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Standards and Guidelines for Electronic Medical Record Systems in ...

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16. Children’s Health<br />

16.1. System displays the age of a child. H<br />

16.2. System displays growth charts show<strong>in</strong>g plotted values of height, weight, head<br />

circumference, <strong>and</strong> BMI aga<strong>in</strong>st age <strong>and</strong> sex data.<br />

16.3. System allows <strong>for</strong> capture, storage <strong>and</strong> management of pediatric specific laboratory tests<br />

such as HIV-DNA PCR tests, CD4%.<br />

16.4. System verifies appropriate drug dose <strong>for</strong> children when given the child’s weight <strong>in</strong> kgs or<br />

BSA <strong>in</strong> cubic meters.<br />

L<br />

H<br />

H<br />

17. Pregnancy Care<br />

17.1. System accepts coded <strong>in</strong>put <strong>for</strong> historical items that are asked at each pregnancy visit such<br />

as loss of fluid, fetal movement, etc.<br />

17.2. Where collected, the system makes obstetric past history available to the provider <strong>for</strong><br />

future pregnancies.<br />

17.3. System records fetal heart rate, fundal height, weight, ur<strong>in</strong>e analysis <strong>and</strong> blood pressure at<br />

each visit, along with antenatal profile results.<br />

17.4. System provides <strong>for</strong> captur<strong>in</strong>g dates to be used <strong>for</strong> notifications <strong>and</strong> alerts such as date to<br />

start ART prophylaxis, date to schedule <strong>for</strong> caesarean section, date to per<strong>for</strong>m a check<br />

ultrasound, etc.<br />

17.5. System displays the estimated date of delivery (EDD) given the patient’s last menstrual<br />

period (LMP).<br />

17.6. System will calculate an EDD given an ultrasound date <strong>and</strong> the estimated gestational age<br />

(EGA) given by the ultrasound.<br />

17.7. System creates a pr<strong>in</strong>table view of all visits, labs, due date, ultrasound, problem list <strong>and</strong><br />

plans which can be given to a patient <strong>for</strong> purposes of communicat<strong>in</strong>g with providers on a<br />

Labor <strong>and</strong> Delivery floor.<br />

H<br />

L<br />

H<br />

H<br />

H<br />

L<br />

H<br />

18. Orders<br />

18.1. System supports the record<strong>in</strong>g <strong>and</strong> track<strong>in</strong>g of cl<strong>in</strong>ical orders <strong>and</strong> requests such as<br />

prescriptions <strong>and</strong> other treatment orders, laboratory <strong>in</strong>vestigation requests, <strong>and</strong> referrals.<br />

L<br />

19. Audit/Logg<strong>in</strong>g<br />

19.1. System keeps an audit of all transactions. H<br />

19.2. System dates <strong>and</strong> time stamps all entries. H<br />

<strong>St<strong>and</strong>ards</strong> <strong>and</strong> <strong>Guidel<strong>in</strong>es</strong> <strong>for</strong> <strong>Electronic</strong> <strong>Medical</strong> <strong>Record</strong>s <strong>Systems</strong> <strong>in</strong> Kenya 27

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