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 Circumference	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 for Length	0-36 months	CDC 2015	2, 5, 10, 25, 50, 75, 90, 95, 98
BMI	2-20 years	CDC 2015	2, 5, 10, 25, 50, 75, 90, 95, 98

NextGen® Enterprise EHR Help

Standard Growth Charts

Standard growth charts measure body mass index (BMI), height, weight, head circumference, and weight versus length. By default, the growth charts use chronological age and are not corrected for genetic syndromes or premature birth. An option is available on some growth charts to adjust the plot for gestational age. Standard growth charts use data from the World Health Organization (WHO) or Centers for Disease Control and Prevention (CDC). The table below lists the standard growth chart types by age group and provides the data source and percentiles graphed. 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 L

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

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

Generating Pediatric Growth Charts

NextGen® Enterprise EHR enables you to generate age-based growth charts. Percentiles on a growth chart are used to compare a pediatric patient to other children of the same gender and age. The percentiles are shown as lines drawn in curved patterns. In addition to standard growth charts, specialized growth charts are available for Turner syndrome, Down syndrome, and premature patients. You can generate growth charts from NextGen® Adaptive Content Engine or NextGen® Enterprise EHR custom templates. You can also select a growth chart type from the NextGen® Enterprise EHR File menu for a specific NextGen® Enterprise EHR custom or NextGen® Adaptive Content Engine template. After you generate a growth chart, you can adjust the plot, customize the display, and save and print the graph. To begin using growth charts, you must have a patient open in NextGen® Enterprise EHR. For detailed instructions on working with locations, providers, patients, and encounters in NextGen® Enterprise EHR, go to

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® 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

Down Syndrome Growth Charts

Recommendations

Standard Growth Charts

Turner Syndrome Growth Charts

Premature Growth Charts

Generating Pediatric Growth Charts

View Pediatric Growth Charts

Pediatric Growth Charts

Standard Growth Charts

Turner Syndrome Growth Charts

Premature Growth Charts

Generating Pediatric Growth Charts

View Pediatric Growth Charts

Pediatric Growth Charts