Setting Up Note Templates To Use Growth Charts

This article will cover a lot of the information you will need to effectively use growth charts on  pre-existing note templates. Any pediatricians out there using our EHR will definitely want to bookmark this article. That said, there are techniques shown here that any practice can use to their advantage.

The available growth charts available currently are

  • Infant – Height, Weight, Head Circumference, and BMI
    • The age range for infant growth charts is 0-2yrs
  • Child – Height, Weight, Head Circumference, and BMI
    • The age range for Child growth charts is 3-19yrs
  • Adult– Height, Weight, Head Circumference, and BMI
    • The age range for Adults growth charts is 20+yrs.

When using growth charts there are a couple of items you need to check and setup first before your growth charts will open up and chart correctly.

  1. Your note templates are where you will create fields to use for your growth chat.
    1. If you have the pre-designed and imported templates you will need to modify the existing fields in your note templates to match what is listed latter on in this post.
  2. When creating the note fields for your growth chart you need to remember the field names you create as you will need to assign the fields to the perspective growth chart latter on.
    1. Please reference the help file on how to create templates  and note fields in the templates.
    2. For those modifying an existing template make sure you know what the name fields are in the templates you are using.
    3. To do this go to Admin | Templates | Note Templates | Select the template you want to check | Right click on the field that you want to use.  Note the Field name so that you can assign that one to growth chart you want to use it for. Be consistent in all templates to ensure that exact field name is used in each applicable template. For best results on something generic like height, try using the precreated field from the AdvancedMD Templates named “Height”.
    4. e.g.  Lets say I wanted to create a height growth chart for  an infant; I would want my field name to be height to reflect the height of the infant on the chart.
  3. One more thing you will want to check while you are checking the field name is the Type of note field it is.
    1. The type is to the right of the Field Name.
    2. You will want to make sure that it is set to decimal or number; decimal maybe the best when tracking an infants and childrens  growth.
    3. You can also use Calculation Fields to populate Growth Charts. This could be useful in many different scenarios like a Pediatic Office wanting to base their Growth Charts off of the Kilogram calculation that’s equates from a english weight measurement field of Lbs.
  4. Once you have verified the name and they type you will need to assign those field names to be used for the chart.
    1. The chart note fields are assigned to the growth chart in the global settings.    You can assign them by going to global settings following these steps below;
      1. Admin | Global Settings | Field Setup for Growth Chart
    2. Under the field setup for the growth charts you will then want to assign the correct field that you setup for your Height, Weight, Head circumference, and age to the proper growth chart
  5. For those that want to track premature infants you will need to create a simple check box in your note for pre-mature birth and enter the name of the check box here on this page as well.
    1. When charting for a premature infant setting up the field name is important because it will offset the charts according to compensate for the premature infant.
  6. You will need to make sure the default measurement type is set to English in order for the BMI Growth Chart to chart correctly unless the optional Pediatric setup or others are being used.
  7. Please note for children and Adult growth charts you do NOT need to enter their age in weeks in-order for the charts to works.  It is only important for those charts that you use the same age note field for all three types of notes.
  8. Also Note once you have your Notes Temples setup up you will need to have the a note filled out and saved to a patient before the growth charts will open up for the patient and chart.
  9. Finally, Growth Charts can only report on one Field Name for each setting like Height, Weight, etc. so keep in mind that if you have been entering data for any of those types under one field name but then a new field is used and selected in the Global Settings this could result in unmapped data points. Example: I have used the field named “Height” for my Height setting but then I change the setting to pull from  “Height123” I will not be able to see any of the data points mapped while using “Height”. This information is not lost so by switching back to “Height” I will now be able to see all of the data points again.

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