Pediatrics Module — Growth Charts, Vaccinations & Developmental Milestones

# Pediatrics Module

ClinIT's paediatrics module covers growth monitoring, national vaccination scheduling, developmental milestone tracking, and neonatal tools.

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Growth Monitoring

### Recording a Growth Measurement

In any session for a paediatric patient:

1. The session vitals panel auto-includes Height and Weight fields.
2. These are saved as a GrowthRecord linked to the patient and the visit date.

### Growth Chart Visualization

From Patient Chart → Growth:

• Weight-for-age, Height-for-age, Weight-for-height, BMI-for-age charts.
• WHO (recommended) or CDC reference curves — selectable per patient.
• Each measurement appears as a plotted point.
• Z-scores and percentile bands are displayed.

The AI Paeds Growth Interpreter generates a narrative analysis of the child's growth trajectory, flagging faltering growth or obesity trends.

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Vaccination Management

### Vaccine Schedule

1. Patient chart → Vaccinations → Schedule.
2. ClinIT displays the recommended national vaccination schedule based on the patient's date of birth.
3. Each due vaccine shows a status:

- DUE — due today or overdue.

- UPCOMING — due within 4 weeks.

- GIVEN — administered (with date, batch, site).

- DECLINED — parents declined (recorded with reason).

### Administering a Vaccine

During a Session:

1. In the session screen, click + Session Vaccines.
2. Select the vaccine from inventory (lot number auto-fills from stock).
3. Confirm site of administration and dose number.
4. Click Administer — stock is automatically deducted.

From the Patient Chart:

1. Vaccinations → + Record Vaccine.
2. Fill in all fields manually.

### Vaccine Inventory

Manage vaccine stock under Inventory → Vaccines:

• Receive new vaccine lots with expiry dates and quantities.
• See real-time stock levels.
• Finance integration: vaccine retail price tracked for invoicing.

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Developmental Milestones

For infants and toddlers, track developmental milestones at well-child visits.

1. Patient chart → Milestones → + Assessment.
2. ClinIT presents age-appropriate milestones across 4 domains:

- Gross Motor (e.g. rolls over at 4 months, walks at 12 months)

- Fine Motor (e.g. pincer grasp at 9 months)

- Language (e.g. says "mama/dada" at 9 months)

- Social / Emotional (e.g. social smile at 6 weeks)

1. Mark each milestone as ✅ Achieved, ⏳ Emerging, or ❌ Not yet.
2. Add clinical notes.

### Developmental Delay Flags

If ≥2 milestones are marked ❌ in any domain, a Developmental Concern alert appears on the patient banner, prompting formal developmental screening (M-CHAT, ASQ).

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Neonatal Tools

For the neonatal period (0–28 days):

• Birth Record — gestational age, birth weight, delivery mode, Apgar scores, NICU stay.
• Neonatal Bilirubin — serial bilirubin readings with Bhutani nomogram plotting (plot against gestational age in hours to assess phototherapy need).
• Feeding Plans — breast / formula / mixed; feeding frequency and volumes.
• Neonatal Daily Log — weight, jaundice score, feeding, urine/stool output.

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Nutrition Notes

Record dietary assessments and nutrition counselling notes per visit. Includes food recall, caloric estimate, and dietitian referral flag.