Feature
Pediatrics: Immunization, Growth Charts and the Birth Register
Paediatrics runs on two questions a general hospital system cannot answer: which children are due or overdue a vaccine, and is this child growing along their centile. Both depend on an exact date of birth, and both are wrong in a system that stores age in years. Trisvio holds vaccine due-ages in days, plots against the WHO Child Growth Standards, and links a birth in the register to a patient record carrying the birth's own date and time.
The pediatrics pack covers immunization against a hospital-editable UIP schedule with due, overdue and upcoming states; growth charts for weight, length or height and head circumference against WHO standards to five years; and a birth register that turns a recorded birth into a patient with an exact date of birth in one click.
- Who uses it
- Reception registers the baby from the birth register; nurses record weights and doses at the immunization session; the paediatrician reads the chart and the due list on the patient record.
- What it records
- Doses given with their date, growth measurements with the date taken, and births with the mother’s own record linked where she is a patient of the hospital.
- What it prints / exports
- A printable immunization card the parent takes home, an A4 growth chart naming the standard it was read against, and a date-range birth-register CSV in CRS column order carrying both mother and child MR numbers.
- Works with
- Patient Registration, OPD Management, Statutory Registers
What you get
- Due ages in days, not monthsA months-only field cannot express "6 weeks", which is how a seeded schedule once claimed Pentavalent-1 was due at six months. Due ages are entered in days, weeks, months or years and stored in days, so the infant doses at 6, 10 and 14 weeks are expressible and correct.
- Due, overdue and upcoming — with a grace periodThe schedule resolves against the child’s date of birth into given, due, overdue and upcoming, with a 14-day grace so a child seen at the next weekly session is not branded a defaulter. A false overdue list is how a clinic stops trusting the list at all.
- An age-only record shows no due dates, on purposeWhere only an age was recorded rather than a date of birth, the schedule shows no due dates and says why. A date derived from 1 January of the birth year can be a year out, and "overdue by 200 days" computed from a guess is worse than no list.
- WHO growth standards, with the z-score behind each pointWeight, length or height and head circumference plot against the WHO Child Growth Standards from birth to five years — median, ±2 SD and ±3 SD — each point carrying its z-score, centile and the WHO or IAP wording for the band it falls in.
- The chart refuses rather than guessesIt never extrapolates past five years; a child beyond ±3 SD is pinned inside the frame and ringed rather than dropped off it, which is exactly when it matters most; an approximate date of birth gets no centile; and a patient recorded as other than male or female gets no curve, because WHO publishes boys’ and girls’ standards only.
- One click from birth register to patient recordA birth links to the mother’s own record, and registering the baby creates a patient carrying the birth’s own date and time as an exact date of birth, plus the mother’s phone and address — because a newborn has none. That exact date is what makes the schedule and the centiles mean anything from day one.
How it works
The hospital owns its own vaccine schedule
The seeded UIP schedule is a starting point, not a fixture. Vaccines are added and retired from Settings, with the due age typed in whichever unit is natural and stored in days. Retiring a vaccine takes it off every child’s schedule while the doses already given keep their record.
A birth is recorded, then becomes a patient
The register captures the birth with the mother picked from the patient list where she is registered here, and free-text where she is not. One click mints the baby’s MR number; the claim is atomic, so two clicks cannot produce two records for one baby.
Measurements are taken at the visit
Weight, height or length and head circumference are recorded against the patient with the date taken, and the chart redraws from them. Nothing has to be entered twice for the chart and the record.
The parent leaves with something
The immunization card and the growth chart both print on A4 — the chart naming the standard it was read against and carrying the measurement table with each z-score and centile, so a paediatrician elsewhere can read it without the software.
Who uses it
- ReceptionistRegisters the baby from the birth register rather than retyping name, sex and date of birth, and prints the immunization card at the end of a session.
- NurseRecords the dose given and the weight taken at the immunization session; the due list updates from the same entry.
- PaediatricianReads the growth chart with z-scores and the due and overdue list on the patient record, without leaving the consultation.
Further reading
Frequently asked questions
Can we change the vaccine schedule?
Yes. The UIP schedule ships seeded but every vaccine is editable from Settings, and new ones — IPV-2, PCV, typhoid, HPV or a private-schedule vaccine — are added there without a code change. Due ages are entered in days, weeks, months or years.
Does the growth chart cover older children?
No. It covers birth to five years, because that is where the WHO Child Growth Standards end. IAP charts for five to eighteen years are not built, and neither are weight-for-length or BMI-for-age.
What happens if we only know the child’s age, not the date of birth?
The immunization schedule shows no due dates and the growth chart shows no centile, and both say why. Both computations depend on an exact date, and deriving one from an age is how a clinic ends up with a defaulter list it cannot trust.
Is there an antenatal or ANC record?
Yes, as an optional obstetrics pack: an antenatal episode (LMP, EDD, gravida/para, risk factors) with antenatal visits linked to the OPD visit, and a printable ANC card. Theatre cases, LSCS included, are scheduled in the optional operating-theatre module. There is no partogram or labour-room delivery record — a delivery appears as a birth register entry.
Do you send vaccination reminders to parents?
No. Trisvio sends nothing — there is no SMS, WhatsApp or email capability anywhere in the product. The due and overdue list is something your staff work from; the card is something the parent takes home.
Official references
- WHO Child Growth Standards — weight-for-age, length/height-for-age and head circumference-for-age ↗World Health Organization
Rules change. Confirm current requirements with the issuing authority.