Vitals/Growth Charts

• The vitals sort order, encounter note display format, Time default, and default graph time frame can be set by the Clinic Administrator in Vitals General
• The vital sign fields available for documentation and vital sign units of measurement can be configured by the Clinic Administrator in Vitals Configuration
• The high and low range for vital sign readings can be defined by the Clinic Administrator by going to Tools > Preferences > CLINIC > Vitals > Parameters
• Selection list items for blood pressure reading Location, last menstrual period Status, O2 saturation Source, and peak flow Status can be customized. Clinic Administrators can edit the list items by going to Tools > Preferences > CLINIC > Clinic Wide Form Data > Begin Edit and selecting Vitals from the Tab list
• Clinic Administrators can enable Vitals Alerts in Clinic Settings: Alerts/Reminders/CDS

• Select any column header to display all vitals data for that entry

  

• To sort the vitals data columns from oldest to newest or from newest to oldest, click the sort button

• Click to update the vitals data column with entries added after the chart was opened

1. Go to Chart > Vitals
2. Click Add Column
3. Optional: update the Date and Time fields, if needed
   1. Date field cannot be a future date
4. Document vital signs in the appropriate fields
   1. If the patient's height was previously documented, clicking Last will populate the Height field with the last recorded value
   2. If the patient's height and weight are documented, the patient's Body Mass Index (BMI) and Body Surface Area are automatically calculated upon saving vitals
   3. If the date or status of the patient's last menstrual period were previously documented, clicking Last will populate the Last Menstrual Period and Status fields with the last recorded values
5. Click Save

Clinic Administrators can enable vital sign alerts to create an alert when a patient's vital signs are outside of the clinic-defined normal parameters. These alerts will display upon saving vitals.

The following growth charts based on CDC guidelines can be generated for patients up to 18 years of age:

• Patients 0–36 months: Length/Height, Weight, Weight for Length, Head Circumference, and BMI
• Patients 3 years up to 18 years: Height, Weight, and BMI

Click a growth chart button to generate the chart. Selecting a plot point on the graph displays the values entered and the calculated percentile.