Reading the growth curve
The Growth tab plots every measurement on the appropriate reference chart with percentiles and z-scores.
Reference selection
| Reference | When it's used |
|---|---|
| CDC | Default for ≥ 2 yr |
| WHO | Default for 0–5 yr (most pediatric guidelines use WHO at this age) |
| Fenton | Auto-selected when gestational age < 37 weeks; tracks growth on the preterm reference |
Corrected age
When a patient has a gestational age recorded, the chart uses corrected age until the appropriate developmental catch-up window. Toggleable to chronological for comparison.
What to look for
- Sustained percentile drops across visits
- Crossing two major percentile bands (e.g., P50 → P25 → P10)
- Discordance between weight and length curves
- Z-score trends rather than absolute percentile
Specific patterns for failure-to-thrive, picky eating, and ARFID are being written.
Print & share
The Growth tab has a Print action that produces a print-ready layout with:
- Patient name in the header
- Weight chart
- Height chart
- BMI percentile chart (when applicable)
- Page breaks between charts for clean output
Use the browser's print dialog to save as PDF or send to a physical printer. Useful for:
- Including in a printed visit summary
- Sharing with a referring provider via fax or mail
- Adding to a paper chart in clinics that aren't fully digital