The Model Format is a set of child-specific requirements (and other requirements of special importance for children) that an electronic health record (EHR) should meet to perform optimally for the particular needs of children. The Model Format is intended to describe EHRs that will meet the needs of health care providers who treat children by combining best-practice clinical standards and Federal standards for information technology. The Model Format reflects the contributions of clinical experts who treat children. Some frequently asked questions and answers about the Model Format are below.
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1. What is the model children's electronic health record (EHR) Format?
The model Format is a set of requirements that contains child-specific items (or items of special importance for children) that identify the incremental functionality (beyond what is needed for adults) that an EHR should have to meet the particular needs of children. The Format expands upon the hierarchy created by HL7® for the EHR-S Functional Model and incorporates the HL7 Child Health Functional Profile.
2. Who would use the model Format?
The Format can be valuable to various audiences, including developers
of EHR software who want to ensure their systems optimally address the needs of children; purchasers of
EHR software to enable them to assess the degree to which EHR systems support the care of children; child
health advocates who want to influence the future development of EHR products for children; and
standards and certification organizations that could leverage selected requirements to specify best practices or
3. What kind of requirements are in the Format?
The Format includes over 700 requirements statements
related to the general care of children that directly inform specific functionality. The requirements are
organized hierarchically under "headers" and "functions." The specific requirements are called normative
statements and include one of the following normative verbs:
- SHALL (denoting required system behavior).
- SHOULD (for recommended system behavior).
- MAY (for permitted, desirable system behavior).
4. What types of system gaps does the Format cover?
The Format covers EHR functionality related to the care of children in the following areas:
- Activity Clearance.
- Birth Information.
- Child Abuse Reporting.
- Child Welfare.
- Children With Special Health Care Needs.
- Growth Data.
- Medication Management.
- Newborn Screening.
- Parents and Guardians and Family Relationship Data.
- Patient Identifiers.
- Patient Portals—PHR.
- Prenatal Screening.
- Primary Care Management—acute and chronic.
- Quality Measures.
- Registry Linkages.
- School-based Linkages.
- Security and Confidentiality.
- Special Terminology and Information.
- Specialized Scales/Scoring.
- Well Child/Preventive Care.
5. Who do I contact if I have questions or comments or want to provide feedback regarding the Format?
You can send comments or questions to: ModelFormat@ahrq.hhs.gov.
6. How can I stay informed about the progress of the model Format and when it will be publicly released?
Join the Model Children's EHR Format Email list. Send an Email to email@example.com and type SUBSCRIBE ChildEHRformat in the body of the Email message. Leave the subject line of the Email message blank. After sending the message, a confirmation message and instructions on how to use the Email list will follow.
AHRQ Publication No. 12-M018
Current as of February 2012
Model Children's EHR Format: Frequently Asked Questions. AHRQ Publication No. 12-M018, February 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/chipra/ehrformatfaq.htm