Reconciling the pediatric requirements with the EHR model May 2006 Allergies List food allergies and medication allergies separately Closest conformance

Pe

D S SIG

Reconciling the pediatric requirements with the EHR model May 2006

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

Pe

D S SIG


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

Pe

D S SIG


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)).


Pe

D S SIG


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)).


Pe

D S SIG


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)).


Pe

D S SIG


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

Pe

D S SIG



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?).


Pe

D S SIG



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. ).


Pe

D S SIG


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).


Pe

D S SIG


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).


Pe

D S SIG


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

Pe

D S SIG


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. ).


Pe

D S SIG


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

Pe

D S SIG


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).


Pe

D S SIG


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?).


Pe

D S SIG


Vocabulary

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

Closest conformance criterion: N/A (N/A). VOCABULARY ISSUE: … Reference number: 170

Pe

D S SIG


Vocabulary

Allow recording of educational status in summary lists


Pe

D S SIG


Vocabulary

Allow the recording of developmental assessments in summary lists


Pe

D S SIG


Vocabulary

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


Documents

Reconciling the pediatric requirements with the EHR model May 2006 Allergies List food allergies and medication allergies separately Closest conformance