QHR Product Ideas

The spirit of the QHR ideas portal is to collect ideas and feedback from our users for integrations, enhancements, and new features.

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Growth Charts - plot Corrected Age for prematurity

Corrected Age (CA) is calculated by subtracting the # of weeks the baby was premature, from it's chronological age. Eg. A baby born 6 weeks ago who was 4 weeks premature, would have a CA of 2 weeks. This needs to be done for all infants born at less than 37 weeks gestation in order to correctly plot their growth on the WHO Growth Chart For Canada (WGCFC) 0-24 months. http://www.dietitians.ca/Downloads/Public/DC_HealthProGrowthGuideE.aspx If a premature infant's CA is less than zero, then their gestational age should be plotted on the FENTON growth charts for premature infants. Once CA is > or = to 0, then growth must be plotted on the WGCFC using the CA (continuing to use Fenton is considered optional as an addition to WGCFC). This prevents overdiagnosis of underweight or FTT, and prevents unnecessary concerns or interventions that can jeopardize exclusive breastfeeding and self-regulation of appetite.
  • Guest
  • Jun 20 2016
  • Released
Accuro EMR / Notes
  • Apr 6, 2020

    Admin response

    This has been addressed in Accuro build 2017.20.1

    Physical History (Child) Percentile Calculations
    Previously, Accuro would round to the closest month to generate the percentiles for height-age, weight-age, and head circumference-age percentiles for Physical History (Child). Accuro has been updated to allow days to be supported, thereby allowing the percentile calculations to be more accurate up to 1856 days, after which it will revert to months. This will allow the Clinical Growth Charts (EMR section > Encounter Notes tab > Labs section > right-click "Physical History (Child)" test > "Clinical Growth Chart") to display a more precise and accurate graph.

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