Allergies

1
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

2
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

3
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

4
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

5
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

6
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

7
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

8
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

9
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

10
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

11
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 lt
  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

12
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

13
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

14
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

15
Registries

• Include gestational age on data reported to
  registries
• Closest conformance criterion N/A (Wouldnt this
  be up to the registry? Would not the registry be
  the one to specify whether it wanted gestational
  age?).
• DELETE?
• Reference number 150

16
Vocabulary

• Allow recording of immunization status (current
  versus delayed) in summary lists
• Closest conformance criterion N/A (N/A).
• VOCABULARY ISSUE
• Reference number 170

17
Vocabulary

• Allow recording of educational status in summary
  lists
• Closest conformance criterion N/A (N/A).
• VOCABULARY ISSUE
• Reference number 171

18
Vocabulary

• Allow the recording of developmental assessments
  in summary lists
• Closest conformance criterion N/A (N/A).
• VOCABULARY ISSUE
• Reference number 172

19
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