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 < 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 (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

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