AHRQ Report: 6 Functions Needed in Pediatric Electronic Health Records

AHRQ Report: 6 Functions Needed in Pediatric Electronic Health Records


A new report, released on 5/8/2015 by the Agency for Healthcare Research and Quality (AHRQ) examines 6 features needed in pediatric Electronic Health Records (EHRs), to ensure quality care for children. The report scanned scientific literature and gathered expert consensus on EHRs used in the care of children.

Child health care providers stated that they need access to EHRs with special features to assure the delivery of quality care to pediatric patients. These features relate to a child’s evolving physiology, maturity and associated conditions not found in EHRs used for adult patients.

Key EHR functionalities for consideration include the ability to build and maintain vaccination records, record growth and development data, calculate weight and age-based medication dosing, manage pediatric diseases, identify pediatric norms such as developmental milestones, and document the relationship between pediatric patients and their parents and caregivers.

AHRQ identified and recommends six core functionalities and objectives within each for optimized pediatric electronic records.

  1.  Vaccine forecasting and management
  • Reflects regional requirements
  • Supports documentation, including combination vaccinations
  • Communicates with registries


  1.  Routine Health Care Maintenance (RHCM)
  • Facilitates longitudinal assessment of growth and development
  • Calculates body mass index, growth velocity, percentiles, and standard deviations
  • Allows customized growth charts as approved by clinician
  • Provides tailored longitudinal health and safety recommendations
  1.  Family Structure
  • Links families together for easy navigation and data sharing between family members
  • Supports dynamic privacy controls that support differential access to health data


  1.  Documentation and Billing
  • Integrates into a clinician’s workflow to reduce documentation overload
  • Supports use and creation of customized forms
  • Interfaces with schools and community health organizations
  1.  Medications
  • Facilitates medication prescribing by weight, body surface area, and age
  • Incorporates dose rounding tailored to a medication’s safety and efficacy profile


  1.  Management of Vulnerable Populations
  • Generates patient lists based on key clinical diagnoses or risk factors
  • Identifies patients in a clinical subpopulation who are due for preventative services
  • Incorporates clinical practice guidelines into a standard clinical workflow


AHRQ described functionalities that will support the pediatric clinician in caring for children. The report is intended to provide an overview of current practice and research and to identify areas for improvement.

SOURCE: HIMSS | AHRQ, see LINK for PDF file of Report, at: http://1.usa.gov/1cNMWZF



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