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Report Details Needs for Pediatric EHRs



A recent report in Pediatrics, the journal of the American Academy of Pediatrics, explains the special functionalities necessary in electronic health records systems to support pediatric care. "Child health care providers often find that clinical information systems have limited usefulness in pediatrics because they seem to be designed for adult care," according to the report.

The report covers necessary EHR functions in such areas as immunization management, growth tracking, medication dosing, patient identification, norms of pediatric measurement data that change over time, privacy, pediatric terminology, and precision of the data being collected and presented. For instance, pediatric EHRs need specific functions to handle several types of patient identification, according to the report. They should enable registration of newborns without a Social Security number and support a temporary identifier, as well as a prenatal identifier that connects prenatal data to the postnatal record and infant name changes and retrieval of data via a search on previous names.

"In the case of a child with ambiguous genitalia, an EHR system ought to allow the assignment of sex as unknown and to operate normally until the sex of the patient is assigned," the report notes. The Elk Grove Village, Ill.-based association also has published a policy statement on the rationale and functionality requirements of electronic prescribing systems for pediatrics.

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