Allergies
description
Transcript of Allergies
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
Reconciling the pediatric requirements with the EHR model May 2006
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
Reconciling the pediatric requirements with the EHR model May 2006
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
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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
Reconciling the pediatric requirements with the EHR model May 2006
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
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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
Reconciling the pediatric requirements with the EHR model May 2006
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
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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
Reconciling the pediatric requirements with the EHR model May 2006
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
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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
Reconciling the pediatric requirements with the EHR model May 2006
Vocabulary
Allow recording of educational status in summary lists
Closest conformance criterion: N/A (N/A). VOCABULARY ISSUE: … Reference number: 171
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
Vocabulary
Allow the recording of developmental assessments in summary lists
Closest conformance criterion: N/A (N/A). VOCABULARY ISSUE: … Reference number: 172
Pe
D S SIG
Reconciling the pediatric requirements with the EHR model May 2006
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