.. _userguide-modules-pediatrics:pediatrics:

Pediatrics
==========

.. _userguide-modules-pediatrics:pediatrics-introduction_to_pediatrics_section:

Introduction to Pediatrics Section
----------------------------------

The *Health → Pediatrics* section has the functionality for pediatric patients. It focuses on the basic pediatric evaluation, making emphasis in the nutritional, growth and development of the infant and child.

.. _userguide-modules-pediatrics:pediatrics-neonatology:

Neonatology
-----------


.. _userguide-modules-pediatrics:pediatrics-neonatology-creating_a_newborn_record:

Creating a Newborn Record
^^^^^^^^^^^^^^^^^^^^^^^^^

.. thumbnail:: ../../images/GNU_Health_Pediatrics_Newborn.png
    :title: Pediatrics - Newborn
    :align: right
    :width: 30%

When a baby is born, you create a new record in the *Health → Pediatrics → Newborn* section. This allows you to store information that is specific to newborns like APGAR scores, reflexes, neonatal signs and symptoms, and congenital diseases.

A *Newborn* record is linked to a *Patient* record which is linked to a *Party* record. So to store a baby in the system you have to create all three records, but this can easily be done from within the *Health → Pediatrics → Newborn* section:

#. Create a *Newborn* record and fill in the *DoB* (date and time of birth), *Sex* and *Newborn ID* fields.
#. In the *Baby* field, click on the *Search a record* icon (or press F2).
#. In the search dialog, click the *New* button to create a *Patient* record.
#. In the *Patient* form, click on the *Search a record* icon near the *Person* field (or press F2).
#. In the search dialog, click the *New* button to create a *Party* record.
#. In the *Party* form, enter the name of baby and fill in the other mandatory fields of the party record, then click the *OK* button to close the *Party* form.
#. The baby's name is automatically filled into the *Person* field of the *Patient* record. Simply click the *OK* button to close the *Patient* form.
#. The baby's name is automatically filled into the *Baby* field of the *Newborn* record. Simply click the *Save* button to store the record. At this point, the QR code is generated to be used for the wristband (see below).
#. Continue to fill in additional information about the newborn as appropriate.

.. thumbnail:: ../../images/Perinatal_and_Intrapartum_Information_dialog_Main_tab.png
    :title: Pediatrics - Perinatal
    :align: right
    :width: 30%

During the procedure described above, the *PUID (Person Unique Identification Number)* will be generated automatically, and the *Date of Birth* will be copied from the *Newborn* record. Please be aware that the *Sex* field in the *Newborn* and *Person* records are not synchronized, so make sure to enter the correct information in both fields.

Please note that the antenatal information and the puerperium remains in the :ref:`userguide-modules-gynecology:gynecology` section.

.. _userguide-modules-pediatrics:pediatrics-neonatology-newborn_and_mother_wristbands:

Newborn and Mother Wristbands
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

.. thumbnail:: ../../images/How_to_print_a_wristband_for_a_newborn_in_GNU_Health.png
    :title: How to print a wristband for a newborn
    :align: right
    :width: 30%

To maximize security and identification of the newborn, the system assigns a newborn ID, and allows to print the four identification bands including QR codes to place it on the baby's and the mother's wrists and ankles.

QR codes can be read from most mobile devices through the build-in camera, and they can store a lot more information than traditional bar codes.

.. thumbnail:: ../../images/Patient_ID_card_sample_with_QR_Code.png
    :title: Patient ID card report
    :align: right
    :width: 30%

To print a wristband for the baby, open the newborn form and click the *Report* button. Depending on your needs, choose the *Newborn ID* or *Newborn ID - QR* option.

This will generate an ODT file and open it in your word processor (e.g. LibreOffice Write or Microsoft Word).

.. thumbnail:: ../../images/Newborn_wristband_Identification_with_all_the_information_encoded_in_QR.png
    :title: Newborn wristband Identification, with all the information encoded in QR
    :align: right
    :width: 30%

.. _userguide-modules-pediatrics:pediatrics-psc_(pediatrics_symptom_checklist):

PSC (Pediatrics Symptom Checklist)
----------------------------------

GNU Health has incorporated the Pediatric Symptoms Checklist (PSC) developed by Dr. Michael Jellinek and Dr. Michael Murphy from the Massachusetts General Hospital. The authors define the PSC as "a brief screening questionnaire that is used by pediatricians and other health professionals to improve the recognition and treatment of psychosocial problems in children."

.. thumbnail:: ../../images/How_to_find_all_PSC_records_for_a_patient.png
    :title: How to find all PSC records for a patient
    :align: right
    :width: 30%

GNU Health uses the standard PSC form – to be completed by the parents – and will include the Y-PSC. The system automatically calculates the total PSC score, based upon form values. It also highlights the evaluations that might indicate a child psychosocial impairment. The PSC cutoff values will be localized to the different countries (Japan, Germany, Holland ...), so it will fit their recommended cutoffs.

.. thumbnail:: ../../images/The_PSC_form_in_GNU_Health.png
    :title: The PSC form in GNU Health
    :align: right
    :width: 30%