Growth charts and EPRs
Taking clinical decision support
to the next level
Jani Söderhäll & Kristofer Ekbom

Ideas and examples from
our experience of EPR
development and use

We haven’t It’s too slow
got the time
Too many
clicks
required
Some people say...
”It takes longer to record
data on the computer!”
They’re right,
it does!

But it doesn’t matter!
The savings are not on
the data entry side but on
the analysis and outcome
side.

What is a long time?
It is the perceived time
that matters, not the
actual minutes or seconds.

Growth Charts
- Track childrens growth
- Monitor development and health status
- Screening tool

Height
Weight

Height
Height
Height
Weight
Weight
Weight

BMI:
Body Mass Index
(kg/m²)

Growth Charts
Component for integration
into existing EPR systems.
Growth XP - a growth and
puberty EPR / module.

Some people say...
”It’s faster to retrieve
information from a paper
based record.”
Is it really?

Examples
Girl, 16 yrs, regularly followed
Boy, 7 yrs, only a few recent visit
Note: Scale is logarithmic

Examples
Visual time line:
Different types of visit
Care plan with suggested intervals
Navigation tool
Scrollable, zoomable, clickable - with hints

Examples
- On general medication
- Asthmatic/Allergic
- Breathing problems – medicated
- Heart problems – medicated
- Family history of the disease
- Is currently working
- Is still driving

Instant feedback
Feedback and relevant
information in every situation
is vital.

Examples
Instant graphs:
Graphs one or more
variables
Shows important
occasions
Shows all visits in
selected time frame
Shows specific data
(of first and latest
two visits)

1
2
3
1) Positioning /
navigation
2) Calculations
3) Graphing

What is the next level?

The next level
”I don’t want any input,
I only want output.”

www.pcpal.se & www.GrowthCharts.info