Pediatrics Module

WHO growth charts

Growth measurements are plotted against WHO 2006/2007 reference standards:

Weight-for-Age (0 to 10 years)

Height/Length-for-Age (0 to 19 years)

Head Circumference-for-Age (0 to 5 years)

BMI-for-Age (2 to 19 years)

Weight-for-Height (2 to 5 years)

Each measurement displays:

• Z-score and percentile calculated in real time
• Trend line across all recorded measurements
• Flags: Z-score below -2 (underweight or stunted) flagged in red; Z-score above +2 (overweight or obese) flagged in amber

Enter measurements in the Pediatrics Check session tab.

MOH vaccination schedule

The Egyptian Ministry of Health 2026 EPI schedule is pre-loaded. Due dates are calculated from the child date of birth.

Key vaccines by age:

Birth — BCG, OPV-0, HepB-0

2 months — OPV-1, DPT-HepB-Hib-1, PCV-1, Rota-1

4 months — OPV-2, DPT-HepB-Hib-2, PCV-2, Rota-2

6 months — OPV-3, DPT-HepB-Hib-3, PCV-3

9 months — MCV-1

15-18 months — MMR-1, DPT-HepB-Hib booster

4-6 years — DT booster, OPV booster, MMR-2

Recording a given vaccine:

1. Patient Profile > Pediatrics > Vaccinations > [vaccine row] > Mark as Given.
2. Enter: date administered, batch number, expiry date, VVM status, administering nurse.
3. Next dose due date is calculated automatically.

Parent WhatsApp reminders are sent 7 days before each due date.

Weight-based dosing calculator

200+ paediatric drugs with age and weight-based dosing ranges:

1. In the session Rx tab, click Dose Calculator.
2. The patient current weight (from latest growth record) is pre-filled.
3. Select the medication.
4. The safe dose range is shown in mg/kg and the calculated dose in ml based on the concentration entered.
5. Click Use This Dose — the prescription is pre-filled with the calculated amount.

BSA-based dosing is available for chemotherapy agents — enter height and weight to calculate Body Surface Area automatically.

Bhutani bilirubin nomogram

For neonates requiring phototherapy assessment:

1. Patient Profile > Pediatrics > Bilirubin.
2. Enter the total serum bilirubin (TSB) in micromol/L or mg/dL.
3. Enter the postnatal age in hours.
4. The Bhutani nomogram classifies the result as:

- Low risk (below 40th percentile)

- Low intermediate risk (40th to 75th percentile)

- High intermediate risk (75th to 95th percentile) — phototherapy threshold

- High risk (above 95th percentile) — immediate phototherapy required

The phototherapy threshold line is displayed based on gestational age and risk factors.