Table 1.

Definition That Provides Conceptual Framework for QuICCC*

We define ongoing health conditions as disorders that:
1.  Have a biologic, psychologic, or cognitive basis, and
2.  Have lasted or are virtually certain to last for at least 1 yr, and
3.  Produce one or more of the following sequelae:
  a.  Limitation of function, activities, or social role in comparison with healthy age peers in the general areas of physical, cognitive, emotional, and social growth and development.
  b.  Dependency on one of the following to compensate for or minimize limitation of function, activities, or social role:
   (1)  Medications
   (2)  Special diet
   (3)  Medical technology
   (4)  Assistive device
   (5)  Personal assistance
  c.  Need for medical care or related services, psychologic services or educational services over and above the usual for the child's age, or for special ongoing treatments, interventions, or accommodations at home or in school.
  • * Reproduced from Stein REK, Bauman LJ, Westbrook LE, Coupey SM, Ireys HT. Framework for identifying children who have chronic conditions: the case for a new definition. J Pediatr. 1993;122:342–347.