reference number: 158

65 Reconciling the pediatric requirements with the EHR model May 2006 Reports  Provide discharge summary documents for parents and guardians  Closest conformance criterion: DC.1.1.7 #1 (The system SHOULD allow authorized users to create customized views of summarized information based on sort and filter controls for date or date range, problem, or other clinical parameters. ).  INCLUDED, noncontroversial  Reference number: 159

66 Reconciling the pediatric requirements with the EHR model May 2006 Reports  Provide treatment plans to parents and guardians  Closest conformance criterion: DC.1.1.7 #1 (The system SHOULD allow authorized users to create customized views of summarized information based on sort and filter controls for date or date range, problem, or other clinical parameters. ).  INCLUDED, noncontroversial  Reference number: 162

67 Reconciling the pediatric requirements with the EHR model May 2006 Reports  Support generation and maintenance of summary reports for parents  Closest conformance criterion: DC.1.1.7 #1 (The system SHOULD allow authorized users to create customized views of summarized information based on sort and filter controls for date or date range, problem, or other clinical parameters. ).  INCLUDED, noncontroversial  Reference number: 163

68 Reconciling the pediatric requirements with the EHR model May 2006 Reports  include nationally approved/endorsed pediatric measures, such as JCAHO, AHRQ, Health Plan Employer Data and Information Set (HEDIS); Title V Maternal and Child Health program indicators; National Quality Forum (NQF) initial hospital indicator set (pediatric-specific measures); Child and Adolescent Health Measurement Initiative (CAHMI).  Closest conformance criterion: S.2.1.1 (Outcome measures and analysis) (This sort of thing is less a function of the end-user system as it is a function of the data repository report-writing application.).  INCLUDED, noncontroversial  Reference number: 155

69 Reconciling the pediatric requirements with the EHR model May 2006 Reports  Provide flexibility to change the reports per changing requirements  Closest conformance criterion: S.2.1.1 (Outcome measures and analysis) (This sort of thing is less a function of the end-user system as it is a function of the data repository report-writing application.).  INCLUDED, noncontroversial  Reference number: 160

70 Reconciling the pediatric requirements with the EHR model May 2006 Reports  Provide reports based on pediatric quality measures to quality monitoring organizations  Closest conformance criterion: S.2.1.1 (Outcome measures and analysis) (This sort of thing is less a function of the end-user system as it is a function of the data repository report-writing application.).  INCLUDED, noncontroversial  Reference number: 161

71 Reconciling the pediatric requirements with the EHR model May 2006 Reports  Prepare age appropriate forms for external distribution, including camp physicals, athletic forms, and so forth  Closest conformance criterion: S.2.2.2 #all (The system SHOULD be capable of generating reports of structured clinical and administrative data through either internal or external reporting tools. The system MAY be capable of including information extracted from unstructured clinical and administrative data in the report generation process, using internal or external tools. The system SHALL be capable of generating reports, using either internal or external reporting tools. Reports generated SHALL be capable of being exported. The system SHOULD allow the user to specify report parameters, based on patient demographic and/or clinical data, which would allow sorting and/or filtering of the data. The system (or an external application, using data from the system) MAY allow users to save report parameters for generating subsequent reports. The system (or an external application, using data from the system) MAY allow users to modify one or more parameters of a saved report specification when generating a report using that specification.).  INCLUDED, noncontroversial  Reference number: 156

72 Reconciling the pediatric requirements with the EHR model May 2006 Research  provide support for the management of patients enrolled in research protocols and management of patients enrolled in research protocols.  Closest conformance criterion: DC.2.2.3 #4 (The system SHOULD support the management and tracking of patients participating in research studies. ).  INCLUDED, noncontroversial  Reference number: 164

73 Reconciling the pediatric requirements with the EHR model May 2006 Telehealth  Capture, track referrals between healthcare providers or health care organizations. (DC.1.4.4)  Closest conformance criterion: DC.1.9.5: Manage Referrals, e.g., #1 (The system SHALL support the capture of referral(s) to other care provider (s), whether internal or external to the organization).  INCLUDED, noncontroversial  Reference number: 165

74 Reconciling the pediatric requirements with the EHR model May 2006 Telehealth  Capture, track teleconsultations between healthcare providers or health care organizations. (DC.1.4.4)  Closest conformance criterion: DC.1.9.5: Manage Referrals, e.g., #1 (The system SHALL support the capture of referral(s) to other care provider (s), whether internal or external to the organization).  INCLUDED, noncontroversial  Reference number: 166


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