Standard Growth Charts

TypeBMI	Ages	Data Source	Percentiles Graphed	Age Adjustment Plot
(Body Mass Index)	≥ 24 months	CDC	3, 5, 10, 25, 50, 75, 85, 90, 95, 97, 99	X
Height	0-24 months	WHO	2, 5, 10, 25, 50, 75, 90, 95, 98	X
2-20 years	CDC	3, 5, 10, 25, 50, 75, 90, 95, 97
Weight	0-24 months	WHO	2, 5, 10, 25, 50, 75, 90, 95, 98	X
2-20 years	CDC	3, 5, 10, 25, 50, 75, 90, 95, 97
Head Circumference	0-36 months	WHO	2, 5, 10, 25, 50, 75, 90, 95, 98	X
Weight for Length	0-24 months	WHO	2, 5, 10, 25, 50, 75, 90, 95, 98	N/A
2-20 years	CDC	3, 5, 10, 25, 50, 75, 85, 90, 95, 97

NextGen® Enterprise EHR Help

Premature Growth Charts

Premature growth charts are available for age versus height, weight, body mass index (BMI), and head circumference, and weight versus length. They are automatically generated for a patient with a gestational age of less than 37 weeks at birth and a current gestational age of up to 50 weeks. An age adjustment plot can be used when the patient is older than 50 weeks. Premature growth charts use data from the 2013 Fenton Growth Chart study to graph the percentiles: 5, 10, 25, 50, 75, 90, and 95. The growth charts display Fenton 2013 Preterm Growth Chart in the title. For example, the title for a head circumference growth chart for a premature girl is Age vs. Head Circumference (Fenton 2013 Preterm Growth Chart, Girls). For a premature boy, the title for a height growth chart is Age vs. Height (Fenton 2013 Preterm Growth Chart, Boys) and for a weight growth chart, it is Age vs. Weight (Fenton 2013 Preterm Growth Chart, Boys). Premature growth charts are not displayed for Turner syndrome pa

NextGen® Enterprise EHR Help

Generate a Growth Chart from the File Menu

Before you begin Make sure that you have set up Graphing preferences that correspond to the template and field values that data are graphed from. To generate a specialty growth chart, set up the applicable preference for Gestational Age (premature patients), Down Syndrome Indicator, or Turner Syndrome Indicator. To graph a growth chart using a measurement date instead of an encounter date, enter the Measurement Date Column preference. You can also set up preferences to Print Patient Name, Print Patient Date of Birth, and Print Chart Print Time on the generated growth chart. Open the pediatric patient's history in NextGen® Enterprise EHR. From the File menu, select Graph, Growth Charts. Select one of the following: BMI Height Weight Head Circum Weight for Length NextGen® Enterprise EHR plots the graph for the selected growth chart using template data from all of the patient's encounters. Right-click the graph to display a menu, with options to select other available plots, print the gro

NextGen® Enterprise EHR Help

Select Graph Display Options

You can select options to: Change the monthly or yearly interval range on your graph. Change the background, patient, or percentile color on your graph. From the Growth Chart Graph menu, select Options. The Options window opens. Change the interval ranges or colors as required. To apply and view your changes on the graph, select Apply. When you are done, select OK. The graph is redrawn with the changes you entered. Change the Graphing Interval Range Change Graph Colors Parent topic: Growth Chart Graph Menu

NextGen® Enterprise EHR Help

Down Syndrome Growth Charts

Note: If the patient is premature and has Down syndrome, premature growth charts are displayed. Specialized height, weight, head circumference, weight versus length, and BMI growth charts are available for Down syndrome patients from 0-36 months and 2-20 years of age. The Down syndrome growth charts use CDC 2015 data. You can show a citation for this data source when you generate the growth chart. To generate a Down syndrome growth chart, you must select a Down Syndrome indicator on the NextGen® Adaptive Content Engine or custom NextGen® Enterprise EHR template you are using, and set up the corresponding preference. The following table lists the data source and percentiles graphed for Down syndrome growth charts. Type Ages Data Source Percentiles Graphed Height 0-36 months CDC 2015 2, 5, 10, 25, 50, 75, 90, 95, 98 2-20 years CDC 2015 2, 5, 10, 25, 50, 75, 90, 95, 98 Weight 0-36 months CDC 2015 2, 5, 10, 25, 50, 75, 90, 95, 98 2-20 years CDC 2015 2, 5, 10, 25, 50, 75, 90, 95, 98 Head Ci

NextGen® Enterprise EHR Help

Turner Syndrome Growth Charts

For female patients with Turner syndrome, specialized height growth charts are available starting at one year of age. The plot 1-20 years chart option is selected by default. If a Turner syndrome patient is under one year, use the 0-24 month standard height growth charts to graph any height data logged during the patient's first year. You must select a Turner Syndrome indicator on your growth chart template, and set up the corresponding preference to generate this type of growth chart. Turner syndrome growth charts use data from the Turner Syndrome Foundation to graph the following percentiles: 3, 10, 25, 50, 75, 90, and 97. You can show a citation for this data source when you generate the growth chart. Parent topic: Generating Pediatric Growth Charts

NextGen® Enterprise EHR Help

Growth Chart Graph Menu

After you generate a growth chart, you can right-click the graph to display the Growth Chart Graph menu. Note: The commands on this menu vary based on the age of the patient and the growth chart type. A command is dimmed if it is unavailable for the displayed graph. The following table describes each type of command: Command Description Plot Premature Patients who are considered premature and have a gestational age of 50 weeks or less default to the premature plot. A check mark indicates that this plot is adjusted automatically for prematurity. Premature plots are not generated for Turner syndrome patients. Plot (Age range) Displays the age range(s) that can be plotted for this type of graph. The following age ranges may be shown depending on the patient's age and type of graph: 0-24 months, 0-36 months, 2-18 years, 1-20 years, or 2-20 years. A check mark indicates the age range currently plotted. You can select another age range, if available. Age Adjusted This command is not applicab

Standard Growth Charts

Recommendations

Premature Growth Charts

Generate a Growth Chart from the File Menu

Select Graph Display Options

Down Syndrome Growth Charts

Turner Syndrome Growth Charts

Growth Chart Graph Menu

Standard Growth Charts

Premature Growth Charts

Generate a Growth Chart from the File Menu

Select Graph Display Options

Down Syndrome Growth Charts

Turner Syndrome Growth Charts

Growth Chart Graph Menu