Key components that should be documented in pediatric records include:
- Medical History: Past illnesses, surgeries, hospitalizations, allergies, and family health history. - Growth Parameters: Height, weight, head circumference, and body mass index (BMI). - Immunizations: Dates and types of vaccines administered. - Developmental Milestones: Achievements in areas such as motor skills, language, and social behaviors. - Physical Examinations: Findings from systematic assessments of the child's body systems. - Medications: Current and past medications, including dosages and duration. - Laboratory and Imaging Results: Results from blood tests, X-rays, and other diagnostic procedures. - Specialist Consultations: Summaries of visits to specialists and their recommendations.
