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Enhancing Health IT Functionality for Children: The 2015 Children's EHR Format.

Jonathan S Wald¹, Saira N Haque², Stephanie Rizk²

¹RTI International, Durham, North Carolina; jwald@rti.org.

|March 10, 2018

Summary

Optimizing pediatric care requires enhanced electronic health record (EHR) functionality. A prioritized list of 47 EHR requirements and 16 recommended uses were developed to improve children

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Area of Science:

Health Informatics
Pediatric Health Technology

Background:

Electronic health record (EHR) systems have advanced, but pediatric-specific functionalities lag.
The initial Children's EHR Format (Format) identified 547 requirements, needing refinement for practical application.

Purpose of the Study:

To promote awareness of high-priority EHR functional requirements for pediatric care.
To focus industry adoption of essential health information technology functionalities for children.
To align stakeholders on prioritizing specific pediatric EHR needs.

Main Methods:

A modified Delphi process involving multistakeholder input.
Systematic review of existing EHR requirements and refinement through voting and discussion.
Development of a shortened, high-priority list of EHR functional requirements.

Main Results:

Identification and refinement of 47 high-priority EHR functional requirements for pediatric care.
Development of 16 recommended uses for the Children's EHR Format.
Creation of the 2015 Children's EHR Format Priority List.

Conclusions:

Enhanced EHR functionality is crucial for optimal pediatric care.
Prioritization and adoption of specific EHR features are needed for well-child care, medication management, and immunization tracking.
The refined list and recommended uses provide guidance for improving pediatric health information technology.