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Allergies

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Allergies List food allergies and medication allergies separately Closest conformance criterion: DC.1.3.2 #1 (The system SHALL capture true allergy, intolerance, and ... – PowerPoint PPT presentation

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Title: 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
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