Published online March 1, 2007
PEDIATRICS Vol. 119 No. 3 March 2007, pp. 631-637 (doi:10.1542/peds.2006-3527)
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CLINICAL REPORT

Special Requirements of Electronic Health Record Systems in Pediatrics

S. Andrew Spooner, MD, MS and the Council on Clinical Information Technology

Some functions of an electronic health record system are much more important in providing pediatric care than in adult care. Pediatricians commonly complain about the absence of these "pediatric functions" when they are not available in electronic health record systems. To stimulate electronic health record system vendors to recognize and incorporate pediatric functionality into pediatric electronic health record systems, this clinical report reviews the major functions of importance to child health care providers. Also reviewed are important but less critical functions, any of which might be of major importance in a particular clinical context. The major areas described here are immunization management, growth tracking, medication dosing, data norms, and privacy in special pediatric populations. The American Academy of Pediatrics believes that if the functions described in this document are supported in all electronic health record systems, these systems will be more useful for patients of all ages.

Key Words: electronic health record • pediatrics • technology

Abbreviations: EHR—electronic health record • AAP—American Academy of Pediatrics • HL7—Health Level Seven • NCVIA—National Childhood Vaccine Injury Act • CCHIT—Certification Commission for Health Information Technology


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The following policy statement has been revised:

Special Requirements for Electronic Medical Record Systems in Pediatrics

Pediatrics 108: 513-515. [Full Text]



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