Patient Chart: Vital Signs and Growth Measurements

OP sets all defaults to share all information. Any individual decisions by Practice-users to restrict information sharing (access, use, or exchange) are the responsibility of the Practice in the implementation of its 21st Century Cures Act Information Blocking policies and procedures for its Practice and patients.

Version 14.19

This window map article points out some of the important aspects of the window you're working with in OP but is not intended to be instructional. To learn about topics related to using this window, see the Related Articles section at the bottom of this page.

About Patient Chart: Vitals/Growth (Vital Signs and Growth Measurements)

Path: Clinical, Practice Management, or Billing tab > Patient Chart button > Vitals/Growth

The Vital Signs and Growth Chart window in the Patient Chart contains the date/time and result of all vital signs and growth measurements recorded for the patient. BP Reference = latest NHLBI guidelines; Other Vital Sign Reference = Harriet Lane.

NoteJust like a paper chart, the electronic chart in OP contains personal health information and should be kept protected and confidential. Always close all windows on your screen and log out of OP when you are not at your workstation.

Patient Chart: Vital Signs and Growth Measurements Map (Vital Signs and Growth Measurements)

Number

Section
Description

1

Vitals/Growth Tabs
  • The Enter Vital Signs tab contains fields for entry of the patient's vitals and growth measurements. 
  • The Growth Charts tab maps the results of the patient’s growth include weight, length, height, head circumference, and the calculated BMI graphs. The curves are based on data from the National Center for Health Statistics in collaboration with the National Center for Chronic Disease Prevention and Health Promotion, 2000.
  • The Growth Measurements tab displays the current and previous growth measurements.  These measurements can be excluded from the growth chart by clicking the Exclude checkbox.
  • The Vital Signs Charts tab maps the patient's vitals over time including tanner stage, peak flow, pain severity, respiratory rate, temperature, pulse, pulse oximetry,  blood pressure, weight, height, and BMI.

2

Function buttons
The function buttons are used to add a record, edit a record, save a record, cancel a record, and refresh a record.
3
Vitals/Growth buttonThe Vitals/Growth button accesses the Vital Signs/Growth Measurements window in the patient's chart.
Version 14.10

About Patient Chart: Vitals/Growth Tab (Vital Signs and Growth Measurements)

Path: Smart Toolbar > Chart button > Vitals/Growth tab

The Patient Chart is the central point of access to all areas of a patient's complete Medical record. Use the Patient Chart to access and maintain patient records.

The Vital Signs and Growth Measurements tab is used with the Preventive Exam. It documents vital signs and measurements. The Vital Signs and Growth Chart tabs contain the date/time and result of all vital sign and growth measurements in a patient's chart.

NoteJust like a paper chart, the electronic chart in OP contains personal health information and should be kept protected and confidential. Always close all windows on your screen and log out of OP when you are not at your workstation.

Patient Chart: Vital Signs and Growth Measurements Map (Vital Signs and Growth Measurements)

Number

Section
Description

1

Tabs
  • The Enter Vital Signs tab contains fields for entry of the patient's vitals and growth measurements. 
  • The Growth Charts tab maps the results of the patient’s growth include weight, length, height, head circumference, and the calculated BMI graphs. The curves are based on data from the National Center for Health Statistics in collaboration with the National Center for Chronic Disease Prevention and Health Promotion, 2000.
  • The Growth Measurements tab displays the current and previous growth measurements.  These measurements can be excluded from the growth chart by clicking the Exclude checkbox.
  • The Vital Signs Charts tab maps the patients vitals over time including tanner stage, peak flow, pain severity, respiratory rate, temperature, pulse, pulse oximetry,  blood pressure, weight, height, and BMI.

2

Primary Vitals tab
The Primary Vitals tab fields include blood pressure, pulse, respiratory rate, temperature. Normative values for blood pressure are calculated according to age, sex, and height using reference data from the National Heart, Lung and Blood Institute.

3

Secondary Vitals
The Secondary Vitals tab contains pulse oximetry readings, peak flows, pain severity, and other pulmonary function tests.

4

Growth Measurements
The Growth Measurements tab contains the date, patient age, stature, weight, BMI, and Comments on measurements.

5

Function buttons
The function buttons are used to add a record, edit a record, save a record, cancel a record, and refresh a record.
6
Left tabs

The left tabs open a different section within the patient’s medical records.  The Patient Chart contains the following left tabs: