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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

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PC PAL - Growth charts and EPRs