Generate Growth Charts on the Vital Signs Template

NextGen® Adaptive Content Engine Help Enterprise 8

Pediatric Growth Charts

NextGen® Enterprise enables you to record a pediatric patient's body measurements and graph growth charts on the measurements using the standard NextGen® Adaptive Content Engine pediatric templates. The growth chart uses data from all the patient encounters. For a premature patient, you can record prematurity and the gestational age on the Birth History template and the preterm growth charts are used for the patient. The Growth Chart link is available on the Record Vital Signs and the age-based Pediatric Vital Signs templates. You can also generate growth charts from the File menu on NextGen® Enterprise. Different growth charts available in NextGen® Enterprise include BMI, height, weight, head circumference, and weight vs. length graphs. You can indicate if the patient has down syndrome or turner syndrome on the Birth History template. Once selected, the values carry forward to future encounters, then for the patient, the Growth Chart link opens the specialized growth charts for turner

NextGen® Enterprise EHR Help

Growth Chart Measurements

You can document measurements using the age-based Vital Signs templates for pediatric patients (vital_signs_peds_over2y and vital_signs_peds_under2y). You can access these templates in the following ways: From the Record Vital Signs template (VS_WA_Std). From different specialty Home and Office Visit templates. Directly from the Intake and SOAP tab templates of the Advanced template set and the Foundation template set. Note: You can customize settings for alerts for out-of-range pediatrics vital signs values using the ngkbm_vital_signs practice template. Premature growth charts are generated when the Gestational age at birth field has a value of less than 37 weeks and a gestational age of up to 50 weeks. You can enter the gestational age on the Pediatric Under 2 Years Vital Signs template or the Pregnancy/Birth History template. The best practice is to add the gestational age in the Pregnancy/Birth History template prior to documenting the vital signs of the baby. The Pediatric Under 2

NextGen® Adaptive Content Engine Help Enterprise 8

Pediatric Vital Signs

You can document and manage the vital signs of a pediatric patient in the Vital Signs panel. You can add multiple vital signs for a patient during an encounter. The most recent value for each vital sign appears in the corresponding area in the grid. Vital Signs The Add button in the Vital Signs panel opens one of the following template based on the patient's age. The Pediatric Under 2 Years Vital Signs template for patients under 2 years of age. The template includes the Gestational age at birth fields to enter the patient's gestational age in weeks and days. The days field accepts values between 0 to 6. The template notifies you with an instructional text message when the Fenton Growth Chart has been used for the calculation of the percentiles. The display of the percentiles is based on the data in the Gestational age at birth field with a value less than 37 weeks and a gestational birth age of up to 50 weeks. For a premature patient, you can record the prematurity and the gestational

NextGen® Adaptive Content Engine Help Enterprise 8

View Pediatric Growth Charts

You can view the pediatric growth chart based on the age and measurements of the patient. The standard growth chart measures BMI, weight, height, and head circumference. Before you begin Before you generate a growth chart, you must set up the appropriate graphing preferences. For more information on growth charts and graphing preferences, go to NextGen Healthcare Success Community, and download the latest Growth Charts User Guide forNextGen®Enterprise EHR and System Administrator Guide forNextGen®Enterprise. Open the SOAP template. In the Vital Signs panel, click Add. The Pediatric [Age] Vital Signs template opens. In the Growth percentile section, click the Growth Chart link. The Pediatric Growth Charts - graph template opens based on the age and measurements of the patient. Pediatric Growth Charts - graph Note: Age vs. BMI growth charts appear even if the patient age is less than two years. However, the patient's details are not plotted on theAge vs. BMIgrowth chart, if they are unde

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

NextGen® Enterprise EHR Help

Growth Chart Generation from the NextGen® Enterprise EHR File Menu

You can generate the following growth charts for a pediatric patient from the NextGen® Enterprise EHR File menu for either NextGen® Enterprise EHR custom templates or NextGen® Adaptive Content Engine templates. You do not need to open the template. Age vs. BMI Age vs. Height Age vs. Weight Age vs. Head Circumference Weight for Length Each growth chart shows the percentile where the patient's measurement falls in relation to pediatric peers, represented by a red dot. For information on the available age ranges, data sources, and percentiles graphed, see Standard Growth Charts, Premature Growth Charts, Turner Syndrome Growth Charts, and Down Syndrome Growth Charts. You can also generate growth charts by: Selecting growth chart links on NextGen® Adaptive Content Engine pediatric templates. Inserting a growth chart Graph field on your NextGen® Enterprise EHR custom template. For more information on Graph fields, go to NextGen Healthcare Success Community, and download the latest Templates

Generate Growth Charts on the Vital Signs Template

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