Table 1
Desiderata for Management and Representation of Pediatric Growth in an EHR System*
| Workflow |
| Use routinely gathered growth measurements† |
| Automatically generate growth charts† |
| Growth charts accessible from standard EHR system components† |
| Growth data and calculations reusable for other tasks (e.g., decision support, documentation)‡ |
| Growth data |
| Capture weight, height or length, head circumference† |
| Calculate body mass index and growth velocity† |
| Calculate percentiles and standard deviations based on population norms† |
| Capture data using different units of measurement (e.g., grams, kilograms, pounds)† |
| Capture context of measurement (e.g., lying or standing, ventilated, receiving growth hormone) |
| Support automated data capture from measurement devices (e.g., digital scales) |
| Presentation |
| Display growth data on standardized charts as the default view† |
| Display against standard population-based normal curves† |
| Display normal curves based on age, gender, and other demographic characteristics† |
| Display using graphical and tabular formats† |
| Display predictive growth curves or growth targets‡ |
| Display time and date of birth for infants‡ |
| Functionality |
| Calculate mid-parental height by gender-specific parent height percentiles‡ |
| Display bone age measurements with actual age measurements† |
| Display development states (e.g., Tanner stages) with actual age measurements |
| Derive and display and the median age at which a given growth point is achieved |
| Allow adding, deleting, and editing of growth points† |
| Enable varying the scale's level of detail (i.e., zoom in or out) |
| Support printing and faxing† |
| Support user preferences (i.e., connected points, superimposed values, table or graphical chart)† |
