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Growth charts and EPRsTaking clinical decision support
to the next level
Jani Söderhäll & Kristofer Ekbom
Ideas and examples from Ideas and examples from our experience of EPR our experience of EPR development and usedevelopment and use
Some people say...Some people say...
It’s too slowIt’s too slow
Too many Too many clicks clicks requiredrequired
We haven’t We haven’t got the timegot the time
””It takes longer to record It takes longer to record data on the computer!”data on the computer!”
They’re right,They’re right,it does!it does!
But it doesn’t matter!But it doesn’t matter!
The savings are not onThe savings are not onthe data entry side but onthe data entry side but onthe analysis and outcome the analysis and outcome side.side.
What is a long time?What is a long time?
It is the perceived time It is the perceived time that matters, not the that matters, not the actual minutes or seconds.actual minutes or seconds.
Growth ChartsGrowth Charts
-- Track childrens growthTrack childrens growth-- Monitor development and health statusMonitor development and health status-- Screening toolScreening tool
Height
Weight
Height
Weight
Height
Weight
Height
Weight
BMI:Body Mass Index (kg/m²)
Growth ChartsGrowth Charts
Component Component for integration for integration into existing EPR systems.into existing EPR systems.
Growth XP Growth XP -- a growth and a growth and puberty EPR / module.puberty EPR / module.
Some people say...Some people say...
””It’s faster to retrieve It’s faster to retrieve information from a paper information from a paper based record.”based record.”
Is it really?Is it really?
ExamplesExamples
Girl, 16 yrs, regularly followedGirl, 16 yrs, regularly followed
Boy, 7 yrs, only a few recent visitBoy, 7 yrs, only a few recent visit
Note: Scale is logarithmicNote: Scale is logarithmic
ExamplesExamples
Visual time line:Visual time line:
Different types of visitDifferent types of visitCare plan with suggested intervalsCare plan with suggested intervalsNavigation toolNavigation tool
Scrollable, zoomable, clickable Scrollable, zoomable, clickable -- with hintswith hints
ExamplesExamples
-- On general medicationOn general medication-- Asthmatic/AllergicAsthmatic/Allergic-- Breathing problems Breathing problems –– medicatedmedicated-- Heart problems Heart problems –– medicatedmedicated-- Family history of the diseaseFamily history of the disease-- Is currently workingIs currently working-- Is still driving Is still driving
Instant feedbackInstant feedbackFeedback and relevant Feedback and relevant information in every situation information in every situation is vital.is vital.
ExamplesExamples
Instant graphs:Instant graphs:
Graphs one or more Graphs one or more variablesvariables
Shows important Shows important occasionsoccasions
Shows all visits in Shows all visits in selected time frameselected time frame
Shows specific dataShows specific data(of first and latest (of first and latest two visits)two visits)
1) Positioning / navigation
2) Calculations
23
1
3) Graphing
What is the next level?What is the next level?
The next levelThe next level
””I don’t want any input, I don’t want any input, I only want output.”I only want output.”
