A&I Custom EHR for Pediatrics: Growth Chart Integration
How A&I Solutions built a pediatric-focused EHR with integrated growth charts, immunization management, and weight-based dosing to support efficient and consistent pediatric care.
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Building a pediatric-focused EHR for specialized care workflows
The client is a U.S.-based pediatric practice providing well-child visits, immunizations, developmental screenings, and acute and chronic pediatric care across multiple clinic locations.
The practice was using a general-purpose EHR designed primarily for adult ambulatory care. However, pediatric workflows required specialized capabilities such as growth tracking against percentile charts, age- and weight-based medication dosing, immunization scheduling, and developmental assessments. Providers relied on external tools and manual processes to manage these critical workflows.
To address these limitations, the client partnered with A&I Solutions to implement EHR software customization focused on pediatric workflows. The solution introduced integrated growth charts, immunization management, dosing support, and pediatric documentation tools directly within the EHR, eliminating external workarounds and improving clinical efficiency.
Adapting EHR workflows for pediatric care
The Challenge
- Growth tracking relied on external charts and manual percentile calculations.
- Weight-based medication dosing and immunization schedules required manual management.
- Adult-focused EHR workflows did not support pediatric-specific documentation needs.
Our Solution
- Integrated automated growth charts with percentile tracking inside the patient record.
- Added pediatric dosing support and immunization management workflows.
- Developed specialty-specific templates for well-child visits and developmental assessments.
Cloud-based specialty EHR architecture for pediatric workflows
A&I Solutions developed a secure cloud-based architecture using Microsoft Azure, React, .NET Core, Azure SQL, FHIR R4 APIs, HL7 v2.x messaging, SMART on FHIR, OAuth 2.0, Role-Based Access Control (RBAC), Single Sign-On (SSO), and HIPAA-compliant audit logging.
The architecture enabled secure exchange of pediatric clinical data while supporting customized workflows for growth monitoring, immunization tracking, medication management, and documentation across multiple clinic locations.
Specialty EHR software customized for pediatric care
A&I Solutions developed a pediatric-focused platform through EHR software customization, embedding growth tracking, immunization management, weight-based dosing, and pediatric documentation workflows directly into the system. The platform replaced external references and manual processes with integrated clinical tools designed specifically for pediatric care. Through these A&I EHR case study results, the implementation demonstrates how specialty EHR software can improve workflow efficiency, documentation consistency, and clinical decision-making.
1. Integrated pediatric growth management
To simplify growth monitoring, A&I Solutions embedded automated growth chart functionality directly into the EHR.
The platform included:
- Automatic plotting against standardized percentile charts
- Visual growth trends over time
- Percentile calculations from recorded measurements
- Growth tracking directly within clinical workflows
Providers could assess growth patterns immediately during visits without switching between external tools.
2. Pediatric clinical workflow automation
The platform unified essential pediatric workflows into one connected system.
Age-specific immunization schedules, catch-up rules, and vaccination status tracking were integrated directly into the patient record.
The system supported pediatric prescribing by reducing manual dosage calculations based on patient age and weight.
Well-child visit templates, developmental screening workflows, and age-aware forms standardized documentation across all clinics.
Microsoft Azure, OAuth 2.0 authentication, RBAC, SSO, encrypted data storage and transmission, and HIPAA-compliant audit logging protected pediatric patient information across locations.